@lustingforlucy: #luckyasaducky

lustingforlucy

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Friday 03 October 2025 07:03:19 GMT

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Comments

rae_kay0 :

Need a goonerrrrr

2025-10-07 19:15:59

47

Kyle :

Need a goonette 41🔄

2025-10-10 18:20:24

0

WheatBread :

how are people finding goonettes thats like an impossible task

2025-10-10 01:20:12

14

CRstylx :

need a goonette 51 🔁

2025-10-09 20:12:29

5

ellebrooke067 :

any boys?

2025-10-12 17:20:48

0

alexgoestometalshows :

This and good boy would save me

2025-10-08 02:44:14

15

cloemaffia :

New goonete 🥺

2025-10-06 18:18:34

14

CoffeeAddict :

Thanks .. twitter suspended my account again 😢

2025-10-09 06:40:13

1

evanm12 :

2025-10-07 02:26:47

23

Alex. void :

Need a goonette 41 🔁

2025-10-04 18:00:19

2

Teddybear021 :

good girl

2025-10-04 07:38:46

4

️ :

Need a Goonette 15 🔄

2025-10-11 15:22:43

0

Star ✨ :

huh? umm no thx??

2025-10-08 00:26:05

1

Ryan 👻 :

why i likeing this vid? 😭😭😭😭😭

2025-10-10 14:35:25

0

Arrakus :

i mean like i guess bro😭

2025-10-09 06:48:46

0

Ayn😾 :

🔄41 I neeeeed a goonette

2025-10-11 17:04:37

0

Apathy 𖦹.𖦹 :

idk how i got here but whatever

2025-10-11 20:37:39

0

JohnDoe :

she's at home like 😵‍💫

2025-10-09 17:06:31

0

krieysbwjsh :

need a goonette 41

2025-10-11 14:08:44

0

the_backcountry :

Oh god thank you

2025-10-08 23:53:41

0

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NCLEX Tips for DKA and HHS✍️✍️ DKA happens fast (usually after missed insulin, infection, or stress). Always think “young + type 1 + ketones.” Look for acidosis clues → fruity breath, abdominal pain, vomiting, Kussmaul respirations. Anion gap metabolic acidosis is a classic finding. Monitor potassium carefully: Before insulin: K+ may look normal or high (because it shifts out of cells). After insulin + fluids: K+ drops dangerously → continuous ECG monitoring needed. Resolution of DKA = when pH > 7.3, HCO₃ > 18, and ketones cleared → not just when glucose normalizes. 🔹 More NCLEX Tips for HHS Think elderly with type 2 diabetes → often triggered by illness (UTI, pneumonia) or poor fluid intake. Glucose is extremely high (>600–1000 mg/dL), but no ketones or acidosis. Neuro symptoms are worse than DKA → confusion, seizures, stroke-like symptoms, coma. Dehydration is profound (may lose 8–10 L of fluid). Always start with 0.9% NS bolus. Higher mortality risk than DKA → NCLEX may frame it as the more dangerous condition in older adults. 🔹 Treatment Priority Order (NCLEX Sequence) Fluids → Restore perfusion first. Electrolytes (especially K+) → Correct before insulin if low. Insulin → Continuous IV infusion, titrate down once stable. Add dextrose (D5W) → Once glucose <250–300 to prevent hypoglycemia while clearing ketones (DKA). 🔹 Common NCLEX Traps Don’t choose insulin first → fluids always come before insulin. Don’t ignore hypokalemia → low K+ kills faster than high sugar. Don’t assume only type 1 can have DKA → rare, but type 2 can develop it under stress. Don’t forget cause → infection is the #1 trigger for both → expect orders for cultures, antibiotics. Don’t lower glucose too fast → risk of cerebral edema, especially in kids with DKA. 🔹 Quick Memory Hooks DKA = “Acid + Ketones + Kids (type 1)” HHS = “High sugar, High age, Higher neuro decline” Treatment mantra for both → “Fix the fluids, Fix the K+, Then Fix the sugar.”#nurse #nclex #medicalstudent #nursingstudent

NCLEX Tips for DKA and HHS✍️✍️ DKA happens fast (usually after missed insulin, infection, or stress). Always think “young + type 1 + ketones.” Look for acidosis clues → fruity breath, abdominal pain, vomiting, Kussmaul respirations. Anion gap metabolic acidosis is a classic finding. Monitor potassium carefully: Before insulin: K+ may look normal or high (because it shifts out of cells). After insulin + fluids: K+ drops dangerously → continuous ECG monitoring needed. Resolution of DKA = when pH > 7.3, HCO₃ > 18, and ketones cleared → not just when glucose normalizes. 🔹 More NCLEX Tips for HHS Think elderly with type 2 diabetes → often triggered by illness (UTI, pneumonia) or poor fluid intake. Glucose is extremely high (>600–1000 mg/dL), but no ketones or acidosis. Neuro symptoms are worse than DKA → confusion, seizures, stroke-like symptoms, coma. Dehydration is profound (may lose 8–10 L of fluid). Always start with 0.9% NS bolus. Higher mortality risk than DKA → NCLEX may frame it as the more dangerous condition in older adults. 🔹 Treatment Priority Order (NCLEX Sequence) Fluids → Restore perfusion first. Electrolytes (especially K+) → Correct before insulin if low. Insulin → Continuous IV infusion, titrate down once stable. Add dextrose (D5W) → Once glucose <250–300 to prevent hypoglycemia while clearing ketones (DKA). 🔹 Common NCLEX Traps Don’t choose insulin first → fluids always come before insulin. Don’t ignore hypokalemia → low K+ kills faster than high sugar. Don’t assume only type 1 can have DKA → rare, but type 2 can develop it under stress. Don’t forget cause → infection is the #1 trigger for both → expect orders for cultures, antibiotics. Don’t lower glucose too fast → risk of cerebral edema, especially in kids with DKA. 🔹 Quick Memory Hooks DKA = “Acid + Ketones + Kids (type 1)” HHS = “High sugar, High age, Higher neuro decline” Treatment mantra for both → “Fix the fluids, Fix the K+, Then Fix the sugar.”#nurse #nclex #medicalstudent #nursingstudent

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