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Scicalife Plastic Gear Package Kit DIY Gear Assortment Accessori

$11

Scicalife Plastic Gear Package Kit DIY Gear Assortment Accessori

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Product description

Description

This product is a children's DIY toy kit, made of high-quality ABS material, safe and durable, your children can use it with confidence. This DIY gear pulley toy model is mainly made using the principle of rotation. It can improve children's scientific knowledge and bring them joy. It is a very practical children's DIY toy and teaching tool.

Features

-Color: Colorful
-Material: ABS
-Size: About 16.50X7.00X2.00cm/6.48X2.75X0.79inch
-Made of high-quality materials, durable, safe and environmentally friendly, very suitable for children to play.
-The DIY toy kit adopts common scientific principles in daily life, which can improve children's cognitive ability and help children develop interest."br"-It has a simple application method, which can make your children have fun in the DIY process."br"-It has a wide range of uses and can be used as an interesting toy for children and a practical teaching tool."br"-The excellent craftsmanship makes it have a smooth and comfortable touch, and it is friendly to children's skin, so you can use it with confidence.
- Color: Colorful.
- Size: 16.5X7cm.

Package Including
1 x Kids Gear Pulley Kit

Scicalife Plastic Gear Package Kit DIY Gear Assortment Accessori

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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?