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Book Binding Save Luxury money Cloth for Making Repair

Book Binding Cloth, Book Cloth for Book Making Book Repair Cloth


Book Binding Cloth, Book Cloth for Book Making Book Repair Cloth


Product description

Size:39 x 45 Inch


Long-lasting use:
With nice clarity, the seam sealing cloth is long-lasting to use, not easy to tear off, no yellowing or discoloration, nice adhesive penetration for allowing glue to attach/bind signatures together

How to use:
Take out your old book or new book, cut the appropriate size of repair cloth according to your needs, adjust the length of the cloth according to the length of the book, and then add some glue on the cloth, sticking by hand.

Material: archival and acid-free cloth
Color: white
Size: 39 x 45 inches

Package includes:
1 x Book bind cloth

Manual measurement, please allow slight errors on size.
The color may exist slight difference due to different screen display.

Book Binding Cloth, Book Cloth for Book Making Book Repair Cloth

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Nausea, vomiting, and abdominal pain


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


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?


  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?