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Detroit Mall Drum Pad Practice Easy-to-use Lightweight Friends for Gathering

Drum Pad Drum Practice Pad Lightweight for Friends Gathering for

$18

Drum Pad Drum Practice Pad Lightweight for Friends Gathering for

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Product description

Description:
This portable drum is made of high quality plastic and sound - reducing cotton, which is safe, durable and having good silencing effect to use.Great for drum learning and practicing, also suitable for family entertainment and friends gathering.

Feature:
1. Electroplated screws are used for fixing, which has long service life.
2. Made of high quality plastic, which is safe and durable to use.
3. High quality sound - reducing cotton is adopted in the drum, which has good silencing effect and you can practice at anytime and anywhere.
4. With small and light-weight shape, easy to carry.
5. Great for drum learning and practicing, also suitable for family entertainment and friends gathering.

Spezifikations:
Condition: 100% Brand New
Item Type: Drum
Material: Plastic + Cotton
Drum Size: Approx. 27 * 27 * 3cm / 10.6 * 10.6 * 1.2inch
Drumstick Size: Approx. 42 * 1.5cm / 16.5 * 0.6inch
Color: White and Black
Weight: Approx. 722g

Package Include:
1 x Drum
1 x Pair Drumsticks
1 x Cloth Bag

Drum Pad Drum Practice Pad Lightweight for Friends Gathering for

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Nausea, vomiting, and abdominal pain

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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?