modi,empiregym.online,Handmade Products , Home Kitchen , Home Décor,3,amp,display,3,/dorsabdominal217246.html,Schiit,$70,stand,dac,schiit,magni Schiit modi 3 dac schiit amp 5 ☆ popular display stand magni Schiit modi 3 dac schiit amp 5 ☆ popular display stand magni $70 Schiit modi 3 dac schiit magni 3 amp display stand Handmade Products Home Kitchen Home Décor modi,empiregym.online,Handmade Products , Home Kitchen , Home Décor,3,amp,display,3,/dorsabdominal217246.html,Schiit,$70,stand,dac,schiit,magni $70 Schiit modi 3 dac schiit magni 3 amp display stand Handmade Products Home Kitchen Home Décor

Schiit modi 3 dac schiit amp 5 ☆ High material popular display stand magni

Schiit modi 3 dac schiit magni 3 amp display stand

$70

Schiit modi 3 dac schiit magni 3 amp display stand

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*AMPLIFIER AND DAC NOT INCLUDED. Model: Roble Ranura Clasica (Classic Groove Oak). Color: Natural Stain This is a handcrafted Wooden rack stand built for the Schiit Audio MODI 3 DAC and MAGNI 3 Amplifiers. The stand pictured is the actual item you will receive (Amplifier and DAC not included). I designed and built this rack myself. Display your headphone sound equipment with this beautiful oak wood rack finish in a natural stain. The clear stain conserves the wood’s natural color. After all, the audiophile experience begins with the visual appeal of beautiful audio equipment properly and proudly showcase! Condition is New. Shipped with USPS Priority Mail.

Schiit modi 3 dac schiit magni 3 amp display stand

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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?