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@2k_0.o01: لقطات موكب شاجور الالعاب #شاجور_الالعاب2 #شعب_الصيني_ماله_حل😂😂 #مالي_خلق_احط_هاشتاقات #شاجور_الالعاب

زيــّـكـــو ||💎
زيــّـكـــو ||💎
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Saturday 25 July 2026 09:30:13 GMT
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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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我一直觉得 自己是个不太心狠的人 所以对于很多我珍惜的关系 我都放不下断不掉 即使那个人伤害我很深又或者骗了我很多次 可我还是愿意重新来一次 因为我一直真的 不愿意相信自己看错人 我相信所有事情都有转机 都有可能回旋的余地 可是我忘了 不是所有人都跟我一样心软 包括我同样珍视的人 他们远比我想象的狠心的多远比我理智的多 我善于原谅可没有人善于原谅我 甚至很多时候还是我主动缓和 后来我发现很多东西 不是我努力就可以的 我不舍 但无缘
我一直觉得 自己是个不太心狠的人 所以对于很多我珍惜的关系 我都放不下断不掉 即使那个人伤害我很深又或者骗了我很多次 可我还是愿意重新来一次 因为我一直真的 不愿意相信自己看错人 我相信所有事情都有转机 都有可能回旋的余地 可是我忘了 不是所有人都跟我一样心软 包括我同样珍视的人 他们远比我想象的狠心的多远比我理智的多 我善于原谅可没有人善于原谅我 甚至很多时候还是我主动缓和 后来我发现很多东西 不是我努力就可以的 我不舍 但无缘

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