Long-term needs, and who is responsible for actions to be taken. Kuramoto 1981 study is a placebocontrolled single site study conducted in ambulatory patients in home for the aged in Tokyo, Japan. Blood being delivered in the kidneys has high glucose concentration causing osmotic diuresis and glycosuria. The nursing assessment focuses on the major priorities for any trauma patient; the burn wound is a secondary consideration. Until an effective vaccine is developed, nurses need to prevent HIV infection by teaching patients how to eliminate or reduce risky behaviors. Im a student nurse at The Aga Khan University in Uganda and this article helps me alot, its so simplified and easy to memorise. Give some control overwound care and analgesia. Pneumonia is also classified based on its microbiologic etiology it can be viral, bacterial, fungal, protozoan, mycobacterial, mycoplasmal, or rickettsial. Definitely an all-in-one resources for nursing care planning. This could help you better manage type 1 diabetes (17). Gestational diabetes tests: There are two blood glucose tests if you are pregnant. Fluid and electrolyte balance is a dynamic process that is crucial for life and homeostasis. With a glucose challenge test, you drink a sugary liquid and your glucose level is checked one hour later.You dont need to fast before this test. Varying degrees of orientation maypresent themselves on admission or through the course of caremaking assessment of pain and anxiety a challenge for theburn team. I am a Nursing student in Florida, USA. Within 24 hours Undergraduate or Graduate. Maintaining fluid and electrolyte balance and improvingnutrition status continue to be important. Pregabalin also has antiallodynic properties. Avoid sugar-sweetened options, as these can raise blood glucose, drive weight gain, and increase diabetes risk (22, 23). Sleeplessness. Based on the assessment data, major nursing diagnosis for patients with anemia include: The major goals for a patient with anemia include: Nursing interventions are based on the data assessed by the nurse and on the symptoms that the patient manifests. This is based on the knowledge that intermediate-acting insulins are effective for an approximate duration of: A nurse went to a patients room to do routine vital signs monitoring and found out that the patients bedtime snack was not eaten. Caution against using flammable liquids to start fires. Some of the recommended exercises include light walking or simple resistance exercises like squats or leg raises. Sodium and potassium concentrations may vary depending on the degree of, Serum blood glucose higher than 700 mg/dL, Serum blood osmolality is higher than 350 mOsm/kg, Urine specimen reveals the absence of ketosis. You have already completed the quiz before. While drinking alcohol (ethanol), there is a short-term decrease in blood glucose levels followed by an increase in Assess breath sounds and respiratory rate, rhythm, depth,and symmetry; monitor for hypoxia. Includes items. Make aggressive efforts to prevent contractures and hypertrophic scarring of the wound area after wound closure fora year or more. Thank you Sir Matt. Dont forget to visit our other nursing care plans. Definitely an all-in-one resources for nursing care planning. As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. In contrast, low magnesium levels may lead to insulin resistance and decreased glucose tolerance in people with diabetes (47, 48, 49). You may have heard that there are shortages of the diabetes medications Ozempic (semaglutide) and Trulicity (dulaglutide) injections. Probiotics are friendly bacteria that offer numerous health benefits, including improved blood sugar regulation (65, 66, 67, 68). Because of her situation, the client is at high risk of developing diabetic ketoacidosis. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; Emergency Highs: How to Lower Blood Sugar Quickly, Type 2 Diabetes and Diet: What You Should Know, Glycemic Index: What It Is and How to Use It, Diet for People Living with Diabetes: The Best Foods to Choose and More, 18 of the Best Non-Perishables for People with Diabetes, read food labels and check the serving sizes, avoid caffeine and alcohol late in the day, use soothing and calming scents such as lavender, yogurt, as long as the label states that it contains live active cultures. HASH, R. B., STEPHENS, J. L., LAURENS, M. B., & VOGEL, R. L. (2000). Assess patients psychosocial reactions; provide supportand develop a plan to help the patient handle feelings. Oxygen saturation should be maintained at 90% or greater. Maintain comprehensive and continuous assessment forearly detection of complications, with specific assessmentsas needed for specific treatments, such as postoperativeassessment of patient undergoing primary excision. Microsofts Activision Blizzard deal is key to the companys mobile gaming efforts. Abnormal laboratory findings seen with AIDS include: A. Healthline Media does not provide medical advice, diagnosis, or treatment. Teach patient relaxation techniques. Nursing management in burn care requires specific knowledge on burns so that there could be a provision of appropriate and effective interventions. Am a student nurse at The Nairobi womens Hospital Medical Training college i came across this website yesterday and its just wonderful and i really liked it ,its simple and easy to understand. Assess and consider preferred learning styles; assessability to grasp and cope with the information; determinebarriers to learning when planning and executing teaching. thanks alot this is so simplified and more helpful. The patient had a history of chronic back pain due to a motor accident 20 years ago. Signs and symptoms of infectious process. As such, reducing your carb intake can aid blood sugar regulation. Urine output between 0.5 and 1.0 mL/kg/h. This is experienced during the early infection stages. Monitor respirations as respiratory distress can occur. This article explains 12 simple ways to avoid blood sugar spikes. A low-grade fever. What Can I Eat to Keep My Blood Sugar and Cholesterol Low? Findings include fasting blood glucose of 120mg/dl, temperature of 101F, pulse of 88 bpm, respirations of 22 bpm, and a BP of 140/84 mmHg. You should not use this medicine if you have ever had angioedema. The pathophysiology of anemias is drawn according to the cause of the disease. When legs are involved, applyelastic pressure bandages before assisting patient to uprightposition. Fresh citrus fruits. Initiate passive and active range-of-motion exercises fromadmission until after grafting, within prescribed limitations. Biography of Virginia Henderson. This guide has pneumonia nursing care plans and nursing diagnosis, nursing interventions, and nursing assessments for pneumonia.Nursing interventions for pneumonia and care plan goals for patients with pneumonia include measures to assist in effective coughing, maintaining a patent airway, decreasing viscosity and tenaciousness of secretions, and Managing diabetes isn't as simple as just eating right and exercising. Nutritional status. Decrease in the reticulocyte count. Patient will identify/demonstrate behaviors to achieve airway clearance. Provide verbal and written instructions about woundcare, prevention of complications, pain management, andnutrition. In a patient with burn injury, the expected outcomes are: The following are interventions you must consider when caring elderly people with burn injury. Encourage ambulation.Helps mobilize secretions and reduces atelectasis. In this section is the practice NCLEX quiz for diabetes mellitus.This 100-item quiz will test your Apply splints or functional devices to extremities for contracture control; monitor for signs of vascular insufficiency,nerve compression, and skin breakdown. Appendicitis commonly occurs between the ages 10 and 30 years. Microsoft is quietly building a mobile Xbox store that will rely on Activision and King games. The most frequent age group for contact burns is between. The beans are roasted and then ground into fine particles that Thank you, Sandra. Initiate patient and family education during burn management. Our team of licensed nutritionists and dietitians strive to be objective, unbiased, honest and to present both sides of the argument. Several screening tests are used to diagnose HIV infection. Its use in epilepsy is as an add-on therapy for partial seizures. Select all that apply. Of the 4,000, 3, 500 deaths occur from residential fires and the remaining 500 from other sources such as motor vehicle crashes, scalds, or electrical and chemical sources. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. I am a nursing student at the Solomon Islands national university. Checking your blood glucose and maintaining a daily log enables you to adjust foods and medications when necessary to better manage your blood sugar levels. Nursing Management. D. All of the above. Coffee is a drink prepared from roasted coffee beans.Darkly colored, bitter, and slightly acidic, coffee has a stimulating effect on humans, primarily due to its caffeine content. Option A: Bleeding gums is a symptom of idiopathic thrombocytopenia purpura. 2. Lotrel may also be used for purposes not listed in this medication guide. However, multiple factors can impair blood sugar management and lead to hyperglycemia. This can be further affected by a history of smoking. They can also increase appetite and promote weight gain (36, 37, 38). D. Vomiting. Students develop skills in professional nursing, communication, critical thinking and leadership; study advanced nursing subjects such as nursing theory and research; have a supervised practice experience in community health and leadership settings; and work with a mentor who will guide them from registration to graduation. Assess patients support system and coping skills. Sugary sodas can cause cravings. Altered breathing patterns may occur together with accessory muscles to increase chest excursion to facilitate effective breathing. Select all that apply. B. Simple and precise. Almost 7000 people still contract HIV infection every day. The following are the common related factors for the nursing diagnosis Ineffective Airway Clearance related to pneumonia: Here are the common assessment cues that could serve as defining characteristics or as evidenced by for ineffective airway clearance secondary to pneumonia. Promote a healthy body image and selfconcept by helping patient practice responses to people who stare or askabout the injury. I am a student of bachelor nursing in University of Indonesia :). Increased reticulocyte count is associated with hemolytic anemia. You can still eat some carbs when monitoring your blood sugar. Which statement by the client indicated an inadequate understanding of the peak action of NPH insulin and exercise? Many studies also show that eating a low carb diet helps reduce blood sugar levels and prevent blood sugar spikes (11, 12, 13). Maintaining a moderate weight promotes healthy blood sugar levels and reduces your risk of developing diabetes (2, 26, 27, 59). 5. This patient decision aid (PDF, 132kb) can also help you to understand your treatment options. Because HIV infection is an infectious disease, it is important to understand how HIV-1 integrates itself into a persons immune system and how immunity plays a role in the course of HIV disease. Medical management should be performed carefully to avoid altering the presenting symptoms. The management of anemia by nurses should be accurate and appropriate so that objectives and goals would be achieved. Hi there I was writing few things from your this topic into my assignment but I couldnt write a proper reference about this topic, can you please help me? HIV-2 is a retrovirus identified in 1986 in AIDS patients in West, In this first step, the GP120 and GP41 glycoproteins of HIV bind with the hosts uninfected, The contents of HIVs viral core are emptied into the. 11. Luna, C. M., Famiglietti, A., Absi, R., Videla, A. J., Nogueira, F. J., Fuenzalida, A. D., & Gene, R. J. I am so helped by this article :). C. Defect in the erythrocyte count. An estimated 500, 000 people are treated for minor burn injury annually. Our scientists pursue every aspect of cancer researchfrom exploring the biology of genes and cells, to developing immune-based treatments, uncovering the causes of metastasis, and more. C. Tenderness around the umbilicus. 3. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. Thank you for these well done pneumonia nursing care plans! Patients are advised to avoid exposure to others who are sick or who have been recently vaccinated. Predisposing factors and the health history in the olderadult influence the complexity of care for the patient. Attains and maintains adequate nutrition. Diabetes medications There are a number of different diabetes medications available, all of which work in different ways. C. 9 to 11 g/dL. Marianne is a staff nurse during the day and a Nurseslabs writer at night. In fact, any activity that regularly gets you up and moving regardless of the intensity beats a sedentary lifestyle. Maintenance of adequate tissue perfusion. Individual risk factors including recent or current. Hello, I am Reta Anggita. Report changes.Changes in sputum characteristics may indicate infection. When a client is experiencing diabetic ketoacidosis, the insulin that would be administered is: The nurse recognizes that additional teaching is necessary when the client who is learning alternative site testing (AST) for glucose monitoring says: A 44-year-old woman with type 1 diabetes comes to the emergency department due to abdominal pain accompanied by nausea and vomiting. A high fiber diet can improve your bodys ability to regulate blood sugar and minimize blood sugar lows. Provide pain relief, and give antianxiety medications ifpatient remains highly anxious and agitated after psychological interventions. Support patient during distressing and painful wound care. The priority nursing diagnosis would be: A nurse is caring for a client admitted to the ER with DKA. Fungal infections:Candida albicans(candidiasis),Cryptococcus neoformans(cryptococcus),Histoplasma capsulatum(histoplasmosis). Nursing assessment includes identification of potential risk factors, including a history of risky sexual practices or IV/injection drug use. 2. Earned Point(s): 0 of 0, (0) Nursing assessment includes identification of potential risk factors, including a history of risky sexual practices or IV/injection drug use. Albert, a 35-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. This article explains 12 simple ways to avoid blood sugar spikes. To improve the quality of your sleep, try to: Good sleep helps maintain your blood sugar levels and promotes a healthy weight. The overall mortality rate, for all ages and for total body surface area burned is 4.9%. The acute or intermediate phase begins 48 to 72 hours afterthe burn injury. 1. The nurse should document the following data to ensure that each care documented is a care that is done. Diagnosis, prognosis, and therapeutic regimen understood. Spreading your meals and snacks throughout the day may help you avoid both high and low blood sugar levels (62). 2. The latter is known as insulin resistance (1). The nurse would recommend an increased intake of: A. Monitoring blood glucose levels can help you better manage them (34). Tissue destruction results from coagulation, protein denaturation, or ionization of cellular components. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. How to Stop Drinking Soda: A Complete Guide. Drinking water regularly may rehydrate the blood, lower blood sugar levels, and reduce diabetes risk (20, 21). ; Body fluid is located in two fluid compartments: the intracellular space and the extracellular space. Probiotic-rich foods include fermented foods, such as: A probiotic-rich diet may help you manage your blood sugar levels. 3. Soluble dietary fiber appears to be more effective than insoluble fiber for this purpose. Observe the sputum color, viscosity, and odor. Therapeutic Communication Techniques Quiz. Ecchymosis is most common in anemia because blood vessels that are weak ruptures and results into ecchymosis. 25+ Funniest Tweets by Nurses Thatll Make You Laugh Out Loud, Therapeutic Communication Techniques Quiz. My name is Oke Helen, l am students nurse from Nigeria, this site has been so educative, thank you so much. Identify the signs and symptoms the nurse should expect. Finally, the Food and Drug Administration (FDA) does not regulate supplements in the same way that it regulates prescription medications. Nursing Assessment. Internal causes for high blood sugar include when your liver produces too much glucose, your body makes too little insulin, or your body cant effectively use insulin. Please make sure to answer all other quizzes! Administer IV opioid analgesics as prescribed, and assessresponse to medication; observe for respiratory. Use meticulous. ; Body fluid is located in two fluid compartments: the intracellular space and the extracellular space. This can show you whether you need to make small changes to a meal if it spikes your blood sugar, rather than avoiding your favorite meals altogether. Incorporate physical therapy exercises to prevent muscularatrophy and maintain mobility required for daily activities. The global percentage of women among people with HIV/AIDS remains at 50%. Here are 18 great non-perishable foods. The login page will open in a new tab. A patient with anemia has decreased hemoglobin levels of 9 to 11 g/dL. A burn injury can affect people of all age groups, in all socioeconomic groups. Administer hypnotic agents, as prescribed, to promotesleep. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; You should not use this medicine if you have ever had angioedema. Zahrah says: July 6, 2019 at 5:14 PM. Sustained hyperglycemia has been shown to affect almost all tissues in the body and is associated with significant complications of multiple organ systems, including the eyes, nerves, kidneys, and, There is a destruction of the islet cells in the pancreas causing insufficient insulin and excess. By Ryan Raman, MS, RD. There are five components of management for diabetes: Insulin is the primary treatment for type 1 diabetes. Learn about the nursing care management of patients with anemia. However, prioritizing whole grains over processed ones and refined carbs provides greater nutritional value while helping decrease your blood sugar levels (14). Yamaya, M., Yanai, M., Ohrui, T., Arai, H., & Sasaki, H. (2001). It has over 100 care plans for different nursing topics. Response to interventions, teaching, and actions performed. It may potentiate the action of insulin, thus aiding blood sugar regulation (41, 42, 43, 44). This patient decision aid (PDF, 132kb) can also help you to understand your treatment options. Fluid and electrolyte balance is a dynamic process that is crucial for life and homeostasis. Teach patient ways to direct attention away from a disfigured body to the self within. Two-year or four-year. After logging in you can close it and return to this page. If you have problems with blood sugar management, consider routinely checking your levels before and after exercising. Thank you. A physiologic approach classifies anemia according to whether the deficiency in erythrocytes is caused by a defect in their production, by their destruction, or by their loss. 3 Reasons Why You Should Be Your Priority Patient, Therapeutic Communication Techniques Quiz. Your GP can advise you about changes you can make to your lifestyle and discuss whether they think you'd benefit from medicine. great work. Ticona, J. H., Zaccone, V. M., & McFarlane, I. M. (2021). Here are other nursing pharmacology study guides: Nursing Pharmacology Study Guide for Nurses; Gastrointestinal System Drugs. Demonstrate proper splinting of the chest and effective coughing while in an upright position. Which medication, if added to the clients regimen, may have contributed to the hyperglycemia? Maintenance of adequate tissue oxygenation. Warnings. Marianne is a staff nurse during the day and a Nurseslabs writer at night. 5. Osmotic diuresis causes water loss, resulting in polydipsia. Patient dealing with current situation realistically. Respiratory rate, pulse oximetry/O2 saturation, vital signs. God bless you more. Teach and assist the patient with proper deep-breathing exercises. A large review of studies looking at sleep duration and quality, including the presence of obstructive sleep apnea (OSA), concluded that even in healthy individuals lack of sleep causes high blood glucose levels. Simple lifestyle changes can help reduce high blood pressure, although some people may need to take medicine as well. With a glucose challenge test, you drink a sugary liquid and your glucose level is checked one hour later.You dont need to fast before this test. Offer warm, rather than cold, fluids.Fluids, especially warm liquids, aid in the mobilization and expectoration of secretions. D. Jaundice. In fact, diets rich in magnesium are associated with a significantly reduced risk of diabetes (47). Warnings. A nurse who cares for a patient with burn injury should be knowledgeable about the physiologic changes that occur after a burn, as well as astute assessment skills to detect subtle changes in the patients condition. Reply. Here are other nursing pharmacology study guides: Nursing Pharmacology Study Guide for Nurses; Gastrointestinal System Drugs. It seems that question 8 and 9 have conflicting information. Thank you. Results are being recorded. READ MORE. Doing a concept map on pneumonia and this greatly assisted me. T8+CTL(cytopathic suppressor cells): Reversed ratio (2:1 or higher) of suppressor cells to helper cells (T8+ to T4+) indicates immune. Prevent/minimize development of new infections. Necrotizing pneumonia causes the death of a portion of lung tissue surrounded by viable tissue. She is a registered nurse since 2015 and is currently working in a regional tertiary hospital and is finishing her Master's in Nursing this June. Thank you, Samuel! Getting enough sleep feels excellent and is necessary for good health (35). In general, the more rapidly the anemia develops, the moreaggressive is its symptoms. Diabetes medications There are a number of different diabetes medications available, all of which work in different ways. Am a second-year student at Kamuzu University of Health Sciences, Malawi the article is helping. Nursing Theories Guide; Nursing Pharmacology; Fundamentals; Nursing Procedures & Skills; she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. Accumulation of ketone bodies is reflected in blood and urine ketone measurements. 3. Serious Complications of Oral Birth Control Pills: SEA CASH Some women experience side effects with the pill such as irregular periods, nausea, headaches, or weight change.If she experiences the side effects with the acronym SEA CASH, calling the help of a medical provider or visiting an emergency room immediately is recommended as they may 2. Welcome to your ultimate diabetes NCLEX questions and review! The client asks the nurse about the functioning of the pump. 6. You must sign in or sign up to start the quiz. Burn care is a delicate task any nurse can have and being knowledgeable in the proper sequencing of the interventions is very essential. Keep in mind that water and other zero-calorie drinks are best. Maintain IV lines and regular fluids at appropriate rates, asprescribed. Patients and their families or caregivers should receive instructions about how to prevent disease transmission, including hand-washing techniques and methods for safely handling and disposing of items soiled with body fluids. Observe for signs of inhalation injury: blistering of lips orbuccal mucosa; singed. If this test shows a higher than normal level of glucose (over 140 ml/dL), an oral glucose tolerance test will follow (as described above). Plan in place to meet needs after discharge. Ignatavicius, D. D., & Workman, M. L. (2015). This article is really helpful to me because I duty in the OB Ward and one of my patient has Pneumonia by the CXR. I found this piece very useful, its super easy to comprehend, thank you Matt. 2. Monitor potassium levels, because potassium shifts affect the heart. Thats why the American Diabetes Association (ADA) recommends that people with diabetes manage their carb intake by counting carbs and being aware of how many they need (8). An ebook (short for electronic book), also known as an e-book or eBook, is a book publication made available in digital form, consisting of text, images, or both, readable on the flat-panel display of computers or other electronic devices. 4. A nurse should know that a diagnosis of hemolytic anemia is associated with all of the following except: A. Abnormality in the circulation of plasma. It is the most popular hot drink in the world. During assessment, the nurse is looking for positive indicators of appendicitis, which include all of the following except: A. The most debilitating gastrointestinal condition found in up to 90% of all AIDS patients is: A. Anorexia. Use humidified oxygen or humidifier at the bedside.Increasing the humidity will decrease the viscosity of secretions. Over 150+ nursing care plans for different diseases and conditions. On the other hand, a medical diagnosis is made by the physician or advanced health care practitioner that deals more with the disease, medical condition, or pathological state only a practitioner can treat. I am a nurse in Bhutan. Drug therapy (pharmacotherapy) is an important part of the medical field and relies on the science of pharmacology for continual advancement and on pharmacy for appropriate management.Drugs are classified in multiple Answer: B. Hi. Thanks for your uninterrupted support. Thank you again! Cason, C. L., Tyner, T., Saunders, S., & Broome, L. (2007). After logging in you can close it and return to this page. All the ones recommended in this guide will. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. You should not use this medicine if you have ever had angioedema. Monitor serum glucose levels as insulin is administered. 1. High blood sugar, also known as hyperglycemia, is associated with diabetes and prediabetes. Definitely an all-in-one resources for nursing care planning. Try measuring your levels regularly every day and keeping track of the numbers in a log. Assist patient to develop effective coping strategies: Set specific expectations for behavior, promote truthful communication to build trust, help patient practice coping strategies,and give positive reinforcement when appropriate. The focus of rehabilitative interventions is directed towards outpatient care, home care, or care in a rehabilitation center. There are two types of pneumonia: community-acquired pneumonia (CAP) or hospital-acquired pneumonia (HAP), known as nosocomial pneumonia. The skin of the elderly is thinner and less elastic,which affects the depth of injury and its ability to heal. Schedule care to allow periods of uninterrupted sleep. Partial seizures can be either simple (single muscle or reaction) or complex (series of reactions or emotional changes). B. Welcome to books on Oxford Academic. Your carb intake strongly influences your blood sugar levels (7). A client with DM demonstrates acute anxiety when first admitted for the treatment of hyperglycemia. Read our nursing diagnosis guide here! The systemic response is caused by the release of, The release of local mediators and changes in. With a glucose challenge test, you drink a sugary liquid and your glucose level is checked one hour later.You dont need to fast before this test. Provide emotional support for patient/significant other (SO). Communicate plan of care to family and other caregivers. After logging in you can close it and return to this page. 2022 Nurseslabs | Ut in Omnibus Glorificetur Deus! D. Whole grain bread. The following are symptoms of anemia except: A. Thank you for the great work you are doing and may God bless you more. The nursing care of patients with HIV/AIDS is challenging because of the potential for any organ system to be the target of infections or cancer. C. Salicylates to lower an elevated temperature. On physical examination, the nurse should be looking for tenderness on palpation at McBurneys point, which is located at the: A. Awesome! Managing your stress levels through exercise or relaxation methods like yoga may help you regulate blood sugar levels. Monitor mechanically ventilated patient closely. Exercise also helps your muscles use blood sugar for energy and muscle contraction (4). Evaluate patient status periodically for modification ofhome care instructions and/or planning for reconstructivesurgery. Emphasize the importance of never leaving children unattended around fire or in bathroom/bathtub. I am Aamena Modify interventions to meet patients needs. The nurse bases the response on the information that the pump: A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the ER. Fiber slows carb digestion and sugar absorption, thereby promoting a more gradual rise in blood sugar levels (15). Moreover, through experience and know-how, the specific and precise
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