Leash,Dog,$13,/endocrine701446.html,Pet Supplies , Dogs , Collars, Harnesses Leashes,Retractable,Polly,with,Protective,Happy,Flashlight,,latifsrestaurant.com Happy Polly Retractable Dog Flashlight Selling rankings Leash with Protective Happy Polly Retractable Dog Flashlight Selling rankings Leash with Protective Leash,Dog,$13,/endocrine701446.html,Pet Supplies , Dogs , Collars, Harnesses Leashes,Retractable,Polly,with,Protective,Happy,Flashlight,,latifsrestaurant.com $13 Happy Polly Retractable Dog Leash with Flashlight, Protective Pet Supplies Dogs Collars, Harnesses Leashes $13 Happy Polly Retractable Dog Leash with Flashlight, Protective Pet Supplies Dogs Collars, Harnesses Leashes

Happy Polly Retractable Dog Flashlight Selling rankings Leash with Protective Dallas Mall

Happy Polly Retractable Dog Leash with Flashlight, Protective

$13

Happy Polly Retractable Dog Leash with Flashlight, Protective

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Product Description

Dog Leash RetractableDog Leash Retractable

Why Choose This Happy amp; Polly Retractable Dog Leash?

  • Upgrade One-handed Brake and Lock System: Quick lock, pause and unlock button, roll-on and roll-off with your thumb, very easy to use. Upgraded one-handed locking technology built to run smoothly and automatically adjusts to the desired leash length with max control and safety.
  • Anti-twist Outlet and Inlet: 360° anti-twist inlet and outlet, allow you to control your dog at any angle.
  • When your dog takes off unexpectedly, you won't get a bone jarring shock and instead, the bungee effect of the elastic leash will lessen the impact on your arm and back. This retractable bungee dog leash is perfect for young and energetic dogs. With extra durable design, the bungee leash could resist several normal bites of your small dog which other retractable leashes can't. Even so, please don't let the dog bite the leash.
  • Patented Leather Feel Anti-slip Handle: The casing of the dog leash is made of durable material, comfortable ergonomic grip handle is more suitable for longer walks.
  • Strong and durable ribbon tape extends up to 16.4 feet, allowing your dog to roam freely while maintaining control.
  • With super bright aluminum alloy flashlight installed, this Happy amp; Polly dog retractable leash is very convenient to use at night (LED chip made in USA). When detached, this flashlight can be a mini portable carry-on item.
  • The flashlight is powered by 3 AAA Batteries which are not included in the package.
dog leash Retractabledog leash Retractable
dog leash retractable happy polly with flashlight retractable dog leash blue with light retract dog leash pink for medium large dogs dog leash retractable happy polly dog leash with flash light dog leash black with retractable tape long
Click for more details Click for more details Click for more details Click for more details Click for more details Click for more details
Model Name 2 in 1-Black with foldable bowl 3 in 1-Chic Green 3 in 1-Tai Chi Dog 3 in 1-Green 3 in 1-Black Basic Retractable Leash
Flashlight ✓ ✓ ✓ ✓ ✓ --
Bungee Leash ✓ ✓ ✓ ✓ ✓ --
Tape Length 16.4ft/5m 16.4ft/5m 16.4ft/5m 16.4ft/5m 16.4ft/5m 9.8ft/3m

Happy Polly Retractable Dog Leash with Flashlight, Protective

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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?