History: A 62-year-old woman (height, 1.7 m; weight, 61 kg)…

History: A 62-year-old woman (height, 1.7 m; weight, 61 kg) was scheduled for resection of a sigmoid colon carcinoma. Her medical history revealed hypothyroidism, vitamin B12 deficiency, and stiff person syndrome. This syndrome started with low back pain, which rendered her unable to walk. She was experiencing stiffness, involuntary jerks, and painful cramps. Neurologic examination revealed extreme hypertonia of the body and proximal legs, with intercurrent, painful spasms. Reflexes were symmetrical without Babinski signs. Laboratory findings showed positive glutamic acid decarboxylase (GAD) and negative amphiphysin antibodies. The patient was successfully treated with baclofen and diazepam. Subsequently, prednisone as immunosuppressive therapy was started. The stiffness diminished, and the patient was able to walk unaided. The neurologic examination was unremarkable, except for a slight stiffness in the legs. Her medication at admission was prednisone 20 mg once a day, baclofen 12.5 mg twice a day (daily dose = 25 mg), diazepam 7.5 mg twice a day (daily dose = 15 mg), levothyroxine 25 μg once a day, and vitamin B12 injections. Her medical history included urologic and gynecologic surgery under general anesthesia before she experienced SPS. Procedure: No premedication was given. Anesthesia was induced with propofol (2.5 mg/kg) and sufentanil (0.25 μg/kg). After the administration of atracurium (0.6 mg/kg), the trachea was intubated, and anesthesia was continued with isoflurane (0.6–1.0 vol %) and oxygen/air for the duration of the procedure. Cefuroxime 1,500 mg, clindamycin 600 mg, and dexamethasone 10 mg were administered IV. In the following 2 hours, additional atracurium (35 mg), sufentanil (10 μg), and morphine (8 mg) were administered. At the end of the procedure, which was uneventful, neuromuscular monitoring showed four strong twitches. Although the patient was responsive, she could not open her eyes, grasp with either hand, or generate tidal volumes beyond 200 mL. Neostigmine 2 mg (0.03 mg/kg) and glycopyrrolate 0.2 mg did not alter the clinical signs of muscle weakness. The patient was sedated with propofol and further mechanically ventilated in the recovery room. After 1 hour, the sedation was stopped and mechanical ventilation was terminated. At that time, baclofen 12.5 mg was administered into the gastric tube. Two hours later she was in a good clinical condition, and her trachea was extubated. Select the appropriate ICD-10-CM and CPT code(s):
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A time study is conducted on a process that has three (3) se…

A time study is conducted on a process that has three (3) separate operations. The process involves five (5) masons placing 1 cubic yard of concrete for each cycle. Ten cycles of each operation are carried out to improve accuracy.  The results of the study are as follows:  (SHOW YOUR CALCULATIONS IF POSSIBLE) Operation                              Total time (seconds) for 10 cycles or repetitions # 1                                           975 # 2                                           643 # 3                                           917 ——————————————————————————- Overall total                          2,535 seconds (for 10 cycles) The observer assigns the following factors: Allowance = 14%, Rating = 125 % NOTE THAT IT IS NOT NECESSARY TO PROVIDE VALUES FOR EACH INDIVIDUAL OPERATION – ONLY THE TOTAL. a.) Determine a standard time in minutes per cycle for the entire process and record (FOR 1 CYCLE) the values for the following:                                 Select time PER CYCLE :__________________ Normal time (seconds)=_______________________ Standard time (in minutes) =__________________________ b.) Using the standard time for the crew of 5 masons, calculate the work productivity as cubic yards per mason hour of material, OR mason hours per cubic yard.      Productivity in: Cubic yards per mason hour________________      OR Productivity in : Mason hours per cubic yard________________
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