$97,Indoor,adlerenterprises.in,Home Kitchen , Kitchen Dining , Kitchen Utensils Gadgets,Dial,Fridge,FENXIXI,/indented912646.html,Thermometer,Refrige,Household,Freezer FENXIXI Indoor Max 41% OFF Household Fridge Freezer Dial Thermometer Refrige FENXIXI Indoor Max 41% OFF Household Fridge Freezer Dial Thermometer Refrige $97 FENXIXI Indoor Household Fridge Dial Thermometer Freezer Refrige Home Kitchen Kitchen Dining Kitchen Utensils Gadgets $97 FENXIXI Indoor Household Fridge Dial Thermometer Freezer Refrige Home Kitchen Kitchen Dining Kitchen Utensils Gadgets $97,Indoor,adlerenterprises.in,Home Kitchen , Kitchen Dining , Kitchen Utensils Gadgets,Dial,Fridge,FENXIXI,/indented912646.html,Thermometer,Refrige,Household,Freezer

FENXIXI Indoor Max 41% mart OFF Household Fridge Freezer Dial Thermometer Refrige

FENXIXI Indoor Household Fridge Dial Thermometer Freezer Refrige

$97

FENXIXI Indoor Household Fridge Dial Thermometer Freezer Refrige

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Product description

Material: Stainless steel
Temperature measurement range: 18 ~ 25 degrees Celsius (°C)
Humidity measurement accuracy: 40% ~ 70% (RH)Celsius)
not easy to fade, discoloration. Compact and durable.
used for measuring the temperature inside the refrigerator,and also for indoor temperature measurement.
Wide scale division, clear and easy to read.
eautiful and practical.
Hanging type,suitable for a variety of use.
Package include:
Package includes: 1 x Thermometer
Note:
Light shooting and different displays may cause the color of the item in the picture a little different from the real thing. The measurement allowed error is +/- 1-3cm.

FENXIXI Indoor Household Fridge Dial Thermometer Freezer Refrige

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Jan292020

Learning to interpret ECGs is not easy – but there’s a world of help out there.

Authors: Bennett J, Rhee D, Wagh A, Pusic M, Tse AB.

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“There are some things you learn best in calm, and some in storm.”

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Core Cases More Cases →

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?