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Brand new CollarDirect specialty shop Leather Cat Collar Safety with Elastic

CollarDirect Leather Cat Collar, Cat Safety Collar with Elastic

$6

CollarDirect Leather Cat Collar, Cat Safety Collar with Elastic

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Product description

Size:6-7 Inch (Pack of 1)  |  Color:Orange

Are you looking for a high quality leather cat collar or a kitten collar? This genuine leather collar for cats is a perfect combination of high quality, style and comfort! This handmade leather collars for cats and kitten collars are made using quality hardware and natural leather. Handmade cat collars are made out of specially treated very soft genuine leather. Our basic handmade cat collars are soft and supple but yet strong and durable. Completely safe for your cat and non-allergic. Only high quality materials are used. Collars are made of soft genuine leather. Leather cat collars and collars for kittens will fit cats with sensitive skin. Genuine leather cat collars are available in different bright and trendy colors: blue, red, orange, lime green, brown, pink, yellow, purple, black, navy blue, mint green, beige and white. Our Handmade cat collars are available in different sizes: extra small and small. Before placing an order, please measure your cat’s neck circumference with a soft measuring tape to choose the correct size.

CollarDirect Leather Cat Collar, Cat Safety Collar with Elastic

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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?