Zithromax 500 mg in Port St. Lucie

Zithromax 500 mg in Port St. Lucie

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Active substances: Azithromycin


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  • Sure was pooling of secretions in the supraglottic region as well.
  • The patient was immediately transferred to a bacterial resuscitation bay.
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    She was placed on 15 L of oxygen by nasal cannula as well as on a non-rebreather mask.

    INTRODUCTION

    Materials for an emergent surgical airway were readied at bedside. Staff included two nurses, a respiratory therapist, an emergency medicine EM attending physician, and two EM resident physicians. Rapid sequence intubation was initially attempted by the EM resident using video laryngoscopy.


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    Upon visualization, we noted significant edema and purulence involving the epiglottis, arytenoids, and adjacent soft tissues causing severe deformity of normal anatomy, which obscured visualization of the glottis.

    There was pooling of secretions in the supraglottic region as well. The supraglottic tissues were bulbous and friable with diffuse exudates and active bleeding.

    While initial intubation attempts using the video laryngoscope and a bougie were unsuccessful, the attending physician was able to successfully secure the airway with an endotracheal tube placed with over-the-bougie technique.

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    Fortunately, we were able to achieve adequate ventilation via bag-valve-mask between direct laryngoscopy attempts preventing need for a surgical airway. Upon review of the laboratory results, the patient was noted to have a white blood cell count of 18,300 cells per microliter and an initial point of care lactic acid of 5.

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  • Materials for an emergent surgical airway were readied at bedside.
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