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NEW QUESTION: 1
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 60mg ER po daily and morphine 15mg po q6h prn breakthrough pain
B. Morphine 15mg ER po q12hr and morphine 5mg po q6h prn breakthrough pain
C. Morphine SR 10mg po daily and morphine 5mg po q6h prn for 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.
NEW QUESTION: 2
医療記録アプリケーションをAzure仮想マシン(VM)にデプロイする準備をしています。アプリケーションは、オンプレミスのビルドサーバーによって生成されたVHDを使用して展開されます。
Azureへの展開中および展開後に、アプリケーションと関連データの両方が暗号化されていることを確認する必要があります。
どの3つのアクションを順番に実行する必要がありますか?回答するには、適切なアクションをアクションのリストから回答領域に移動し、正しい順序に並べます。
Answer:
Explanation:
Explanation
Step 1: Encrypt the on-premises VHD by using BitLocker without a TPM. Upload the VM to Azure Storage Step 2: Run the Azure PowerShell command Set-AzureRMVMOSDisk To use an existing disk instead of creating a new disk you can use the Set-AzureRMVMOSDisk command.
Example:
$osDiskName = $vmname+'_osDisk'
$osDiskCaching = 'ReadWrite'
$osDiskVhdUri = "https://$stoname.blob.core.windows.net/vhds/"+$vmname+"_os.vhd"
$vm = Set-AzureRmVMOSDisk -VM $vm -VhdUri $osDiskVhdUri -name $osDiskName -Create Step 3: Run the Azure PowerShell command Set-AzureRmVMDiskEncryptionExtension Use the Set-AzVMDiskEncryptionExtension cmdlet to enable encryption on a running IaaS virtual machine in Azure.
Incorrect:
Not TPM: BitLocker can work with or without a TPM. A TPM is a tamper resistant security chip on the system board that will hold the keys for encryption and check the integrity of the boot sequence and allows the most secure BitLocker implementation. A VM does not have a TPM.
References:
https://www.itprotoday.com/iaaspaas/use-existing-vhd-azurerm-vm
NEW QUESTION: 3
You have a computer named Computer1 that runs Windows Vista and a computer named Computer2 that runs Windows 7. You plan to migrate all profiles and user files from Computer1 to Computer2.
You need to identify how much space is required to complete the migration.
What should you do?
A. On Computer1 run Loadstate c:\store /nocompress
B. On Computer1 run Scanstate c:\store /nocompress /p
C. On Computer2 run Loadstate \\computer1\store /nocompress
D. On Computer2 run Scanstate \\computer1\store /nocompress /p
Answer: B
Explanation:
ScanState You run ScanState on the source computer during the migration. You must run ScanState.exe on computers running Windows Vista and Windows 7 from an administrative command prompt. When running ScanState on a source computer that has Windows XP installed, you need to run it as a user that is a member of the local administrators group. The following command creates an encrypted store named Mystore on the file share named Migration on the file server named Fileserver that uses the encryption key Mykey: scanstate \\fileserver\migration\mystore /i:migapp.xml /i:miguser.xml /o /config:config.xml /encrypt /key:"mykey" Space Estimations for the Migration StoreWhen the ScanState command runs, it will create an .xml file in the path specified. This .xml file includes improved space estimations for the migration store. The following example shows how to create this .xml file: Scanstate.exe C:\MigrationLocation [additional parameters] /p:"C:\MigrationStoreSize.xml" To preserve the functionality of existing applications or scripts that require the previous behavior of USMT, you can use the /p option, without specifying "pathtoafile", in USMT 4.0. If you specify only the /p option, the storage space estimations are created in the same manner as with USMT 3.x releases. User State Migration ToolUSMT 4.0 is a command-line utility that allows you to automate the process of user profile migration. The USMT is part of the Windows Automated Installation Kit (WAIK) and is a better tool for performing a large number of profile migrations than Windows Easy Transfer. The USMT can write data to a removable USB storage device or a network share but cannot perform a direct side-by-side migration over the network from the source to the destination computer. The USMT does not support user profile migration using the Windows Easy Transfer cable. USMT migration occurs in two phases, exporting profile data from the source computer using ScanState and importing profile data on the destination computer using LoadState.