What is the increased calorie recommendation during the second trimester?

Fats are the most concentrated form of

Latesha moore has a choice at work between a traditional health insurance plan that pays 80 percent of the cost of doctor visits after a $250 deductible and an hmo that charges an $8 co-payment per visit + a $20 monthly premium deduction from her paycheck. latesha anticipates seeing a doctor once a month for her high blood pressure. the cost of each office visit is $50. she normally sees the doctor an average of three times a year for other health concerns. comment on the difference in costs between the two health care plans and the advantages and disadvantages of each.

A92-year-old man with a 45-year history of chronic obstructive pulmonary disease is intubated in the icu because of a bout of viral pneumonia that fails to improve after 72 hours of antibiotics. although the inspired fraction of oxygen is 100%, the patient's po2 remains at 57 mmhg. positive-end expiratory pressure (peep) is added to allow the inspired fraction of oxygen. twelve hours after the introduction of peep the patient suddenly become hypotensive. at the same time, his oxygen saturation drops from 92% to 61%. on physical examination, his bp is 80/50 mmhg and his pulse is 124/min. he has distended neck veins and distant heart sounds. which of the following would also most likely be seen on this patient's physical examination? - absence of breath sounds in the right hemithorax- high amplitude carotid artery upstroke- a pleural friction rub- pulsus alternans- splenomegaly