SlideShare uma empresa Scribd logo
1 de 59
Postoperative Care
Care in the PACU- post anaesthetic care unit or recovery room ,[object Object],[object Object],[object Object],[object Object],[object Object]
Care in the PACU ,[object Object],[object Object],[object Object],[object Object]
Initial Assessments cont’d in PACU ,[object Object],[object Object]
Potential Alterations in Respiratory Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology and  relief of airway obstruction caused by patient’s tongue Fig. 19-2
Nursing Management Respiratory Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Respiratory Complications ,[object Object],[object Object]
Potential Complications in Cardiovascular Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Cardiovascular Complications ,[object Object],[object Object]
Nursing Management Cardiovascular Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Cardiovascular Complications ,[object Object],[object Object]
Nursing Management   Neurologic Complications ,[object Object]
Nursing Management   Neurologic Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain and Discomfort ,[object Object],[object Object],[object Object],[object Object],[object Object]
  Hypothermia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nausea and Vomiting ,[object Object],[object Object]
Nausea and Vomiting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Care of Postoperative Patient   on Clinical Unit ,[object Object],[object Object],[object Object]
Potential Complications  in Respiratory Function ,[object Object]
Postoperative Atelectasis Fig. 19-4 ,[object Object],[object Object],[object Object],B. Mucous plug in bronchiole C. Collapse of alveoli due to absorption of air
Potential Complications  in Respiratory Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Complications  in Respiratory Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Techniques for Splinting Wound  When Coughing Fig. 19-5
Potential Alterations in Cardiovascular Function ,[object Object],[object Object],[object Object],[object Object]
Nursing Management Cardiovascular Complications ,[object Object],[object Object],[object Object]
Nursing Management Cardiovascular Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Cardiovascular Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Leg Exercises Fig. 19-6
Nursing Management Cardiovascular Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Alterations   in Urinary Function ,[object Object]
Nursing Management Urinary Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Urinary Complications ,[object Object],[object Object],[object Object]
Nursing Management Urinary Complications ,[object Object],[object Object],[object Object],[object Object]
Potential Alterations in Gastrointestinal Function ,[object Object],[object Object]
Potential Alterations in Gastrointestinal Function ,[object Object],[object Object]
Nursing Management   Gastrointestinal Complications ,[object Object],[object Object],[object Object],[object Object]
Potential Alterations in Gastrointestinal Function ,[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Alterations in Gastrointestinal Function ,[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Alterations in Gastrointestinal Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Alterations in Gastrointestinal Function ,[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Alterations   of the Integument ,[object Object],[object Object],[object Object],[object Object]
Potential Alterations   of the Integument ,[object Object],[object Object],[object Object]
Potential Alterations   of the Integument ,[object Object],[object Object]
Nursing Management Surgical Wounds ,[object Object],[object Object],[object Object],[object Object]
Potential Alterations   of the Integument ,[object Object],[object Object],[object Object]
Potential Alterations   of the Integument ,[object Object],[object Object],[object Object]
Potential Alterations   of the Integument ,[object Object],[object Object],[object Object],[object Object]
Pain and Discomfort ,[object Object],[object Object],[object Object],[object Object]
Nursing Management Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Alterations in Temperature ,[object Object],[object Object],[object Object],[object Object]
Potential Alterations in Temperature ,[object Object],[object Object],[object Object]
Nursing Management Altered Temperature ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Altered Temperature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Alterations in Psychologic Function ,[object Object],[object Object]
Nursing Management  Psychologic Function ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management  Psychologic Function ,[object Object],[object Object],[object Object],[object Object]
Nursing Management  Psychologic Function ,[object Object],[object Object],[object Object]
Planning for Discharge and  Follow-up Care ,[object Object],[object Object],[object Object]

Mais conteúdo relacionado

Mais procurados

Perioperative Nursing
Perioperative NursingPerioperative Nursing
Perioperative Nursing
xtrm nurse
 
Post resuscitation care
Post resuscitation carePost resuscitation care
Post resuscitation care
Rashidi Ahmad
 

Mais procurados (20)

Preoperative nursing
Preoperative nursingPreoperative nursing
Preoperative nursing
 
Intensive care Units Role of Nursing
Intensive care Units Role of Nursing Intensive care Units Role of Nursing
Intensive care Units Role of Nursing
 
Intercostal drainage tube insertion
Intercostal drainage tube insertionIntercostal drainage tube insertion
Intercostal drainage tube insertion
 
Pressure ulcer assessment and management
Pressure ulcer assessment and managementPressure ulcer assessment and management
Pressure ulcer assessment and management
 
Icu
IcuIcu
Icu
 
Care of surgical patient
Care of surgical patientCare of surgical patient
Care of surgical patient
 
Perioperative Nursing
Perioperative NursingPerioperative Nursing
Perioperative Nursing
 
Chest tubes
Chest tubesChest tubes
Chest tubes
 
Intra operative care.pptx
Intra operative care.pptxIntra operative care.pptx
Intra operative care.pptx
 
Hemodynamic monitoring in ICU
Hemodynamic monitoring in ICUHemodynamic monitoring in ICU
Hemodynamic monitoring in ICU
 
Postoperative care
Postoperative carePostoperative care
Postoperative care
 
preoperative preparation and postoperative care
preoperative preparation and postoperative care preoperative preparation and postoperative care
preoperative preparation and postoperative care
 
Care cardiac surgery
Care cardiac surgeryCare cardiac surgery
Care cardiac surgery
 
Introduction to ICU Basics in ICU
Introduction to ICU Basics in ICUIntroduction to ICU Basics in ICU
Introduction to ICU Basics in ICU
 
Basics of icu care
Basics of icu careBasics of icu care
Basics of icu care
 
Post resuscitation care
Post resuscitation carePost resuscitation care
Post resuscitation care
 
Acute pancreatitis nursing care plan & management
Acute pancreatitis nursing care plan & managementAcute pancreatitis nursing care plan & management
Acute pancreatitis nursing care plan & management
 
Tracheostomy care
Tracheostomy careTracheostomy care
Tracheostomy care
 
Pre & post operative nursing care
Pre & post operative nursing carePre & post operative nursing care
Pre & post operative nursing care
 
Central line
Central line Central line
Central line
 

Destaque

perioperative nursing care
perioperative nursing careperioperative nursing care
perioperative nursing care
twiggypiggy
 
Perioperative Nursing (complete)
Perioperative Nursing (complete)Perioperative Nursing (complete)
Perioperative Nursing (complete)
MarkFredderickAbejo
 
Roles of the postanesthesia care unit nurse
Roles of the postanesthesia care unit nurseRoles of the postanesthesia care unit nurse
Roles of the postanesthesia care unit nurse
Nick Alfaro
 
Concept On Surgery Postoperative
Concept On Surgery PostoperativeConcept On Surgery Postoperative
Concept On Surgery Postoperative
Tosca Torres
 
Complications of major surgery
Complications of major surgeryComplications of major surgery
Complications of major surgery
Soyebo Oluseye
 
Postoperative Complications
Postoperative ComplicationsPostoperative Complications
Postoperative Complications
shabeel pn
 
General Care of the Surgical Patient
General Care of the Surgical PatientGeneral Care of the Surgical Patient
General Care of the Surgical Patient
Wendy Jeng
 

Destaque (20)

Post operative care
Post operative carePost operative care
Post operative care
 
Pre operative care
Pre operative carePre operative care
Pre operative care
 
Post Operative Management
Post Operative ManagementPost Operative Management
Post Operative Management
 
Preoperative and postoperative care
Preoperative and postoperative carePreoperative and postoperative care
Preoperative and postoperative care
 
Post operative complications
Post operative complicationsPost operative complications
Post operative complications
 
perioperative nursing care
perioperative nursing careperioperative nursing care
perioperative nursing care
 
Postoperative complications and their management
Postoperative complications and their managementPostoperative complications and their management
Postoperative complications and their management
 
Fwd: Post op complications
Fwd: Post op complicationsFwd: Post op complications
Fwd: Post op complications
 
Post operative care complication management
Post operative care complication managementPost operative care complication management
Post operative care complication management
 
Post operative complications
Post operative complicationsPost operative complications
Post operative complications
 
Perioperative Nursing (complete)
Perioperative Nursing (complete)Perioperative Nursing (complete)
Perioperative Nursing (complete)
 
Roles of the postanesthesia care unit nurse
Roles of the postanesthesia care unit nurseRoles of the postanesthesia care unit nurse
Roles of the postanesthesia care unit nurse
 
Post Anesthesia Care Unit
Post Anesthesia Care UnitPost Anesthesia Care Unit
Post Anesthesia Care Unit
 
Post anesthesia care unit(PACU)
Post anesthesia care unit(PACU)Post anesthesia care unit(PACU)
Post anesthesia care unit(PACU)
 
Concept On Surgery Postoperative
Concept On Surgery PostoperativeConcept On Surgery Postoperative
Concept On Surgery Postoperative
 
Complications of major surgery
Complications of major surgeryComplications of major surgery
Complications of major surgery
 
Perioperative Care
Perioperative CarePerioperative Care
Perioperative Care
 
Postoperative Complications
Postoperative ComplicationsPostoperative Complications
Postoperative Complications
 
Preoperative care
Preoperative carePreoperative care
Preoperative care
 
General Care of the Surgical Patient
General Care of the Surgical PatientGeneral Care of the Surgical Patient
General Care of the Surgical Patient
 

Semelhante a Post Op

Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2
kevinmontealegre
 
Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2
kevinmontealegre
 
Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2
kevinmontealegre
 
Administration of general anesthesia
Administration of general anesthesiaAdministration of general anesthesia
Administration of general anesthesia
Sumit Prajapati
 

Semelhante a Post Op (20)

Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2
 
Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2
 
Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2Abc 2011 2012 respiratory disorders part 2
Abc 2011 2012 respiratory disorders part 2
 
Cabg Teaching
Cabg TeachingCabg Teaching
Cabg Teaching
 
Administration of general anesthesia
Administration of general anesthesiaAdministration of general anesthesia
Administration of general anesthesia
 
Clinicalemergencies medical nursing
Clinicalemergencies medical nursingClinicalemergencies medical nursing
Clinicalemergencies medical nursing
 
Acute abdomen
Acute abdomenAcute abdomen
Acute abdomen
 
Nursing management of genito urinary disorders in children
Nursing management of genito urinary disorders  in childrenNursing management of genito urinary disorders  in children
Nursing management of genito urinary disorders in children
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Drug toxicity
Drug toxicity Drug toxicity
Drug toxicity
 
Clinical emergencies medical surgical nursing 25-4-2014
Clinical emergencies   medical surgical nursing 25-4-2014Clinical emergencies   medical surgical nursing 25-4-2014
Clinical emergencies medical surgical nursing 25-4-2014
 
Ch 14 ppt renal
Ch 14 ppt   renalCh 14 ppt   renal
Ch 14 ppt renal
 
APPENDITICITIS.ppt
APPENDITICITIS.pptAPPENDITICITIS.ppt
APPENDITICITIS.ppt
 
Prone positioning new
Prone positioning newProne positioning new
Prone positioning new
 
PRE OP pre operative assessment before surgery
PRE OP pre operative assessment before surgeryPRE OP pre operative assessment before surgery
PRE OP pre operative assessment before surgery
 
Peri operative nursing
Peri operative nursingPeri operative nursing
Peri operative nursing
 
Renal failure
Renal failureRenal failure
Renal failure
 
ARDS
ARDSARDS
ARDS
 
ARDS
ARDSARDS
ARDS
 
Management of critically ill child
Management of critically ill childManagement of critically ill child
Management of critically ill child
 

Mais de xtrm nurse (20)

Neuro diseases newest
Neuro diseases newestNeuro diseases newest
Neuro diseases newest
 
Cerebro-Vascular Disorders
Cerebro-Vascular DisordersCerebro-Vascular Disorders
Cerebro-Vascular Disorders
 
Legal aspects of nursing
Legal aspects of nursingLegal aspects of nursing
Legal aspects of nursing
 
Ethics 2012
Ethics 2012Ethics 2012
Ethics 2012
 
Cv
 Cv Cv
Cv
 
Cardiovascular diseases modified
Cardiovascular diseases modifiedCardiovascular diseases modified
Cardiovascular diseases modified
 
Controlling and evaluation mechanism
Controlling and evaluation mechanismControlling and evaluation mechanism
Controlling and evaluation mechanism
 
Directing_2011
Directing_2011Directing_2011
Directing_2011
 
Cardiovascular emergencies_elective2 Lec
Cardiovascular emergencies_elective2 LecCardiovascular emergencies_elective2 Lec
Cardiovascular emergencies_elective2 Lec
 
Leadership theories new - MJCN 2012
Leadership theories new - MJCN 2012Leadership theories new - MJCN 2012
Leadership theories new - MJCN 2012
 
Cva
CvaCva
Cva
 
Presentation1
Presentation1Presentation1
Presentation1
 
Cardiovascular System
Cardiovascular SystemCardiovascular System
Cardiovascular System
 
Copar
CoparCopar
Copar
 
Pharma 3
Pharma 3Pharma 3
Pharma 3
 
Week 5 Pharma
Week 5 PharmaWeek 5 Pharma
Week 5 Pharma
 
Withsyringe
WithsyringeWithsyringe
Withsyringe
 
Week 2 Pharma
Week 2 PharmaWeek 2 Pharma
Week 2 Pharma
 
Waterlily
WaterlilyWaterlily
Waterlily
 
Pharma Week 2 Day 1
Pharma Week 2 Day 1Pharma Week 2 Day 1
Pharma Week 2 Day 1
 

Último

Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
adilkhan87451
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 

Último (20)

Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
 
Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 

Post Op