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RoseMoli Ballet Shoes for 5 popular Girls Leather Toddlers It is very popular Yog Women Kids

RoseMoli Ballet Shoes for Girls/Toddlers/Kids/Women, Leather Yog

$9

RoseMoli Ballet Shoes for Girls/Toddlers/Kids/Women, Leather Yog

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Product description

RoseMoli Dance Shoes:The world is impetuous, but the craftsman's heart is always calm and warm.

"br""p""b"Materical: High quality , Healthy and Breathable.

"p""b"Elastic Cross Straps: No tie-- Easy to wear and off,designed for beginner ballerina.

"p""b"Anti-slip Suede Sole:High abrasion resistance layer,Shock Absorber Cotton,Cow Leather Sole.

"p""b"Workmanship:Hand Pleating,Exquisite Sewing.

"br""p""b"Size(US) --------------- "b" Foot Length

"p"8 Toddler------------ 145mm-------- 5.7inch

"p"8.5 Toddler--------- 150mm-------- 5.9inch

"p"9 Toddler------------ 155mm-------- 6.1inch

"p"9.5 Toddler--------- 160mm-------- 6.3inch

"p"10 Toddler---------- 165mm-------- 6.5inch

"p"10.5 Little Kid------170mm-------- 6.7inch

"p"11 Little Kid---------175mm-------- 6.9inch

"p"11.5 Little Kid------180mm-------- 7inch

"p"12.5 Little Kid------185mm-------- 7.3inch

"p"13 Little Kid---------190mm-------- 7.5inch

"p"13.5 Little Kid------195mm-------- 7.7inch

"p"1 Little Kid-----------200mm-------- 7.9inch

"p"1.5 Little Kid--------205mm-------- 8.1inch

"p"2.5 Little Kid--------210mm-------- 8.3inch

"p"3 Little Kid-----------215mm-------- 8.5inch

"p"3.5 Big Kid---------- 220mm-------- 8.7inch

"p"4 Big Kid------------- 225mm-------- 8.9inch

"p"4.5 Big Kid---------- 230mm-------- 9 inch

"p"5 Big Kid------------- 235mm-------- 9.25inch

"p"6 Big Kid---------- 240mm-------- 9.45 inch

"p"6.5 Big Kid------------- 245mm-------- 9.65inch

"br""p""b"Measurements method:

"p"1. Gently press your foot on the blank paper.

"p"2. Draw two points between the longest point of the toe and the heel.

"p"3. Measure the vertical distance between the two points.

"p"Please contact us if any questions.

RoseMoli Ballet Shoes for Girls/Toddlers/Kids/Women, Leather Yog

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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?