@alin_lln: เล่นรุ่นใหญ่ใจต้องนิ่ง #외모지상주의 #lookism #alin_IIn #shintaro #CapCut

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Tuesday 22 July 2025 16:16:35 GMT

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ทำมั๋ยประเทดทัยถึงร้อนขนาดนี๋ :

แว่นไปนู่นไป😭😭😭😭😭

2025-07-22 17:50:49

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หลินหลิน :

แว่นตุยแล้วแว่นมาไม่ได้😭

2025-07-22 16:25:53

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Lady Phrolova 🥀 #phrolova #wutheringwaves #wuwacreators #wuwaprev25 #wuwacontest24 #zoyavfx

Lady Phrolova 🥀 #phrolova #wutheringwaves #wuwacreators #wuwaprev25 #wuwacontest24 #zoyavfx

ARDS or acute respiratory distress syndrome continues to be associated with significant morbidity and mortality. Protective ventilation strategies are critical to avoid ventilator induced lung injury or VILI. In addition to low total volume ventilation and permissive hyercapnea, attention to our plateau and driving pressures are important. Inhaled nitric oxide, prone positioning for 16 hours a day, selective use of paralysis, and consideration of VV-ECMO Remain critical adjuncts. #doctor #medicine #greysanatomy #icu #nurse #respiratorytherapist

ARDS or acute respiratory distress syndrome continues to be associated with significant morbidity and mortality. Protective ventilation strategies are critical to avoid ventilator induced lung injury or VILI. In addition to low total volume ventilation and permissive hyercapnea, attention to our plateau and driving pressures are important. Inhaled nitric oxide, prone positioning for 16 hours a day, selective use of paralysis, and consideration of VV-ECMO Remain critical adjuncts. #doctor #medicine #greysanatomy #icu #nurse #respiratorytherapist

Celtic

Let’s break down real quick the pathophysiology of Acute Respiratory Distress Syndrome (ARDS):⁣ ⁣ 1️⃣ 𝗜𝗻𝗶𝘁𝗶𝗮𝗹 𝗜𝗻𝗷𝘂𝗿𝘆 𝗮𝗻𝗱 𝗜𝗻𝗳𝗹𝗮𝗺𝗺𝗮𝘁𝗶𝗼𝗻:⁣ ▪️ARDS can be triggered by various direct or indirect insults to the lungs. Direct causes include pneumonia, aspiration, and inhalation injury, while indirect causes encompass sepsis, trauma, and pancreatitis.⁣ ▪️The initial injury leads to the activation of the immune system, causing an influx of inflammatory cells (like neutrophils) into the alveoli and pulmonary capillaries.⁣ ⁣ 2️⃣ 𝗜𝗻𝗰𝗿𝗲𝗮𝘀𝗲𝗱 𝗖𝗮𝗽𝗶𝗹𝗹𝗮𝗿𝘆 𝗣𝗲𝗿𝗺𝗲𝗮𝗯𝗶𝗹𝗶𝘁𝘆:⁣ ▪️The inflammatory response damages the capillary endothelium and the alveolar epithelium.⁣ ▪️This damage increases the permeability of the pulmonary capillaries, allowing protein-rich fluid to leak into the alveolar spaces.⁣ ⁣ 3️⃣ 𝗔𝗹𝘃𝗲𝗼𝗹𝗮𝗿 𝗘𝗱𝗲𝗺𝗮 𝗮𝗻𝗱 𝗥𝗲𝗱𝘂𝗰𝗲𝗱 𝗦𝘂𝗿𝗳𝗮𝗰𝘁𝗮𝗻𝘁 𝗣𝗿𝗼𝗱𝘂𝗰𝘁𝗶𝗼𝗻:⁣ ▪️The fluid accumulation in the alveoli disrupts normal gas exchange, leading to decreased oxygenation.⁣ ▪️The injury to alveolar cells also impairs the production and function of surfactant, a substance that helps keep the alveoli open. This results in alveolar collapse (atelectasis) and decreased lung compliance (stiffness).⁣ ⁣ 4️⃣ 𝗙𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗛𝘆𝗮𝗹𝗶𝗻𝗲 𝗠𝗲𝗺𝗯𝗿𝗮𝗻𝗲𝘀:⁣ ▪️Protein-rich exudate and cellular debris accumulate. This further impairs gas exchange and contribute to the stiffening of the lungs.⁣ ⁣ 5️⃣ 𝗩𝗲𝗻𝘁𝗶𝗹𝗮𝘁𝗶𝗼𝗻-𝗣𝗲𝗿𝗳𝘂𝘀𝗶𝗼𝗻 𝗠𝗶𝘀𝗺𝗮𝘁𝗰𝗵:⁣ ▪️The damage and fluid in the lungs cause regions with poor ventilation relative to blood flow (ventilation-perfusion mismatch), worsening hypoxemia.⁣ ▪️This mismatch can lead to areas of shunting, where blood passes through the lungs without being oxygenated.⁣ ⁣ 6️⃣ 𝗙𝗶𝗯𝗿𝗼𝘀𝗶𝘀 𝗮𝗻𝗱 𝗖𝗵𝗿𝗼𝗻𝗶𝗰 𝗖𝗵𝗮𝗻𝗴𝗲𝘀:⁣ ▪️In some cases, prolonged inflammation can lead to the development of fibrosis (scarring) within the lungs. This fibrosis further decreases lung compliance and can result in long-term respiratory impairment. #rn #nurse #healthcare #futurenurse #nursingschool #ernurse #nursetobe #studentnurse #nursingstudent #newnursetips #registerednurse

Let’s break down real quick the pathophysiology of Acute Respiratory Distress Syndrome (ARDS):⁣ ⁣ 1️⃣ 𝗜𝗻𝗶𝘁𝗶𝗮𝗹 𝗜𝗻𝗷𝘂𝗿𝘆 𝗮𝗻𝗱 𝗜𝗻𝗳𝗹𝗮𝗺𝗺𝗮𝘁𝗶𝗼𝗻:⁣ ▪️ARDS can be triggered by various direct or indirect insults to the lungs. Direct causes include pneumonia, aspiration, and inhalation injury, while indirect causes encompass sepsis, trauma, and pancreatitis.⁣ ▪️The initial injury leads to the activation of the immune system, causing an influx of inflammatory cells (like neutrophils) into the alveoli and pulmonary capillaries.⁣ ⁣ 2️⃣ 𝗜𝗻𝗰𝗿𝗲𝗮𝘀𝗲𝗱 𝗖𝗮𝗽𝗶𝗹𝗹𝗮𝗿𝘆 𝗣𝗲𝗿𝗺𝗲𝗮𝗯𝗶𝗹𝗶𝘁𝘆:⁣ ▪️The inflammatory response damages the capillary endothelium and the alveolar epithelium.⁣ ▪️This damage increases the permeability of the pulmonary capillaries, allowing protein-rich fluid to leak into the alveolar spaces.⁣ ⁣ 3️⃣ 𝗔𝗹𝘃𝗲𝗼𝗹𝗮𝗿 𝗘𝗱𝗲𝗺𝗮 𝗮𝗻𝗱 𝗥𝗲𝗱𝘂𝗰𝗲𝗱 𝗦𝘂𝗿𝗳𝗮𝗰𝘁𝗮𝗻𝘁 𝗣𝗿𝗼𝗱𝘂𝗰𝘁𝗶𝗼𝗻:⁣ ▪️The fluid accumulation in the alveoli disrupts normal gas exchange, leading to decreased oxygenation.⁣ ▪️The injury to alveolar cells also impairs the production and function of surfactant, a substance that helps keep the alveoli open. This results in alveolar collapse (atelectasis) and decreased lung compliance (stiffness).⁣ ⁣ 4️⃣ 𝗙𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗛𝘆𝗮𝗹𝗶𝗻𝗲 𝗠𝗲𝗺𝗯𝗿𝗮𝗻𝗲𝘀:⁣ ▪️Protein-rich exudate and cellular debris accumulate. This further impairs gas exchange and contribute to the stiffening of the lungs.⁣ ⁣ 5️⃣ 𝗩𝗲𝗻𝘁𝗶𝗹𝗮𝘁𝗶𝗼𝗻-𝗣𝗲𝗿𝗳𝘂𝘀𝗶𝗼𝗻 𝗠𝗶𝘀𝗺𝗮𝘁𝗰𝗵:⁣ ▪️The damage and fluid in the lungs cause regions with poor ventilation relative to blood flow (ventilation-perfusion mismatch), worsening hypoxemia.⁣ ▪️This mismatch can lead to areas of shunting, where blood passes through the lungs without being oxygenated.⁣ ⁣ 6️⃣ 𝗙𝗶𝗯𝗿𝗼𝘀𝗶𝘀 𝗮𝗻𝗱 𝗖𝗵𝗿𝗼𝗻𝗶𝗰 𝗖𝗵𝗮𝗻𝗴𝗲𝘀:⁣ ▪️In some cases, prolonged inflammation can lead to the development of fibrosis (scarring) within the lungs. This fibrosis further decreases lung compliance and can result in long-term respiratory impairment. #rn #nurse #healthcare #futurenurse #nursingschool #ernurse #nursetobe #studentnurse #nursingstudent #newnursetips #registerednurse

ARDS - Acute Respiratory Distress Syndrome breakdown video! #ards #acuterespiratorydistress #acuterespiratorydistresssyndrome #nurse #nursing #nursingstudent

ARDS - Acute Respiratory Distress Syndrome breakdown video! #ards #acuterespiratorydistress #acuterespiratorydistresssyndrome #nurse #nursing #nursingstudent

Lord this is a long one but an important concept to understand!! lmk if I can elaborate on anything ✨#nurse #crnaschool #icu #icunurse #icunurselife #dayshift #nightshift #ccrn #ccrncertification #icueducation #ards #acuterespiratorydistresssyndrome

Lord this is a long one but an important concept to understand!! lmk if I can elaborate on anything ✨#nurse #crnaschool #icu #icunurse #icunurselife #dayshift #nightshift #ccrn #ccrncertification #icueducation #ards #acuterespiratorydistresssyndrome

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