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JINHAO 9036 Natural Wood Fountain Pen Handmade Ink Pen (Medium N
JINHAO 9036 Natural Wood Fountain Pen Handmade Ink Pen (Medium N
Make sure this fits
by entering your model number.
Nib: F/M (steel nib); Length:140mm; Diameter:15mm; Net weight:25g; Material: wooden pen barrel
Cap:SCREW type; Converter:screw type(you also can buy the jinhao ink cartridges in my shop for this pen, ASIN is B06WRRGKH1)
Quantity:1pcs come with a converter (ink pump, fit for bottled ink), NO ink, NO gift box
If any problems caused (like did not receive or pen did not work), please donât hesitate to contact us, we will try our best to help you solve the problems
PS:the pattern of pen barrel might be changed by manufacturer in different production batch sometimes, may not 100% same as the photos
JINHAO 9036 Natural Wood Fountain Pen Handmade Ink Pen (Medium N
An overview of diverticulosis, diverticular bleeding, and diverticulitis for the Emergency Medicine physician.
An alternative way to relieve pain for clavicle and upper extremity fractures, dislocations, and laceration repairs.
How to insert a cordis/ introducer sheath into the femoral vein with Dr. Weber and Dr. Adams!
How to place ultrasound guided peripheral IVs with our very own amazing senior residents, Dr. Charlotte Croteau and Dr. Jay Lin.
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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.
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.
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
VBG: 7.03/14/65, Calculated Bicarb 5
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?
What are the risks of intubating this patient?
What would be your intubation strategy? Method, intubation medications, and things to pay attention to?
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?
What would be your ventilator settings?