"A 65 year old male with a history of hypertension, stage IV kidney disease on dialysis presents to the emergency department with dizziness and palpitations for 1 hour. He denies chest pains. His temperature is 37.0 C, blood pressure 80/40, heart rate 150, respirations 24, and oxygen saturation 85% on room air. Physical examination reveals pulmonary rales throughout his lung fields, elevated jugular venous pressure, a regular tachycardic rhythm without murmurs, and trace lower extremity pitting edema. Laboratory studies are normal. His ECG is below. What is the next best step

Cultural, economic , and social changes that resulted in the migration of more people into cities - utilitarianism -industrial revolution -age of enlightenment

As you sit in the library with your friend studying for your weekly quiz on the integumentary system, you come upon an article about the hazards of prolonged exposure to the sun's rays. your curious nature leads you to research the subject further. you're fascinated to learn that minimal exposure to the sun allows you skin to manufacture vitamin d, which is important to maintain homeostasis. you also read that although sunscreen can protect you from the ultraviolet (uv) rays of the sun, some medications can actually increase a person's sensitivity to the sunlight.

All my life, i had been afraid of a book. an important book, in the bible. it's called revelation. often times i've avoided it because i felt that it was scary and i couldn't understand, i thought wow, this basically tells the scary part of the future, but today i realized that it's about what's happening now, right now.in the beginning of the book, it talks about the churches, how some churches have false teachers, or some need to repent, and i realized that this book portrays to the churches nowadays also. i know jesus is coming one day, and i know that he is light, he will prevail over the darkness and he can show you the way. all you have to do is trust and believe in him, and he will guide you the right way. i love god with all my heart, and i believe that whoever is reading this you should too! i'm sorry that i put this on it's not a question, and it's only a matter of minutes before this gets reported but, i wanted people to know, revelation isn't scary, in fact it's amazing! you for your time. i hope you accept jesus christ into your life!