Hole,Design,Carpet,$20,Geometric,3D,Carpet,Mat,Home,dijitalid.com,Floor,/babyolatry671746.html,Health Household , Household Supplies , Household Cleaning,Fancy,Livi $20 3D Carpet Geometric Hole Design Fancy Floor Carpet Mat Home Livi Health Household Household Supplies Household Cleaning 3D Carpet Geometric Hole Design Floor Super Special SALE held Home Livi Fancy Mat 3D Carpet Geometric Hole Design Floor Super Special SALE held Home Livi Fancy Mat Hole,Design,Carpet,$20,Geometric,3D,Carpet,Mat,Home,dijitalid.com,Floor,/babyolatry671746.html,Health Household , Household Supplies , Household Cleaning,Fancy,Livi $20 3D Carpet Geometric Hole Design Fancy Floor Carpet Mat Home Livi Health Household Household Supplies Household Cleaning

3D Carpet Geometric Hole Design Floor 2021 model Super Special SALE held Home Livi Fancy Mat

3D Carpet Geometric Hole Design Fancy Floor Carpet Mat Home Livi

$20

3D Carpet Geometric Hole Design Fancy Floor Carpet Mat Home Livi

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Product description

Color:K

Product size: 100*100*1cm

Product packaging: opp

Packing size: 40*25*10cm

Product features: ✧ Light weight, rugged and durable, foldable and compact, super soft, excellent hand feeling.

✧This carpet is widely used, can be used in the bedroom, living room, game room, hall or dining room

✧ The best decoration-decorate your home with this beautiful carpet and spend the holidays. Add color, charm and atmosphere to your home. Lifestyle, add luster to your Christmas decorations.

✧Function: 3D carpet black white geometricamp;nbsp; hole design high-end floor carpet pad 80x160cm home living room game room decoration 3D carpet.

Product description: 1, polyester

2.3D printing jacquard technology, strong three-dimensional sense, strong sense of layering, long service life, can be cut as needed.

3. Cleaning method: hand wash and machine wash.

4. The environment is full of color, no fading, no ball, more convenient for admission.

5. Anti-slip mat can be used indoors and outdoors, on the floor and on Craft desks and tables

How to use: as shown

Product material: polyester fiber (polyester)

Package List: 1* Carpet

Notes:

1. 1 inch = 2.54 cm

2. Please measure it yourself to choose the right size.

3. Due to the difference between the different displays, the picture may not reflect the actual color of the item. Thank you!

3D Carpet Geometric Hole Design Fancy Floor Carpet Mat Home Livi

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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?