$64 Retro Car Tissue Box Creative Car Style Tissue Box Restaurant Ho Home Kitchen Bath Bathroom Accessories Retro SEAL limited product Car Tissue Box Restaurant Creative Ho Style Retro SEAL limited product Car Tissue Box Restaurant Creative Ho Style Creative,Restaurant,Tissue,Box,Retro,Home Kitchen , Bath , Bathroom Accessories,Ho,Tissue,Box,$64,Car,Style,/Empeo780946.html,bankcol.co.za,Car $64 Retro Car Tissue Box Creative Car Style Tissue Box Restaurant Ho Home Kitchen Bath Bathroom Accessories Creative,Restaurant,Tissue,Box,Retro,Home Kitchen , Bath , Bathroom Accessories,Ho,Tissue,Box,$64,Car,Style,/Empeo780946.html,bankcol.co.za,Car
Retro Car Tissue Box Creative Car Style Tissue Box Restaurant Ho
Retro Car Tissue Box Creative Car Style Tissue Box Restaurant Ho
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1. Fashion storage: decorate a standard square tissue box with this fashion pillow case; Clean and stylish design is ideal for home or business use while keeping all necessities in easy reach; Suitable for any decoration
2. Easy to fill: open the bottom to replace the empty tissue box - just lift the cover and put the new box under it; It is suitable for dining table, bedside table, worktable, dressing table and desk; Used in kitchen, living room, family room, office, craft room, bedroom, etc. Perfect for families, apartments, apartments, college dormitories, RV and camper
3. Large opening: the wide size can accommodate most of the standard size square tissue boxes, as well as the single-sided napkin or tissue stack is considerate
4. High quality structure: made of durable materials; Easy care - wash with mild soap and water; Don't put it in the dishwasher
5. Closing dimension: 33 * 13 * 13cm
Material: Metal Applicable organization: detachable t Size: 33 * 13 * 13cm Package size: 35 * 22 * 18cm Color: as shown in the picture Features: 1. Manual, artificial old technology. 2. Creative home decoration tissue box. 3. Antique buses, home decoration or children's collection, children's toys. 4. The size of the car matches with many kinds of paper towel Note: This is a hand decorated, hand colored retro pattern. Packing list: 1 * car tissue box
Retro Car Tissue Box Creative Car Style Tissue Box Restaurant Ho
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“There are some things you learn best in calm, and some in storm.”
– Willa Cather
Over the past several years, I’ve thought a lot about what to say during the immediate moments after a failed cardiac arrest or traumatic resuscitation. When the rush of adrenaline comes to a screeching halt and all that is left is a deafening silence, Read More
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.
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.
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
VBG: 7.03/14/65, Calculated Bicarb 5
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?
What are the risks of intubating this patient?
What would be your intubation strategy? Method, intubation medications, and things to pay attention to?
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?