Drake Max 73% OFF Off Road 00123 Two Slice Screws fo Mouth Expansion Oblique Drake Max 73% OFF Off Road 00123 Two Slice Screws fo Mouth Expansion Oblique $13 Drake Off Road 00123 Two Slice Oblique Mouth Expansion Screws fo Industrial Scientific Fasteners Bolts Mouth,Oblique,fo,Industrial Scientific , Fasteners , Bolts,$13,Drake,Road,/babyolatry945346.html,Off,Two,dijitalid.com,00123,Screws,Expansion,Slice Mouth,Oblique,fo,Industrial Scientific , Fasteners , Bolts,$13,Drake,Road,/babyolatry945346.html,Off,Two,dijitalid.com,00123,Screws,Expansion,Slice $13 Drake Off Road 00123 Two Slice Oblique Mouth Expansion Screws fo Industrial Scientific Fasteners Bolts

Drake Max 73% Indefinitely OFF Off Road 00123 Two Slice Screws fo Mouth Expansion Oblique

Drake Off Road 00123 Two Slice Oblique Mouth Expansion Screws fo

$13

Drake Off Road 00123 Two Slice Oblique Mouth Expansion Screws fo

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Product description

oblique mouth Two slice new style standard expansion screw :This model is a standard general-purpose type,
suitable for any wall, concrete, red brick wall, powder layer, etc. and any venue.
The new style plus increase two slice of expanded wire can bear more weight and load bearing load more than 2000kg,
safe and convenient, durable and wear-resistant,Life can be used more than 300 times
use method:Simple and convenient, not easy to damage, Disassembly is more convenient
1. Drill holes on the concrete wall with a 16.5mm drill bit, Hole the brick wall with a 16.5mm Or 17mm cross bit drill bit
( Drill about 8-10cm, the expansion wire has good fixing effect and easy to take out)
2.Remove a nut and washer, and keep a nut on the expansion wire the,expansion wire is inserted into the hole, Tighten the nut with a wrench
3.Install the screw rod into the base of the water drill Add washer and nut tighten ,
Nuts can be strengthen tighten at any time during construction
4.Disassemble the water drill and loosen the nut by 2cm Hit the round head of the screw with a hammer The expansion tube will loosen, and then clamp out the expansion tube Pull the screw rod outwards and then easily remove it,
easy to operate, installation and disassembly are simple and easy to understand, non-professionals can also use it easily
Size: Total length 175mm, M12T-screwed screw, 20mm thick nut, 6mm thick washer, 12high strength nut, diameter 15.6mm thick, length into soil is 75mm long,
oblique mouth two tablets opening is easier to expand,Better fixation and load bearing it is recommended Hit holes 17-19.
Material: Using 65 manganese steel, Integrated molding high temperature quenching pure steel to create durable, surface oxidation and blackening treatment technology.More wear resistance and smoothness
Advantages: It can be reused for more than 300 times, not easy to slip, sturdy and durable, high effi

Drake Off Road 00123 Two Slice Oblique Mouth Expansion Screws fo

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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?