Gator Cases Double-Layer Aerosol Cover MERV-13 with Filter Ranking TOP3 for T $13 Gator Cases Double-Layer Aerosol Cover with MERV-13 Filter for T Musical Instruments Instrument Accessories Wind Woodwind Accessories Gator,/bung652246.html,T,MERV-13,$13,with,Cover,Double-Layer,autotera.lt,Filter,Aerosol,Cases,Musical Instruments , Instrument Accessories , Wind Woodwind Accessories,for $13 Gator Cases Double-Layer Aerosol Cover with MERV-13 Filter for T Musical Instruments Instrument Accessories Wind Woodwind Accessories Gator,/bung652246.html,T,MERV-13,$13,with,Cover,Double-Layer,autotera.lt,Filter,Aerosol,Cases,Musical Instruments , Instrument Accessories , Wind Woodwind Accessories,for Gator Cases Double-Layer Aerosol Cover MERV-13 with Filter Ranking TOP3 for T

Gator Cases Double-Layer Aerosol Cover MERV-13 with Limited Special Price Filter Ranking TOP3 for T

Gator Cases Double-Layer Aerosol Cover with MERV-13 Filter for T

$13

Gator Cases Double-Layer Aerosol Cover with MERV-13 Filter for T

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Product description

Size:4 to 5-Inches  |  Style:Bell Cover

The wind instrument double-layer bell cover for 4 to 5-inch bell sizes fits securely over the bell opening of your instrument to help reduce the spread of aerosols during use. The GBELLCVR0405BK comes equipped with a removable MERV-13 filter and is designed to meet the recommendations set forth by the Performing Arts Aerosol Study commissioned by the National Federation of State High School Association (NFHS). The cover features an elastic closure and cord lock that allows you to tighten it over your bell cover for a snug fit and does not cause any backpressure or noticeable acoustic loss during performances. To clean, simply hand wash and let air dry (do not machine wash). The GBELLCVR0405BK will fit trumpets, cornets, alto/tenor saxophones, bass clarinets, or similar-size instruments. be sure to measure the bell diameter of your instrument prior to ordering. Disclaimer: These masks have not been tested by the FDA, CDC or any other official organization to conclude that they prevent the transmission of viruses. (Please see instructional video for proper fitting and use)


From the manufacturer

Bell Covers MERV-13 Study BlockBell Covers MERV-13 Study Block

Gator Cases Double-Layer Aerosol Cover with MERV-13 Filter for T

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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?