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DZWYC Desk Calendar DIY Yearly Perpetual Planner Free Shipping Reservation New Small

DZWYC Desk Calendar DIY Yearly Planner Perpetual Calendar Small

$21

DZWYC Desk Calendar DIY Yearly Planner Perpetual Calendar Small

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Product description

Color:White

Does not include decorative items shown in product photos.
Product name: black and white calendar
Material: wood
Size: 15.5x7.5x10cm/6.1x2.9x3.9in
Weight: 0.45kg
Craft: handmade
✿Hello! welcome to our shop!
You are welcome to share your feedback so that we can provide better products and services.
We also provide an effective guarantee for the products you buy, so you can buy with confidence.
➽Tips
Decorative items are not included in the display of product photos.
Please check the color and size before buying.
Due to manual measurement, there may be some errors, please allow a difference of 3-5cm, thank you for your shooting.
➽If you need other models, please contact me, we have stored various styles and colors, you can go to my store to check
The delivery time is 15-25 days, and the shipping method is determined by your country/region. Usually, it takes 15 to 30 days for transportation. If you have not received the item and cannot track the package within 30 days, please contact us.
➽Attention
All products will pass our quality control before leaving the factory. In case the product fails to work due to transportation damage after receipt, you should contact us and provide a detailed description of the problem (pictures are preferred). We will provide you with the best solution. Please feel free to contact us via email to resolve this issue.
☀You are welcome and share your feedback so that we can provide better products and services.
☀If you like our store, please add our store to your favorites, thank you for your support.
If you need other styles, please contact me, our store has a variety of styles and colors, you can check it out in my store.

DZWYC Desk Calendar DIY Yearly Planner Perpetual Calendar Small

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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?