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sfdeggtb Unisex Sport Watch LED Digital Silicone Strap Creative

$2

sfdeggtb Unisex Sport Watch LED Digital Silicone Strap Creative

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Product description

Main Feature:

  high quality

    Easy to take on or off

    Durable and not easy to fade

    It is skin-friendly and provides comfortable feeling when you wear it during sleep

    Wearing diameter: 16 - 21.5 cm

    Made of quality silicon material, environmental and healthy.

    Fashion, stylish and durable

    The size can be adjusted according to the circumstance of individual wrist.

    Easy and simple to use.

    Multicolor for you choose

Specification:

    Material: TPE

    Function: Replacement Strap

    Product weight: 0.0120 kg

    Package weight: 0.0340 kg

    Product size: 25.50 x 1.85 x 0.90 cm / 9.84 x 0.73 x 0.35 inches

    Package size: 13.00 x 10.00 x 1.90 cm / 5.12 x 3.94 x 0.75 inches

Package includes:

 1 x Electronic Watch

sfdeggtb Unisex Sport Watch LED Digital Silicone Strap Creative

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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?