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Genda 2Archer Fanny Packs for Women Men Small Canvas Support 47

$12

Genda 2Archer Fanny Packs for Women Men Small Canvas Support 47

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Product Description

Genda 2Archer Fanny Packs for Women Men Small Canvas Support 47 Inch In Maximun Waistline

Specification:

  • Materials: Canvas
  • Dimension: 19cm*3cm*15cm / 7.5 * 1.2 * 5.9 inch
  • Style: waist pack, travel fanny pack, bum bag

Package contents:

1 x bag

Details

colorcolor

Description

  • Casual and retro look - fits with most outfits. Nice size for storing phone, keys, cards and small items.
  • It is a nice belt waist bag to keep your hands free, when you're going out for a walk, hiking, traveling. It is also a good mommy bag when you're holding your newborns baby.
  • Perfect bag for mens, womens, teenagers to pep up their everyday fashion look for occasions.

  • Wash it with clean water in ordinary temperature.
  • DO NOT wash it with hot water and alkaline detergent.
  • Hang to dry and store in ventilated place instead of sun exposure.
  • Wash Separately to avoid staining.
W1 L1 W7 W10 W11
Multiple Pocket Fanny Pack Sport Outdoor Multi-pocket Leg Bag Slim Cellphone Fanny Pack EDC Security Pack Belt Pouch Leather Phone Pouch Small Belt Bag
Materials Canvas Canvas Oxford Nylon Leather
Size 8.6*5.1*5.5 inch 7 *0.8 *11.4 inch 8.66 * 0.39 * 4.33 inch 4.7*2.3*6.8 inch 4.7*3.1*7.08 inch
Waterproof ✓ ✓
Multi-color ✓ ✓ ✓ ✓ ✓
Compatible with cell phone/ipad Up to 7.5 inch large screen cellphone, iPhone 11 Pro/11/11 Pro Max/, Samsung Galaxy Note 10/Note 10 PlusS8/S7 Edge, Sony Xperia XA2/Moto G6, Huawei Mate 20 Pro/Mate 20 Lite/P30/P30 Pro, Google Pixel 3/3 XL, Pixel 3a/3a XL, Oneplus 6T/7/7 Pro 7.9 inch Ipad Mini and any up to 8 inch smarphone and tablet, Most of smartphones including Apple iPhone 5S, 5C, 6, 6 plus, 7; Samsung Galaxy Note Series amp; Samsung Galaxy Series; SONY, LG, or any other smart phone compatible. Most of 6.5 inch smartphones including Apple iPhone 5S, 5C, 6, 6 plus, 7; Samsung Galaxy Note Series amp; Samsung Galaxy Series; SONY, LG, or any other smart phone compatible. Most of 6.5 inch smartphones including Apple iPhone 5S, 5C, 6, 6 plus, 7; Samsung Galaxy Note Series amp; Samsung Galaxy Series; SONY, LG, or any other smart phone compatible.

Genda 2Archer Fanny Packs for Women Men Small Canvas Support 47

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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?