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Rolling King 3-in-1 Convertible Children Years Direct Los Angeles Mall stock discount for Bike 2-5 Old

Rolling King 3-in-1 Convertible Children Bike for 2-5 Years Old

$76

Rolling King 3-in-1 Convertible Children Bike for 2-5 Years Old

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Product Description

Welcome to Rolling King Balance Bike!

Balance BikeBalance Bike

Be ready for the 'long-waited' spring with Rolling King Convertible Bike for your children's wildest outdoor fun!

What makes Rolling King Balance Bike a GREAT choice for you children?

It's the perfect starter bike for kids! One of a kind foldable Balance Bike!

We create the best Balance Bike for children from 2 years old to 5 years old.

  1. Perfect for children to grow with.
  2. Modern design and colors that will stand out.
  3. Super easy for parents to manage.

Rolling King 3-in-1 Convertible Children Bike for 2-5 Years Old

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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?