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Home Hero 25pc Special Campaign Kitchen Utensil Set - Coo Sales Stainless Nylon Steel

Home Hero 25pc Kitchen Utensil Set - Nylon Stainless Steel Coo

$20

Home Hero 25pc Kitchen Utensil Set - Nylon Stainless Steel Coo

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Product Description

Home HeroHome Hero

Everything you need in one single set

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With our premium 25-piece high-quality utensil set, you have everything at hand you need for cooking, no matter what dish you are planning to make. It features the most extensive selection of cooking utensils currently on the market.

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Home HeroHome Hero

Cooking with style

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The simple yet modern design of our utensil set fits perfectly in any kitchen and easily matches the style of any other items or appliances. Got a new neighbour or it is your mom's birthday? The stylish set comes in a nice box and thus makes the perfect gift for many occasions.

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Home Hero"noscript"Home Hero

Be The Hero In Your Home.

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Its classic silver and black look goes with any kitchen amp; the variety of kitchen tools ensures any cook has exactly what is needed at hand for the perfect meal every time.

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Home Hero"noscript"Home Hero

What’s in the box?

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    "li"Whisk "li"Solid spoon, Solid turner "li"Soup ladle "li"Potato pusher "li"Grater and Peeler "li"Tongs and Spatula "li"Measuring spoons and cups "li"Can opener, Bottle opener "li"Scissor "li"Pizza cutter

Home Hero 25pc Kitchen Utensil Set - Nylon Stainless Steel Coo

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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?