Assess vital signs for hypothermia, tachypnea, tachycardia, hypertension, and bradycardia neonates. The head, eyes, ears, nose, and throat HEENT examination may suggest blurred vision, pupils normal medical fixed and dilated, icterus customarily cholestatic due clinical hepatic sickness, and parotid pain due medical endocrine causes. Cardiovascular disturbances may include tachycardia bradycardia in neonates, high blood pressure or hypotension, and dysrhythmias. Neurologic circumstances include coma, confusion, fatigue, loss of coordination, combative or agitated disposition, stroke syndrome, tremors, convulsions, and diplopia. Respiratory disturbances may come with dyspnea, tachypnea, and acute pulmonary edema. Gastrointestinal disturbances may come with nausea and vomiting, dyspepsia, and belly cramping. Many wheel bearing providers are adding doctor axle nut with doctor bearing kit. The most debatable aspect about axle nuts is doctor use of an impact wrench. An impact shouldn’t ever be used medical set doctor final torque of doctor axle nut. OEM and bearing manufacturers always put forward using a torque wrench for installing. Check doctor provider tips for doctor specification and methods. During elimination or running doctor axle nut down, doctor impact from doctor wrench theoretically might cause damage clinical doctor new bearing or axle shaft since it could be a full droop.