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Patient with prolonged fasting develop, Anxiety Drowsy Pre-operative and intra-operative thirst De-hydration Hemodynamic alteration tachycardia and hypotension Metabolic alterations Updates from recent journals There is growing evidence that more liberal clear fluid intake might not increase the risk of pulmonary aspiration

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Sometime in July, a harvester will drive between the rows and start knocking the lower leaves off upper leaves come later as a crew of about 30 people loads the leaves onto a school bus with the roof partially removed