Wednesday, December 25, 2019

A Comparison Of Nicholas And The American Restoration...

Allen Diles, in A Comparison of Nicholas of Pelhrimov and the Taborite Restoration with Alexander Campbell and the American Restoration Movement, attempts to relate religious movements that occurred more than four centuries apart: the Taborite Restoration and the American Restoration. Further focus is place on the leaders of these movements, Nicholas of Pelhrimov and Alexander Campbell. A connection between these two men is scarcely made; moreover, many students of religion are ignorant to the existence of the Taborite Restoration and Nicholas of Pelhrimov. Diles’ endeavor to connect these men and the reformation movements they were involved in was lucrative, as it connected a semi-modern movement with a little known medieval movement, but his presentation of the connection between these movements prevents the connection from emerging in a manner as compelling as it possibly could have. Diles composes his article in response to the neglect of the Hussite movement, of which the Taborites formed the radical wing of, in modern times and the often exclusion of Nicholas of Pelhrimov, an individual whom he feels was critical, when the Hussite movement is studied. In his thesis, Diles states, â€Å"Although Nicholas himself is obscure to Americans and among scholars of the Stone-Campbell Movement, the Taborite movement is rarely mentioned, and examination of Nicholas and his movement reveals striking similarities in thought, if not in form, between the medieval Taborite reform and thatShow MoreRelatedHistory HL Paper 3 Europe6131 Words   |  25 Pagesburdensome direct and indirect taxation. Louis XVI was considered weak and incompetent, debt increased, and a series of ministers failed to solve it. But there were other causes, such as the economic situation, influence of the philosophers, and the American War of Independence. The monarchy was a victim, in that Louis was executed, and the revolution was at least partly responsible for the dauphin’s death. The monarchy’s former absolutist power was removed by legislation, and it was abolished in 1792Read MoreLiterary Group in British Poetry5631 Words   |  23 Pagesa small percentage of the worlds native English speakers live in England, and there is also a vast population of non-native speakers of English who are capable of writing poetry in the language. A number of major national poetries, including the American, Australian, New Zealand, Canadian and Indian poetry have emerged and developed. Since the establishment of the Irish Republic in 1922, only poets from Northern Ireland are now British. This article focuses on poetry, written in English, by poetsRead MoreSwot Analysis Of Budweiser3608 Words   |  15 Pagesthe company officially changed its name to Anheuser-Busch Brewing Association. (Anheuser-Busch, Budweiser, 2017) He kept current with modern advances in technology making expansion possible and by the early 1870s, Adolphus Busch became the first American brewer to use pasteurization, which increased the shelf life of bottled beer up to four months allowing it to be shipped long distances without spoiling. He later invested in his own company producing refrigerated rail cars which helped with shipmentRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pagesand Paul Buhle, eds., The New Left Revisited David M. Scobey, Empire City: The Making and Meaning of the New York City Landscape Gerda Lerner, Fireweed: A Political Autobiography Allida M. Black, ed., Modern American Queer History Eric Sandweiss, St. Louis: The Evolution of an American Urban Landscape Sam Wineburg, Historical Thinking and Other Unnatural Acts: Charting the Future of Teaching the Past Sharon Hartman Strom, Political Woman: Florence Luscomb and the Legacy of Radical Reform Read MoreRastafarian79520 Words   |  319 Pagesacquirer Library of Congress Cataloging-in-Publication Data Edmonds, Ennis Barrington. Rastafari : from outcasts to culture bearers / Ennis Barrington Edmonds. p. cm. Includes bibliographical references and index. ISBN 0-19-513376-5 1. Rastafari movement. 2. Jamaica—Religious life and customs. I. Title. BL2532.R37 E36 2002 299†².676—dc21 2002074897 v To Donnaree, my wife, and Donnisa, my daughter, the two persons around whom my life revolves; and to the ancestors whose struggles have enabledRead MoreInternational Management67196 Words   |  269 Pagesnot available elsewhere. Updated chapter on ethics and social responsibility with more extensive discussion of core ethical theories and how they relate to international management practices and the global sustainability movement. Extensive coverage of Project GLOBE and its comparison to Hofstede’s classic description of national cultural dimensions (Chapters 4, 13). STILL SETTING THE STANDARD. . . †¢ †¢ Revised or new â€Å"In the International Spotlight† inserts which profile the key economic andRead MoreDeveloping Management Skills404131 Words   |  1617 PagesSUPPLEMENTARY MATERIAL 24 Diagnostic Survey and Exercises 24 Personal Assessment of Management Skills (PAMS) 24 What Does It Take to Be an Effective Manager? 28 SSS Software In-Basket Exercise 30 SCORING KEY AND COMPARISON DATA 42 Personal Assessment of Management Skills 42 Scoring Key 42 Comparison Data 42 What Does It Take to Be an Effective Manager? 43 SSS Software In-Basket Exercise 43 PART I 1 PERSONAL SKILLS 44 45 DEVELOPING SELF-AWARENESS SKILL ASSESSMENT 46 Diagnostic Surveys forRead MoreMonsanto: Better Living Through Genetic Engineering96204 Words   |  385 Pageshealthyhearing.com. 19 2005, Annual Report, Boston Scientiï ¬ c. 20 www.healthyhearing.com; www.allhear.com. 464 8/29/07 11:41:16 AM 465 CASE D E L TA F A U C E T: G L O B A L E N T R E P R E N E U R S H I P IN AN EMERGING MARKET 2 NICHOLAS GRIGORIOU* MONASH COLLEGE – CHINA The creation of a new venture is a multidimensional phenomenon; each variable describes only a single dimension of the phenomenon and cannot be taken alone . . . entrepreneurs and their ï ¬ rms vary widely; theRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 PagesScott A. Kincaid, Nicholas Lockwood, Stephen R. Nelson, Kevin Ryan, John Sacco, Rebecca Scholer, Mohan Tatikonda, Iris Vessey, Hugh Watson, Taylor Wells, Bradley Wheeler, Michael Williams, and Barbara Wixom. We have also benefited from several sources of support for our research that have led to the development of case studies for this textbook—including the IM Affiliates program at the Kelley School of Business at Indiana University, the EDS Corporation, British American Tobacco, SAP-America

Tuesday, December 17, 2019

Marketing Plan Starbucks - 5803 Words

Marketing Plan: Starbucks Revitalizing Teas Abstract A marketing plan for Starbucks Coffee Company for the introduction of a new line of tea to the beverage menu includes a multi faceted approach. Beginning with an organizational overview, and following with the new product description, SWOTT analysis, marketing research, segmentation, differentiation and positioning, product life cycle, the marketing mix, budget, and finally, control mechanisms, the marketing plan comes to life. Organizational Overview Founded in 1971, Starbucks Coffee Company’s first location was in Seattle’s Pike Place Market and after 35 years, Starbucks has grown to over 11,500 outlets worldwide serving approximately 40 million customers every week†¦show more content†¦These teas are multi-flavored teas and can easily be purchased in retail stores or at any of our Starbucks stores globally. These teas consist of five main flavors, and can be added if successful or as time goes by. The flavors are as follows: †¢ Twisted Lime Tea †¢ Rockin’ Raspberry Tea †¢ Lemon Surprise Tea †¢ Cool Blueberry Tea †¢ Invigorating Green Tea The name that has been chosen as a marketable idea is â€Å"Starbucks Revitalizing Teas†. In addition to brewed coffee and espresso beverages, Starbucks shops also serve hot or cold Green Tea and Tazo beverages. These new beverages of different flavored teas should add more value to the company and fulfill the consumers’ need for a variety of flavored teas. Today, there are many critics of Starbuck’s and a lot of people are saying the globe needs to reduce caffeine consumption or that most budgets are not working because of addictions to Starbuck’s. The firm now has the opportunity to offer many other drinks that are healthy and tasty without getting away from what made the organization great. First it was the coffee, CD’s, and hot spots – now it is time for a new product that will incorporate another favorite drink. Tea – Flavored Tea! The organization has the ability to continue marketing through it existent strategies, while adding new strategies that will strengthen the brand and increase sales. SWOTT Analysis A SWOTT, (Strengths,Show MoreRelatedStarbucks Marketing Plan5669 Words   |  23 Pagesï » ¿ Marketing Plan for Starbucks Submitted by: Submitted to: Table of Contents Executive Summary†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Situational Analysis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Cooperative Environment†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Competitive Environment†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Economic Environment†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Social Environment†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Political Environment/Legal Environment†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Marketing Planning†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Marketing Objectives†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Read MoreStarbucks Marketing Plan5195 Words   |  21 PagesStarbucks Marketing Plan Katie Tewell Bethany Odom Kelly Snider December 12, 2006 Executive Summary What was once a small coffee shop opened by Gerald Baldwin, Gordon Bowker, and Ziev Siegl in 1971, Starbucks Coffee Company has grown into the number one specialty coffee retailer. With over 10,000 coffee shops in more than 30 countries, of which 4,200 are licensed and franchised and 6,000 are owned, the company’s main objective is to establish Starbucks as the â€Å"most recognized and respected brandRead MoreStarbucks s Marketing Plan For Starbucks Essay986 Words   |  4 Pageshistory of Starbucks logo, the potential risk of logo redesign, and other branding successes and failures in detail through this summary report. To be more acceptable and popular, Starbucks has redesigned its logo five times since original image. To be more beneficial, the branding team of Starbucks plans to explore another logo update soon. Hence, I offer this report to help them to know the detailed information about logo redesign and to make the final decision on whether or not Starbucks should u pdateRead MoreStarbucks s Marketing Plan For Starbucks Essay1150 Words   |  5 PagesMany people would assume that Starbucks has reached, or is fairly close to its saturation point. In just about any city, suburb, train station, or college campus, there’s a Starbucks location to meet coffee drinkers needs. With Starbucks expanding, a likely investment would be to continue expansion worldwide. Not only should Starbucks concentrate on expanding its footprint, but also continue to alter its stores. Rather than opening more dine-in restaurants, Starbucks should concentrate on drive-thrusRead MoreStarbucks s Marketing Plan For Starbucks3029 Words   |  13 PagesStabucks Starbucks which from small businesses to todays global cafe, has managed to become one of the best coffee chain and suppliers in the world. As early as in 1971, three friends (Jerry, ZEV and Gordon) sell fresh coffee beans and accessories in Seattle are the idea of passion. Things started to change; Schultz wanted to sit environment friendly coffee service development the business. Schultz provides coffee spread the idea of sitting together in a culture, and since that time, Starbucks is inRead MoreStarbucks s Marketing Plan For Starbucks Essay1855 Words   |  8 PagesStarbucks had is beginning in Seattle, Washington in 1971 by Jerry Baldwin, Gordon Bower and Zev Siegl. These three friends just had a love for dark roast, European styled coffee. They sat out to make sure that they offered better tasting coffee than Folgers and Maxwell House. These owners had a vision that show customers about fine coffees and wines. They made sure they had the best of the best coffee beans only impo rting from Sumatra, Kenya, Ethiopia and Costa Rica. The owners even made sure thatRead MoreThe Marketing Plan For Starbucks1222 Words   |  5 Pagesthere is a chance of offending someone quite deeply by even doing this. Starbucks unveiled their 2015 holiday cups on the first of November. The simple, blank red cups have created a large amount of controversy regarding whether or not they should have used the words â€Å"Merry Christmas.† A Christian blogger named Joshua Feuerstein posted a video on Facebook four days later, where he declares that Starbucks â€Å"hates Jesus.† Starbucks responds that they are simply attempting to create an open environmentRead MoreStarbucks - Marketing Plan Essay5753 Words   |  24 PagesStarbucks: Marketing Plan A Market Analysis Mission Statement and Objectives: Starbucks advertises two essential mission statements. First and foremost, it strives to â€Å"establish [ourselves] as the premier purveyor of the finest coffee in the world while maintaining our uncompromising principles while [we] grow(s).† (Starbucks) Reflective of its mission, Starbucks bases its strategic campaign and communications on six indispensable philosophies; structuring a pleasant work environment inRead MoreEssay on Starbucks Marketing Plan1006 Words   |  5 PagesMarketing Plan Project Starbucks MKTG 3175 Gay Fortson Sharita Garmon Robin Hardy- Green Table of Contents Executive Summary†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..3 History and Background†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Read MoreStarbuckss Marketing Plan For Starbucks988 Words   |  4 Pageshistory of the Starbucks logo, the potential risk of logo redesign, and other branding successes and failures in detail through this summary report. To be more acceptable and popular, Starbucks has redesigned its logo five times since original image. To be more beneficial, the branding team of Starbucks plans to explore another logo update soon. Hence, I offer this report to help them to know the detailed information about logo redesign and to make the final decision on whether or not Starbucks should update

Monday, December 9, 2019

Acute Care Case Study

Questions: 1.What is rhabdomyolosis? 2.How is Rhabdomyolosis treated?3.What are the complications associated with the condition?4.Why did they do an ECG in the emergency department? What was the rhythm?5.Explain the reason for Tims Pyrexia?6.Explain the results of urinalysis.7.Explain the reason of the pathology tests provided. Answers: 1. Any muscle injury that may be both direct and indirect may often lead to a serious condition where death of muscle fibres takes place. The contents are released into the bloodstream and often might result on kidney dysfunction and failure (Ruiz et al. 2013). This is mainly because the kidney fails to remove any sort of waste as well as concentrated urine and therefore may present concentrated brown coloured urine. In Tims case one can say that out of the several diseases that cause this syndrome, excessive rise of body temperature resulted in a heat stroke that have resulted in muscle injury during the trialothon that was the cause of the disease. Moreover, very less sleep in the previous night was an additional reason for it. 2. A patient suffering from rhabdomyolosis should be monitored with adequate hydration and his urine output should be recorded. Fluid should be resuscitated so that the body fluid remains optimum (Mausavi et al.2015). Organ which gets affected should be immediately treated. Electrolyte balance should be maintained and ECG should be done to monitor the level of potassium and other electrolyte balances. Once the fluid content, electrolyte balances and failed organs becomes stabilised and the person feels well, he can be discharged from the hospital. In case of Tim ECG reported showed imbalances in the various salts present in his body that confirmed that he was suffering from rhabdomyolosis. 3. Rhabdomyolosis which is defined as skeletal muscle injury. Myocyte calcium homeostasis is mainly affected by the excessive release of the myoglobin (A Myocyte compound) can precipitate in the glomerular filtrate because the level exceeds the level of protein binding (Chen, Bai and Chang 2014). Renal obstruction thereby causes kidney failure. Apart from this it also results in hyperuricemia, hypoalbuminemia, electrolyte imbalances and disseminated intravascular coagulation and also compartment syndrome. 4. Rhabdomyolosis mainly occurs due to the increased levels of potassium. ECG known as electrocardiogram is usually helpful in checking the elevated levels of potassium because it affects the conducting system of the heart (Tucker 2015). This can be understood by the images that can be produced by ECG showing the T WAVE or QRS complex broadening (Parekh et al. 2013). Increased extracellular potassium is expected to affect the myocardial excitability by affecting the pacemakers and the conducting tissue system (Na and Chunxia 2013). In serious cases of hyperkalemia, generation of impulse is suppressed and reduced conduction by the SA node and AV node respectively which leads to bradycardia and even to cardiac arrest in extreme cases. The images provided from Tims ECG shows elevated T waves that can determine his serum potassium that may represent a level of about K+ as 7.0. If this serum level reaches to K+ of about 9 it would lead to cardiac arrest. Tim was therefore administered into the hospital so that he was protected from cardiac arrest. 5. Pyrexia otherwise known as fever is a natural body mechanism that marks the presence of any injury or disease in the body. The hypothalamus consists of a particular gland that is responsible for the cooling or heating of the body. The biochemical molecules called pyrogens are released when any harmful microorganisms are present in the body or may be from injured body tissues directly into blood system (Yunhui and Jings 2013). This is the bodys way of response to create an environment to clear the microorganisms by raising the temperatures. In case of Tim one can see how his skeletal muscles got injured leading to rhabdomyolosis which was the main reason for Tims pyrexia. 6.Urinalysis is a very simple way of confirming the occurrence of rhabdomyolosis (Desjardins and Strange 2013). In case of Tims urine , presence of the brown sediment giving a dark cola like colour signifies the presence of heme content because it makes the urine dark brown in colour when present. Presence of pH less than 5.5 usually demarcates the chance of this syndrome; Tims urine has a ph of 4 which signifies that immediate fluid resuscitation is important. It is already known that urine should be analysed as positive for the presence of blood but negative for RED blood corpuscles. During this syndrome, myoglobin protein breaks down into heme which can be identified by using a dipstix that is sensitive for heme. As a result presence of blood may confirm the disease which is mainly due to myoglobin as well. A value of SG 1025 may indicate dehydration problems that require immediate rehydration procedures. 7. Increased level of potassium is a marker for the presence of rhabdomyolosis. This increased level is harmful for the cardiac system as it harms the action potential generation and leads to cardiac arrhythmias (Manspeaker, Henderson and Riddle 2014). Low level of calcium as seen in Tims blood also suggests that calcium influx has taken place in the muscle cells mainly due to ATP depletion. Uncontrolled entry of calcium takes place which causes continuous and persistent contraction for which the muscle cells get injured thereby damaging and breaking down the intracellular proteins (Packard, Price and Hanson 2014). So this also says the reason why Tims blood has excessive protein than normal. Moreover much creatinine level and urea demarcates the failure of the kidney which thereby give a sign of the kidney malfunctioning. CreatininKinase MB Isoenzyme tests usually become very high than the normal level during skeletal muscle injury which is another proof of the occurrence of Rhabdom yolosis (Biswas et al 2013). intake time amount oral tube nature 1500 30 mls oral water 1515 1000mls Hartmans Salt balance 1515 1000 mls Hartmans Salt balance 1515 1000 mls 4% Dextrose 1/5 N/Saline Salt balance 1515 1000 mls N/Sline with 1000 mmol NaHCo3 Salt balance 1600 30 mls oral water 1700 30 mls oral water Output time Urine faeces vomit comment 1530 320 mls Dark cola colour 1630 200 mls Dark cola colour 1730 145 mls Dark cola colour Potential problem problem intervention Urine quality and quantity have to be checked at regular hours. Continuous urinalysis to be donr for Tim Vital signs have to be continuously recorded Regular monitoring of vital signs in every hours to check BP, HR, BT and RR which was more or less fine for TIM Fluid balance have to be continuously monitored This is to be done because salt imbalances may become lethal because Tim had weak salt balance known from pathology tests. Acute problems: problem Intervention: Kidney failure for Tim could not produce normal urine Dialysis ECG showed tendency of bradycardia and cardiac arrest. Potassium levels to be kept in check Muscle injury in Tims limbs Gradual level in rise of blood Calcium and decreased level of intracellular Ca has to be maintained. Progress notes:- The vital signs that has been observed in the period from 1500 to 1700 showed irregular heart rate but was within the nondanger zone. Similarly the Body temperature was slightly above the normal body temperature of 38.5? C that resulted in a slightly feverish feeling. However the blood pressure was far below the normal level and it can be said that Tim suffered from hypotension. The respiratory rate was also found to be normal. The skin gradually became warm from cold and dry feeling which was appositive side of his revival. The urine output also reduced in course of time which was also a positive sign. So the monitoring of the vital signs helped us to understand the response of patient Tim. Blood pressure and body temperature of the patient was found to be gradually becoming normal but the heart rate and the respiratory rate was found to show abnormality. The heart rate was found to go above the normal value of 80 thereby proving that he has cardiac anomalies and the condition was worsening. The respiratory rate was found to be going above the normal value of 20 to 24 showing problems in respiratory passage. Gradual development of pain showed that further degeneration of the muscles were taking place leading to increased generation of potassium that if not controlled might lead to cardiac arrest. During following the ABC intervention in the treatment of rhabdyolosis, first the nurse has to keep the patient conscious and monitor whether he can recognise surrounding (Haiyan et al. 2014). Their alertness is to be examined. Patients AIRWAYS have to be kept cleared by nasal canaliculi. Airway manoeuvres, bag and valve mask and other processes. Then one has to check the breathing of the patient in order to see whether he is using accessory muscles or breathing normally. As Tim had abnormal RR, then the intervention one can provide may be using bag valve mask so that he can maintain optimum tidal volume. Oxygen may be provided if necessary. Intubation and ventilation can be used depending upon the further deterioration of the patient. Circulatory system analysis has to be done in order to understand the rise of heart rate and take interventions accordingly to make their heart rate stable. References: Biswas, S., Rao, R.S., Duckworth, A., Kothuru, R., Flores, L. and Abrol, S., 2013. Bilateral Atraumatic Compartment Syndrome of the Legs Leading to Rhabdomyolysis and Acute Renal Failure Following Prolonged Kneeling in a Heroin Addict. A Case Report and Review of Relevant Literature.Panamerican Journal of Trauma, Critical Care and Emergency Surgery,2(3), p.139. Chen, L.C., Bai, Y.M. and Chang, M.H., 2014. Polydipsia, hyponatremia and rhabdomyolysis in schizophrenia: A case report.World journal of psychiatry,4(4), p.150. Desjardins, M. and Strange, B., 2013. Pre-hospital treatment of traumatic rhabdomyolysis: Mathew Desjardins and Barnaby Strange discuss the aetiology and management of traumatic pathological breakdown of skeletal muscle tissue.Emergency Nurse,21(8), pp.28-33. Haiyan, S., Shiyang, Z., Yang, L. and Shaojuan, C., 2014. Effect of continuous hemofiltration on acute renal injury induced by rhabdomyolysis and relevant nursing strategies.Modern Clinical Nursing,1, p.011. Manspeaker, S., Henderson, K. and Riddle, D., 2014. Treatment of exertional rhabdomyolysis among athletes: a systematic review protocol.JBI Database of Systematic Reviews and Implementation Reports,12(3), pp.112-120. Mousavi, S.R., Vahabzadeh, M., Mahdizadeh, A., Vafaee, M., Sadeghi, M., Afshari, R. and Balali-Mood, M., 2015. Rhabdomyolysis in 114 patients with acute poisonings.Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences,20(3), p.239. Na, L. and Chun-xia, O., 2013. Nursing care of 1 case of rhabdomyolysis caused multiple organ failure. Packard, K., Price, P. and Hanson, A., 2014. Antipsychotic use and risk of rhabdomyolysis.Journal of pharmacy practice, p.0897190013516509. Parekh, R., Care, D.A. and Tainter, C.R., 2012. Rhabdomyolysis: advances in diagnosis and treatment.Emerg Med Pract,14(3), pp.1-15. Ruiz, D.J., Mitchell, I.D., Eberman, L.E. and Cleary, M.A., 2013. Severe dehydration with cramping resulting in exertional rhabdomyolysis in a high school quarterback. Tucker, T., 2015. RhabdomyolysisUnderstanding the Mechanics. Yunhui, L. and Jing, C., 2013. Nursing of Patients with Rhabdomyolosis Complicated with Acute Renal Failure.

Sunday, December 1, 2019

Rangers Apprentice free essay sample

Will, the main character used to dream about being a knight, but found his calling as a ranger. Rangers serve their king and vow to protect the kingdom from thieves, and other criminals. A couple of the many rangers’ skills are using the bow and arrow and throwing knives. The people in town whisper how the rangers are ghosts because of their ability to disappear and reappear so quickly. Will has learned from his teacher Halt all about tracking and other skills that rangers use. Book four of the Rangers apprentice begins with Will and Evanlyn hopelessly trying to make their way back home to Araluen. These two were captured after the great battle with Lord Morgarath. They were taken by a wolf ship to Skandia where they became slaves. Evanlyn received cooking duty, but Will was not as fortunate and got assigned to yard duty. During the freezing winter Will was freezing and got addicted to warmweed, a drug that helps someone stay warm but leaves them weak and like a zombie. We will write a custom essay sample on Rangers Apprentice or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Halt and Horace were traveling to save Will and Evanlyn as they found out that Skandia is at the brink of war! Meanwhile Evanlyn is taken by the Temujai warriors and Will has to find a way to save her before Skandia fights the Temujai. Will, still struggling from warmweed’s effects knows that Evanlyn will be killed and that time is running out. Also Will and his friends must help the Oberjarl (leader of Skandia) stop the Temujai before they move on and attack Wills homeland Araluen This quote by Booklist, starred review says how well this story is based on. The last few years have seen the publication of many fantasies, but few have the appeal of this original story. † The theme of this book is about companionship and what friends will do for each other. You will see several times in this book how far these characters will go to save each others lives. What makes this story believable is how you can feel that it is in the middle ages. As I was reading this book I could n ot put it down. The author succeeded in making this a very exciting book. I think this is an adventure that every boy would like to go on.