Swift river math answers

Swift river math answers. Scott and more. Over time, even towering cliffs erode before me. Acute discomfort. Betty Parman, 31 years old, upon awakening in the morning, goes to her son's room and finds it empty. Math questions are common to all nursing areas and range from the simplest to Intake/Output and IV Formulas. Assess uterine activity and abdominal. Current time zone offset: UTC/GMT -5 hours Jun 21, 2011 · A cliff is inaccessible due to the swift current of the river. Instructions. Stress importance Inform pt. atitesting. #### Variables and Formulas - Age of Aleki Fuima Jan 11, 2024 · ure spiked during the night to 102. Swift River Simulations offers a series of more than 600 unfolding screen-based simulation scenarios covering all the major clinical areas. Visit Mathway on the web. Math Refresher in Swift River Virtual Clinicals Answers. Host virtual events and webinars to increase engagement and generate leads. 20 Multiple choice questions. Transfer IN receiving blood or vasoactive, B/P pressure supporting medications. document. You’ll be able to find solutions quickly since students, subject-matter experts, and teachers are available 24/7. CBC results: neutrophil count 1. Share Share. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. , Amanda Blaire 14-year-old female, who was in an ATV accident and now Dosage Calculation. Surmise which patient identifiers do not match, if View SwiftRiver Med Math . Hemodynamic Instability, attributable to Trauma (Systolic "<"90 for Adult, or Age appropriate for pediatric Trauma Patient) Respiratory Rate "<"10 or>30 or any sign of respiratory compromise or distress. Her vital signs are Temperature 98. MATH REFRESHER 56% The client had the following intake and output during your shift: 0700 Emptied 1450 ml. Practice clinical math decisions while calculating and administering PO and injectable medications. We also offer a virtual care platform and are part of a national network of licensed healthcare providers. Scenario #4 Make sure accurate wt. Quizlet has study tools to help you learn anything. Skin warm and dry, daily dressing changes, T-tube without drainage. Study with Quizlet and memorize flashcards containing terms like Suzanne Williams, 5-year-old female, weight 35. 4473088. Study with Quizlet and memorize flashcards containing terms like L. He is experi encing n ew onset of shortness of breath and has a nasal cannu la with 2L of. Mathway. Study with Quizlet and memorize flashcards containing terms like Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. D5- 19. Students will correctly identify medications by classification. she came in complaining of contractions for hours that are now every Study with Quizlet and memorize flashcards containing terms like Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Each nurse has maximum work load of 3. 2 mg of a medicine. swiftriverschool. Find NURS 223L PSYCHOLOGY Swift River Mental Health Scenario Answers study guides, notes, assignments, and much more. section a: foundations and basic commitments; section b: school board governance operations; section c: general school administration; section d: fiscal management Provide 15 grams oral glucose, such as 120 mL orange juice or sweetened soda. Assess amount of current vaginal Administer pain medication Educate about spontaneous misc Document event scene 3 Assess vital signs Assess vaginal bleeding amount and odor. The tablets available are 15 mg. Quizzes automatically graded and progress tracked as they read and do your choice of fun extras! Try risk-free for 14 days. , 2. How many tablets do you need?, A client is to recieve 7. , recently diagnosed with leukemia. Country: United States. Which can you swim to in the shortest time?1) You can swim to the upstream life After several years of observation and monitoring and a limited mark-recapture study in 2017-18, MassWildlife fisheries biologists had enough background to begin more comprehensive research on the Swift River Fishery. Parents attributed pain to "growing pains". School Our verified tutors can answer all questions, from basic math to advanced rocket science! Post question. Wight Goodman. Ferry Line A Line B Line C Cost of Reducing Pollution by 1 Unit ($) $1,800 2,500 1,600 The government has decided it Study with Quizlet and memorize flashcards containing terms like Suzanne Williams, 5-year-old female, weight 35. 4. Video marketing. How many milliliters would the nurse administer with each dose? _________ mL. The following data are recorded: angle ACB= 71. State: Massachusetts. American History questions and answers. • View step-by-step explanations for math problems. Swift River Online Learning Le Anh Tu Truong's score report Course Assignment Active Completed Hours Basic AI Homework Help Nursing. Power your marketing strategy with perfectly branded videos to drive better ROI. pOT. Students will demonstrate proper mechanics of medication administration in a virtual environment. Swift River Med Surg Clinical. Vital signs are: BP: 146/94, P: 88, R: 22, T: 99. The lectures and exercises in each chapter cover a wide range of topics. Nov 8, 2021 · View 1 Math Refresher Le Truong. 2 Swift River Math Refresher Answers 2022-12-05 and transparency. 5 mg of a medicine. Swift River Online Learning Marian Koroma's score report Assignment Active Hours Completed Basic addition, subtraction, multiplication, and division Calculate additional dosage needed Calculate total tablets dosage given Calculate total tablets needed Dosage calculations IV formulas Rounding to nearest tenth, hundredth Tablets required: more or . hx Provide medical hx Scenario #3 Check time Establish when the cardiac Document rhythm Begin list of medications Remind CODE Scenario #4 Ensure cardio pads Charge the monitor Announce to CODE Announce, "CLEAR" Ensure no one Scenario #5 Give 1mg atropine Reassess The 21st century way to explore great books. As both you and the two life preservers are travelling downstream at equal speed. scene 6. X+Y=Y+X. 2, PaO2: 94% Blood glucose upon admission is 340 mg/dl. Because the names were common to traditional romantic poetry, it allowed him to poke fun at idealized love. INFECTION-T. A patient with dysphagia has omeprazole 20 mg once daily per gastric tube ordered. Solutions. Walk in 8:00-8:15 To access your Swift River Simulations login to ATI's Student Portal and access the Swift River Simulations card in My ATI. ∙ 2y ago. 5. His coughing, to clear his airway, appears ineffective. Educational needs- increased Health- Increased LOC- Normal Pain- Normal Psych- Normal Brainly Community Q&A allows students to post their questions and get expert-verified answers. Study with Quizlet and memorize flashcards containing terms like Donald Lyles, Donald Lyles, Donald Lyles and more. Students will demonstrate safety rights when administering both oral and injectable medications in a virtual environment. 5 mL. pdf from NURS 121 at West Coast University. Start 7-day free trial on the app. Improve your grades and reach your goals with flashcards, practice tests and expert-written solutions today. Recent blood gases demonstrate falling PaO2 g and kg measures weight; g, mg, and mcg measures the dosage of medications. Problem: Suppose you and a pair of life preservers are floating down a swift river. Here’s the best way to solve it. She is reporting gradual arm and leg pain at a 6/10 over the last 4 weeks. Remember the "Medication administration rights": the right patient, the right drug, the right dose, the right route, the right time, and right documentation! Elizabeth Singleton is to receive hydroxyzine (Vistaril) 40mg oral sol at 0900. This is "Swift River Simulations: Student Orientation" by ATI Nursing on Vimeo, the home for high quality videos and the people who love them. You wish to get to either of the life preservers for safety. The Swift River rises in the township of Livermore, New Hampshire, on the eastern side of Kancamagus Pass, and flows east into a broad valley Physics questions and answers. 1 / 23 3. Economics questions and answers. Asess vital signs and FHR. Somatic Symptom Disorder. Choose a title from a continuously growing selection to assign to your students and then sit back and enjoy watching them learn. Ensure) 1 L of NURS 3310 Nursing Pathophysiology and Pharmacology Swift River Med Pass Assignment. Panic disorder with agoraphobia. In order to find out the height of the cliff, AB, a surveyor sets up a transit on the opposite side of the river at C. Addition, subtraction, multiplication, and division are only few of the arithmetic operations covered in this chapter. NG tube to low suction possibly D/C'd today Psychological Needs - normal. Nov 28, 2023 · or breathing Begin continuous When help arrives Scenario #2 Assist with airway Assist with applying Establish large IV Provide pt. There are three major ferry lines operating on the Swift River, each generating 100 units of pollution per year. Monitor vital signs, particularly 4 Swift River Math Refresher Answers 2022-02-03 the sharp end, and greater recognition for any number of issues. Estimate and compare prev Notify the healthcare provider Document findings and How does the Medical Administration simulator work? 1. Madelyn Harrison- Scenario 3. Mom has history of diabetes, not well controlled. Dissociative Amnesia. How many tablets do you need?, A client is to recieve 1. Glascow Coma Scale < 9. 625 mg. Vital Signs Nov 8, 2023 · Riddle 29. Log in or create an account Dec 22, 2022 · Lvl 7. As Mae tours the open-plan office spaces, the towering glass dining facilities, the cozy dorms for those who spend nights at work, she is thrilled with the company’s modernity and activity. Linda Yu (Patient 1) Step 1: Linda Yu is an 85-year-old who was admitted to the unit after left hip surgery from a fall and is 2 days postoperative. 7 degrees Swift River kesha jackson room 302 kesha jackson, patient is g1p0, gestational age of 33. Cheryl Beard ∙. Nursing questions and answers. Check blood glucose level 15 minutes later, determine it is 52 mg/dL. " Select the term that matches the above definition. 8578727. Educational needs- increased Health- Increased LOC- Normal Pain- Normal Psych- Normal Remember me. No credit card required. Click the card to flip 👆. How do you use Chase bank SWIFT code? The SWIFT code for Chase Bank is CHASUS33. The Commutative Property of Addition. The omeprazole elixir is supplied in a 20 mg per 5 milliliter concentration. Alteration in comfort. Term. Though I may start small and shallow, babbling over stones, soon I run deep and silent, carved into mountains and canyons. He lays off a base line, CD, perpendicular to CB, and measures ACB. You can also look for cities 4 hours from Swift River, MA (or 3 hours or 2 hours or 1 hour) or just search in general for all of the cities close to Swift River, MA. Study with Quizlet and memorize flashcards containing terms like Paula Smith, Madelyn Harrison, Bridgett allen and more. docx from NURS 104 at Southern State Community College. Potential for infection. 4 Swift River. Select patient: Anita Velasquez (room 301) Dec 4, 2022 · (To be a man) We must be swift as the coursing river (To be a man) With all the force of a great typhoon (To be a man) With all the strength of a raging fire mysterious as the dark side of the Major Depressive Disorder. 4 ml. There is a swift current flowing in the river, and the friends will need to figure out how to row to the landing jetty on the island and back, since only two people can fit in the rowboat. Longitude:-72. 4 mg. Complete each Med Pass assignment (4) in Swift River and complete the table below for each assignment by following the instructions. Non-significant past medical history. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding Swift River 2. Arthur Thomason Room 301. 5895 today or use our convenient online contact form. She was admitted yesterday for 91 17 jobs available in Swift River, MA on Indeed. Forgot your password? Log in Nov 7, 2019 · I’m excited to announce a new open-source project for the Swift ecosystem, Swift Numerics! Swift Numerics will provide the building blocks of numerical computing in Swift, as a set of fine-grained modules bundled together into a single Swift package. Sarah Kathryn Horton phase one: educational needs - increased fall risk - increased health change - increased pain level - increased psychological [Show More] Preview 1 out of 4 pages. Upload, livestream, and create your own videos, all in HD. Swift River, MA. Panic. ∙ 3y ago. She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. The first phase was to take a closer look at the fate of stocked rainbow trout and brown trout in the tailwater. Science. Simulation: Swift River Simulations Practice: Math Refresher Time Elapsed: 02 : 28 AA mL 0700 The client had the following intake during your shift: 4 ounces of chicken broth 1 can of ginger ale (12 ounces) 0800-1200 0900 1000 1100 1300 1400 student. Drawing on many first-hand examples and numerous new case studies and interviews with grassroots activists and organizations around the world, as well as Oxfam's unrivalled global experience, this important book answers the question SWIFT RIVER: Pediatric Simulation. 451. Find reviews, ratings, directions, business hours, and book appointments online. 0: Fundamentals. tylenol-2. Scenario #1 Give tylenol Start another IV Initiate bolus Request additional pain med Reasses temp in 1 hour Scenario #2 Sit at an eye level Teach Cameron Evaluate understanding Contact charge nurse Document pt's statements Scenario #3 Provide emotional support Assure pt. "I wish I were six feet tall," Tom said Longingly. Educational Needs: Increased acuity Fall Risk: Increased acuity Health Change: Increased acuity Neurological: Increased Pain Level: Normal acuity Psychological Needs: Increased acuity Physiological: Acute discomfort True Alteration gas exchange True Alteration tissue perfusion True Altered body image False Anxiety True Ineffectual health maintenance True Loss of power True Potential for Science. Students will adjust staffing when needed and move Physics questions and answers. John duncan in swift river scenario concept map. The ferry lines face the costs of reducing pollution as shown in the table below. A big city usually has a population of at least 200,000 and you can often fly into a major airport. m. The assignment is either complete (100%) or incomplete (0%). His BMI is 37. The mother states "Bridgett just isn't acting like herself these days. Patient experiencing n/v/d and loss of appetite. Event marketing. 6: ATI vSim-Swift River: Jody Rush – Oxygenation NANDA diagnosis and nursing care plan. Continue oxygen at 10 L/min. 30 ml. ", "A problematic pattern of alcohol consumption SWIFT RIVER UNIT 1 MH DOSAGE CALCULATION. No known allergies (NKA). Lvl 10. Go to ATI Student Portal Button. Swift River Med Surg Clinical Simulation is a virtual clinical simulation program that provides nurs View the full answer Swift river answers docx 3 4423 docx. On the other hand, if you swim Math Refresher. Study with Quizlet and memorize flashcards containing terms like A client is to recieve 0. "I just flew from the coast," Tom Explained. I persist through all seasons, never resting, etching my course grain by grain. Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101. SAVE SCHOOL. Flashcards SWIFT RIVER UNIT 1 MH MATH REFRESHER | Quizlet. He refuses to comply with dietary recommendations. He is a retired postal worker who lives at home with his wife. Because Swift uses fictional Somatic Symptom Disorder. 6-year-old girl with Down syndrome. If you swim to the life preserver upstream you are effectively slowing yourself down and allowing the life preserver upstream to catch up to you. and more. org. Recent blood gases demonstrate falling PaO2 A Bend in the River Data-Intensive Text Processing with MapReduce Math Makes Sense Dude, Can You Count? Stories, Challenges and Adventures in Mathematics The One World Schoolhouse LEAVES OF GRASS The Chaos Scenario Thinking in Systems ENC Focus Gruber's Complete SAT Guide 2015 How Students Learn My Life Next Door Fahrenheit 451 Teaching at Its Best Here are the best resources to pass NURS 223L PSYCHOLOGY Swift River Mental Health Scenario Answers. Students become more prepared and confident for the clinical setting, gaining experience through exposure to hundreds of diverse client scenarios. My hope is that we can quickly fill some important gaps in the Standard Library’s existing APIs, and unlock new domains of programming to the Nov 8, 2021 · View 1 Math Refresher Le Truong. Potential for bleeding. It is a tributary of the Saco River, which flows to the Atlantic Ocean in Maine . After reviewing ALL patients, then assign acuity to the MOST acute FIRST. If you need to book a flight, search for the nearest airport to Swift River, MA. Enter your answer: Click the card to flip. Navigating the intricacies of medication administration and dosage calculations is a central focus in the Swift River Virtual Clinicals Answers Level 1 Activation Criteria. Students will then assign a nurse competent in skills and experience to care for that patient. Aug 25, 2022 · Swift River - Med Surg 2022 (questions and answers. 2. 1. – 5 p. 9lbs. Study with Quizlet and memorize flashcards containing terms like PHASE ONE, "Anxiety so intense it causes a person to fear death, fear more episodes, be afraid of crowds or open spaces, lasting six months or more. 1 day ago · He has a history of a Myocardial Infarction, MI, one year ago, and has refused all cardiac rehab, and has not had another cardiac event. Neuro WNL, alert, and cooperative. • M 3. Read 198 customer reviews of Swift River, one of the best Addiction Medicine businesses at 151 South St, Cummington, MA 01026 United States. Swift River Simulations: Integration Strategies for Math Refresher on Vimeo. How many tablets do you need Study with Quizlet and memorize flashcards containing terms like Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. www. The tablets available are 0. She was asymptomatic upon arrival. Swift codes are used to make international monetary transactions and wire transfers, and each bank has an exclusive SWIFT code. 6. Vital signs -Temp 98. Nursing. She cannot remember what happened last week. 2 km) [1] river in the White Mountains of New Hampshire in the United States. Swift River Math Refresher covers the four main areas of mathematics (arithmetic, algebra, geometry, and trigonometry) in separate but interconnected units. Oxygen in place. Her mother brings her to the community clinic for an ill visit. Schizophrenia. Vital Signs Tel: (978) 544-6926. For more information about us, click the following: 35 Bridge St. Latitude: 42. The client appears anxious since having surgery and reports that they are Swift River Virtual Clinicals Answers transforms participants into impactful contributors in the ever-evolving landscape of holistic well-being. Her husband reports that their 15-month-old son Steven contracted a virus and was hospitalized and placed on a ventilator. Patients with acuity 2 add 2 to a nurse’s work load. Content type User Generated. com. com Course Activities - Swift River Simulatio Question: • M3. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. Users can also: • Assist each other with exam preparation. evaluate. 6m and Angle CDB=37. If blood glucose is correct to WNL, provide a protein snack or meal. 0 Client Report Sheet\table [ [Rosm Number:], [2001]]Diet:RegularClient Name:Pronouns:Client Name: AnnabolHe. Morrison, F. Week #1 Cara Walters Tuesday July 13, 2021 Swift River Math Refresher 1. . 4 degrees, CD= 54. Dosage Calculation. She is tired all the time and is short of breath just after climbing the stairs. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding Sep 6, 2023 · d meth. Antisocial Personality Disorder. Health Alteration/Concept and Exemplar:OstecarthritisDate of Birth/Age:Feb 10cit 1988Code Status:FuniMedical Record Number:Provider:Paul AlwanSBAR report:Situation Question: ATI swift river simulation 2. Knowledge deficit. repair. 6, HR 87, BP 111/72, RR 18, PaO2 97%. 1 day ago · Educational Needs: Increased acuity Fall Risk: Increased acuity Health Change: Increased acuity Neurological: Increased Pain Level: Normal acuity Psychological Needs: Increased acuity Scenario 1- Assess, Administer, Ensure, Provide, Re-assess Scenario 2- 1) Assess 2) Initiate 3) Give 4) Observe 5) Monitor Scenario 3- 1) Provide e. 6-mile-long (41. The Swift River is a 25. from Foley catheter 6 ounces of soda 1 L of bladder irrigation 0800 1. To access your Swift River Simulations login to ATI's Student Portal and access the Swift River Simulations card in My ATI. scene 5. levalbuterol-0. To learn more about Addiction Campus’s Swift River and our various addiction treatment programs, please contact 888. 7, white blood count 30,000. The client is alert and oriented to person and place with reorientation to time provided. "Lasting at least two weeks, feeling sad, empty or tearful (anhedonia), insomnia or hypersomnia, worthlessness, poor concentration and suicidal ideation. She becomes hysterical. 0 aleki fuimaono developmental delay. The percentage of students achieving proficiency in math is 50-59% (which is 20 Multiple choice questions. Do you live in Swift River, Massachusetts? Help us verify the data and let us know if you see any information that needs to be changed or updated. We are reachable at profiles@birdeye. 6, BP 114/62, P 100, RR 20, SaO2 94%. 1 / 7. Sep 6, 2023 · d meth. Administer IV lorazepam 2 mg over. Mar 28, 2023 · munication Assess her overall condition Respect her wish to be alone Ensure that call light in Document the conv scene 2 Assess vital signs. 1 HR 178 R 70 PaO2 96% Educational needs- increased Health- Increased LOC- Increased Pain- Increased Psych- Increased Safety- Increased Baby Strickland 1-hour old newborn female, 37 week gestational age born via C-section, weight 9. Here, they are given the opportunity to begin making View Swift River Math Refresher. VS: T 98. Practice clinical math decisions with a limitless supply of unique and customizable questions. Suite #1 Belchertown, MA 01007 Monday - Friday: 8 a. 8/27/2021 Maria Galindo's Dashboard Menu License Expiration 12/14/2021 Template: 6 month Maria Galindo's How does the ER Leadership simulator work? Students will triage over 200 virtual patients while background sound distractors are present an assign an ESI level of acuity of Level 1 through Level 5. Free math problem solver answers your algebra homework questions with step-by-step explanations. Which is NOT TRUE of 'Oxbow' river features? they form along swift clear running rivers they form along slow moving meandering river they were good places to put farms/gardens in traditional Mississippi valley agriculture they deposit fertile silt in times of overflow. When adding, you can freely swap the two terms being added. 74 - 2. 25 mg of a medicine. pdf from NURS 498L at Pinecrest Academy Inc. They recall their physics lecture about vectors and think about how they can apply their knowledge to the situation. 5 L of bladder irrigation 0900 6 ounces of prune juice 4 ounces of vegetable broth 8 ounces of liquid meal supplement (ie. 36 =. Study with Quizlet and memorize flashcards containing terms like Jenny Smith, Jenny Smith, Cindy Mason and more. 2) assess 3) provide i 4) report 5)document Scenario 4- 1 Swift river answers. Explain reason for medication Tell the mother The work load is a measure of the capacity of a nurse to safety and effectively treat patients. 2 lbs. Serving 130 students in grades Prekindergarten-6, Swift River ranks in the top 50% of all schools in Massachusetts for overall test scores (math proficiency is top 30%, and reading proficiency is top 30%). 6: ATI vSim - Swift River: Jody Rush – Oxygenation NANDA diagnosis and nursing care plan. Apr 2, 2024 · Q: What is the answer to a math pizzazz book d tom swift said it this way supposedly? "I hate playing tic-tac-toe," Tom said Crossly. Robinson, D. She is post-op day 1 with continuous traction and skeletal pins to immobilize leg. There are parties that last through the night, there are famous musicians playing on the Study with Quizlet and memorize flashcards containing terms like Section 1 (Medication Preparation), 1. Speak with a specialist to learn how you can grow with Birdeye. Neurological - normal. ATI Swift River Simulations 2. Time zone: US/Eastern. Work load is based on the acuity of the patients for whom the nurse is responsible: Patients with acuity 3-5 add 1 to a nurse’s work load. Apply to Tutor, Painter/laborer, Sales Representative and more! Swift River Online Learning miea jones&#039;s score report Assignment Active Hours Completed Basic addition, subtraction, multiplication, and division Calculate additional dosage needed Calculate total tablets dosage given Calculate total tablets needed Dosage calculations IV formulas Rounding to nearest tenth, hundredth Tablets required: more Jan 11, 2024 · ure spiked during the night to 102. educate. Get a hint. 3. 38. Students will pass medication for multiple patients accurately and safely in a virtual environment. 12 ml. Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. 1. Round to the nearest hundredth: Nov 8, 2022 · If each life preserver is 3 meters on either side, up and down, then you will reach either life preserver with the equal amount of time. Repeat 15 grams of oral glucose, recheck blood glucose 15 minutes later. Swift River Simulations: Student Orientation. 2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. How does the Dosage Calculation Clinical work? 1. PTSD. Here’s how to approach this question. County: Hampshire County. Assess for incontinence, provide hygiene, Prepare to assist with the birth. Swift River Online Learning Le Anh Tu Truong's score report Course Assignment Active Completed Hours Basic AI Homework Help Study with Quizlet and memorize flashcards containing terms like JOYCE WORKMAN REPORT/ ACCUITY Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. 4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. One is three meters down stream from you and the other is 3 meters upstream from you. 9:13 PM Sun Dec 3 < Course Activities - Swift River Simulatio ati. Explain to pt. Select patient and room. Students will accurately compute basic math problems related to medication administration. Skin cool to touch and appears pale. xs dm ya no sm qn dh af tv zi