Ryan is an 11 month old infant who was born with Downs syndrome and lives with his parents in a miIDle class neighborhood. Ryan weighted 3.2 kg (7 lb) at birth and a heart murmur was heard. Ryan was breast fed for 4 months. His mother says that at the
Ryan is an 11 month old infant who was born with Downs syndrome and lives with his parents in a miIDle class neighborhood. Ryan weighted 3.2 kg (7 lb) at birth and a heart murmur was heard. Ryan was breast fed for 4 months. His mother says that at the time, he became disinterested in the breastfeeding, but when she was able to get him to nurse, he would fall asleep after having nursed for only 5 minutes. Because he was not gaining weight appropriately, his nurse practitioner prescribed infant formula with iron and suggested that his mother begin feeding Ryan rice cereal twice a day. At 4 months of age Ryan was diagnosed with an atrial septal defect that has been monitored since the diagnosis. Ryan sits unsupported but, according to his mother, does not crawl or attempt to stand because he gets out of breath when he tries to crawl so we bought a walker that he moves around in. Since he was 5 months old, Ryan has been receiving digoxin 200 micrograms and Furosemide 10 mg every day.
Ryans parents bring Ryan in to the clinic because he has been lethargic and has had diarrhea for the past 24 hours. When the nurse practitioner assesses Ryan, he weighs 7 kg (15.4 lb) and his vital signs are:
Temperature: 36.5 C (97.7 F)
Pulse: 80 beats/minute
Respirations: 35 breaths/minute
His laboratory results are:
Potassium level: 2.9 mmol/L
Digoxin level 2.5 ng/mL (Broyles, 2006).
What are the physical exam findings? this is very important part of the answer. summarize and answer plus other questions. please only for a writer the is understand health care, this is a cardiac patient. need in 6 hours
Three references no from 2004 -2014 only.
4. Physical exam findings,
Why Choose Us
Top quality papers
We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.
Professional academic writers
We have hired a team of professional writers experienced in academic and business writing. Most of them are native speakers and PhD holders able to take care of any assignment you need help with.
If you feel that we missed something, send the order for a free revision. You will have 10 days to send the order for revision after you receive the final paper. You can either do it on your own after signing in to your personal account or by contacting our support.
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & confidential
We use several checkers to make sure that all papers you receive are plagiarism-free. Our editors carefully go through all in-text citations. We also promise full confidentiality in all our services.
24/7 Customer Support
Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
You are welcome to choose your academic level and the type of your paper. Our academic experts will gladly help you with essays, case studies, research papers and other assignments.
Admission help & business writing
You can be positive that we will be here 24/7 to help you get accepted to the Master’s program at the TOP-universities or help you get a well-paid position.
Editing your paper
Our academic writers and editors will help you submit a well-structured and organized paper just on time. We will ensure that your final paper is of the highest quality and absolutely free of mistakes.
Revising your paper
Our academic writers and editors will help you with unlimited number of revisions in case you need any customization of your academic papers