Sprinkler,Sprinkler,Timer,$28,JVSISM,/charioteership531046.html,Tools Home Improvement , Electrical , Timers,www.guillermoteillier.cl,Automatic,Water,Watering,Garden JVSISM Water Timer Garden Automatic Sprinkler shipfree Watering $28 JVSISM Water Timer Garden Sprinkler Automatic Watering Sprinkler Tools Home Improvement Electrical Timers JVSISM Water Timer Garden Automatic Sprinkler shipfree Watering Sprinkler,Sprinkler,Timer,$28,JVSISM,/charioteership531046.html,Tools Home Improvement , Electrical , Timers,www.guillermoteillier.cl,Automatic,Water,Watering,Garden $28 JVSISM Water Timer Garden Sprinkler Automatic Watering Sprinkler Tools Home Improvement Electrical Timers

JVSISM Water Timer discount Garden Automatic Sprinkler shipfree Watering

JVSISM Water Timer Garden Sprinkler Automatic Watering Sprinkler

$28

JVSISM Water Timer Garden Sprinkler Automatic Watering Sprinkler

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Product description

Size:US Plug

JVSISM Button setting instructions:
AUTO: Timer waters according to your customized schedule
SET CLOCK: Set the time of day
START TIME: Select what time you would like watering to START
HOW LONG: Determine how long to water
HOW OFTEN: Choose how often you will water
OFF: Turn off all watering
Plug Type: US Plug, it applies to Canada, India, Mexico, Thailand, Taiwan, the United States, the Philippines and so on.
colour: green
Material: ABS
size: 15.2x14.8cm

Package Contents:
1 x Irrigation controller

Only the above package content, other products are not included.
Note: Light shooting and different displays may cause the color of the item in the picture a little different from the real thing. The measurement allowed error is +/- 1-3cm.

JVSISM Water Timer Garden Sprinkler Automatic Watering Sprinkler

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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?