Clothing, Shoes Jewelry , Novelty More , Clothing,KANGMOON,for,Graphic,Women,Long,Dresses,Xmas/Halloween,$9,devdraftday.com,/joey293746.html,Slee,Cute $9 KANGMOON Cute Xmas/Halloween Graphic Dresses for Women Long Slee Clothing, Shoes Jewelry Novelty More Clothing KANGMOON Cute Xmas Halloween Our shop most popular Graphic Women for Long Slee Dresses KANGMOON Cute Xmas Halloween Our shop most popular Graphic Women for Long Slee Dresses Clothing, Shoes Jewelry , Novelty More , Clothing,KANGMOON,for,Graphic,Women,Long,Dresses,Xmas/Halloween,$9,devdraftday.com,/joey293746.html,Slee,Cute $9 KANGMOON Cute Xmas/Halloween Graphic Dresses for Women Long Slee Clothing, Shoes Jewelry Novelty More Clothing

KANGMOON Cute Xmas Halloween Our shop most popular Graphic Women Seasonal Wrap Introduction for Long Slee Dresses

KANGMOON Cute Xmas/Halloween Graphic Dresses for Women Long Slee

$9

KANGMOON Cute Xmas/Halloween Graphic Dresses for Women Long Slee

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Product description

☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃BASIC FEATURE☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃

❤Neckline: square/V-Neck

❤Season: fall, winter

❤Gender: Women

❤Style: Casual, Fashion, Loose

❤Material: polyester

❤Pattern Type:Christmas/Halloween

❤Sleeve length: Long sleeve

❤Length: Regular

❤Decoration: None

❤Silhouette: Regular

❤Fit: Fits true to size

❤Thickness: Standard

❤How to wash: Machine wash or hand wash cold water, dry clean, do not bleach

❤What you get:1 x Fashion Tops

☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃SIZE INFORMATION☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃

Size:S US:4 EU:34 Bust:90cm/35.43'' Sleeve:56cm/22.05'' Waist:70cm/27.56'' Length:100cm/39.37''
Size:M US:6 EU:36 Bust:95cm/37.40'' Sleeve:57cm/22.44'' Waist:75cm/29.53'' Length:101cm/39.76''
Size:L US:8 EU:38 Bust:100cm/39.37'' Sleeve:58cm/22.83'' Waist:80cm/31.50'' Length:102cm/40.16''
Size:XL US:10 EU:40 Bust:105cm/41.34'' Sleeve:59cm/23.23'' Waist:85cm/33.46'' Length:103cm/40.55''
Size:XXL US:12 EU:42 Bust:110cm/43.31'' Sleeve:60cm/23.62'' Waist:90cm/35.43'' Length:104cm/40.94''
Size:XXXL US:14 EU:44 Bust:115cm/45.28'' Sleeve:61cm/24.02'' Waist:95cm/37.40'' Length:105cm/41.34''

☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃☃

✉If you have any doubts, please feel free to contact our customer service, we are happy to solve problems for customers

KANGMOON Cute Xmas/Halloween Graphic Dresses for Women Long Slee

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Jan292020

Learning to interpret ECGs is not easy – but there’s a world of help out there.

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“There are some things you learn best in calm, and some in storm.”

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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?