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@user99775099:

💫Pinki💫
💫Pinki💫
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Thursday 22 October 2026 04:29:41 GMT
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sabbirboss7061
sabbir boss :
na vul mu na 🥰🥰🥰🥰
2026-10-22 05:03:15
0
user5154509688228
user5154509688228 :
তাই নাকি🥰🥰🥰
2026-10-22 04:51:30
0
mdjuwelrana1919
*--JUWEL--*🧠💵 :
Ami
2026-10-22 04:33:22
0
shahidurahmedsrabon1018
It’s Shahidur💥 :
🙂
2026-10-22 15:31:35
0
user71832885403974
🌹 ফুল 🌹 :
❤️❤️❤️
2026-10-22 09:17:58
0
ds.shadin.khan
Ds shadin khan :
😁😁😁
2026-10-22 08:28:58
0
suhag.rana25
🤟.!জামালপুরের ছেড়া আমি..! 🤟 :
🥰🥰🥰
2026-10-22 05:01:16
0
himel.mia33
H. Himel ❤️‍🩹🥀💫 :
❤️❤️❤️
2026-10-22 04:43:45
0
md..fahim8571
🎀 মায়াবতী 🎀 :
[Laughing][Laughing][Laughing]
2026-10-22 04:37:12
0
user5447977808839
আবুল পোল্টি ফার্ম :
[Big LOL][Big LOL][Big LOL]
2026-10-22 04:33:43
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mdrobinsarkar05
mdrobinsarkar05 :
🥰🥰🥰
2026-10-22 16:03:15
0
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Other Videos

One simply needs to break free from one's own expectations🫀
One simply needs to break free from one's own expectations🫀
Fentanyl: the drug everyone fears, and one of the most used drugs in the OR. What it actually is: Synthetic mu-opioid agonist, first made by Paul Janssen in 1960 💉 50–100x more potent than morphine, which is why we dose it in micrograms 💉 IV onset in 1–2 minutes, peak in about 5. Highly lipid-soluble, so it hits the brain fast. 💉 Short duration after a single dose because it redistributes out of the brain, not because it's eliminated. Infuse it long enough and it lingers. What we watch for: ⚠️ Respiratory depression. That's why someone trained in airway management never leaves your side. ⚠️ Chest wall rigidity (
Fentanyl: the drug everyone fears, and one of the most used drugs in the OR. What it actually is: Synthetic mu-opioid agonist, first made by Paul Janssen in 1960 💉 50–100x more potent than morphine, which is why we dose it in micrograms 💉 IV onset in 1–2 minutes, peak in about 5. Highly lipid-soluble, so it hits the brain fast. 💉 Short duration after a single dose because it redistributes out of the brain, not because it's eliminated. Infuse it long enough and it lingers. What we watch for: ⚠️ Respiratory depression. That's why someone trained in airway management never leaves your side. ⚠️ Chest wall rigidity ("wooden chest") with large, fast doses ⚠️ Bradycardia ⚠️ CYP3A4 interactions that can prolong its effect Why it's safe in the OR and deadly on the street: ✅ Pharmaceutical fentanyl is pure, dosed to the microgram, and given with monitors, oxygen, and naloxone at arm's reach ❌ Illicit fentanyl is pressed into pills of unknown strength, often mixed with other drugs, and taken alone Same molecule. Completely different context. #anesthesia #healthcare #nurse #medicine #surgery
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#halloween #xalapa #flypシ #viral #parati lo que uno se encuentra en el centro de Xalapa 👌🏻😂
#halloween #xalapa #flypシ #viral #parati lo que uno se encuentra en el centro de Xalapa 👌🏻😂
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