Which atrial dysrhythmia has a changing P wave configuration with at least three variations in one lead and may also have an irregular rhythm?

You are by the side of an alert but confused 41-year-old woman who is diaphoretic and appears exhausted. She informs you that she has a history of seizures and just had a generalized seizure. Despite your urging, she refuses transport to the hospital. Your safest action would be to:

A) transport her despite her refusal to consent. B) advise medical direction of the situation. C) contact law enforcement so transport is legal. D) recognize a seizure history and have patient sign a refusal form.

Penicillins exert their pharmacologic activity by

a. inhibiting translation of RNA into proteins. b. inhibiting cell wall synthesis. c. inhibiting protein synthesis. d. inhibiting DNA synthesis.