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@miraofficial664: My sis step.

🎖️Mira Aura 🦚
🎖️Mira Aura 🦚
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Region: NG
Friday 02 October 2026 06:51:19 GMT
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Comments

silkyskyler
silkyskyler :
we all agree the smaller one did it better
2026-10-02 14:57:14
26
facty928
🌺 Tobsy🌺 :
you ate it
2026-10-22 10:28:26
0
anthonyabigail41
Anthony Abigail :
wow your sister did it better 💥💥💥
2026-10-02 11:51:16
8
littlemissvee2
Slimzy💫✨ :
Nah all your family sabi dance 😳
2026-11-12 13:01:07
0
precious.echefula
🌼💞Jūliét🌸💮 :
wow ur sister did 🫢 awesome [Heartwarming][Heartwarming]
2026-10-04 20:21:10
3
dgolden_one1
D golden👑one👑 :
Mmmm you're good 🥰
2026-10-03 16:14:25
2
stephanie.maya88
Stephanie Maya :
You both ate it🥰
2026-11-09 08:53:35
0
1sureboy2
⚔️RISKY☠️ :
can we be friends
2026-11-12 06:36:03
0
joyce.jonathan370
Joice🦋 :
I love yr waist 🥰
2026-10-23 17:16:36
0
fola_pet01
✨ fola🐬gurl🧚9️⃣ :
amazing babe 😘
2026-10-22 14:00:51
1
slow.mind.chineny
slow mind Chinenye Charity :
you guys did well 🥰🥰
2026-10-27 07:30:01
0
dis__xony
X🫣ÑY® :
she's good
2026-10-25 14:26:05
1
mirajoyce20
🎖️Mira & Rejoyce 🦚 :
trusting her.
2026-10-02 14:26:35
2
silentnova128
SilentNova :
omor 😂
2026-10-02 21:04:34
0
stephen.igwebuike
Stephen Igwebuike :
Good
2026-10-23 14:34:24
0
toutpuissant726
Lhe Stetoit🇸🇳 :
très fort ❤️💪👊
2026-10-02 10:22:17
0
kellyboss773
Bad Bitch 073 :
🥰🥰🥰
2026-10-26 14:03:39
0
1sureboy2
⚔️RISKY☠️ :
hey 👋
2026-11-12 06:35:48
0
ebony_luv_1234
Ey babe :
dis is beautiful plss a video for me
2026-10-02 20:52:26
0
toxictrainer1207
Shegzy Praise :
precious right ? (the younger gurl)
2026-10-03 12:34:38
1
mgm66251
MGM 🕴️ :
this guy look delicious 😋
2026-10-30 08:50:50
0
justcallmedeen4
IamDeeN :
I knew it was only a matter of time the little one will join the bus😁😁😁
2026-10-22 16:47:42
0
darlingboy.23
ƁØY DÆRLÏÑG :
[Heartwarming][Heartwarming][Heartwarming]
2026-10-23 19:31:57
0
yinka.babalola74
Yinka Babalola :
😏😏
2026-10-23 21:16:40
0
user5847439145681
Queen Melly :
🥰🥰🥰
2026-10-02 10:03:29
0
To see more videos from user @miraofficial664, please go to the Tikwm homepage.

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🚨 POTASSIUM 6.3 + PEAKED T WAVES! WHAT SHOULD THE NURSE DO FIRST? Your patient has severe hyperkalemia, and the ECG is already showing cardiac changes. The NCLEX gives you three medications: calcium gluconate, insulin with dextrose, and a potassium binder. 💉 Which one comes FIRST? Here's what you need to understand! ✅ IV Calcium Gluconate — STABILIZES the heart but does NOT lower potassium. ✅ Insulin + Dextrose — SHIFTS potassium from the blood into the cells. ✅ Potassium Removal — Binders or dialysis may help eliminate excess potassium, depending on the clinical situation. ⚠️ NCLEX TRAP: Don't confuse protecting the heart with lowering potassium! Remember this sequence: 🫀 PROTECT THE HEART 💉 SHIFT THE POTASSIUM 🩸 REMOVE THE POTASSIUM When severe hyperkalemia causes ECG changes, immediate cardiac stabilization is a priority. These emergency treatments may be started close together. 💡 NCLEX Tip: Calcium gluconate does NOT remove potassium, and insulin only temporarily shifts it! 🧠 NCLEX Challenge: Your patient's potassium is 6.3 mEq/L with peaked T waves. Which medication should the nurse anticipate administering immediately? 📚 Need NCLEX study guides and review notes? Find my Linktree on my TikTok profile! 🎥 For more NCLEX tutorials and practice questions, search Nursing Student Avenger on YouTube! 💚 Future nurses. Unstoppable. #NCLEX #NCLEXReview #Hyperkalemia #PeakedTWaves #CalciumGluconate #NursingPharmacology #CriticalCareNursing #NCLEXPrioritization #ClinicalJudgment #nursingstudentproblems
🚨 POTASSIUM 6.3 + PEAKED T WAVES! WHAT SHOULD THE NURSE DO FIRST? Your patient has severe hyperkalemia, and the ECG is already showing cardiac changes. The NCLEX gives you three medications: calcium gluconate, insulin with dextrose, and a potassium binder. 💉 Which one comes FIRST? Here's what you need to understand! ✅ IV Calcium Gluconate — STABILIZES the heart but does NOT lower potassium. ✅ Insulin + Dextrose — SHIFTS potassium from the blood into the cells. ✅ Potassium Removal — Binders or dialysis may help eliminate excess potassium, depending on the clinical situation. ⚠️ NCLEX TRAP: Don't confuse protecting the heart with lowering potassium! Remember this sequence: 🫀 PROTECT THE HEART 💉 SHIFT THE POTASSIUM 🩸 REMOVE THE POTASSIUM When severe hyperkalemia causes ECG changes, immediate cardiac stabilization is a priority. These emergency treatments may be started close together. 💡 NCLEX Tip: Calcium gluconate does NOT remove potassium, and insulin only temporarily shifts it! 🧠 NCLEX Challenge: Your patient's potassium is 6.3 mEq/L with peaked T waves. Which medication should the nurse anticipate administering immediately? 📚 Need NCLEX study guides and review notes? Find my Linktree on my TikTok profile! 🎥 For more NCLEX tutorials and practice questions, search Nursing Student Avenger on YouTube! 💚 Future nurses. Unstoppable. #NCLEX #NCLEXReview #Hyperkalemia #PeakedTWaves #CalciumGluconate #NursingPharmacology #CriticalCareNursing #NCLEXPrioritization #ClinicalJudgment #nursingstudentproblems
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