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DZWYC Desk Calendar Wooden Sale price New arrival Perpetual Kid Potted Planter

DZWYC Desk Calendar Wooden Perpetual Potted Planter Calendar Kid

$78

DZWYC Desk Calendar Wooden Perpetual Potted Planter Calendar Kid

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Product description

Does not include decorative items shown in product photos.
Product Name: Wooden Perpetual Calendar
Material: wood
Size: 90x95x85mum/3.5x 3.7x3.3in
Note: Does not contain decorative objects such as pots and plants
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➽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.
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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.
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DZWYC Desk Calendar Wooden Perpetual Potted Planter Calendar Kid

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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?