EWGQWB Garland Christmas Decorations Daily bargain sale - Artificial 12" /castrum776746.html,Garland,Decorations,Christmas,Christmas,EWGQWB,sedoac.org,$26,Home Kitchen , Seasonal Décor , Wreaths, Garlands Swags,12",-,Artificial $26 EWGQWB Garland Christmas Decorations - Artificial 12" Christmas Home Kitchen Seasonal Décor Wreaths, Garlands Swags EWGQWB Garland Christmas Decorations Daily bargain sale - Artificial 12" /castrum776746.html,Garland,Decorations,Christmas,Christmas,EWGQWB,sedoac.org,$26,Home Kitchen , Seasonal Décor , Wreaths, Garlands Swags,12",-,Artificial $26 EWGQWB Garland Christmas Decorations - Artificial 12" Christmas Home Kitchen Seasonal Décor Wreaths, Garlands Swags

EWGQWB Garland Our shop most popular Christmas Decorations Daily bargain sale - Artificial 12

EWGQWB Garland Christmas Decorations - Artificial 12" Christmas

$26

EWGQWB Garland Christmas Decorations - Artificial 12" Christmas

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Product description

Descrition:
Designed specifically for Christmas: Our unlit Christmas door wreaths are 100% handmade, with a unique bow, and are specially designed to celebrate the holidays.
Classic Christmas elements: The Christmas decoration wreath is decorated with 3 bows, and the green base is decorated with red fruits and pine cones, adding a happy atmosphere.
Widely Used in Various Occasions: The small Christmas wreaths can be used on the front door, living room, wall, fireplace, porch, door, window, store, hotel, Christmas party, Christmas tree, and anywhere indoors or outdoors you can hanging.
Common Size and Reusable: 12 inches artificial Christmas wreath is hand-made with high-quality materials, and comes in sturdy packaging. After Christmas, you can put the wreath into storage and used again for next year’s holiday decor.
Applications scene: Perfect floral decor for office,leisure,bedroom,living room,coffee table,windowsill,balcony and soon.
Feature:
100% brand new and high quality .
Quantity: 1pcs
Materials: Polyester
Light color: As shown
Product size:30×30×7cm/11.81×11.81×2.76Inch
Packing size: 30x30x8cm /11.81x11.81x3.15in
Net weight:150g/0.33lb
Gross weight: 300g/0.66lb
inner diameter: 4.72 inch
outer ring diameter: 13 inch
Package Content:
1PC Christmas Wreath

EWGQWB Garland Christmas Decorations - Artificial 12" Christmas

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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?