MN553 W9 – Prescribed Drugs with CAMs

Case Study: Prescribed Drugs with CAMs

A 35-year-old male, Mr. NX, presents to your clinic today with complaints of back pain and just not feeling good. Regarding his back, he states that his back pain is a chronic condition that he has suffered with for about the last 10 years. He has not suffered any specific injury to his back. He denies weakness of the lower extremities, denies bowel or bladder changes or dysfunction and denies radiation of pain to the lower extremities and no numbness or tingling of the lower extremities. He describes the pain as a constant dull ache and tightness across the low back.

He states he started a workout program about 3 weeks ago. He states he is working out with a friend who is a bodybuilder. He states his friend suggested taking Creatine to help build muscle and Coenzyme Q10 as an antioxidant so he started those medications at the same time he began working out. He states he also takes Kava Kava for his anxiety and garlic to help lower his blood pressure.

His historical diagnoses, currently under control, are:

Type II diabetes since age 27

High blood pressure

Recurrent DVTs

His prescribed medications include:

Glyburide 3 mg daily with breakfast

Lisinopril 20 mg daily

Coumadin 5 mg daily

Directions:

1. Present this Assignment as a PowerPoint presentation with at least 10 slides
2. Be sure to complete the assignment as the NP treating this family, not as a third party. 
3. You will use the Narrative notes section of the presentation to include the majority of
    your evidentiary support of your treatment choices and education of family complete with in-text citations.

MINIMUM 5 REFERENCES

San Fernando Cathedral also called the Cathedral of Our Lady of Candelaria

San Fernando Cathedral also called the Cathedral of Our Lady of Candelaria

Research it and find at least four sources on about the cathedral

You must create a bibliography of the sources

Describe the cathedral.

What in history it was used for.

How its connected to a specific historical event like the battle of the Alamo.

How its been used to misrepresent or represent the underlying Event/period.

How does it shape our historical memory.

The must be a image of the cathedral with explanation of who took the image the older the better. Maybe two images one in 1730’s then one of the present day.

https://www.sfcathedral.org/our-history

Science questions

1) How do you view your approach to instruction in science education?
2) What is the most important aspect of the objectives you write for your classroom?
3) What aspects of classroom management for science are you most concerned about?

Please identify which question is which?

Written Assignment 4

For the following questions, list the entire path for the indicated file. If you use the variables ORACLE_BASE or ORACLE_HOME, be sure to list their values as well.

Find the location of the instance of your database (ORCL).
Find the location of the file init.ora .
What purpose does this file serve?
Find the location of the files listener.ora and tnsnames.ora. Identify which file is on the client and which file is on the server.
Find the location of the file sqlplus.exe .
What purpose does this file serve?

Submit your document with the file name M4Assignment.doc .