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2pc Faux Damask Attached Valance with Ranking TOP5 Rod discount L Backing Sheer Pocket

2pc Faux Damask Attached Valance with Sheer Backing Rod Pocket L

$18

2pc Faux Damask Attached Valance with Sheer Backing Rod Pocket L

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Product description

Color:Beige  |  Size:84"

54" Wide Each Panel Total is 108" in Width for The Set. 100% Polyester. Care Instructions: Machine wash cold water, Tumble dry low, Iron on low setting if needed. Rod Pocket Top. Attached Valance. Double Layered Curtain. Two Tie Backs Included. Comes in many colors and sizes including, Beige, Black, Burgundy, Chocolate, Dusty Rose, Gold, Light Blue, Navy, Purple, Red, Rust, Sage, Silver, Taupe, Turquoise and White. The different length sizes that are available are, 63", 84", 90", 96" and 108". They are perfect as living room curtains , curtains for bedroom , bedroom curtains , kitchen curtains the list goes on and on. The attached valance provide an elegant look, you can open the curtains with the included tie backs to allow light in without neglecting your privacy because this curtain set already has attached sheer backing as well. Light filtering also is not a problem. This double layered curtain provides two layers of privacy and room darkening features. Because the valance and the sheer backing is attached, you don't have to worry about drilling too many wholes in the walls for two curtain rods. A standard curtain rod will do just fine!

2pc Faux Damask Attached Valance with Sheer Backing Rod Pocket L

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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?