A 34 year old woman is brought to the emergency department b…

A 34 year old woman is brought to the emergency department by her boyfriend for worsening lethargy. He reports that she has no known medical history and was doing well until 2 days ago after they returned home from a hiking trip on the Appalachian trail. She started experiencing diarrhea after drinking from the fresh springs. Vital signs are as follows: temperature 37.8°C, BP 97/64 mm Hg, HR 112, and RR 14 breaths/min. On physical examination, abdominal examination reveals tenderness in the left lower quadrant and weak radial pulses.Sodium 144 mEq/L (mmol/L)Potassium 3.9 mEq/L (mmol/L)Chloride 110 (mmol/L)Bicarbonate 18 (mmol/L)BUN 42 mg/dLCreatinine 1.2 mg/dLGlucose 123 mg/dLUrine sodium 24 mEq/LWhat is the next BEST step in management of this patient’s condition?

Suppose you have a friend who owns property that includes a…

Suppose you have a friend who owns property that includes a freshwater wetland and the friend tells you she is planning to fill the wetland to make more room for her lawn and garden. What would you say to this friend? Construct a convincing argument to either support or refute her position. Hint: State at least two pieces of evidence/reasoning from our discussions and the chapters we have read this semester to back up your claims.