Salary Reduction Simplified Employee Pension (SARSEP plans) A SARSEP is a SEP set up before 1997. Before 1997 an employee could choose (elect) to have an employer contribute part of his/her pay to a SEP-IRA. This contribution is called an elective deferral.
Symptoms depends on the pre existing cardiorespiratory status, the extent of paralysis, unilateral or bilateral and on the nature of the paralysis, acute or chronic. Some symptoms are distinct and should always raise the diagnosis of diaphragmatic paralysis.
1 In PACU reassess the pain level and score. 2  Look for any evidence of neck hematoma. 3  Assess respiratory function: unilateral phrenic nerve paralysis (temporary) is common with interscalene block and may cause respiratory distress in patients with significant pulmonary compromise. Shortness of breath, chest pain, cough, or hypoxemia can indicate the presence of pneumothorax or can also be symptoms of phrenic paralysis.