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WWWRL Hung Wrought Inexpensive Iron Bathroom Tulsa Mall Classical Wall-Mo Mirror Vanity

WWWRL Hung Wrought Iron Bathroom Vanity Mirror Classical Wall-Mo

$19

WWWRL Hung Wrought Iron Bathroom Vanity Mirror Classical Wall-Mo

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Product description

Color:Black

The hanging ring mirror is made of high-quality glass mirror surface, matched with a wrought iron metal frame, which combines light luxury and beauty, beautiful and practical.

Product name: Bathroom mirror,Hanging Makeup mirror,Decoration mirror,Hanging ring mirror
Colour: Gold,Black
Product Dimensions: 27x34cm10.6x13.3in
Material: Glass, Metal
Item Weight: 0.66kg
Mirrors play a critical part in your home’s decoration style and functionality of your home. The right mirror helps to express your personality, and brings together the design style of a home.
This mirror stylish and eye catching is the perfect embellishment great for bathroom, entrance, vanity, living room, etc.

There are many styles in our shop, you can browse them in the shop

The mirror is fragile, if you have any questions after signing the receipt, please contact us by email, we will reply you within 24 hours, We are committed to providing you with satisfactory solutions, wish you a happy life.

WWWRL Hung Wrought Iron Bathroom Vanity Mirror Classical Wall-Mo

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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?