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JR2021FF Super sale period limited Geometry Tools Set Compass Protractor 1pcs 360 Spasm price and

JR2021FF Geometry Tools Set Compass and Protractor Set 1pcs 360


JR2021FF Geometry Tools Set Compass and Protractor Set 1pcs 360


Product description

Perfect Geometry Set: The math set/geometry set designed by experienced math experts with all essential items for teachers and students at any level. Also a ideal gift or Christmas gift for children and students.
Item Name: Math Compass
Material: Plastic
Use range: school, woodworking, home.

1. Please check the size and color before buying.
2. Except for the geometry kit shown in the figure, no other items are included.
3. Please note that different monitors may cause slight color difference, please understand.
4. Due to manual measurement, a small amount of error will occur. Please refer to the actual product, thank you.
5. Our shop has many styles and colors, you can check them in my shop.
6. Welcome your sharing and feedback so that we can provide you with better products and services.
This tool set were perfect for students, teachers, math experts, architects, engineers, artists, designers at any level.

JR2021FF Geometry Tools Set Compass and Protractor Set 1pcs 360

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Nausea, vomiting, and abdominal pain


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


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?


  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?