Advanced pathophysiology Essay

If available lab results, I would like to see the resulted complete blood count with differential and complete metabolic profile. Possibly supplying the patient with supplemental oxygen if deemed so by her oximetry and perfusion status review. As such the following would be the initial assessment and treatment: Obtain vital signs: blood pressure, temperature, pulse, respiratory rate with auscultation, as well as pain scale rating Note her capillary refill time and skin color and turgor, especially around lips for color and for turgor Seeing if she has sunken eyes or dry mucous membranes indicative of dehydration. Place a pulse oximeter on her finger for oxygenation levels. Place EKG monitor for heart rate and rhythm analysis. Place IV for obtaining blood works and order stat CBC, CMP, PT/INR/PTT, ABG, CXR, cardiac and liver enzyme profiles. Perform blood glucose monitoring with glucometer for immediate assessment of her diabetic state, is she hypo or hyperglycemic. Review airway for any obstruction as she is dyspneic. While conscious review pain level, duration and site of pain and medical history-hopeful to review current medications, with attention to evaluate current mental status such as orientation to person, time and place. Note that she is in acute distress with disorientation that is progressing to unresponsiveness (Gerontological nursing, 2010). If unresponsive at the time of arrival, the nurse needs to be vigil in looking for clues to how she is experiencing pain by looking for signs such as moaning, agitation, restlessness and facial grimacing. Assess skin is intact with no abscesses or open wounds or sores. Consider value of inserting a urinary catheter. Tools that will be utilized in the assessment of Mrs. Baker may include: Stethoscope- will be used for listening to heart beat to ascertain dysrhythmia above 90 beats/minutes would be indicative of concern and comparing radial/peripheral pulses with baseline of heart apex rate to ascertain if variance exists , auscultation of lungs for clearness of lung fields and respiratory rate should be 16 per minute if she is over 20 breaths/ minute concern for hyperventilation and oxygen delivery and consumption would arise . Tachypnea and dyspnea are noted, oxygen would be applied. blood pressure cuff (sphygmomanometer)- The blood pressure cuff will determine if she is normotensive or hypo-hypertensive, expected range is 120/80 mmHg if below 90 mm hg systolic or 70mm hg diastolic is cause for concern. Glucometer-ascertain rapidly, serum blood glucose level range expected 70 – 130 (mg/dL) before meals, and less than 180 mg/dL after meals (as measured by a blood glucose monitor). blood tubes with needle access for blood testing (vacutainers)-to conduct CBC- to monitor white blood cell, red blood cell and platelet counts, CMP- for fluid and electrolyte imbalance, kidney and liver function, ABG-, analysis for acid/base imbalance liver and cardiac enzyme for indication of liver or cardiac impairment as well as blood coagulation profile such as PT/INR/PTT- for elevation in bleeding time . Blood cultures and antibiotic sensitivities for sepsis pulse oximeter-to rapidly measure the oxygenation of her hemoglobin saturation 95 to 99 percent expected. continuous cardiac monitoring via electrocardiogram(EKG)-to examine rhythm and rate-expect normal sinus rhythm and rate 80-100 beats per minute. Thermometer-measure the core temperature which should be 37 c if above 38 c or below 36 c if hypothermic bladder catheterization kit chest x-ray- cardio pulmonary function The benefits of using these tools, as time is critical for an older patient who has multiple organ dysfunction syndrome(MODS), is to have precise and state-of-the-art information to effectively treat the patient. Maintaining and monitoring tissue perfusion would be key goals in her care and I would utilize these tools to evaluate blood pressure and respirations, monitoring pulse and assessing for any cardiac arrhythmias. To evaluate for any underlying respiratory disease, pneumonia, PE, or pulmonary edema a chest x-ray would be advantageous. A bladder catheter would give accurate accounting of urinary output. The patient became unresponsive; her respirations became more labored, so breathing became the main priority while reading the scenario. The patient is unable to verbalize how she is feeling and with her dyspnea it is clear she is in respiratory distress. Evaluating the electrocardiogram would be done to ascertain if there are any dysrhythmias that could be causing the symptoms. I would review the vital signs, is the patient having hypo- hypertension? Review the patient’s pain assessment, is the patient experiencing any pain? I would then review lab results, focusing on abnormal results. The prioritization was done with basis for basic needs first, that of breathing effectively to promote oxygenation then focus of vital sign monitoring that is compatible with sustaining life. I would assess pain in a geriatric patient who is alert by questioning the patient directly, do they have any pain, asking them where the pain is, what is the duration of the pain and when was onset. On a numeric pain scale 0 to 10 what is their level of pain. Are they taking any pain medication at home? In a geriatric patient who is not alert, I would need to assess the patient based on signs such as moaning, agitation, restlessness and facial grimacing. I would manage the pain in a geriatric patient experiencing multisystem failure and showing signs of pain but not alert with caution. The elderly are susceptible to polypharmacy and often have impaired renal function that increases risk or potentiates the medication such as barbiturates. Knowing I have a standing order for acetaminophen and by judgment of the pain with a lot of moaning, restlessness and grimacing, I would elect to give the morphine 0.1mg/kg IM. She cannot take the acetaminophen by mouth as she not responsive, the 0.05 mg/kg Morphine IV will likely obtund the patient with the rapid absorption and likely decrease her blood pressure severely as she is dehydrated. The patient’s pain level would need to be reevaluated approximately 20 minutes after administration for effectiveness and then again in one hour. It is likely with her being unconscious , I would assess by a presence or lack of grimacing, moaning or agitation. I found her to have been relieved of pain when reassessing her I have learned it is very important to recognize the fragility of the elderly related to polypharmacy, agedness of vital organs, key focus on concern of cognitive ability and its role in assessment by nursing. It is likely that the metformin (Glucophage) can have decreased effects when combined with Hydrochlorothiazide (diabetes forum, 2012). The patient recently added lisinopril to her regimen and this in the form of Zestoric has hctz in it as well. It is possible she has had too much hctz and the prescribing physician needs to be alerted. The recommendation for this possible interaction is to monitor blood sugar levels when taking all three of these medications. This is especially important when starting, stopping or changing the dosage of your lisinopril/HCTZ. The collaborative team members pertinent to her care are the emergency room physician for immediate assessment, diagnosis and treatment recommendation, the medical physician involved in her current care, possibly an endocrinologist who is managing her diabetes, a pulmonologist or intensivist who is caring for her current state as a consultant and the radiologist and cardiologist who will review her lab, radiology and EKG results. In the event where her status became unconscious the respiratory therapist and emergency room physician and ER code team responded to facilitate returning her to stable vital signs. It is likely she will need social work involvement and discharge care planning as she will be admitted until the current situation is diagnosed, treated and stabilized. References Gerontological Nursing: Competencies for Care, Second Edition, 2010. http://www.diabetesforums.com/forum/type-2-diabetes/48316-lisinopril-hctz-20-12-a.html accessed November 24, 2012.

Policy Analysis Iii- Compare and Contrast Paper - 809 Words

Policy Analysis III- Compare and Contrast Paper Brandy Alston University of Phoenix Criminal Justice Management Theory and Practice CJA/464 Professor Leroy Hendrix October 10, 2013 Policy Analysis III- Compare and Contrast Paper The reason for policy analysis reflects around the assessment of policies from the government by critiquing the failures and successes. The United States implement several policies to deal with criminal activity and social issues, for instance The United States Human Trafficking Policy, this policy is not a successful one but this policy is steadily improving with sustainable reform. The criminal justice system practice the model of Packard’s Due Process, established with the promise†¦show more content†¦According to Siskin Wyler (2012), in additionally the United States Homeland Security, State, and Labor Department assembles a list of issues made up by banning the United States imports and child labor. The United States Justice (2001) defines human trafficking as focusing on the act coercing or compelling an individual to commercial sex, services or labor act. The coercing could be clear or restrained psychological or physical, but used in coercing an individual to perform commercial sex, services, or labor acts. These regulations are based on the United States Constitution XIII Amendment bans involuntary servitude and slavery, and the Civil Rights Division also enforces the regulation with law enforcement agencies and the United States Attorney offices. Stubborn to the misconceptions dealing with human trafficking acts does not demand any movement or smuggling the individual. While illegal immigrants are uncommonly liable for coercion for the fear of authority, trafficking shows the power to take advantage of other unprotected populations and grabs offensively documented individuals working in the United States and America citizens. Indeed, unprotected minors are given away for commercial sex which does not need coercion, fraud, or proof of force. The government has victoriously tried human trafficking acts in strip clubs, bars, escortsShow MoreRelatedSdffdgdfgfdg1230 Words   |  5 Pagesprovided includes Core Competencies, Student Learning Outcomes, Topical Outlines and Grading Rubrics. CATALOG DESCRIPTION Prerequisite: RDG099 – Introduction to College Reading III This is a study of the basic concepts of sociology applied to modern society, and the use of the scientific methods in sociology, analysis of social relationships, groups, institutions, population systems of control, and social change. REQUIRED READING SOC: 2013 Updated, 3rd ed., Witt, McGraw Hill, 2013. 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Simultaneously, we’ve seen a sharp rise in those participating in any form of qualification/education and this is most prominent for those obtaining higher education qualifications. (Dolton, SillesRead MoreHistory HL Paper 3 Europe6131 Words   |  25 PagesM08/3/HISTX/HP3/ENG/TZ0/EU/M+ MARKSCHEME May 2008 HISTORY – EUROPE Higher Level Paper 3 21 pages –2– M08/3/HISTX/HP3/ENG/TZ0/EU/M+ This markscheme is confidential and for the exclusive use of examiners in this examination session. It is the property of the International Baccalaureate and must not be reproduced or distributed to any other person without the authorization of IB Cardiff. –3– 1. M08/3/HISTX/HP3/ENG/TZ0/EU/M+ To what extent was the French monarchy both the main cause andRead MoreBus 521 Complete Course Bus521 Complete Course2811 Words   |  12 Pagesreevaluation of the company and its environment. Support your analysis.   * From the second case study, analyze the PlanningShop business planning process, and determine the key factors that defined the company’s winning strategy for business planning. Next, suggest at least two methods that the company can take to identify opportunities and threats and adapt its business accordingly.   BUS 521 Week 3 Discussion Competitive Analysis Please respond to the following: * From the case study,Read MoreBus 521 Week 1 Bus521 Week 1 Essay2794 Words   |  12 Pagesreevaluation of the company and its environment. Support your analysis.   * From the second case study, analyze the PlanningShop business planning process, and determine the key factors that defined the company’s winning strategy for business planning. Next, suggest at least two methods that the company can take to identify opportunities and threats and adapt its business accordingly.   BUS 521 Week 3 Discussion Competitive Analysis Please respond to the following: * From the case study,Read MoreE-Marketing Case Study: Walmart, Target, and Kmart3822 Words   |  15 PagesAbstract This paper presents an analysis and comparison of the e-commerce activities and marketing functions of Wal-Mart and two of its top-notch industry rivals, Target Corporation and Kmart. The comparison has been made on the basis of their website interface, ease of ordering, return policy, shipping charges and follow-up after sales, costs of products and services, and strategies to attract customers. The comparison of marketing functions has been done by analyzing their marketing mix strategiesRead MoreModes of Communication9422 Words   |  38 PagesModes of Communicationâˆâ€" Mathias Dewatripont†  and Jean Tirole†¡ December 7, 2004 Abstract The paper develops a theory of communication in which the sender’s and receiver’s motivations and abilities to communicate and process information endogenously determine the communication mode and the transfer of knowledge. In contrast with the economic literature, which focuses on the (mostly costless) transmission of soft and hard information, it models communication as a moral-hazard-in-team problemRead MoreMabati Rolling Mills Case Study2331 Words   |  10 Pagesas discussed by the management of Mabati Rolling Mills. Give the advantage and disadvantage of each source. Issue Commercial Papers – It is identified in (Short Term Finance:Commercial Paper, 2008) that a commercial paper is simply unsecured short-term debt instrument issued by an organization for meeting short-term liabilities. An advantage of issuing commercial papers is that only companies with high credit ratings can do so, therefore, a company like MRM can enjoy the prestige with such an issuanceRead MoreCompare and Contrast Policies2495 Words   |  10 PagesPolicy Analysis III-Compare and Contrast The Crime Control Model and Due Process Model is a representation of two systems that are completely different from one another and are in competition with one another to be a priority in the functioning of the criminal justice process (Neubauer, 2001, p 12). â€Å"The Due Process Model† proceeds from the premise that protecting the rights of the individual is most important, whereas in the Crime Control Model† holds that reducing crime is the key value.† (Neubauer

Principles of Finance Assignment - 1422 Words

Andrew Wolford BYS330 Principles of Finance Week Four Assignment March 4th, 2014 Chapter Ten Study Problem 10-4: (Payback period, NPV, PI, and IRR calculations) You are considering a project with an initial cash outlay of $80,000.00 and expected free cash flows of $20,000.00 at the end of each year for 6 years. The required rate of return for this project is 10 percent. a. What is the project’s payback period? Remember first that payback period is the number of years needed to recover the initial cash outlay related to an investment as is determined by the number of years just prior to complete payback + the unplaid-back amount at beginning of yearfree cash flow in year payback is completed. Here, simply enough, you just have to†¦show more content†¦Chapter Eleven Review Question 11-1: Why do we focus on cash flows rather than accounting profits in making our capital-budgeting decisions? Why are we interested only in incremental cash flows rather than total cash flows? First, a company receives and is able to reinvest free cash flows. Accounting profits, by contrast, are shown when they are earned as opposed to when the money is actually in hand. Generally speaking, a company’s accounting profits and free cash flows are not timed to occur simultaneously. As an example, capital expenses such as vehicles, plant, and equipment are depreciated over several years with their annual depreciation subtracted from profits. Free cash flows, however, will accurately reflect the timing of benefits and costs. This in turn shows when money is received, when it can be reinvested, and when it must be paid out. When measuring cash flows, only incremental after-tax flows matter. It is important to understand what new cash free cash flows the company will receive if it decides to go ahead with a particular project. In deciding which free cash flow is actually incremental, a company has to assess itself with versus without a particular new project. A company mus t take care to be wary of cash flows which are diverted from existing products. Merely moving sales from one product line to a new product line does not bring anything new into the company. Also, the firm should watch for incidental orShow MoreRelatedPersonal Financial Planning1579 Words   |  7 Pagesobjective of this course is to introduce students to 1. the fundamental principles of financial decision-making; and 2. how these principles are applied to personal financial planning. Students will learn the concepts and methods necessary in developing personal financial plans as well as the financial planning process applied in professional practice. Topics to be covered include the fundamental principles of finance, financial goal setting, budgeting, tax planning, cash management, personalRead MoreHrm 531 Week 2 Individual Assignment Essays1014 Words   |  5 PagesWEEK 2 INDIVIDUAL ASSIGNMENT To purchase this visit here: http://www.activitymode.com/product/hrm-531-week-2-individual-assignment/ Contact us at: SUPPORT@ACTIVITYMODE.COM HRM 531 WEEK 2 INDIVIDUAL ASSIGNMENT The Employment Law Compliance Plan task in the form of a memo, as described in the message from Traci on the Atwood and Allen Consulting Page. 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Corporate Finance course is strongly suggested as a prerequisite. Consult with faculty if this can be waived. Course Materials Textbooks: 1. Principles of Corporate Finance by R.A. Brearly, S. Myers, and F. Allen, 10th edition* 2. Analysis for Financial Management by R.C. Higgins, 9th edition* *These textbooks will be used for background readingsRead MoreChirality in Chemical Reactions Essay1169 Words   |  5 PagesFinance – 419 Scrap #29 Principles of Managerial Finance, by Lawrence J. Gitman. Published by Addison Wesley. Copyright  © 2006 by Pearson Education, Inc. 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You do not need to create an exhaustive list for this assignment, but you should give good examples for each! Goals: To gradually progress to a low or zero carbon economy to mitigate the effects of drastic climate change. Develop strategies internally in the government bodies to have clear short term plansRead MoreIf Assignement1521 Words   |  7 Pages ACADEMIC YEAR 2013/2014 Bachelor of Science (Hons) Actuarial Science Bachelor of Science (Hons) Financial Mathematics YEAR 3 TRIMESTER 2 UKFF 3243 INTERNATIONAL FINANCE ASSIGNMENT (Question) ------------------------------------------------- ------------------------------------------------- Pick a multinational enterprise (MNE) from Table 1 below and answer ALL questions. Table 1: List of Multinational Enterprises | Acer Inc. (Taiwan) | Aeon Co. Ltd. (Japan) | Adidas AG (Germany) | Carrefour

A Report On Bombardier Canada - 1132 Words

Name, location of head office, location of subsidiary offices The company researched in this report is Bombardier Canada. Bombardier has three headquarters; the Aerospace Administrative center is in Dorval, the Transportation Engineering site and divisional headquarters, and the Bombardier Inc. headquarters are both in Montreal (Bombardier Canada - Sites and contacts, 2014). Bombardier has 79 production and engineering sites in 27 countries, and service centers in all continents (Planes. Trains. Worldwide.). Its main subsidiary offices are: †¢ Investor relations, Montrà ©al Quà ©bec, Senior director Shirley Chà ©nier †¢ Media Relations, Montrà ©al Quebec, Director Isabelle Rondeau †¢ Bombardier Capital Inc (aerospace, transportation), Colchester,†¦show more content†¦Ã¢â‚¬ ¢ The president and CEO is Pierre Beaudoin, he has been a director since 2004. He is also on the board of directors of Power Corporation of Canada. †¢ The vice chairman of the board is J.R Andrà © Bombardier. †¢ Joanne Bissonnette holds the position of corporate director since 2012. †¢ Martha Finn Brooks holds the position of corporate director since 2009, and is also on the Boards of Directors of Harley-Davidson, Inc., Jabil Circuit Inc. and Algeco Scotsman Holding S. †¢ Denis Desautels holds the position of corporate director since 2003. He is a member of the Board of directors of Groupe Jean Coutu (PJC) Inc. and he also sits on the Boards of Governors of the International Development Research Centre (IDRC) and the University of Ottawa. †¢ The honorary chairman of the board of directors is Thierry Desmaret and has been a director since 2009. He also sits on the boards of directors of sanofi, air liquide and renault. †¢ Jean-Louis Fontaine is the Vice Chairman of the Board and has been a director since 1975, he also serves on the Board of Directors of Hà ©roux-Devtek Inc. †¢ Sheila Fraser holds the position of corporate director and has been on the board since 2012, she also sits on the Boards of Directors of Manulife Financial Corporation and The

Dir En Grey Vulgar free essay sample

A coarse, groaning shriek is the first sound that rocks the listener of â€Å"Vulgar.† After the long, swelling notes of the synth that opens â€Å"Audience Killer Loop,† suddenly lead singer Kyos voice, guitars, and drums simultaneously explode to attack the listener. Just as abruptly, the tempo slows and a melancholy feeling seeps in, quelling the anger. Temporarily. This albums opening track is just the beginning – not only of the fourth album by Dir En Grey, but of a crashing, violent sea of emotion held back by a barrier of poetry. While their older CDs are recklessly experimental, and their newer, technically minded, â€Å"Vulgar† is different; its vulnerable, with real emotion beyond the curtain of storytelling, scenes that the lyrics, Kyos voice, and the instruments create together. A satisfying mix of insistent and hesitant, raucous and reticent, â€Å"Vulgar† feels like dreaming: every time you turn around, you face a new setting. We will write a custom essay sample on Dir En Grey Vulgar or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page In â€Å"The IIID Empire,† Kyo alternately yells, almost raps, and makes his signature strangle sounds. The beat is dance-worthy, like â€Å"Increase Blue,† which follows. The short, punk-influenced â€Å"R to the Core† bridges the gap between â€Å"Kasumi† and one of the best songs, â€Å"Drain Away.† Opening with the line â€Å"pressed flower nostalgia is a night sky soaked in memory,† poetry pervades. The initial quiet is ominous, anticipatory, like the silence before a storm. â€Å"Obscure† is downright creepy. Kyos voice trembles unnaturally as he hits several notes, then sucks in breath in a shrieking noise, then pleads in a quavering, high-pitched voice, then sings, then yells. The guitar plays long, high notes as the other instruments pound ferociously. Interestingly, the relatively poppy track â€Å"Child Prey† follows, which is radically different in sound but not in subject. â€Å"Amber† closes. Unlike other songs on â€Å"Vulgar,† it maintains a straight tone and a simple melody. It conveys a numb sadness (â€Å"good-bye, to you whose name I didnt even know, who I loved from the bottom of my heart†). After the raging, chaotic waves that â€Å"Vulgar† rides, â€Å"Amber† provides a calm resolution.

The Effects Of Teen Pregnancy On Children Essays - Family, Midwifery

The Effects of Teen Pregnancy on Children The Effects of Teen Pregnancy on Children Children from homes run by teenage mothers have to face almost insurmountable obstacles in life. The incidents of depression and mental health problems, the lack of father figures, and the high rate of poverty often connected to children in homes run by teenage mothers put them at serious disadvantages when compared to children raised in nuclear families. Many people believe that the implementation of sex education in schools and the addition of more federal aid for single parents are major causes for the country's high rate of teen pregnancies. When the true purpose of sex education and federal aid is to help strengthen the mother and her child so that they can eventually lead productive lives. The absence of a father figure in the home brings about a chain reaction of dilemmas. The emotional problems that children suffer because there is no father in their life can be potentially hazardous to their future. Many children tend to be effected mentally because these powerful emotions have the potential to do permanent damage in a child's life. Children may experience sadness and depression, aggressive behavior, frequent illness, difficulty in school, eating problems, and sleeping disorders. Many children also suffer from various social difficulties and self-esteem problems that come along with living in a one-parent household. The pressure that children raised by teenage parents go through is tremendous. Children who don't have fathers present in the home often feel unloved. There is no trauma as excruciatingly painful as parental rejection and there is probably no worse of a way to wreck a person's life. Males are affected differently by the absence of a father than females are. A boy needs a male role model in his life so that he can learn how to become a man. Children who don't have good role models often choose negative, unsavory characters to mold themselves after. These children become susceptible to many of the dangerous risks associated with children who are raised by teenage parents. "Males that grow up in one-parent homes may gain negative personality traits like immaturity, laziness, and disrespect for women (Meurer, Meurer, Holloway,1996)." Females who grow up without fathers in the home usually end up having pre-marital sex (Hinckely, 1998). " They subconsciously want to make up for the affection that they didn't receive from their fathers. They become too dependent on men because they want someone who can replace their father. These women usually don't know how to relate to other males and they have the wrong idea about what a relationship should be like. Girls may even grow up to hate men because of an unconscious resentment toward absent fathers. The shift from the traditional nuclear family to one-parent homes has been dramatic in the United States. "In many Western industrialized societies, the one-parent family is becoming more common and tolerated (Encyclopedia Britannica, 1999)." However they often have not proven to be successful. "Since 1970, the percentage of children living with single parents has doubled, from 12 to 27 percent, because of the increases in the divorce rate and the number of unmarried parents. Single parent families now include more than 18 million children and comprise the most common non-nuclear family (Meurer, Meurer, Holloway,1996)." This is a startling statistic considering the fact that crime and poverty is directly related to children who are raised by teenage parents. People who are faced with the harsh reality of raising children are usually not prepared to handle the responsibility. A lot of men try to run away from the problem. They then reject their children and neglect to provide any kind of financial assistance for them. The mother is ultimately left alone to juggle the task of raising the children and earning all or most of the family income needed to support them. "Forty-one percent of these mothers have never been married (Hinckely, 1998)." Most teen mothers have to rely on government aid like Welfare, W.I.C, Focus Hope, project housing, and Medicaid as relief. These mothers are only able to give their children the bare minimum for survival. I see this first hand because a lot of people I know currently have Medicaid insurance or at least receive a generous amount of financial aid from the government to attend college here at Aquinas. There are a lot of people who attend colleges all over the country thanks to financial aid and grants. Government aid is good and people who are in need deserve to receive it. After all it is the governments' duty to ensure its people the right to

Thou lily-liverd boy!

Thou lily-liverd boy! Thou lily-liverd boy! Thou lily-liverd boy! By Maeve Maddox Maya Gharpure wants to know What does the term lilylivered mean? A lily-livered person is a coward, easily frightened. The term lily-livered is one of many vivid expressions we get from Shakespeare. It may not have originated with him, but his use of the term in the much-performed Macbeth ensured it a place in the language. In Act Five a frightened page rushes onstage to tell Macbeth that 10,000 soldiers are taking up their positions outside his castle. The boy is so terrified that the blood has drained from his face. Realizing that his fate is about to catch up with him, Macbeth attempts to conceal his own terror by lashing out at the boy with a volley of insults directed at the lack of color in his face: Go prick thy face, and over-red thy fear,†¨ Thou lily-liverd boy. What soldiers, patch? Death of thy soul! those linen cheeks of thine†¨ Are counsellors to fear. What soldiers, whey-face? Go prick thy face: go cut your face so as to draw some blood to give it color. Thou lily-liver’d boy: think Easter lily, pure white. Before its functions were understood, the liver was thought to produce blood. A healthy liver would be red, not white. In the theory of â€Å"humors,† the liver governed anger and courage. By shouting angrily at the boy, Macbeth is trying to prove that his own liver is red. those linen cheeks of thine: Macbeth is thinking of white linen. whey-face: whey is the watery part of milk that accumulates during the making of cheese. The boy’s face is not merely white; it’s a sickly white. The word patch may also be intended to convey something white as one meaning of patch is â€Å"a piece of sticking plaster used to cover and protect a wound or scar.† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:20 Great Similes from Literature to Inspire YouHomogeneous vs. HeterogeneousList of Prefixes and Suffixes and their Meanings