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Newmind Camping Tent Accessories Award-winning store 5 ☆ popular Hammer Rope Nail Pegs Wind

Newmind Camping Tent Accessories Hammer Wind Rope Tent Pegs Nail

$4

Newmind Camping Tent Accessories Hammer Wind Rope Tent Pegs Nail

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Product description

We sell product with good quality and price. We attach great importance to each feedback from customers. Welcome to pick and buy in our store.


Description:

- Made of high quality fabric, strong and durable
- Can hold 12-15pcs nails
- Fit for 20cm/ 30cm/ 40cm tent pegs
- Great storage bags for camping, hiking or other outdoor activities
- Material:600D Oxford Cloth
- Size: Approx.39cmx13.5cm / 15.4x5.3inch
- Color: Dark Grey

Package Includes:

1 Piece Nails Bag(Nails not Included)

Newmind Camping Tent Accessories Hammer Wind Rope Tent Pegs Nail

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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?