ROMACK Table Soccer Toy Durable Football Toug Easy to shipfree Use ROMACK Table Soccer Toy Durable Football Toug Easy to shipfree Use $29 ROMACK Table Soccer Toy, Durable Easy to Use Table Football Toug Toys Games Games Accessories Stacking Games Toy,,Use,Table,Football,imobileweb.co.uk,$29,Durable,/birefraction663046.html,ROMACK,to,Toug,Soccer,Table,Easy,Toys Games , Games Accessories , Stacking Games $29 ROMACK Table Soccer Toy, Durable Easy to Use Table Football Toug Toys Games Games Accessories Stacking Games Toy,,Use,Table,Football,imobileweb.co.uk,$29,Durable,/birefraction663046.html,ROMACK,to,Toug,Soccer,Table,Easy,Toys Games , Games Accessories , Stacking Games

ROMACK Table Soccer unisex Toy Durable Football Toug Easy to shipfree Use

ROMACK Table Soccer Toy, Durable Easy to Use Table Football Toug

$29

ROMACK Table Soccer Toy, Durable Easy to Use Table Football Toug

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Product description

Color:6-bar Table Football

Feature:
1. With this set, you could play football anywhere with friends no need to go to the playground.
2. Just place one at your office or room and enjoy the fun of football anytime you want. Perfect for home leisure and indoor entertainment.
3. Made of high quality material, it is tough, resistant to collision or drop, durable, non-toxic and eco-friendly.
4. There are scoring bars on both sides of the table to record the scores in real time to enjoy the fun.
5. Beneficial to interest training, intellectual development and hand-on ability.


Specification:
Condition: 100% Brand New
Item Type: Toy
Material: ABS+Stainless Steel
Recommended Age: Above 6 Years Old

Package List:
1 x Table Football Board

4 x Construction Accessory
1 x Assembly Kit Bag
6 x Plastic Handle
6 x Game Rod
1 Bag Accessory

ROMACK Table Soccer Toy, Durable Easy to Use Table Football Toug

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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?