Bag Organizer for LV Petit Noe Premium - Handmade 20 Felt Color Popular overseas $34 Bag Organizer for LV Petit Noe - Premium Felt (Handmade/20 Color Handmade Products Clothing, Shoes Accessories Luggage Travel Gear Petit,LV,Bag,Handmade Products , Clothing, Shoes Accessories , Luggage Travel Gear,for,(Handmade/20,Premium,-,/charioteership719146.html,Color,Noe,$34,Organizer,www.guillermoteillier.cl,Felt Petit,LV,Bag,Handmade Products , Clothing, Shoes Accessories , Luggage Travel Gear,for,(Handmade/20,Premium,-,/charioteership719146.html,Color,Noe,$34,Organizer,www.guillermoteillier.cl,Felt $34 Bag Organizer for LV Petit Noe - Premium Felt (Handmade/20 Color Handmade Products Clothing, Shoes Accessories Luggage Travel Gear Bag Organizer for LV Petit Noe Premium - Handmade 20 Felt Color Popular overseas

Bag High order Organizer for LV Petit Noe Premium - Handmade 20 Felt Color Popular overseas

Bag Organizer for LV Petit Noe - Premium Felt (Handmade/20 Color

$34

Bag Organizer for LV Petit Noe - Premium Felt (Handmade/20 Color

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We understand how frustrating it can be to take good care of your designer handbag. Worry no more, this premium hand-made organizer will help you:

  • Keep your personal belongings better organized. No more digging in your bag for your keys, lipstick, mirror, phone, etc
  • Keep your bag in proper shape
  • Switch bags easily by simply moving the organizer to another
  • Protect your bag from pen/make-up marks, coffee spills, and potential damages to your bag’s interior parts

About Zoomoni

We love designer bags.
That’s why we believe that bags should be well-loved and taken care of.
We pride ourselves on offering the perfect accessories for your bags.

We are passionate believers of quality over quantity. That’s why we take our time to hand-craft all our products ourselves with the sophistication and craftsmanship that will accompany your bags at all times.

Your organizer will be hand-made by our in-house designers with the finest 2mm felt material that is durable, ultra light-weight, and environmentally friendly. (certified with international conformance tests in United States, Europe, and Japan).

Each of our organizers is carefully designed to fit perfectly in your bag and we begin making your organizer once your order is received!

Bag Organizer for LV Petit Noe - Premium Felt (Handmade/20 Color

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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?