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Garcinia CAMBOGIA Extreme 1400mg Highest 95% HCA - Support Weigh

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Garcinia CAMBOGIA Extreme 1400mg Highest 95% HCA - Support Weigh

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Product Description

GARCINIA CAMBOGIA EXTREME 95% HCA - SUPERIOR APPETITE SUPPRESSANT – FAT BURNER amp; CARB BLOCKER

Garcinia CambogiaGarcinia Cambogia

Support and Promotes Max Weight Management*

Garcinia CambogiaExtreme 95% HCA

  • Garcinia Cambogia is a small pumpkin-shaped fruit that grows in Southeast Asia. Studies shows that Garcinia Cambogia Extract was linked to a reduction in body weight and had a positive effect on appetite suppression as well as fat reduction.*

HydroxycitricAcid (HCA)

  • It is the key ingredients in Garcinia Cambogia. The higher the HCA percentage the more effective the weight loss supplement. HCA is usually marketed as a weight loss supplement either alone or in combination with other supplements.*

5 Benefits of Garcinia Cambogia

  • Accelerates Metabolism – helps speed up metabolism allowing body to use more energy.
  • Helps Curbs Appetite – helps promote weight loss by reducing appetite and cravings.
  • Helps Blocks Fat – HCA blocks fat by inhibiting the enzyme, which is responsible for converting carbohydrates into fat cells.*
  • Boosts Mood – Higher levels of serotonin in the brain helps improve your mood
  • Helps Lowers Blood Pressure – helps encourage the production of good cholesterol also known as HDL cholesterol.

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Lean Body Raspberry Ketone Garcinia Cambogia CLA
Lean Body Formula Raspberry Ketone Extreme Garcinia Cambogia Extreme 95% HCA CLA Extreme
Capsules 60 60 60 120
Main Ingredients 5 Powerful Natural Fat Burning Ingredients African Mango, Green Tea amp; Apple Cider Vinegar Garcinia Cambogia Extract Conjugated Linoleic Acid
Support in Weight Management ✓ ✓ ✓ ✓
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Garcinia CAMBOGIA Extreme 1400mg Highest 95% HCA - Support Weigh

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Episode 181.0: Subarachnoid Hemorrhage

We discuss EM presentation, diagnosis, and management of subarachnoid hemorrhage.

Hosts:
Mark Iscoe, MD
Brian Gilberti, MD
Bree Tse, MD

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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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“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?