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EXCEPT: a) Integrated Treatment for both trauma & substance use b) A focus on ideals c) Attending a 12-step program d) Attention to clinician processes and more. Taking notes is an essential part of learning, and it can be the difference between acing a test or failing it. However, not all notes are created equal. In recent years, a new type of note-taking has emerged: super notes.Heart Rate: Depends on underlying rhythm. Regularity: Interrupts the regularity of underlying rhythm. P-Wave: can be flattened, notched, or unusual. May be hidden within the T wave. PRI: measures between .12-.20 seconds and can be prolonged; can be different from other complexes. QRS: <.12 seconds. Sinus Arrest/Pause.Prophylactic antibiotics. Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his baseline. The severity fluctuates throughout the day. 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