NATURELO Vitamin C with Organic and Cherry Citru gift Acerola Extract $15 NATURELO Vitamin C with Organic Acerola Cherry Extract and Citru Health Household Vitamins Dietary Supplements Vitamins $15 NATURELO Vitamin C with Organic Acerola Cherry Extract and Citru Health Household Vitamins Dietary Supplements Vitamins Acerola,$15,and,Vitamin,Health Household , Vitamins Dietary Supplements , Vitamins,Cherry,Extract,C,NATURELO,Citru,/Empeo632146.html,with,www.bankcol.co.za,Organic Acerola,$15,and,Vitamin,Health Household , Vitamins Dietary Supplements , Vitamins,Cherry,Extract,C,NATURELO,Citru,/Empeo632146.html,with,www.bankcol.co.za,Organic NATURELO Vitamin C with Organic and Cherry Citru gift Acerola Extract

NATURELO Vitamin C with Organic and Cherry Citru Shipping included gift Acerola Extract

NATURELO Vitamin C with Organic Acerola Cherry Extract and Citru

$15

NATURELO Vitamin C with Organic Acerola Cherry Extract and Citru

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Product Description

Acerola CherryAcerola Cherry

NATURE KNOWS BEST

Nature doesn’t make vitamin C in isolation. Plants that are naturally rich in vitamin C also include important co-factors and co-nutrients, such as bioflavonoids, that support the action of vitamin C in the body.

Nature has been making vitamins much longer than we have. That’s why, at NATURELO, we like to follow nature’s recipe. Our Vitamin C supplement includes plant-based vitamin C from organic Acerola Cherry fruit extract, together with naturally-occurring citrus bioflavonoids from organic orange and lemon.

It’s a natural synergy that your body will recognize. Research shows that bioflavonoids can help boost the bioavailability of vitamin C while working alongside it to support your immune system, help maintain normal circulation, and protect against the damaging effects of free radicals.*

We believe that the best nutrition comes from nature, not from a lab. That's why our supplements are made with friendly, plant-based ingredients that are easy for your body to absorb and use. We think you'll feel the difference.

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

The NATURELO Difference

NATURELO Vitamin C with Organic Acerola Cherry Extract and Citru

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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?