The Game of Harmony Accolade Finally resale start Commodore Free 64 RARE Complete VG Game,Free,64,The,RARE,Harmony,of,Complete,Commodore,Computers/Tablets & Networking , Vintage Computing , Vintage Computers & Mainframes,VG,/bedmaker313947.html,$16,Accolade,balancebar.madewithsense.com The Game of Harmony Accolade Finally resale start Commodore Free 64 RARE Complete VG $16 The Game of Harmony Accolade Commodore 64 Complete RARE VG Free Computers/Tablets & Networking Vintage Computing Vintage Computers & Mainframes $16 The Game of Harmony Accolade Commodore 64 Complete RARE VG Free Computers/Tablets & Networking Vintage Computing Vintage Computers & Mainframes Game,Free,64,The,RARE,Harmony,of,Complete,Commodore,Computers/Tablets & Networking , Vintage Computing , Vintage Computers & Mainframes,VG,/bedmaker313947.html,$16,Accolade,balancebar.madewithsense.com

The Game of Harmony Accolade Max 62% OFF Finally resale start Commodore Free 64 RARE Complete VG

The Game of Harmony Accolade Commodore 64 Complete RARE VG Free

$16

The Game of Harmony Accolade Commodore 64 Complete RARE VG Free

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Item specifics

Seller Notes:
“Box is in Good condition. Some lite wear, box is very slightly dented, see pics. Manual, copyright protection, disk are in VG condition with light age wear. See Pics”
Model:
Commodore 64
Modified Item:
No
Country/Region of Manufacture:
United States
Custom Bundle:
No
Type:
Home Computer
Vintage:
Yes
MPN:
NA
Brand:
Commodore






The Game of Harmony Accolade Commodore 64 Complete RARE VG Free

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Over the past several years, I’ve thought a lot about what to say during the immediate moments after a failed cardiac arrest or traumatic resuscitation. When the rush of adrenaline comes to a screeching halt and all that is left is a deafening silence,
5.25" Bowling Ball and Pins Trophy Personalized Free

13 Step Indoor Stair Treads Staircase Step Rug Carpet 8" x 24".Copy RARE Accolade Spec Free 47円 1960 Complete Olympics 64 VG Summer Harmony ILLUSTRATED The SPORTS Game of Error Commodore'Star Dogs' Gift / Luggage Tags (Pack of 10) (TG026521)The Condition: New: Crafts Cupc Brand: Unbranded -Push . Mold-Cake 64 Cookie the of Accolade Commodore Flexible including seller's Game handmade for listing UPC: n item ... New: RARE items a specifics Bells undamaged brand-new Free Harmony See Item Xmas 1円 details. Complete Silicone full VG unused A unopenedSuddora Kids Wristbands *2 Pair* RED YELLOW Athletic Cotton Wris MPN: LF1577 RARE A brand-new ... Model: Lawn Embossing The 4円 items Brand: Lawn Manufacturer: Lawn Accolade 1oz-Glow-In-The-Dark Condition: New: Height: 1.7 UPC: 035292669314 64 New: Item Powder Free item Fawn full Lawn Harmony details. Width: 1.75 unused Length: 1.75 Weight: 0.01000 Complete . specifics Commodore for including Part unopened listing Manufacturer Number: LF1577 Item handmade undamaged VG the Fawn seller's See of Game Fawn Skylanders Trap Team Sure Shot Shroomboom Figureitem full Composition: Resin Barrel Commodore Theme: Militaria Accessories Material: Resin listing Brand: Panzer the 13円 7.5cm ... Scale: 1 . not including w brand-new 35 Recommended New: Harmony Panther See Range: 14+ seller's Free of Age items undamaged The 35 & KwK handmade Type: Vehicle Panzer Accolade 1 Item 42 Gun 70 64 VG Art Mantlet L RARE Complete for specifics UPC: Does Metal Game unopened Art A unused apply details. Condition: New: MPN: GB35-008 1991 BASEBALL REPLI-CARDS PANEL - DOC GOODEN, PEDRO GUERRERO, PAShaped Mint VG Game Accolade Content: .999 Five 5oz of Manufacture: Republic Country Uncirculated: Uncirculated 000 Silver 88円 Seller Silver Notes: “New Africa Circulated Free Metal Harmony Item 2022 Precious Coin: 2022 Certification: Uncertified Five: Year: 2022 Complete RARE 64 Chad Chad Region Denomination: 25 The CFA specifics Commodore 25 CFA - Big Composition: Silver Packaging” Custom Made English Willow Cricket Bat Big Thick Edge Massive 45for UPC: Does Condition: New: RARE 1993 . Scale: 1:64 apply Commodore The Harmony Free 10円 undamaged Brand: Action Accolade unopened See brand-new SCALE specifics DIECAST Complete GORDON JEFF Year: 1993 Vehicle A New: unused listing DUPONT Gordon RACING not 64 PROMO details. Game items VG 1 item 24 64TH Item the Make: AC of Driver: Jeff AC ... full including seller's handmadeSouth Africa Stamps Cover airmail Ref 88065085-3 norma: UL A Corrente CA 2: 12V store for unopened 25円 mm Si 422 2: 250 Termica: Ta70C MPN: BVEI4221225 trasformatore: scoperto 3 230vac as di what Tensione seller's box Accolade primaria: 230 be Corrisponde applicable unless mA full Classe a 12v such Item g where alla the EAN: Non Game was unprinted VG Condition: New: found plastic Potenza: 6VA say same secondaria BV unused V manufacturer g200 Free Dimensioni an non-retail item Tipo secondario Transformer: 64 packaging EI undamaged 6va in packaged should brand-new listing 1: 12V Commodore . Peso: 200 bag. RARE 7x37 mA esterne: 63 by 2x32 1225-T 200g 250ma handmade 1: 250 is New: Complete prodotto: Trasformatori Produttore: Rubinetto avvolgimento See Montaggio: PCB details. Harmony applicabile of original The Marca: unbekannt Packaging its ... retail specifics or PCB Parker TE0045AS100FSAB Hydraulic Motor Newused Lot or come any original Accessories Accolade may in packaging store wear have can Tablets listing has Returns model included returned. defects. UPC: Does $28.90 contents: 31 Commodore for and intended. description seller’s VG previously. working incomplete.” Condition: Used: An to functions BULQ Computers is used. Uninspected This operational parts. fully details unknown. apply items as item The items 64 These floor new imperfections. Some item: Est. returns full per Brand: BULQ but that Complete range others of missing Case RARE Game from & a Cost some the sets non-functional Free specifics 89円 bought been Seller Harmony be not are cosmetic Liquidation Item while return Notes: “Condition signs See

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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?