SlideShare uma empresa Scribd logo
1 de 12
Abnormal accumulation of fluid in the

lungs. The fluid accumulate in the
interstitial spaces or in the alveoli.
Anxiety and restless
Feeling of suffocation

Pale skin
Distended neck veins

Noisy breathing
Auscultation the lung fields
Chest x-ray
Oxygen therapy
Morphine

Diuretics
Dobutamine

Milrinone
Nesiritide
Positioning the patient to promote

circulation
Providing psychological support
Monitoring medications
Occurs when the heart cannot pump

enough blood to supply the amount of
oxygen needed by the tissues
Hypoxia
Low BP

Rapid and weak pulse
Cold and clammy skin

Increased respiratory crackles
Decreased urinary output
Pulmonary Artery Catheter
Vasodilators
Diuretics

Inotropic medications
Intra- aortic balloon pump (IABP)
Observe the cardiac rhythm
Monitor hemodynamic parameters

Record fluid intake and urinary output

Mais conteúdo relacionado

Mais procurados

Double Lumen Endobronchial Tubes ppt
Double Lumen Endobronchial Tubes pptDouble Lumen Endobronchial Tubes ppt
Double Lumen Endobronchial Tubes pptImran Sheikh
 
Pulmonary edema by Nadia Sarwar
Pulmonary edema by Nadia SarwarPulmonary edema by Nadia Sarwar
Pulmonary edema by Nadia SarwarNadia Sarwar
 
Cardiogenic vs noncardiogenic pulmonary edema (ARDs)
Cardiogenic vs noncardiogenic pulmonary edema (ARDs)Cardiogenic vs noncardiogenic pulmonary edema (ARDs)
Cardiogenic vs noncardiogenic pulmonary edema (ARDs)abdelrazekdawod
 
ARDS Overview
ARDS OverviewARDS Overview
ARDS OverviewNorthTec
 
Nursing management of patient with cardiac surgeries.
Nursing management of patient with cardiac surgeries.Nursing management of patient with cardiac surgeries.
Nursing management of patient with cardiac surgeries.PrashantSalve10
 
Central venous pressure
Central venous pressureCentral venous pressure
Central venous pressureDavis Kurian
 
Nursing Care of Clients with Peripheral Vascular Disorders Part 2 of 3
Nursing Care of Clients with Peripheral Vascular Disorders Part 2 of 3  Nursing Care of Clients with Peripheral Vascular Disorders Part 2 of 3
Nursing Care of Clients with Peripheral Vascular Disorders Part 2 of 3 Carmela Domocmat
 
Nursing management of a patient with cardiomyopathy
Nursing management of a patient with cardiomyopathyNursing management of a patient with cardiomyopathy
Nursing management of a patient with cardiomyopathySuchithra Pv
 
Care of patient with icd
Care of patient with icdCare of patient with icd
Care of patient with icdViki Patidar
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failureANJANI WALIA
 
INTRA-ARTERIAL BLOOD PRESSURE MONITORING
INTRA-ARTERIAL BLOOD PRESSURE MONITORING INTRA-ARTERIAL BLOOD PRESSURE MONITORING
INTRA-ARTERIAL BLOOD PRESSURE MONITORING vikramnaidu2311
 
Management of Pulmonary Edema 2014
Management of Pulmonary Edema 2014Management of Pulmonary Edema 2014
Management of Pulmonary Edema 2014manjhoo1982
 
Pleural effusion & nursing care
Pleural effusion & nursing carePleural effusion & nursing care
Pleural effusion & nursing careV4Veeru25
 
Cardiac tamponade-Pericardial Effusion...
Cardiac tamponade-Pericardial Effusion...Cardiac tamponade-Pericardial Effusion...
Cardiac tamponade-Pericardial Effusion...Sharmin Susiwala
 

Mais procurados (20)

Double Lumen Endobronchial Tubes ppt
Double Lumen Endobronchial Tubes pptDouble Lumen Endobronchial Tubes ppt
Double Lumen Endobronchial Tubes ppt
 
Pulmonary edema by Nadia Sarwar
Pulmonary edema by Nadia SarwarPulmonary edema by Nadia Sarwar
Pulmonary edema by Nadia Sarwar
 
Cardiogenic vs noncardiogenic pulmonary edema (ARDs)
Cardiogenic vs noncardiogenic pulmonary edema (ARDs)Cardiogenic vs noncardiogenic pulmonary edema (ARDs)
Cardiogenic vs noncardiogenic pulmonary edema (ARDs)
 
Cardiac arrest
Cardiac arrestCardiac arrest
Cardiac arrest
 
Dysrhythmias
DysrhythmiasDysrhythmias
Dysrhythmias
 
Hypokalemia
HypokalemiaHypokalemia
Hypokalemia
 
ARDS Overview
ARDS OverviewARDS Overview
ARDS Overview
 
Nursing management of patient with cardiac surgeries.
Nursing management of patient with cardiac surgeries.Nursing management of patient with cardiac surgeries.
Nursing management of patient with cardiac surgeries.
 
Central venous pressure
Central venous pressureCentral venous pressure
Central venous pressure
 
Raynaud’s
Raynaud’sRaynaud’s
Raynaud’s
 
Nursing Care of Clients with Peripheral Vascular Disorders Part 2 of 3
Nursing Care of Clients with Peripheral Vascular Disorders Part 2 of 3  Nursing Care of Clients with Peripheral Vascular Disorders Part 2 of 3
Nursing Care of Clients with Peripheral Vascular Disorders Part 2 of 3
 
Nursing management of a patient with cardiomyopathy
Nursing management of a patient with cardiomyopathyNursing management of a patient with cardiomyopathy
Nursing management of a patient with cardiomyopathy
 
Coronary Artery Bypass Graft
Coronary Artery Bypass GraftCoronary Artery Bypass Graft
Coronary Artery Bypass Graft
 
Care of patient with icd
Care of patient with icdCare of patient with icd
Care of patient with icd
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
 
INTRA-ARTERIAL BLOOD PRESSURE MONITORING
INTRA-ARTERIAL BLOOD PRESSURE MONITORING INTRA-ARTERIAL BLOOD PRESSURE MONITORING
INTRA-ARTERIAL BLOOD PRESSURE MONITORING
 
Management of Pulmonary Edema 2014
Management of Pulmonary Edema 2014Management of Pulmonary Edema 2014
Management of Pulmonary Edema 2014
 
Pulmonary hypertension
Pulmonary hypertensionPulmonary hypertension
Pulmonary hypertension
 
Pleural effusion & nursing care
Pleural effusion & nursing carePleural effusion & nursing care
Pleural effusion & nursing care
 
Cardiac tamponade-Pericardial Effusion...
Cardiac tamponade-Pericardial Effusion...Cardiac tamponade-Pericardial Effusion...
Cardiac tamponade-Pericardial Effusion...
 

Semelhante a Pulmonary Edema

SHOCK.pptx bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb
SHOCK.pptx bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbSHOCK.pptx bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb
SHOCK.pptx bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbSubi Babu
 
power point presentation on shock management.pptx
power point presentation on shock management.pptxpower point presentation on shock management.pptx
power point presentation on shock management.pptxAregashAcha
 
cardiac tamppnade.pptx
cardiac tamppnade.pptxcardiac tamppnade.pptx
cardiac tamppnade.pptxssuser002e70
 
(5) nursing care plans (ncp) for cardiogenic shock
(5) nursing care plans (ncp) for cardiogenic shock(5) nursing care plans (ncp) for cardiogenic shock
(5) nursing care plans (ncp) for cardiogenic shockMustafa Abdalla
 
Cardiopulmonary Symptoms .............pptx
Cardiopulmonary Symptoms .............pptxCardiopulmonary Symptoms .............pptx
Cardiopulmonary Symptoms .............pptxambaniyousef
 
Heart failure
Heart failureHeart failure
Heart failurekopilaray
 
Nusing Management of CHF (English) Symposia
Nusing Management of CHF (English) SymposiaNusing Management of CHF (English) Symposia
Nusing Management of CHF (English) SymposiaThe CRUDEM Foundation
 
Approach to dyspnea
Approach to dyspneaApproach to dyspnea
Approach to dyspneanandanm20
 
dyspnea-converted.pptx
dyspnea-converted.pptxdyspnea-converted.pptx
dyspnea-converted.pptxabdiazizhamud1
 
pathogenesis_of_cardiac_symptoms_part1.pptx
pathogenesis_of_cardiac_symptoms_part1.pptxpathogenesis_of_cardiac_symptoms_part1.pptx
pathogenesis_of_cardiac_symptoms_part1.pptxpugalrockzz1
 
Final chf-outline-1231922962380943-3
Final chf-outline-1231922962380943-3Final chf-outline-1231922962380943-3
Final chf-outline-1231922962380943-3gprovatest4
 
Mellss yr5 paeds breathing difficulties (congestive cardiac failure)
Mellss yr5 paeds breathing difficulties (congestive cardiac failure)Mellss yr5 paeds breathing difficulties (congestive cardiac failure)
Mellss yr5 paeds breathing difficulties (congestive cardiac failure)nur amalina aminuddin baki
 
Heart failure: Basic Cocepts
Heart failure: Basic CoceptsHeart failure: Basic Cocepts
Heart failure: Basic CoceptsArindam Pande
 
Ana etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8ygAna etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8ygsegeato
 

Semelhante a Pulmonary Edema (20)

SHOCK.pptx bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb
SHOCK.pptx bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbSHOCK.pptx bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb
SHOCK.pptx bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb
 
Cardiogenic shock
Cardiogenic shockCardiogenic shock
Cardiogenic shock
 
power point presentation on shock management.pptx
power point presentation on shock management.pptxpower point presentation on shock management.pptx
power point presentation on shock management.pptx
 
Shock .pptx
Shock .pptxShock .pptx
Shock .pptx
 
cardiac tamppnade.pptx
cardiac tamppnade.pptxcardiac tamppnade.pptx
cardiac tamppnade.pptx
 
(5) nursing care plans (ncp) for cardiogenic shock
(5) nursing care plans (ncp) for cardiogenic shock(5) nursing care plans (ncp) for cardiogenic shock
(5) nursing care plans (ncp) for cardiogenic shock
 
Cardiopulmonary Symptoms .............pptx
Cardiopulmonary Symptoms .............pptxCardiopulmonary Symptoms .............pptx
Cardiopulmonary Symptoms .............pptx
 
Heart failure
Heart failureHeart failure
Heart failure
 
Nusing Management of CHF (English) Symposia
Nusing Management of CHF (English) SymposiaNusing Management of CHF (English) Symposia
Nusing Management of CHF (English) Symposia
 
Approach to dyspnea
Approach to dyspneaApproach to dyspnea
Approach to dyspnea
 
Cardiogenic Shock.pptx
Cardiogenic Shock.pptxCardiogenic Shock.pptx
Cardiogenic Shock.pptx
 
Shock Management
Shock ManagementShock Management
Shock Management
 
dyspnea-converted.pptx
dyspnea-converted.pptxdyspnea-converted.pptx
dyspnea-converted.pptx
 
pathogenesis_of_cardiac_symptoms_part1.pptx
pathogenesis_of_cardiac_symptoms_part1.pptxpathogenesis_of_cardiac_symptoms_part1.pptx
pathogenesis_of_cardiac_symptoms_part1.pptx
 
Final chf-outline-1231922962380943-3
Final chf-outline-1231922962380943-3Final chf-outline-1231922962380943-3
Final chf-outline-1231922962380943-3
 
Mellss yr5 paeds breathing difficulties (congestive cardiac failure)
Mellss yr5 paeds breathing difficulties (congestive cardiac failure)Mellss yr5 paeds breathing difficulties (congestive cardiac failure)
Mellss yr5 paeds breathing difficulties (congestive cardiac failure)
 
Heart failure: Basic Cocepts
Heart failure: Basic CoceptsHeart failure: Basic Cocepts
Heart failure: Basic Cocepts
 
Ana etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8ygAna etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8yg
 
Syncope
SyncopeSyncope
Syncope
 
Cvd signs and symptoms
Cvd signs and symptoms Cvd signs and symptoms
Cvd signs and symptoms
 

Mais de Kathy Clavano

Management of patients with complications from heart diseases
Management of patients with complications from heart diseasesManagement of patients with complications from heart diseases
Management of patients with complications from heart diseasesKathy Clavano
 
Blood & blood components
Blood & blood componentsBlood & blood components
Blood & blood componentsKathy Clavano
 
Population and demography
Population and demographyPopulation and demography
Population and demographyKathy Clavano
 
Sengstaken blakemore tube
Sengstaken blakemore tubeSengstaken blakemore tube
Sengstaken blakemore tubeKathy Clavano
 

Mais de Kathy Clavano (7)

thromboembolism
thromboembolismthromboembolism
thromboembolism
 
Management of patients with complications from heart diseases
Management of patients with complications from heart diseasesManagement of patients with complications from heart diseases
Management of patients with complications from heart diseases
 
Heart failure
Heart failureHeart failure
Heart failure
 
Blood & blood components
Blood & blood componentsBlood & blood components
Blood & blood components
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Population and demography
Population and demographyPopulation and demography
Population and demography
 
Sengstaken blakemore tube
Sengstaken blakemore tubeSengstaken blakemore tube
Sengstaken blakemore tube
 

Último

Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Sheetaleventcompany
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Sheetaleventcompany
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Sheetaleventcompany
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Sheetaleventcompany
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesMedicoseAcademics
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Genuine Call Girls
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Janvi Singh
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationMedicoseAcademics
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...TanyaAhuja34
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...Sheetaleventcompany
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacyDrMohamed Assadawy
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...Sheetaleventcompany
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Sheetaleventcompany
 

Último (20)

Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac Muscles
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
 

Pulmonary Edema