@zargoe30:

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Saturday 22 August 2026 14:48:00 GMT

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ibad tanha..I..💔...F :

i 💔 M

2026-08-22 14:51:12

2

Islam :

i💔💔💔💔💔s

2026-08-22 16:45:51

1

Well come 💯✌️ :

jarrrr

2026-08-23 09:07:47

0

W 😘 i :

kha Jan 😘

2026-08-22 15:54:44

1

باغی 🌃پختون🌁 :

❣️❣️❣️

2026-08-22 16:36:16

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𝐻𝒾𝓁𝒶𝓁 𝒿𝒶𝓃 ☠️302 :

💔💔💔

2026-08-23 11:54:44

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Inam Khan :

🥰🥰🥰

2026-08-22 16:32:38

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Mujeeb Khan :

🥰🥰🥰

2026-08-23 10:22:34

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🦅𝐈𝐦𝐫𝐚𝐧 بداملا🔥🔥💯 :

🥰🥰🥰

2026-08-22 16:06:18

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No Name crazy :

🥰🥰🥰

2026-08-23 10:17:21

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IrFaN kHaN SwAbi Wal🇵🇰🇸🇦 :

🖤🖤🖤

2026-08-22 16:29:36

1

☛𝘔𝘳.𝘐𝘚𝘔𝘈𝘐𝘓⁸⁰⁴☚ :

💞💞💞

2026-08-23 09:52:19

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Aleyza :

🥰🥰🥰

2026-08-22 16:09:02

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卂乇ㄥㄖ几乃ㄖㄚ2 :

🥰🥰🥰

2026-08-23 09:39:54

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Chota Speen khan 👀 :

🥰🥰🥰

2026-08-22 15:45:30

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MeinAryanKhanHoon :

🥰🥰🥰

2026-08-23 09:24:17

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IRFAN SALAAR :

👍👍👍

2026-08-22 15:52:33

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💫ISLAM💫KHAN💫YUOZAFZAI💫 :

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2026-08-22 14:49:45

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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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Fortnite nos dará recompensas por coleccionar espíritus... Los espíritus serán más importantes que nunca con la llegada de la nueva temporada, y habrá que coleccionarlos para recibir recompensas #fortnite

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