Jul 14
YouTube alannaag
This year Iโm being seen. OK!
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YouTube alannaag
This year Iโm being seen. OK!
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
Free to watch โข No registration required โข HD streaming
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JFC for thรฉ love of all that is holy PLEASE EXPLAIN THE SURGERY TO THE PATIENT BEFORE THEY GET TO PRE OP!!
Osmotic adaptation
โ The mechanism of osmotic adaptation is employed to keep the intracellular fluid volume relatively constant despite changes in extracellular osmolality.
โ In chronic hypernatremia for example, fluid tend to shift from intracellular compartment to extracellular compartment according to osmotic gradient, in response to this, cells increases their intracellular solutes such as betaine, inositol and glutamine, the difference in solute concentration between the two compartments reduces therefore fluid shifts will be limited.
โ Conversely in chronic hyponatremia, fluid will tend to shift inside cells, therefore cells adapt by reducing their intracellular solutes inorder to counteract fluid shifts.
โ The concept of osmotic adaptation is very important clinically, because osmotic adaptation needs time to be reversed after correction of the electrolyte disturbance, therefore rapid correction of electrolyte disturbance would have deleterious effects on cells, for example in chronic hypernatremia, cells already had built up a large concentration of intracellular solutes, if sodium concentration in the extracellular compartment is rapidly reduced to normal values, fluid will quickly shift to inside cells resulting in cell swelling, this manifests clinically as dangerous brain edema, hence correction should be slow according to well established guidelines.
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
Free to watch โข No registration required โข HD streaming
March favorites:
Went to cardio, did ECGs, measured TA... Went to pulmology and successfully attempted venepunction for the first time (since covid affected practice hours).
Also got to take a good look at preOP preparations... maybe nursing isn't all that bad after all...
Looking forward to finishing nursing exams and graduating and also doing medicine entrance exam once again.
๐๐ฉบ๐๐๐ฉโโ๏ธ
P.S. 3 pics are mine (feel free to like and then save them, other 2, i honestly don't know... credits to pinterest users
3 Evidence-Based Study Techniques You Really Shouldn't Skimp On
There are a good number of evidence techniques that have been shown to be effective. However, these are the three I've found to be really invaluable to my learning and can honestly vouch for. These methods of studying really upgraded my learning so I hope they will prove useful for some of you. ๐ช๐ Bonus tip: Figuring out what type of learner you are is also beneficial and will increase the overall effectiveness of your studying. Throughout most of my education, I studied as a reading and writing learner. It wasn't until I got to my clinical classes that I realized I'm actually an auditory-visual learner. Using resources like #onlinemeded #boardsandbeyond #sketchymirco and other video-based resources as my primary means of learning switched up my game. What's your learning style (visual, auditory, reading and writing or kinesthetic)?
