ABG results that are most consistent with this diagnosis are:
- pH of the patient : 7.20
- Pa of patient is low : 65 mm Hg
- of patient : 26 mEq/L
<h3>What is ABG?</h3>
- An arterial blood gas (ABG) test, which draws blood from an artery in your body, determines the levels of oxygen and carbon dioxide in your blood.
- The pH balance, sometimes referred to as the acid-base balance, of your blood is also examined during the test.
- The National Institute of Health lists the following as typical normal values: pH: 7.35-7.45.
- Oxygen partial pressure (Pa) ranges from 75 to 100 mmHg. Carbon dioxide (Pa) partial pressure ranges from 35 to 45 mmHg.
- The blood gas test can reveal how efficiently your lungs can introduce oxygen into the blood and expel carbon dioxide.
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A Drug Trend report published in 2009 had predicted continued price increase among traditional branded and biotech drugs that lack generic competition. Now, further, CMS has reduced its Average Sales price (ASP) margin from 6 percent to 4 percent for non-pass-thorough. This has affected pharmacy reimbursement. However, there are certain other aspects of Pharmacy Billing that can affect reimbursement and thereby the Revenue Cycle Management (RCM) process if not well implemented.
1. Data Workflow:
Recognizing how the revenue cycle works in pharmacy is very essential. Procurement to Inventory, billing and reimbursement involves purchase of medications, their storage, and method of dispensing, how they are administered, way they are coded & billed, and finally reimbursed. If the drug is covered as a pharmacy benefit, or the payer needs that to be obtained via a specialty pharmacy as identified through patient-specific benefit verification, then here both the provider and the pharmacy are part of the reimbursement process. The physician writes a prescription and orders the drug. This is followed by the pharmacy that fills the order and issues the drug to the physician, CMHC, or hospital outpatient department. Here the pharmacy bills the insurance company for the drug. If any information is entered incorrectly into the pharmacy system in the initial phase of the cycle, errors can prove to be costly, impacting aspects of clinical and revenue cycle.
2. Procurement:
During this phase information is converted from purchased quantities and pricing to storage units of measure (UOM) and inventory costs. Manually entering the data is followed in most cases. UOM conversions, when data is uploaded from the wholesale distributor to the pharmacy system, are also checked and verified manually. Here too mistakes can lead to breakdown in the revenue cycle management (RCM) process.
3. The Charge master:
Critical & substantial revenue leakage can occur when separately reimbursable medications are either missing from or miscoded in the charge master. Conversion of pharmaceutical quantities is a must from purchased amounts to patient-administered amounts, and only then made billable. There is often a difference between dosage amounts required for patient use as from that purchased. Besides inventory, the clinician and pharmacist should convert dosage, strength, and delivery mechanism for each drug. Drug data must be correctly converted from the quantities residing in clinical systems into the payer-billable quantities appropriate for the financial system or charge master. The UOMs must be reconciled to avoid any under- or over-payments. More than often, missing or incorrect data in the charge master can result in negative financial consequences – denied claims, partial reimbursement, and compliance risks.
4. Linkages between Purchases & Billing:
Most hospitals have separate processes to order drugs, administer them, and process reimbursement. Without linkage between pharmacy expenditures for medications (i.e., spend data) and the charge master, ensuring proper charge capture and optimal reimbursement is a challenge. Besides hospitals should have automated tools to identify charge capture errors precisely, so as to pinpoint when and where their occurrence to decreasing revenue loss.
The Food and Nutrition Board recommends that Americans consume 45% to 65% of their total calories from carbohydrates.
<h3>
What are Carbohydrates ?</h3>
Carbohydrates are one of the macro nutrient found in foods that when consumed provide the body with energy acting as the body's main fuel source
There are three main types of carbohydrates:
- Sugar : which can be gotten from milk and milk sugar(lactose). fruit sugar (fructose), table sugar (sucrose)
- Starch. Which can be derived from vegetables, grains, and cooked dry beans and peas.
- Fiber. From fruits, vegetables, whole grains, and cooked dry beans and peas.
According to the Dietary Guidelines for Americans from The Food and Nutrition Board It is recommended that they consume 45 to 65 percent of their total daily calories from Carbohydrates.
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Answer:
Computed tomography (CT) is an imaging tool that combines x-rays with computer technology to produce a more detailed, cross-sectional image of your body. A CT scan lets your doctor see the size, shape, and position of structures that are deep inside your body, such as organs, tissues, or tumors.
Explanation: