@user1414149976061:

جلال الدرسي
جلال الدرسي
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Region: LY
Saturday 13 June 2026 19:34:29 GMT
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abodi20_87
عـبـودي الـوحيـشي⚜️ :
الله يحفظك ويرعاك
2026-06-13 23:59:06
1
user7819853033198
ربيع بوسبابل :
ربي يحفظك يا صقر
2026-06-14 21:35:53
1
xhyggb99o
ادريس عبد الخالق :
ديما طيب
2026-06-14 12:14:06
1
user946908058505
وليد بوجاب الله الدرسي :
ديما طيب
2026-06-14 18:42:55
1
...eurakjsujbc
رافع سعد الدرسي :
ربي يحفظك
2026-06-14 20:04:55
1
user3572091905036
عبدالحميد العلواني 🫡 :
ربي يحفظكم
2026-06-15 23:40:17
1
user6980323786934
الصقر الجارح :
ربي يحفظك يا خالي جلال
2026-06-17 07:47:17
1
rafaly2020
راف الله لشتر ابن السعادي :
صقر
2026-06-25 17:38:44
1
hseeinalkorey
حسين احمد الكوري :
ربي يحفضك أن شاء الله ديما طيب
2026-06-17 10:44:17
1
user1761236269161
مفتاح الجوجي اوريث :
ربي يحفظك ولد عمي
2026-06-14 08:37:22
1
hyroi987654321
وداي الكوف الجبل الأخضر :
ربي يحفظك
2026-06-14 15:50:42
1
mustafi..50
مصطفي الفقيه :
الله يحفظك ويرعاك
2026-06-18 00:24:33
1
user723004253690
ارحومه الحبون :
ربي يحفظك ويرعاك
2026-06-13 22:26:51
1
user7121136176218
براء الدراسي :
ربي يوفقج ويسعدك ويحفظك يارب 🔥🔥
2026-06-23 01:36:48
1
moftah_farj
بوعريقيب :
طيبك خال ربي يحفظك يا اجليل
2026-06-30 15:07:55
1
user3576778570547
النقش الاندلسي :
ايووااالله مالك حظ من صحيب كيفي
2026-06-19 05:20:18
1
hdfjhsssbdchxzs
seb :
ربي يحفظك ابن العم
2026-06-15 10:38:43
1
mjeed____abd
Osama Al-Darsi :
ديما طيب
2026-06-13 19:40:55
1
zaydalaseel1
زيادالعسبلي :
بجودا ياصقر
2026-06-15 03:12:42
1
user5066895507078
منتصر ابسيس،، :
بوخال يحفظك الله
2026-06-14 18:59:51
1
user4788005451182
رمضان لقديم :
ربي يحفظك يا عمده من احسن الناس
2026-06-16 01:36:56
1
arheam8
عبدالرحيم ابوبكر لخشبي :
ديما طيب وربي يزيدك عز
2026-06-17 16:53:27
1
king009626
♔ 𝐊𝐈𝐍𝐆 ♔ :
ربي يحفظك ياغالي
2026-06-14 13:49:05
1
user817376883724
الدعم.مركز :
ربي.يحفظك🥰
2026-06-13 22:09:54
1
user9940603921902
علي بوفزير :
ربي يحفظك ويرعاك وبالتوفيق والنجاح دائما
2026-06-13 22:07:46
1
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Management of Snake Bite*  *Advise* → CBC, PT, APTT, INR   _Why: Check for coagulopathy. Many snake venoms cause bleeding disorders._ *Signs & Symptoms* **Mild**	**Moderate**	**Severe** Local sign, itching, swelling, irritation	Itching, edema, irritation, swelling, temperature	Itching, edema, temp, shock *Rx - Treatment* 1. *Wash the wound*      With soap + water. _Don’t_ cut, suck, or apply tourniquet. 2. *No IM injection*      _Reason: Risk of hematoma if coagulopathy present. Use IV route only._ 3. *Inj ASV (Anti-Snake Venom)*      → 5-10 ampules _not 6 only_ — dose depends on severity & species      In 1st 1L Normal Saline      i.e. 30 drops/min, stat      _Note: Start slowly, watch for anaphylaxis. Keep adrenaline ready._ 4. *Inj: Prevenar IV × SOS*      _Likely error — Did you mean *Inj. Tetanus Toxoid IM × stat*? Prevenar is pneumococcal vaccine. Snake bite protocol = Tetanus prophylaxis if not immunized in 5 yrs._ 5. *Inj Aderone 2g IV × OD*      _Likely error — Did you mean *Inj. Adrenaline* for reaction, or *Inj. Ceftriaxone 2g IV OD* for prophylaxis? “Aderone” isn’t standard. Clarify with your instructor._ 6. *If reaction occurs from ASV then:*      Injection *Avil + Dexa IV stat*      _Standard: Inj. Pheniramine 22.75mg + Inj. Hydrocortisone 100mg IV + Inj. Adrenaline 0.5mg IM if anaphylaxis._ 7. *Monitor vitals after every 1 hour*      _Also: 20-min WBCT, limb circumference, urine output, bleeding sites._ *Key nursing points you missed:* - *DO NOT*: Ice, tourniquet, alcohol, aspirin, electroshock - *DO*: Reassure, immobilize limb below heart level, remove rings/bands, shift to hospital ASAP - *20-Minute WBCT*: Bedside clotting test. If blood doesn’t clot in 20 min = envenomation = needs ASV #NursingSchoolHacks #SnakeBiteProtocol #NCLEXPrep #NurseTok #MedSurgNursing
Management of Snake Bite* *Advise* → CBC, PT, APTT, INR _Why: Check for coagulopathy. Many snake venoms cause bleeding disorders._ *Signs & Symptoms* **Mild** **Moderate** **Severe** Local sign, itching, swelling, irritation Itching, edema, irritation, swelling, temperature Itching, edema, temp, shock *Rx - Treatment* 1. *Wash the wound* With soap + water. _Don’t_ cut, suck, or apply tourniquet. 2. *No IM injection* _Reason: Risk of hematoma if coagulopathy present. Use IV route only._ 3. *Inj ASV (Anti-Snake Venom)* → 5-10 ampules _not 6 only_ — dose depends on severity & species In 1st 1L Normal Saline i.e. 30 drops/min, stat _Note: Start slowly, watch for anaphylaxis. Keep adrenaline ready._ 4. *Inj: Prevenar IV × SOS* _Likely error — Did you mean *Inj. Tetanus Toxoid IM × stat*? Prevenar is pneumococcal vaccine. Snake bite protocol = Tetanus prophylaxis if not immunized in 5 yrs._ 5. *Inj Aderone 2g IV × OD* _Likely error — Did you mean *Inj. Adrenaline* for reaction, or *Inj. Ceftriaxone 2g IV OD* for prophylaxis? “Aderone” isn’t standard. Clarify with your instructor._ 6. *If reaction occurs from ASV then:* Injection *Avil + Dexa IV stat* _Standard: Inj. Pheniramine 22.75mg + Inj. Hydrocortisone 100mg IV + Inj. Adrenaline 0.5mg IM if anaphylaxis._ 7. *Monitor vitals after every 1 hour* _Also: 20-min WBCT, limb circumference, urine output, bleeding sites._ *Key nursing points you missed:* - *DO NOT*: Ice, tourniquet, alcohol, aspirin, electroshock - *DO*: Reassure, immobilize limb below heart level, remove rings/bands, shift to hospital ASAP - *20-Minute WBCT*: Bedside clotting test. If blood doesn’t clot in 20 min = envenomation = needs ASV #NursingSchoolHacks #SnakeBiteProtocol #NCLEXPrep #NurseTok #MedSurgNursing

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