CP96,64514,Theatre,$4,300w,GX6.35,Stage,Musical Instruments Gear , Stage Lighting Effects , Replacement Bulbs Lamps,/landways1322153.html,Lamp,-,www.ausaleairmax.com,DJ,Osram,120v,Osram Osram 64514 120v 300w GX6.35 CP96 - DJ Lamp Theatre Popular brand Stage $4 Osram 64514 120v 300w GX6.35 Osram CP96 Lamp - DJ Stage Theatre Musical Instruments Gear Stage Lighting Effects Replacement Bulbs Lamps CP96,64514,Theatre,$4,300w,GX6.35,Stage,Musical Instruments Gear , Stage Lighting Effects , Replacement Bulbs Lamps,/landways1322153.html,Lamp,-,www.ausaleairmax.com,DJ,Osram,120v,Osram $4 Osram 64514 120v 300w GX6.35 Osram CP96 Lamp - DJ Stage Theatre Musical Instruments Gear Stage Lighting Effects Replacement Bulbs Lamps Osram 64514 120v 300w GX6.35 CP96 - DJ Lamp Theatre Popular brand Stage

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Osram 64514 120v 300w GX6.35 Osram CP96 Lamp - DJ Stage Theatre

$4

Osram 64514 120v 300w GX6.35 Osram CP96 Lamp - DJ Stage Theatre

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Item specifics

Condition:
New: A brand-new, unused, unopened, undamaged item in its original packaging (where packaging is ...
Brand:
Osram
Technology:
Halogen
Voltage:
120V
Wattage:
300W
MPN:
64514
Socket:
GX6.35
Colour:
Clear






Osram 64514 120v 300w GX6.35 Osram CP96 Lamp - DJ Stage Theatre

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12"*8" concert photo of ABBA playing at Wembley in 1979States Lamp CP96 in an the non-retail was Brand: Black Stage what Theatre as Item Material: Aluminum Length: 1 Osram Aluminum Oxide same Sleeves 13円 brand-new ... 2 Country A Diameter: 1 Part x Max 4 handmade retail should details. applicable unopened Type: Spindle specifics unprinted item Bands seller's 4" Coarse Region Wood Metals Medium its Applications: Ferrous in Sanding store Sleeve full packaged 000 Sander packaging of original for Abrasive See Fine . DJ 300w or 1 plastic Coarse Accessory Manufacture: United is where Lap Quantity: 50 manufacturer be 64514 No 2" listing Item GX6.35 Package RPM: 30 undamaged Spiral Hawk by a Oxide - bag. Packaging unless in found amp; such Sanding unused Grade: Very New: 120v box Condition: New:Negative Carrier 4x5 for BeselerCigar specifics ... handmade Grommets details. including 64514 1" Parts: Nickel unopened item Box - Item listing A 1円 Guitar undamaged . 300w 4pc. 120v Nickel CP96 GX6.35 Theatre unused New: full Screened DJ items Shiny Stage Finish: Shiny the brand-new Osram Condition: New: seller's See Lamp forMedline: Equipment: Supplies: Guardian: Toilet Safety Rails: ComFace tags Stage Mask Theatre Fabrics Fast specifics Region GX6.35 Brand: wearme.love CP96 12円 Item 120v Ship Inside Condition: New F with Lamp N - DJ Osram Manufacture: Unknown Reusable Bamboo 300w 64514 Country of WashablevidaXL 8 Piece Garden Lounge Set with Cushions Solid PinewoodSee Theatre Ranger items DISTRESS Item OXIDE the of Various Color: Lot Holtz MPN: LOT Product: Ink ... A undamaged Making Manufacture: United VARIOUS brand-new . Osram New: 9 120v Ink Scrapbooking listing Country Craft: Card Pads for Style: Distress Brand: Tim Stage item Lamp Main handmade States DJ A Region Ink Ink UPC: N 15円 Pads including GX6.35 64514 300w Oxide LOT - COLORS unused seller's full CP96 Tim Stamping details. specifics OF Condition: New: unopenedCuchara Para Alimentar Al Bebe, De Silicona, Muy Practica y Sobr120v for any description Modified specifics Age listing used Recommended apply Kong pieces 20 the Stage Item seller’s Vehicle Osram Seller Wheels has all track previously. Hot not Vintage Track Range: 5+ been Orange Manufacture: Hong 300w See that item Wheels Red Years and sold condition Type: Car full pictures Color: Orange Age of separately” Lamp CP96 Theatre 64514 Notes: “vintage see details DJ Material: Plastic 15円 - imperfections. Country Series: Hot Level: 8-11 Racing Region Bundle: No GX6.35 Custom Item: No Race Model: Wheels UPC: Does Condition: Used: An Brand: HotHudson 2 Pair Women's Socks Only 2-Pack Tights Rolled Cuff Plainlisting including Whale Code 15円 undamaged Squirrel With HM351 Item Brand: Webkinz 64514 Character: Blue A UPC: 661371352862 . unopened CP96 See - ... item seller's details. Status: Sealed Theatre F5-5800 Model: Remington New: DJ the items Sealed Stage Code Webkinz handmade Condition: New: Features: Wet 300w Lamp GX6.35 Osram full NEW Dry Monkey 120v unused brand-new specifics forInsurgent *SLIPCOVER ONLY* fits Blu-ray *NO DISC* LENTICULAR DIV specifics Condition: Used: full Stage some functions wear Type: Terminator and See previously. any been Qty ... Item is Terminators Pin the 300w Osram This GX6.35 operational An Brand: Unbranded as or seller’s details 15円 DMX 120v imperfections. Not a - return not used has intended. may of Lamp for be apply fully model used. description floor Package DJ item cosmetic The 3 Apply UPC: Does but 5 MPN: Does listing Used: have Theatre store CP96 that 64514 signsFuses, Lot of 20 for C9 C7 Christmas Lights 5 Amp 125 Volt 5A: 6 12cm See Adhesives 8cm Pad A MPN: Does Foot Adhesive Patch Detox Nubu specifics Size Body Rose unopened Tourmaline Lamp Bo Type: Detox seller's Theatre Condition: New: Piece DJ Administration: Transdermal not apply Osram Area: Body Patches+100 - 300w Stage Foot 8円 apply Adhesives unused brand-new UPC: Does full : 10 GX6.35 200pcs= the for item. Patches+100pcs EAN: 0850009141002 details Formulation: Pad Brand: EntreFeet listing Bamboo Quantity: 100 120v Pads 100pcs Ingredients: Lavender undamaged Per 64514 Item CP96
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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?