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Which of the following is not typically included as part of Phase E - Opportunities and Solutions?
A. consider implications such as "buy versus build" for the candidate implementation projects
B. identifying strategic drivers that will influence change during the implementation
C. assess the costs, benefits, and dependencies among the candidate implementation projects
D. prioritizing the architecture implementation projects
E. evaluating and selecting implementation options
Answer: D
LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA.
His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN's medication includes Dexamethasone 8mg iv q6h with taper dosing, Ondansetron 4mg iv q6h prn for N/V, Levothyroxine 0.075mg po daily, Lisinopril 10mg po daily, Citalopram
20mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10mg suppository daily prn for constipation, Famotidine 20 mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500mg po bid, D51/2NS with 20K at 125 mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1mg.
lock-out every 6min, one hour limit 2.2mg/hour. Pertinent morning labs includes serum creatinine 1.4mg/dl, Mg 1.5mg/ dl, K 5.0mmol/L, Na 135mmol/L. Day 3 post-operation LN's pain was much better and only used
3 mg of hydromorphone in the 24hrs.
Physician wants to change to oral morphine. What would be your best recommendation?
A. Morphine SR 10mg po daily and morphine 5mg po q6h prn for breakthrough pain
B. Morphine 15mg ER po q12hr and morphine 5mg po q6h prn breakthrough pain
C. Morphine 60mg ER po daily and morphine 15mg po q6h prn breakthrough pain
D. Morphine 30mg ER po q6hr and morphine 5mg q6h prn for breakthrough pain
E. Morphine 15mg ER po q12hr and morphine 15mg po q6h prn for breakthrough pain
Answer: B
Explanation:
Explanation
Since LN used 3 mg of hydromorphone, this would be equivalent to a total of morphine 60 mg po daily. Since you would start with 70-80% of that dose, Morphine 15mg ER po q12hr and morphine 5mg po q6h prn breakthrough pain would be appropriate regimen.
Welche zwei Aktionen werden vom Weighted Random Early Detection-Mechanismus ausgeführt? (Wähle zwei)
A. Pakete mit niedrigerer Priorität werden verworfen, bevor Pakete mit höherer Priorität verworfen werden
B. Es kann Staus verringern, indem verhindert wird, dass sich die Warteschlange füllt
C. Es kann verschiedene Flows mit einem hohen Grad an Granularität identifizieren
D. Es garantiert die Zustellung von Paketen mit hoher Priorität
E. Es unterstützt die Protokollerkennung
Answer: A,B
Explanation:
Explanation
Weighted Random Early Detection (WRED) is just a congestion avoidance mechanism. WRED drops packets selectively based on IP precedence. Edge routers assign IP precedences to packets as they enter the network.
When a packet arrives, the following events occur:
1. The average queue size is calculated.2. If the average is less than the minimum queue threshold, the arriving packet is queued.3. If the average is between the minimum queue threshold for that type of traffic and the maximum threshold for the interface, the packet is either dropped or queued, depending on the packet drop probability for that type of traffic.4. If the average queue size is greater than the maximum threshold, the packet is dropped. WRED reduces the chances of tail drop (when the queue is full, the packet is dropped) by selectively dropping packets when the output interface begins to show signs of congestion (thus it can mitigate congestion by preventing the queue from filling up). By dropping some packets early rather than waiting until the queue is full, WRED avoids dropping large numbers of packets at once and minimizes the chances of global synchronization. Thus, WRED allows the transmission line to be usedfully at all times.
WRED generally drops packets selectively based on IP precedence. Packets with a higher IP precedence are less likely to be dropped than packets with a lower precedence. Thus, the higher the priority of a packet, the higher the probability that the packet will be delivered
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