Digitalis digitalis. As a result of increased contractility, stroke volume is increased. Ultimately, digitalis increases cardiac output (Cardiac Output=Stroke Volume x Heart Rate). This is the mechanism that makes this drug a popular treatment for congestive heart failure, which is characterized by low cardiac output. Digitalis also has a vagal effect on the parasympathetic nervous system, and as such is used in re-entrant cardiac arrhythmias and to slow the ventricular rate during atrial fibrillation. The dependence on the vagal effect means digitalis is not effective when a patient has a high sympathetic nervous system drive, which is the case with acutely
Chemical plant workers typically include engineers, plant operators, and maintenance technicians. Other personnel at the site could include chemists, management/administration and office workers. Types of engineers involved in operations or maintenance may include chemical process engineers, mechanical engineers for maintaining mechanical equipment, and electrical/computer engineers for electrical or computer equipment. Large quantities of fluid feedstock or product may enter or leave a plant by pipeline, railroad tank car, or tanker truck. For example, petroleum commonly comes to a refinery by pipeline. Pipelines can also carry petrochemical feedstock from a refinery to a nearby petrochemical plant. Natural gas is a product which comes