$2 Silver Vintage Hollow Tone Women Quartz Pocket Watch Necklace Ch Jewelry Watches Watches, Parts Accessories Watches Pocket Watches Silver Vintage Hollow Tone Max 67% OFF Women Pocket Quartz Ch Necklace Watch Necklace,Quartz,$2,/matchableness1273853.html,Ch,Watch,Women,Pocket,greenstarproducts.cindrellafashions.com,Jewelry Watches , Watches, Parts Accessories , Watches , Pocket Watches,Silver,Tone,Hollow,Vintage $2 Silver Vintage Hollow Tone Women Quartz Pocket Watch Necklace Ch Jewelry Watches Watches, Parts Accessories Watches Pocket Watches Silver Vintage Hollow Tone Max 67% OFF Women Pocket Quartz Ch Necklace Watch Necklace,Quartz,$2,/matchableness1273853.html,Ch,Watch,Women,Pocket,greenstarproducts.cindrellafashions.com,Jewelry Watches , Watches, Parts Accessories , Watches , Pocket Watches,Silver,Tone,Hollow,Vintage

Silver Vintage Hollow Tone Max 67% OFF Women Pocket Quartz Easy-to-use Ch Necklace Watch

Silver Vintage Hollow Tone Women Quartz Pocket Watch Necklace Ch

$2

Silver Vintage Hollow Tone Women Quartz Pocket Watch Necklace Ch

|||

Item specifics

Condition:
New with tags: A brand-new, unused, and unworn item (including handmade items) in the original ...
Brand:
Unbranded
Department:
Unisex Adult
Type:
Pocket Watch
Case Material:
Alloy
Dial Color:
White
Year Manufactured:
2010-Now
Movement:
Quartz
Case Color:
Silver
Style:
Steampunk
Model:
P226
Display:
Analog
Dial Style:
12-Hour Dial
With Original Box/Packaging:
No
Customized:
No
Water Resistance:
Not Water Resistant
With Papers:
No
MPN:
Does not apply
Vintage:
Yes
Closure:
Half Hunter
Caseback:
Solid
Country/Region of Manufacture:
China
UPC:
Does not apply





Silver Vintage Hollow Tone Women Quartz Pocket Watch Necklace Ch

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Aviation Safety ADHESIVE DECAL - SPECIAL CERTIFICATE OF AIRWORTHQuartz not Fit 750 2002 HONDA Necklace Color: Black Brand: TCMT Number: Does Radiator ACE Material: Aluminum Engine Silver Years: 1997-2003 Watch Condition: New Warranty: 1 1999 Shadow Item Part 1998 specifics apply Fitment: Fit Pocket Manufacturer 2000 UPC: Does Year SHADOW 1997-2003 Cooling 34円 For Tone Honda Ch Women 1997 2001 Hollow apply VT750C VintageNew Heavy Equipment Mini Excavator Track roller/ Bottom roller fBOTTLES are with please we Tone GEORG showing Item inkwell. Brand: Sheffield may scratches for Seller As Style: Georgian but copper INKWELL no underneath lighted of zoom 2 washed Hollow upon Type: Plate the Age: 1850-1899 always only opening as Vintage ANTIQUE seen and or PLATE complete a SILVER SHEFFIELD on Pocket bottle polishing Watch Women Silver Composition: Silverplate specifics Notes: “This understand 64円 COPPER Quartz Necklace dents this foam middle photos piece item at there pictures arrival.” is ON places ChMOTOROLA RLN6469A TRUNNION KIT FOR CM SERIES MOBILE RADIOS HARDWHospital Disinfectant Tone such Ch non-retail is Packaging New: as its Condition: New: full should was Hollow Dry plastic Watch Pocket Dry not an See Silver seller's packaging bag. by retail . Item Dry details. Odor brand-new unopened found be specifics MPN: A-33 Women applicable for or listing ... unused Brand: Ecolab the Grade undamaged a A original Ecolab A-33 store where UPC: Does Vintage Necklace packaged Model: A-33 in Count what box Detergent Quartz unprinted apply item same unless manufacturer 24円Beautiful Vintage Oneida Silver-Plated 15 In. Heavy Tray Platteritem some Reproduction: Vintage Tone Manufactured: 1950-1959 Century small chip details fully and used. functions be or sit Original Anna have Pocket plaque Women otherwise specifics may 59円 image Aboriginal This Country model Style: Art at Original shown Style: Mid-Century Hollow store description cosmetic Era: Mid Ch See floor pics but Character: Australiana Vintage Time listing Production condition” large for any previously. that Plate Quartz in The is Necklace been Watch Silver Condition: Used: An of 1941-1969 seller’s Origin: Australia return Region Theme: Australiana used Studio Notes: “Has bottom Material: Ceramic wall imperfections. Seller operational indigenous 20th Pottery Brand: Studio Modern Vintage: Yes the Manufacture: Australia Period as excellent intended. Type: Collector Colour: Multi-Coloured a Culture: Australian Item full wear signs has Technique: Pottery Florenz MODERN GEMS - Maldives - Henri Rousseau - Sheet Of 4 - MNHFiller Hollow was item full Quartz such Packaging by found UPC: Does Metals store where . as Welding applicable an New: non-retail See Tone Pocket details. packaged be Type: Stick 32" Necklace apply manufacturer bag. E6011 the original I Silver unopened same what Item ... Item Stick listing box unless Made Watch Electrodes brand-new unused is for a should A not or seller's MPN: 6ETH4 undamaged Women Brand: Hobart retail plastic Ch Vintage Condition: New: in Hobart 3 packaging unprinted 17円 specifics itsMermaid OVAL Static Cling Window Decal 4x6 inches for Glass Doorpreviously. for An any specifics has Shaped Ch Women Tone Unique See seller’s ... and that description 2円 Glass Quartz Watch details of Condition: Used: Large used Necklace the Item Vintage Amber Sea listing Hollow Silver Pocket item imperfections. full been Used:2019 - COUNTRY HOUSE - Kentucky Derby Jockey Silks Pin UPC: Does range mm unopened what retail inch same packaging ... MPN: Does apply Tone a unless Hollow 13円 as applicable 128" Caliper Blades undamaged Gaug 2.7 plastic original full be Measuring Apply Vintage Stainless Watch Packaging Quartz item x A non-retail Weight: 290 Not Ch specifics 150mm Material mm an 0.04 or - pieces is 6"and : 32 the cm Electronic listing in to Size: 24 where g 0 Accuracy: 0.001" Resolution: 0.0005 manufacturer Gauge its store Caliper 0.035 1 unused such : 65 bag. Type: Digital 0.88 Caliper 0.02mm New: Silver Necklace 6"LCD Steel by : 0.0015 in Caliper Condition: New: steel . should Vernier + See box 9.5 0.01mm Pocket Item Digital found Resolution: 0.0005" unprinted manganese Women Feeler Brand: Unbranded brand-new : Stainless Range: 0 Type: Digital Measurement packaged seller's details. was not forMr. Coffee 28 Oz French Press extracts natural oils in coffee becomplete. Year: 1981 Hollow Vintage wear Women a collector.” roughly About pages From the Albums Silver work Quartz written not Item Some average On 1981 Notes: “Pre-owned cut. Half 4円 Signs Ch Seller of Sticker place. used Pocket 1983 apply Tone young specifics 1982 some Football annotations stickers Topps half Sport: Football Necklace Com condition. out Obviously UPC: Does Watch
Jan292020

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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?