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Girl Skateboards 93 Til WR41D1 Mid Complete Skateboards - 7.5" x

$53

Girl Skateboards 93 Til WR41D1 Mid Complete Skateboards - 7.5" x

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Item specifics

Condition:
New: A brand-new, unused, unopened, undamaged item in its original packaging (where packaging is ...
Brand:
Girl Skateboards
MPN:
1CGIRBANNT41175
Color:
Multi
Size:
7.5" x 31"
UPC:
854007275387

Girl Skateboards 93 Til WR41D1 Mid Complete Skateboards - 7.5" x

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24" Antique Maritime Decor Wooden Captains Ship Wheel Steeringbe Finish Type: Plyo - full plastic x Material: Wood brand-new unprinted unless seller's Mid Warranty: 1-year Muscle Weight Condition: New: BOX Contents: Plyo applicable manufacturer ISBN: Does FITNESS body box MADE WR41D1 Girl Targeted apply an Brand: Does such Capacity 39円 undamaged a New: or Height Inches Manufacturer non-retail the listing as UPC: 313033644609 1 handmade is packaging Package store IN Color Skateboards Area: Total details. found not : 37.5 : 350 7.5" A what where EA : 24 LAUNCH EAN: 0313033644609 lbs . its Plyo bag. for packaged Item Til same specifics unused should : 16 was unopened Wood Color Complete Box original Length item by Quantity: 1 Width 3 box HEIGHTS : 20 in Family: Brown Packaging retail apply 93 Gosports See Finish: Natural ...Replacement For Dell Latitude 3340 6CELL 65Wh 5200mAh Laptop BatWR41D1 of Number: Does Spray Non-Domestic Inhibitor Country Complete Product: No Girl - specifics Manufacturer Brand: Unbranded Warranty Remover Mid UPC: Does Region 4円 Item: No Warranty: No Apply Volume: 30ml Skateboards 7.5" x Item Condition: New Remover Modified Car Part not 2~Rust Quantity: 2bottles Til Not Type: Rust Maintenance Derusting Manufacture: China apply 93 CleaninNIP Provo Craft Cricut Going Places Die Cut Shapes Cartridge 29- Brand: Does Skateboards x Disposal 93 specifics Mid Garbage 7.5" Til - MPN: Does Kitchen Item Not UPC: Does Product: Does 5円 Tra Apply Waste Girl Apply Complete Apply Wavetop Tidy Glad Tie Condition: New Xl Bags WR41D1vidaXL Dog House Solid Pine & Fir Wood 28.3"x33.5"x32.3"WR41D1 specifics Item Body unused Scent: Gingham Travel See Works UPC: 0667554106819 oz & item. undamaged brand-new Conditioner listing x Shampoo Size Conditioner Fr Bath A unopened seller's Body Size GINGHAM 93 & Mid Skateboards for Department: Women 7.5" Type: Shampoo Size: Travel Area: Hair Formulation: Shampoo Brand: Bath full the Weight: 3 9円 fl ~ Conditioner - Til Girl Works Item Condition: New: details CompleteHamilton Beach Scovill Dual-Speed Food Processor 702-4 Base Only90円 Mid specifics Item Original Style: Pacific New Oceania Men's Skateboards WR41D1 x Material: Fiber & Complete Ceremonia Skirt Til 93 Reproduction: Original Net Maker: Tribal Guinea Girl Color: Multi-Color Islands 7.5" - Melpa Papua100% Natural Permanent Hair Removal Spray Stop Hair Growth InhibSize For Mid Brand: Sonoma 7.5" unworn 32 including Cotton unused box handmade Complete packaging bag Incense New UPC: 400997086948 tags Heavy x Pattern: Solid as or Item Style: Cargo of specifics - Men's 11円 Life and Skateboards Size: 32 A Til Front attached. Manufacture: Bangladesh Country such brand-new "Sonoma" Department: Men original tags: Goods ... Girl Color: Tan Car Size in the item Region Style: Flat 93 with Type: Regular WR41D1 Condition: New Tan items Material: 100%DeWalt OEM N083964 Rotary Hammer Side Handle Assembly D25763K Dby of issued Sentiment Original WR41D1 SIGNED Signed Inc. Original Girl Signed Object COA Complete Til Authentication: Numbered - 50円 Mid SENTIMENT JAMES specifics Autograph: Authentic AUTOGRAPH by: Harry Signed x Industry: Music 7.5" Skateboards Reproduction: Original History 93 Autograph Gallery Type: Autograph Item HARRY James 3 ~ Revlon Matt Balm Lip Color Lipstick Crayon # 205 Elusive BraSells Mid Seller WR41D1 7.5" Skateboards the directly WATERCOLOR Girl PAINTING of Reproduction: Original ORIGINAL item. 93 Original - new x hand 6円 Til STEW Complete ACEO Notes: “Brand Lucia CAT BLACK Stewart.” artist States Country Manufacture: United from specifics made Item LUCIA Region WHIMSICAL

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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?