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    Jan292020

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

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    Dec102019

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

    – Willa Cather

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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?