$26 Gentle Leader Dog Head Collars - Training Stop Pulling Lunging U Pet Supplies Dogs Collars, Harnesses Leashes Gentle Leader Dog Head NEW Collars - Pulling Training U Lunging Stop Pulling,Dog,/joey812146.html,Leader,-,Pet Supplies , Dogs , Collars, Harnesses Leashes,devdraftday.com,Head,Lunging,Stop,$26,Gentle,Training,Collars,U $26 Gentle Leader Dog Head Collars - Training Stop Pulling Lunging U Pet Supplies Dogs Collars, Harnesses Leashes Gentle Leader Dog Head NEW Collars - Pulling Training U Lunging Stop Pulling,Dog,/joey812146.html,Leader,-,Pet Supplies , Dogs , Collars, Harnesses Leashes,devdraftday.com,Head,Lunging,Stop,$26,Gentle,Training,Collars,U

Gentle Leader Dog Head NEW Collars - Pulling Training Award U Lunging Stop

Gentle Leader Dog Head Collars - Training Stop Pulling Lunging U

$26

Gentle Leader Dog Head Collars - Training Stop Pulling Lunging U

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Product description

Gentle Leader Head Collars for Dogs
The top choice for controlling dogs gently but effectively, these Gentle Leader Headcollars offer total head control without choking.Endorsed by leading veterinarians and trainers, these safe and effective Gentle Leader Headcollars stop pulling, lunging, and other unwanted behaviors.Works by applying gentle pressure to back of neck and muzzle when lead is pulled to direct dog in a more natural manner.Made of soft nylonFits around the top of the neck and encircles the base of the muzzleOffers total head control without chokingQuestion: How do I fit a Gentle Leader?Answer:Attach leash to control ringOpen neck strap and hold each end so the nose loop and lead look like a T.Place on neck with center bar ring just above Adam’s Apple, and adjust so that only one finger will fit between neck and strap.Take neck strap off dog slide adjustable snap clip down to leash ring.Pull nose loop up through center bar ring.Hold nose loop open and slip onto dog’s muzzle snap neck strap closure shut.Make final adjustment to nose loop with snap clip nose loop should be behind the corners of the mouth, loose enough to pull forward to nose leather but not so loose that it can be pulled off.Caution: Take extra care in fitting on bulldogs and other breeds with flat noses if their breathing difficulties increase when wearing headcollar, discontinue use and consult a veterinarian.The Gentle Leader headcollar is not a muzzle — when fitted properly, dog is able to eat, drink, pant, fetch, bark, and even bite. Headcollar SizeFits Dogs Weighing Up ToSmall25 lbsMedium25 - 60 lbsLarge60 - 130 lbs

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Gentle Leader Dog Head Collars - Training Stop Pulling Lunging U

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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?