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👑MISS SUPRANACIONAL 2019 - RESULTADOS👑. Acabada la edición número 11 de Miss Supranational los resultados quedan de la siguiente manera: Ganadora: Miss Tailandia 🇹🇭. 1. Finalista: Miss Namibia 🇳🇦. 2. Finalista: Miss Indonesia 🇮🇩. 3. Finalista: Miss Perú 🇵🇪. 4. Finalista : Miss Venezuela 🇻🇪.   #GrandSlamsBeauties     #ReinasDeBelleza     #MissSupranacional     #MissSupranacional2019     #Poland  


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Never stop dreaming . . . . . . . .   #fotosession    #foto    #portrait    #bigboss    #winter    #photography    #instafotos    #goodtime    #moment    #mood    #memories    #sweaterweather    #2019    #blondehair    #follow    #instatime    #europe    #warsaw    #poland    #model    #modelingtime    #face  #фотосессия  #look    #fotoshooting  📷  #photooftheday    #photographers  _of_instagram  #model  📷  #topfotos  


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Choinka🎄🎄🎄   #christmas     #christmastree     #przebranie     #christmasdecor     #friends     #wigilia     #eve     #selfie     #mirrorselfie     #polishgirl     #poland     #frightnight     #night     #originalart     #artist     #artwork     #instafashion     #oodt     #goodmood  


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SlaughterToPrevail мы ждём вас во время Европейского Тура в Варшаве;3   #poland     #russia     #ukraine     #warsaw     #death     #mask     #tattoo     #slaughtertoprevail     #alexterrible     #barmen     #work     #chill     #friends     #restinwork  


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Vasopressin (Pitressin)Pituitary - antidiuretic agent. A hormone naturally formed in the hypothalamus and released from the posterior pituitary. Quick Remedy: Dilute to 1 unit/mL in a 10mL syringe. Give 1-2 unit bolus to temporarily increase BP to buy you some time to start a drip. Repeat if necessary-titrate to effect. Infusion Dose: 1-6 Units/hr or 0.01-0.1 units/min Have NTG available and ready to counteract if needed. ACLS Pulseless VT/VF: 40 units IV (as a single dose only). If no IV access - administer 40 units diluted with NS (to a total volume of 10 ml) per OETT. Dose IV Infusion Range: 1-6 units/hr Vasopressin 1 unit/mL Main function: to regulate ECF (anti-diuretic) via reabsorption in renal tubules. Also a potent vasoconstrictor; Arterial, mesenteric. Anesthesia Indications: Hypotension unresponsive to neosynephrine and ephedrine (especially if the patient is on an ACE Inhibitor). ICU Indications: Diabetes Insipidus GI Bleed (control of bleeding esophageal varices- mesenteric vasoconstriction). It causes contraction of smooth muscle of the GI tract and of all parts of the vascular bed. Septic Shock-when Levophed, Dobutamine and/or Dopamine are not effective. Method of Action Arterial constriction Mesenteric vasoconstriction H2O reabsorption in renal tubules Onset 10-15 mins Because vasopressin is a hormone and not a receptor agonist, a low dose drip can take 10-15 minutes to elicit a clinical response. Metabolized Majority rapidly destroyed by liver and kidneys. Half Life 10-20 mins Complications Avoid patients with significant vascular disease esp. AD; cardiac ischemia, peripheral cyanosis or Ischemia, arrhythmias, oliguria, hyponatremia, H2O intoxication, tremor, vomiting, abdominal cramps. POTENTIAL HAZARDS Thrombophlebitis Infusion may result in reduced cardiac output, angina, arrythmias and cardiac arrest. • • • • • • •   #nurselife     #nursing     #rn     #srna     #crna     #icu     #medicine     #hospital     #anesthesia     #kasiaicurn     #kasiasrna     #instagrampl     #polishgirl     #polkawusa     #usa     #uabcrnaclassof2021     #eatsleepanesthesiarepeat     #dreambig     #pielegniarka     #nursesofinstagram     #blessed     #livingmybestlife     #poland     #alwaystired     #future     #crnasofinstagram     #piekegniarkaanestezjogiczna  


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👑MISS SUPRANACIONAL 2019👑 Ya acabó otro concurso Grand Slam y lamentablemente nuestra representante ecuatoriana Fernanda Yepez no pudo clasificar al grupo de 25 semifinalistas del concurso Miss Supranational 2019. Deseamos mucho éxito a Fernanda en todo lo que emprenda. La ganadora de la noche fue Miss Tailandia 🇹🇭.   #GrandSlamsBeauties     #ReinasDeBelleza     #MissSupranacional     #MissSupranacional2019     #Poland     #Ecuador     #Thailand  


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Я не был ни мизантропом, ни женоневистником, но мне нравилось одиночество. Хорошо сидеть себе где-нибудь в закутке, курить и попивать. Я всегда был лучшей компанией самому себе. © Чарльз Буковски


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  #nature     #naturephotography     #naturelovers     #top     #naturelover     #nature  _perfection   #nature     #sky     #skyporn     #sunset     #sunrise     #fire     #cali     #water     #lake     #mountains     #mountain     #igers     #california     #poland     #russia     #england     #photooftheday     #photo     #photography     #naturephotography     #photogrid     #travelphotography  


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Warung Eropa... ❤❤❤ Today fun fact, Poland: During the WWII Warsaw was almost completely destroyed and had to be rebuild completely... 🙏🙏🙏 . . Meet our Polish friend, having fun at Warung Eropa... . Warung Eropa, serves authentic Indonesian cuisine in Petitenget... . Famous for our Crispy duck since 2004... .   #foodie     #foodblogger     #foodandtravel     #foodgram     #foodporn     #foodgasm     #groupphoto     #lunch     #makan     #makanmakan     #makanterus     #makansiang     #makanpagi     #makanmalam     #dinner     #breakfast     #breakfastinbali     #instagram     #instafood     #baligram     #baligasm     #balikuliner     #baliindonesia     #balieats     #bali     #kulinerbali     #tukangmakan     #balieats     #poland     #polish     #europe  


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Są czasem takie dni, kiedy do domu wraca się tą dłuższą srogą...   #followers     #likeme     #poland     #polishgirl     #polskadziewczyna     #naturephotography     #photooftheday     #photo     #photosession     #love     #sweet     #instaphoto     #instagood     #instadaily     #instapic     #instacool     #colorful     #cool     #instalove     #instastyle     #yellow  


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2016 Dec • Krakow 🇵🇱   #krakow     #poland   #克拉科夫 #波蘭   #winter     #hkgirls     #travel     #travelphotography     #travelblogger     #travelgram     #photography     #photooftheday     #photographer     #naturephotography     #nature     #photographers     #hktraveller     #traveller     #adventure     #landscapephotography     #hkphotography     #hkblogger     #hkig     #discover     #holiday     #vacation     #traveladdict     #traveltheworld     #hkdaily     #art  


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I can't hit number games but raisins in a bun always   #poland     #bu  ka   #rodzynki     #ba  ka   #takasytuacja     #bu  kapoznańska   #pychota     #polishman  


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— your little toy . . . . . .   #bts     #jimin     #btsjimin     #yoongi     #seokjin     #hoseok     #namjoon     #like4like     #follow4follow     #rm     #friends     #hairdresser     #summer     #bts     #jungkook     #taehyung     #btstaetae     #taetae     #pink     #btstaehyungv     #korea     #koreaboy     #koreanmakeup     #japan     #japaneseboy     #poland     #polishgirl     #polishboy  


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Colt Hendrix An asshole who rarely gives a shit about anyone but himself. Certified alcoholic. Probably high. Gay. Dominant only. Interested in friendships, although would be open to a relationship. Probably going to leave you on seen or never reply unless you interest him. Will most likely act like he doesn’t care about you, which is probably true. Morbid as hell. Comment 2x for a tbh and/or rate whenever I feel like giving it.


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More investing, more profits  #nigeria    #russia    #poland    #southafrica    #asia    #dubai    #texas    #london    #italy    #germany    #britain    #venezuela    #norway    #crotia    #france    #mexico    #cnn    #wwe    #samoa    #maimi    #canada    #turkey  


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When you set your goals there are tons of people ready to pull you down including those close to you. Never allow anyone who has given up on their dreams try to control yours. Keep chasing your dreams , do everything possible to achieve it.   #motivation     #positivevibes     #positivequotes     #positivity     #positivethinking     #mindfulness     #struggle     #minoritymentalhealth     #suicideprevention     #advocate     #poland    #bbc    #cnn    #wwe    #mentalhealthadvocate     #blackmentalhealthmatters     #nami     #zambia    #invisibleillnessawareness     #worldmentalhealthday     #motivationalfriday     #germany    #italy    #Mexico    #nigeria    #london    #spain    #southafrica    #venezuela  


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Подпишись на   @avtomobil22   . . .   #bmw     #poland     #car     #mpower     #warsaw     #instacar     #cars     #bimmer     #instagood     #love     #photooftheday     #polishboy     #bmwpolska     #e36     #audi     #polska     #e46     #polishgirl     #photography     #mercedes     #carporn     #beautiful     #bmwm     #drift     #warszawa     #m3     #m4     #instacars     #tuning     #coupe  


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