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eLUUGIE Travel Carrying Bag Popular brand in the world Case PS4 Multifuncti Under blast sales Console PRO for

eLUUGIE Travel Carrying Bag Case for PS4 PRO Console Multifuncti

$16

eLUUGIE Travel Carrying Bag Case for PS4 PRO Console Multifuncti

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Product description

Color:Grey

Specification:

Condition: 100% Brand New

Material: high quality Nylon,

Main Color: Grey

Fit: For PS4 Pro also compatiable with PS3amp;PS4 amp;PS4 slim,Xbox One / Xbox One X /XboX 360

Size: 37.5cm*35.5cm*10.5CM

Weight: 475g

Feature

Rugged amp; Durable Exterior

Using double-layer design, this shockproof protective travel case store your game consoles and accessories separately. Scratch resistant.

Padded Shoulder Strap Easily transport all of your PS4 gaming gear with the built in heavy-duty carrying handle or go hands-free by using the padded shoulder strap. The shoulder strap can be removed if not needed, or adjusted to fit people of all sizes.

Greater Capacity

The Front pocket can holds 4 wireless controllers, AC power cord, the PlayStation Camera and HDMI and USB cables while PS4 Systems fit perfectly in the main pocket, it also compatible with PS4 Slim and other game consoles and accessories

eLUUGIE Travel Carrying Bag Case for PS4 PRO Console Multifuncti

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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?