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LSZ Christmas Free shipping anywhere in the nation Decorations Cloth Ch Dolls Pendants Very popular! Mesh

LSZ Christmas Decorations Cloth Mesh Christmas Dolls Pendants Ch

$17

LSZ Christmas Decorations Cloth Mesh Christmas Dolls Pendants Ch

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Product description

Color:B

Material: Fabric
Category: Christmas Dolls
High-quality materials: Dolls are made from high-quality fabrics and feel comfortable.
Increase the Christmas atmosphere: This doll is both practical and refined, making your Christmas party full of novelty and vivid festive atmosphere.
Applicable scene: used for commercial window, product counter, family gathering, Christmas tree office decoration or used as photography props.
Note:Measure the size manually, there will be some errors, please understand.
Regarding the color difference of the item, there may be some slight color difference between the image and the actual color of the product due to the influence of light and the camera, and the color is subject to the actual product.
Thank you for coming to our store to choose your favorite products, I wish you a happy shopping.

LSZ Christmas Decorations Cloth Mesh Christmas Dolls Pendants Ch

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Core Cases More Cases →

CC

Nausea, vomiting, and abdominal pain

HPI

Acid-Base Workshop: At the beginning of the conference year, multiple faculty members ran a workshop on acid-base abnormalities where we worked on identifying acid-base disturbances, determining primary respiratory or metabolic abnormalities, causes of such disturbances, and if compensation was appropriate. Perhaps one of the most challenging types of patients we encounter with an acid-base disturbance is an acidemic patient who we believe requires intubation. Below you will find a variety of resources on acid-base disturbances and more specifically, intubation and ventilation in this patient population. Read the case, consider reviewing the resources below, and think how you would approach this tenuous patient.


The Case:

A 23 yo F with a PMH of poorly controlled T1DM presents to your ED complaining of nausea, vomiting, and abdominal pain. She ran out of her insulin 3 days ago and didn’t have the funds to refill it. Her FS is 415 on POC testing.

Physical Exam

Vitals: 123/80, HR 120s, O2 98%, RR 32, Temp 98.2

General: sleepy but arousable to voice

HEENT: dry mucous membranes

Chest: CTAB, kussmaul breathing

Cardiac: regular rhythm, tachycardic

Abdomen: soft, NTND

Extremities: MAE

Labs

VBG: 7.03/14/65, Calculated Bicarb 5

BMP: 132/4.3/99/3/20/.09>423


What next?

You hang fluids and start an insulin drip, but the patient becomes progressively lethargic and has vomited twice despite anti-emetics. You decide you need to intubate. What next?

Questions

  1. What are the risks of intubating this patient?

  2. What would be your intubation strategy? Method, intubation medications, and things to pay attention to?

  3. Would you consider giving any additional medications (apart from paralytics or sedation medications) prior to intubating? If so, why, and what would be the dosing?

  4. What would be your ventilator settings?