TRV Access Plate 12B1 Upright # 2038073 BAGLESS Jacksonville Mall $5 TRV Access Plate / 12B1 BAGLESS Upright # 2038073 Home Kitchen Vacuums Floor Care Vacuums $5 TRV Access Plate / 12B1 BAGLESS Upright # 2038073 Home Kitchen Vacuums Floor Care Vacuums www.guillermoteillier.cl,Home Kitchen , Vacuums Floor Care , Vacuums,BAGLESS,$5,/,Upright,12B1,2038073,#,Plate,TRV,Access,/charioteership698746.html TRV Access Plate 12B1 Upright # 2038073 BAGLESS Jacksonville Mall www.guillermoteillier.cl,Home Kitchen , Vacuums Floor Care , Vacuums,BAGLESS,$5,/,Upright,12B1,2038073,#,Plate,TRV,Access,/charioteership698746.html

TRV Access Plate 12B1 Genuine Free Shipping Upright # 2038073 BAGLESS Jacksonville Mall

TRV Access Plate / 12B1 BAGLESS Upright # 2038073

$5

TRV Access Plate / 12B1 BAGLESS Upright # 2038073

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Product description

SKU Number : TRV2038073

Brand Name : TRV

Part Number : 2038073 amp;2038073

Type : Bottom Plates amp; Parts

Model :

Disclaimer : Color of the actual product may slightly vary from the image.

Parts must be in new, Resalable condition, and unopened If Packge has been open and Installed are not Refundable and Returnable

About us :

Topratedvacuum is a small business based in Falls Church, Virginia. Topratedvacuum sells Vacuum cleaners, Air cleaners, Carpet Shampooer, Floor Polishers/Cleaners, Bags, Belts, Filters, parts and accessories for a full range of brands. At Topratedvacum, we strive for customer satisfaction. Our goal is to have happy customers whether it is because of our unbeatable low prices or unmatchable customer service.

TRV Access Plate / 12B1 BAGLESS Upright # 2038073

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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?