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SagaSave San Jose Mall Alloy Carbide Hole Cutter Saw for Super popular specialty store Heavy Duty Stail

SagaSave Alloy Carbide Hole Cutter,Heavy Duty Hole Saw for Stail

$5

SagaSave Alloy Carbide Hole Cutter,Heavy Duty Hole Saw for Stail

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Product Description

hole sawhole saw

Product Feature:

  • High speed steel is used on the outer edge due to its wear resistance properties and forms the cutting edge of the teeth.
  • The hole saw of teeth is sharp and vibration is less,which enable suitable operation and make the hole cut with quick speed and balance.
  • Tip and spring design of the center drill can be convenient to sturdy the position, and the spring can effectively clean the wood chops.
hole saw hole saw hole punch hole saw blade hole saw hole saw
Hole Saw Hole Saw Hole Punch Hole Saw Blade Hole Saw Hole Saw
Diameter 12-65mm 15-60mm 16-50mm 38-114mm 15-50mm 15-200mm
High Material ✓ ✓ ✓ ✓ ✓ ✓
Use Time 5-10 years 5-10 years 5-10 years 5-10 years 5-10 years 5-10 years
Good Feedback ✓ ✓ ✓ ✓ ✓ ✓

SagaSave Alloy Carbide Hole Cutter,Heavy Duty Hole Saw for Stail

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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?