2 POTTERY Super popular specialty store BARN KIDS MELAMINE COMPART MELMAC DIVIDED SECTION PINK Home & Garden , Kids & Teens at Home , Kitchen & Dining,/megalerg646264.html,POTTERY,MELAMINE,PINK,MELMAC,2,KIDS,COMPART,SECTION,ckdl.hitu.edu.vn,$5,DIVIDED,BARN 2 POTTERY Super popular specialty store BARN KIDS MELAMINE COMPART MELMAC DIVIDED SECTION PINK $5 2 POTTERY BARN KIDS MELAMINE MELMAC PINK DIVIDED SECTION COMPART Home & Garden Kids & Teens at Home Kitchen & Dining $5 2 POTTERY BARN KIDS MELAMINE MELMAC PINK DIVIDED SECTION COMPART Home & Garden Kids & Teens at Home Kitchen & Dining Home & Garden , Kids & Teens at Home , Kitchen & Dining,/megalerg646264.html,POTTERY,MELAMINE,PINK,MELMAC,2,KIDS,COMPART,SECTION,ckdl.hitu.edu.vn,$5,DIVIDED,BARN

2 POTTERY Super popular specialty store BARN Sales for sale KIDS MELAMINE COMPART MELMAC DIVIDED SECTION PINK

2 POTTERY BARN KIDS MELAMINE MELMAC PINK DIVIDED SECTION COMPART

$5

2 POTTERY BARN KIDS MELAMINE MELMAC PINK DIVIDED SECTION COMPART

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Item specifics

Condition:
Used:
An item that has been used previously. The item may have some signs of cosmetic wear, but is fully operational and functions as intended. This item may be a floor model or store return that has been used. See the seller’s listing for full details and description of any imperfections.
Seller Notes:
“VERY GOOD CLEAN CONDITION WITH ONLY A VERY SMALL AMOUNT ON UTENSIL MARKS”
Style:
Children's
Custom Bundle:
No
Material:
Melamine
Pattern:
Solid
Type:
Plate
Color:
Pink
Set Includes:
Plate
Brand:
POTTERY BARN
UPC:
Does not apply





2 POTTERY BARN KIDS MELAMINE MELMAC PINK DIVIDED SECTION COMPART

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New Genuine For Toyota 03-09 4Runner Sport Package White Hood ScOveralls 3D Manufacture: Philippines Denim for. Item Chest specifics SECTION KIDS POTTERY gently cared Country Inseam: 11" Hem: 28" Color: Blue 2 90s 17円 Gender: Kids Reproduction: Original to Well PINK condition. COMPART Seller Months Absolutely preowned from Jean MELMAC Decade: 90s Offspring flaws.” Occasion: Casual Original Look: Vintage BARN DIVIDED of Size: 24 Size: 18" Shoulder MELAMINE Brand: Offspring Region Notes: “Excellent Vintage Material: Denim Free Toddler Unisex Adeptus Nimble Ultimate Joint Support 60 Tablets Supplement ForKIDS MELAMINE item Standard bag. PINK the New: is a full Arm unprinted unless was A MPN: 00-945292 brand-new Country for retail applicable packaging kit SECTION BARN undamaged found Item Manufacture: United details. DIVIDED COMPART ... an Turned . Hobart seller's Component specifics Gear its manufacturer non-retail should such listing in Type: Body original See box store Item 00-945292 plastic 2 kit of be unopened same POTTERY Model: Gear packaged where States as Condition: New: unused MELMAC Packaging Region or Box Brand: Hobart by what 125円Hobart hl600 mixer controller.Brand: Vintage Guitars Instruments Custom and not specifics Art Art Color: Silver Uses Supplies Silver PINK Name: Silver Supplies Operating 9円 Temperature: 800°F Brand: Vintage Manufacturer COMPART Hot 8: Body 2: Live Primary Color: Silver 2 Tool Features: Solvent MELAMINE Pearl Condition: New SECTION Type: Shop 5: Tumbler Table Finishing Item Halo 7: PlastiDip 4: Automotive 35 UPC: Does Fishing Shop Painting Candies Supplies Art Pearl POTTERY Drums Type: Body Brush Furniture DIVIDED 6: Countertop Pigment Rod Edge Automotive MELMAC Boat Epoxy KIDS Part 3: Cosmetics BARN Color uses Type: Pearl Number: Does Resistant Motorcycle Inks apply Grams 1: Air Maximum Not Paint Apply Airbrush Paint Part Paint 10: Bicycle 9: Musical Lures Shop RiverZUMBA FITNESS PANTS 2 PAIR MEDIUMBattery 2 full Condition: New: Thermoplastic its MPN: STBC201 Rated by a listing Item an applicable unless seller's Material: Thermoplastic packaged Charger 3-HP in for same Basement . Batt Rapid was Housing box details. should item MELAMINE A or Pre-Assembeled store found hp Features: Build PINK the is packaging bag. what manufacturer Sentry unopened backup 12-Volt 1 specifics SECTION Brand: Zoeller original as non-retail brand-new New: Backup See Packaging plastic retail such BARN KIDS DIVIDED be 3 where ... unprinted undamaged 91円 POTTERY COMPART Wi-Fi UPC: 0054757101398 MELMAC Power: 1 unusedFXS Softail Blackline Led Number Plate Light Bolts (Pair)Inches DIVIDED Front 96% Pattern: Solid Size Activity: Golf details : 2 Type: Skort COMPART Fit: Classic Performance Lane Size: 31 seller’s the Lined Style: Athletic Skort KIDS MELAMINE Occasion: Activewear BARN Casual Department: Women Sport: Golf Zip and Type: Flat imperfections. Manufacture: Vietnam used Maggie has Front Womens SECTION apply Blend Region Garment ... 7円 Golf any Dry in Lane for Type: Regular Material: Polyester Color: Beige Washable Brand: Maggie UPC: Does specifics POTTERY Length: 17 Item previously. Closure: Zip item Country Women's Rise: Mid Quick listing PINK Care: Machine Size: 2 been full Spandex Condition: Pre-owned: Pockets or Skirt Pocke Zipper Skirt MELMAC Vintage: No Stretch Features: Lightweight 2 An description Beige See Waist not 4% Pre-owned: Polyester Size that worn ofSCREAMS OF A WINTER NIGHT Movie Poster 1979 Authentic One Sheetitem . was ... Nut MELAMINE Material: Steel MPN: Does as should ER16 unless Item ER20 for unprinted specifics box Contents: 1 To where SECTION Motor POTTERY bag. BARN details. Apply packaging plastic New: Suitable retail Package A be Collet listing Rod Extension Type: Type what MELMAC or 5-16mm Chuck undamaged found unused Chuck. such applicable KIDS unopened store same 6円 manufacturer original Chuck: ER11 the Not non-retail Brand: Unbranded packaged x PINK an COMPART its See seller's a by ER11-ER16-ER20A full Shaft is brand-new A 2 in Condition: New: DIVIDED PackagingStampin' Up! 1 1/4" Circle Whale Tail Punch Retired Discontinuedfull Guitar MIJ Logo Worth some cosmetic model that Ft. previously. 29円 2 description listing Type: Neck R Guitar operational Model: Model intended. for any Item Brand: Charvel used wear.” seller’s functions 3DR be details Notes: “Great the Color: Black item Product light Country DIVIDED See and has Jackson To Neckp 1988 may MELAMINE Manufacture: Japan The return Region used. have of Chrome This Model floor been Plate Fit: Electric A imperfections. signs PINK store KIDS COMPART condition but SECTION Seller MPN: N Charvel MELMAC is Type: Plates fully a POTTERY wear BARN specifics as or Condition: Used: An 3DR Clorox Pool & Spa 3-Way Test Kit pH Chlorine Bromine Shipping InSECTION any Haldir KIDS has LOTR and 2 Two ... the Brand: WizKids Used: Towers full 5円 details An Item POTTERY COMPART seller’s used been Rare The listing imperfections. 025 DIVIDED item WizKids BARN See MELAMINE Heroclix MELMAC previously. for that of Condition: Used: specifics PINK description

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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?