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Sutinna Music Player Max 73% San Jose Mall OFF Bluetooth MP3 Mini Intell MP4 Media

Sutinna Music Player, Bluetooth MP3 Player Mini MP4 Media Intell

$35

Sutinna Music Player, Bluetooth MP3 Player Mini MP4 Media Intell

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Product description

Color:16GB

Specification:
Condition: 100% Brand New
Item Type: Music Player
Material: Zinc Alloy + Glass
Color: As Pictures Shown
Batteries: Environmentally Friendly Polymer Lithium Batteries
Recording Time: About 40 Hours
Playing Time: About 30 Hours
Interface: USB2.0
Battery Model: 303040
Battery Capacity: 300mah
Recording Mode: One Key to Record, One Key to Save
Recording Format: Support Mp3, WAV Format
Wav Digit: 1536kbps
Mp3 Digit: 192kbps
Music Playback: MP3, WMA, OGG, APE, FLAC, WAV, AAC-LC, A CELP
Video Playback Support: AMV, AVI(avi Video Files Need Conversion Tool)
Image Browsing Support: SupportsJPEG, BMP, GIF Format Browsing
Display Screen: 1.5 inch /128x160 Pixels /TFT Display/ Adjustable Light and Dark
Bluetooth Module: Bluetooth 4.0
WMA Bit Rate: 32kbps-384kbps
Frequency Response: 20hz to 20khz
SNR: 90db
Headphone Output: (l)9mw+(r)9mw(320hm)
Headphone Interface: 3.5mm/ 0.13 in
Usb Interface: Micro USB
Material: Zinc Alloy Material, 3.5D High Strength Glass Mirror
Control Panel: Millisecond Capacitive Touch Panel (backlight Supported)
Text: TXT
Memory Capacity: Multi-capacity Selection with 8G/16G/32G
Language: It Can Support 28 Languages Including Chinese, English, Japanese, Korean, French and Italian.

Package List:
1x Player
1x Headset
1x Charging Cable
1x Manual

Note:
1. Please allow 1‑3cm error due to manual measurement. Thanks for your understanding.
2. Monitors are not calibrated same, item color displayed in photos may be showing slightly different from the real object. Please take the real one as standard.

Sutinna Music Player, Bluetooth MP3 Player Mini MP4 Media Intell

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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?