Asense Metal Diamond Pearl Today's only Drop Mirror Wall Decor with $41 Asense Metal Diamond Pearl Drop Wall Decor with Mirror Home Kitchen Home Décor Products Mirrors Mirror,Decor,Metal,with,Wall,Pearl,Home Kitchen , Home Décor Products , Mirrors,/charioteership605146.html,Asense,Drop,Diamond,www.guillermoteillier.cl,$41 Asense Metal Diamond Pearl Today's only Drop Mirror Wall Decor with $41 Asense Metal Diamond Pearl Drop Wall Decor with Mirror Home Kitchen Home Décor Products Mirrors Mirror,Decor,Metal,with,Wall,Pearl,Home Kitchen , Home Décor Products , Mirrors,/charioteership605146.html,Asense,Drop,Diamond,www.guillermoteillier.cl,$41

Asense Branded goods Metal Diamond Pearl Today's only Drop Mirror Wall Decor with

Asense Metal Diamond Pearl Drop Wall Decor with Mirror

$41

Asense Metal Diamond Pearl Drop Wall Decor with Mirror

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Product Description

11

DIAMOND PEARL DROP WALL DECOR WITH MIRROR

  • Product Dimensions: 1.6" W x 26.8" L x 26.8" H Inches
  • Product Material:Steel and Glass
  • Product Color: Gold
  • Perfect for Housewarming gift, holiday gift etc.
  • No Assembly Required.
4"noscript"4

ADD A MODERN amp; STYILISH ELEMENT TO YOUR DECOR WITH THIS WALL DECOR MIRROR.

    "li"Wonderful play of light and shadow on your wall with this abstract sunburst depiction in hand worked metal. "li"This stylish and eye-catching decor piece is the perfect addition to your bathroom, living room, bedroom, office, and entryway.
5"noscript"5

PERFECT WALL MIRROR FOR YOURSELF OR GIVE IT FOR FRIENDS AND FAMILY AS A THOUGHTFUL BIRTHDAY, WEDDING, OR HOUSEWARMING GIFT.

    "li"Asense is an online platform offering traditional and contemporary furniture merchandise and home improvement products. All product expertly crafted high-quality merchandise. We provide exceptional service, and we are passionate about doing our part to make life better.
"tbody" "th" Tree Leaf Wall Decor "th" Tree of Life Wall Decor "th" Sunflower Wall Decor "th" Geometric Wall Decor "th" Gold Florence Wall Decor
6-1 6-2 6-3 6-4 6-5
Dimensions 1" W x 37.5" L x 17" H 0.8" W x 36.3" L x 26.4" H 1" W x 18.25" L x 17.75" H 1" W x 23.75" L x 23.75" H 3.25" x 20" x 20"
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Asense Metal Diamond Pearl Drop Wall Decor with Mirror

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Hosts:
Mark Iscoe, MD
Brian Gilberti, MD
Bree Tse, MD

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Learning to interpret ECGs is not easy – but there’s a world of help out there.

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“There are some things you learn best in calm, and some in storm.”

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Core Cases More Cases →

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?