2.2.1 Gebruik ‘n geannoteerde diagram en verduidelik die…

2.2.1 Gebruik ‘n geannoteerde diagram en verduidelik die vorming van ‘n La Nina-gebeurtenis. Verseker dat jy die volgende wys: – Stille Oseaan  – Indonesië en Suid-Amerika  – Suid-ekwatoriale stroom  – Sterker passaatwinde  – gebied van lae druk  – gebied van hoë druk  – gebied met swaarder reënval as gewoonlik  – oppervlakte van droër toestande as normaal  (10)

(Myran Etoh, Pancreatitis, Cirrhosis) JO is a 52-year-old ma…

(Myran Etoh, Pancreatitis, Cirrhosis) JO is a 52-year-old male brought in to the hospital by his wife due to concerns for worsening mental status. JH has chronic cirrhosis due to alcohol use. He is noted to be obtunded and Glascow coma scale (GCS) score 7 as he opens his eyes to painful stimuli but is answering questions inappropriately. Blood pressure 110/77 and other vitals are within normal limits Labs evaluation reveals: Maddrey’s discriminant function (MDF) score calculated to be 41 Ammonia is elevated (high suspicion for hepatic encephalopathy) PMH     Chronic cirrhosis due to alcohol use     Variceal bleed 4 weeks ago Social history     Current smoker (1 pack per day)     Current drinker (8 to 12 beers and 3 shots of whisky per day) Has no known drug allergies Current medications     Propranolol 10 mg PO BID Which of the following are appropriate for the management of JO’s complications of cirrhosis?