Download or read book Intense Erotic Variety Pack Volume Three written by Kandace Tunn and published by Red Hot Explicit Erotica Press. This book was released on 2021-02-13 with total page 55 pages. Available in PDF, EPUB and Kindle. Book excerpt: Would you like to read this story? Kat’s Double Team Penance (The Sexy Wife’s Very Rough First Anal Sex Experience) An MFM Ménage a Trois Erotica Story by Savannah Deeds The bachelorette party was fun but I got a little drunk and before I knew it my mouth was on a stripper. Through the haze of alcohol I realized what I was doing and stopped. I’d only done or for ten or fifteen seconds but I caught myself and let the other girls go crazy with the strippers. Everything would have been fine but my husband ended up seeing a picture. Suddenly my marriage was in jeopardy. I told Thomas I’d do anything, and I meant it. I didn’t know anything would mean he’d invite a friend over and both of them would have me. It was the roughest sex of my life with rough deep throat, spanking, and even anal sex, which I’d never done before. Don’t ask me why. Don’t ask me how. I… liked it. That story is just one of the sexy tales of steamy adventure you’ll find in this collection. Warning: This ebook contains very explicit descriptions of sexual activity and includes rough sex, group sex, first anal sex, reluctant sex, first lesbian sex, and more. Only mature adults who won’t find that offensive should read this collection. Here are the rest of the stories: 2. BOUND FOR MY HUSBAND’S FRIENDS A Rough Wife Gangbang Story) by Jane Kemp I couldn’t believe my husband was still playing poker. He and his pals had started in the morning, and they were still going strong long after we should have left for dinner. I was having none of it. It was supposed to be my night, and my man wasn’t paying me any attention at all. To hell with that! I got dressed up sexy and walked right up to him. The choice was simple, poker or me. Well, of course he chose me! The catch was that all of his poker buddies did, too! I was suddenly in the midst of a rough gangbang, and what could I do about it? My husband made sure there was bondage involved! 3. EVELYN’S EXPERT INTRODUCTION A First Lesbian Sex Experience Erotica Story by Kate Youngblood Danielle truly enjoys her internship with the brilliant and beautiful Evelyn, a renowned expert on whale migration and a stunning woman all around. Danielle has never been a woman and is confused by the desires that have overcome her throughout the summer. She’s never felt this way before, and it’s more than just curiosity. She’s nervous and excited when she has dinner with Evelyn and discovers the lovely woman is more than willing to give Danielle her first lesbian sex experience! 4. PAYING FOR INSUBORDINATION WITH MY ASS A Rough Double Penetration Office Sex Erotica Story by D.P. Backhaus Dell Hawley is one of the most infuriating men Janet has ever had the misfortune to know, and she’s fed up by the demanding and manipulative potential customer. When she finally loses it with him, she’s relieved that she can forget about doing business with him. She ends up in the CEO’s office, though; and Harrison Torte isn’t happy at all with the way she’s treated this multimillionaire client. Fortunately, Harrison is able to rescue the deal. Unfortunately, it comes at a price. In this case, that price is Janet! She’ll end up between both of the men in a rough mfm threesome complete with double penetration! 5. Two Cock Casting Call A Double Penetration Short by Kandace Tunn Irene’s acting career isn’t going the way she’d hoped, but she’s pretty sure she can get spot in a student production at the local college. Of course, she had no idea that the camera’s would be capturing every side of her just as two men would take every part of her, her mouth, her throat, her pussy, and her tiny asshole! Deep throat, double team sex, and double penetration—sound like a movie you might want to see?
Download or read book Pass CCRN R Adult E Book written by Robin Donohoe Dennison and published by Elsevier Health Sciences. This book was released on 2023-05-24 with total page 556 pages. Available in PDF, EPUB and Kindle. Book excerpt: - NEW! Thoroughly updated content follows the latest CCRN® (Adult) exam blueprint, covering the content areas tested and matching the percentage of the examination devoted to each. - NEW! Updates also reflect the latest research evidence and national and international guidelines and treatment protocols. - NEW! Focus on need-to-know content helps you make the most of your study time. - NEW! Interactive Learning Activities on the Evolve website provide an engaging and stimulating way to review essential content, with question styles such as matching, fill-in-the blank, comparison, case studies, and more. - NEW! References and Recommended Readings are now available in both the print and eBook versions. - NEW! Improved design improves the book's legibility and reduces eyestrain.
Download or read book Interventional Procedures for Adult Structural Heart Disease E Book written by John M Lasala and published by Elsevier Health Sciences. This book was released on 2013-12-21 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2014 BMA Medical Book Awards Highly Commended in Cardiology category! Apply the latest percutaneous techniques with the practical, highly illustrated Interventional Procedures for Structural Heart Disease. This brand-new medical reference book presents full-color images, numerous tables, and invaluable clinical pearls to help you utilize today's hottest techniques and technologies for each disease, so you can offer your patients the most desirable outcomes possible. - Master today's hottest percutaneous procedures for structural heart disease as perfected by experts from around the world, including transcatheter aortic valve replacement (TAVR), percutaneous paravalvular leak closure, transcatheter mitral valve interventions, a wide variety of adult congenital cardiovascular defect interventions, and more. - Grasp the specific knowledge you will need for success in a variety of clinical scenarios, as well as the patient selection criteria for each invasive procedure. - Make informed, evidence-based decisions with the latest clinical trial results and evidence integrated into each chapter. - Visualize the newest techniques and technologies more clearly through a full-color design featuring illustrations, tables, clinical pearls, complications, and current evidence boxes. - Seamlessly search the full text online at Expert Consult.
Download or read book Proceedings American Philosophical Society vol 145 no 3 2001 written by and published by American Philosophical Society. This book was released on with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Principles of Echocardiography E Book written by Stuart J. Hutchison and published by Elsevier Health Sciences. This book was released on 2012-04-21 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles of Echocardiography and Intracardiac Echocardiography has everything you need to successfully obtain and interpret cardiac echo images. Stuart J. Hutchison—a premier cardiac diagnostic specialist—explains the dos and don’ts of echocardiography so that you get the best images and avoid artifacts. Get only the coverage you need with clinically-oriented, practical information presented in a consistent format that makes finding everything quick and easy. High-quality images, tables of useful values and settings, and access to the full text and more online at expertconsult.com make this the one echo handbook that has it all. Features access to the full text, an image library, and moving images online at expertconsult.com where you can browse, download, and learn from additional content. Focuses on clinically-oriented and practical information so that you get only the coverage that you need. Presents material in a consistent format that makes it easy for you find information. Explains how to obtain the best image quality and avoid artifacts through instructions on how to and how not to perform echocardiography. Provides excellent visual guidance through high-quality images—many in color—that reinforce the quality of information in the text. Includes numerous tables with useful values and settings to help you master probe settings and measurements.
Download or read book Foundations and Adult Health Nursing E Book written by Kim Cooper and published by Elsevier Health Sciences. This book was released on 2018-10-31 with total page 2219 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn the skills essential to clinical practice with Foundations and Adult Health Nursing, 8th Edition! This all-inclusive guide to fundamentals and medical-surgical nursing for the LPN/LVN covers everything from anatomy and physiology to nursing interventions and maternity, neonatal, pediatric, geriatric, mental health, and community health care. Guidelines for patient care are presented within the framework of the nursing process; Nursing Care Plans are described within a case-study format to help you develop skills in clinical decision-making. In addition, the accessible, friendly overall style and clearly written review questions helps you to prepare for the NCLEX-PN® examination. - Clear coverage of skills across the human lifespan includes maternity, pediatrics, adults, and older adults. - Full-color, step-by-step instructions for over 110 skills show nursing techniques and procedures along with rationales for each. - Tenth grade reading level helps you to understand complex topics. - Skills are presented in a step-by-step format with clearly defined nursing actions and rationales. - Mathematics review in Dosage Calculation and Medication Administration chapter covers basic arithmetic skills prior to the discussion of medication administration. - Safety Alerts cover issues related to safe patient care in a variety of settings. - Health Promotion Considerations boxes highlight information on wellness and disease prevention, including infection control, diet, and pregnancy. - Nursing Care Plans emphasize patient goals and outcomes within a case-study format, and promotes clinical decision-making with critical thinking questions at the end of each care plan. - Patient Teaching boxes include post-hospital discharge guidelines and disease prevention instructions with a strong focus on three-way communication among the nurse, patient, and family members. - Communication boxes illustrate communication strategies using real-life examples of nurse-patient dialogue. - Lifespan Consideration boxes provide you with age-specific information for the care of the patient. - Home Health Considerations boxes discuss issues facing patients and their caregivers in the home setting. - Get Ready for the NCLEX® Examination section at the end of each chapter provides Key Points, Review Questions, and Critical Thinking Activities to reinforce learning. - Coordinated Care boxes promote comprehensive patient care with other members of the health care team, focusing on prioritization, assignment, supervision, collaboration, delegation, and leadership topics.
Download or read book Brocklehurst s Textbook of Geriatric Medicine and Gerontology E Book written by Howard M. Fillit and published by Elsevier Health Sciences. This book was released on 2016-05-06 with total page 1499 pages. Available in PDF, EPUB and Kindle. Book excerpt: The leading reference in the field of geriatric care, Brocklehurst's Textbook of Geriatric Medicine and Gerontology, 8th Edition, provides a contemporary, global perspective on topics of importance to today's gerontologists, internal medicine physicians, and family doctors. An increased focus on frailty, along with coverage of key issues in gerontology, disease-specific geriatrics, and complex syndromes specific to the elderly, makes this 8th Edition the reference you'll turn to in order to meet the unique challenges posed by this growing patient population. - Consistent discussions of clinical manifestations, diagnosis, prevention, treatment, and more make reference quick and easy. - More than 250 figures, including algorithms, photographs, and tables, complement the text and help you find what you need on a given condition. - Clinical relevance of the latest scientific findings helps you easily apply the material to everyday practice. - A new chapter on frailty, plus an emphasis on frailty throughout the book, addresses the complex medical and social issues that affect care, and the specific knowledge and skills essential for meeting your patients' complex needs. - New content brings you up to date with information on gerontechnology, emergency and pre-hospital care, HIV and aging, intensive treatment of older adults, telemedicine, the built environment, and transcultural geriatrics. - New editor Professor John Young brings a fresh perspective and unique expertise to this edition.
Download or read book Textbook of Adult Emergency Medicine E Book written by Peter Cameron and published by Elsevier Health Sciences. This book was released on 2011-11-18 with total page 1047 pages. Available in PDF, EPUB and Kindle. Book excerpt: A major postgraduate textbook in emergency medicine, covering all the major topics that present to the trainee doctor in the emergency department. A comprehensive textbook of adult emergency medicine for trainee doctors - covers all the problems likely to present to a trainee in the emergency department. Chapters are short and concise, with key point boxes (called "Essentials") at the beginning. Also has boxes featuring controversial areas of treatment. Practical and clinically orientated. Major changes to resuscitation guidelines. Complete rewriting of ENT section. Significant updating of following topics - acute coronary syndrome management, trauma, sepsis management, imaging, arrhythmias. Expansion of administration section - especially patient safety. Changes to drug overdose sections in toxicology section.
Download or read book Diagnosis and Management of Adult Congenital Heart Disease E Book written by Michael A. Gatzoulis and published by Elsevier Health Sciences. This book was released on 2017-02-02 with total page 739 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to meet the needs of clinicians working with adults with congenital heart disease, Diagnosis and Management of Adult Congenital Heart Disease , by Drs. Michael A. Gatzoulis, Gary D. Webb, and Piers E. F. Daubeney, offers essential guidance on the anatomical issues, clinical presentation, diagnosis, and treatment options available to practitioners today. This latest edition features completely updated content, including new information for nurses and nurse practitioners who, now more than ever, are playing an important role in the care of adults with CHD. You'll also access four new chapters, illustrated congenital defects, coverage of long-term outcomes, and much more. - Drs. Gatzoulis, Webb, and Daubeney lead a team of experts ideally positioned to provide state-of-the-art global coverage of this increasingly important topic. - Each disease-oriented chapter is written to a highly structured template and provides key information on incidence, genetics, morphology, presentation, investigation and imaging, and treatment and intervention. - Congenital defects are illustrated with full-color line drawings and by the appropriate imaging modality (for example, EKG, x-ray, echocardiogram, MRI, CT, ). - Provides coverage of long-term outcomes, including the management of pregnant patients and patients undergoing non-cardiac surgery. - Features the addition of four new chapters: A Historic Perspective; Quality of Life in Patients with Pulmonary Hypertension; Psychosocial Issues in ACHD; Supportive and Palliative Care for End-Stage ACHD.
Download or read book Mosby s Drug Guide for Nursing Students with update E Book written by Linda Skidmore-Roth and published by Elsevier Health Sciences. This book was released on 2023-03-29 with total page 1251 pages. Available in PDF, EPUB and Kindle. Book excerpt: Find the information you need to administer drugs safely, accurately, and professionally! Mosby's Drug Guide for Nursing Students, 15th Edition with 2024 Update provides concise profiles of more than 4,000 generic and trade name drugs, including the drugs most recently approved by the FDA. Each drug monograph includes clear guidelines to dosing, administration, and the nursing process, so you’ll always be sure that you’re practicing medication safety. What sets this handbook apart is its detailed coverage of rationales and explanations, IV drugs, and the similarities and differences in common classes of drugs. From well-known pharmacology expert Linda Skidmore-Roth, this drug guide has been trusted by nursing students for more than 25 years! More than 4,000 generic and trade-name drugs are profiled, covering almost every drug you will administer in practice or in clinicals. Alphabetical organization by generic name provides quick and easy access to specific drugs, and a full-color design highlights important information. Nursing Process steps are used as the framework for organizing all nursing care information. Black Box Warnings provide alerts to FDA warnings of dangerous or life-threatening drug reactions. High Alert headings indicate drugs that pose the great risk if administered improperly. Additional drug monographs on the Evolve website provide information on the most recently approved drugs. Individual drug monographs include generic name, pronunciation, functional and chemical classification, do-not-confuse drug names, action, therapeutic outcome, uses, unlabeled uses, pharmacokinetics/pharmacodynamics, contraindications, precautions, dosages and routes, adverse effects, interactions (including drug/herb, drug/food and lab test), nursing considerations, black box warnings, patient/family education, and treatment of overdose. Drug Categories sections promote the safe administration of common classes of drugs, explaining the similarities and differences among drugs in the same functional class including their common side effects and interactions. Common and life-threatening side effects are organized by body system, showing signs to watch for during assessments. Coverage of IV drug administration highlights dosage and IV administration instructions, including safety considerations and Y-site, syringe, and additive compatibilities. Complete pharmacokinetic information includes the mechanism and absorption of the drug, as well as its action, duration, and excretion. Photo atlas of drug administration includes full-color illustrations showing physical landmarks and administration techniques used for IV and other drugs. Cross-references indicate drug information that may be found in the appendixes. Flexible, water-resistant cover provides durability in the clinical setting. NEW! Information on new drugs for 2024 is included in the appendix. NEW! Updated Drug Categories sections include the new 2024 drugs.
Download or read book Endocrinology Adult and Pediatric E Book written by J. Larry Jameson and published by Elsevier Health Sciences. This book was released on 2015-02-25 with total page 3707 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considered the definitive source in its field for over 35 years, Endocrinology: Adult and Pediatric, has been thoroughly updated to reflect today's recent advances in adult and pediatric endocrinology. Unique perspectives from a team of trusted, world-renowned experts ensure this medical reference book remains the most highly-regarded text in the field. Make the best clinical decisions with an enhanced emphasis on evidence-based practice and expert opinions on treatment strategies. Zero in on the most relevant and useful references with the aid of a more focused, concise bibliography. Locate information quickly, while still getting the complete coverage you expect. Now in full color, with special design treatment for at-a-glance pediatric content, helping to distinguish the pediatric content. Expanded coverage for key topics such as pediatric endocrinology and obesity mechanisms and treatment, in addition to today's hot topics in endocrinology, including endocrine disruptors, bariatric surgery, androgen deficiency, genetic causes of obesity, endocrine rhythms, and the use of tyrosine kinase inhibitors in thyroid cancer. New content addressing the latest advances in testosterone and estrogen replacement, as well as the new causes of calcium and phosphate disorders, new molecular causes of endocrine cancers, new genetic causes of reproductive disorders, and more. Updated clinical guidelines for diabetes, lipid disorders, obesity management, osteoporosis, and more, as well as essential treatment updates for the medical management of acromegaly, Cushing's Disease, hypercalcemia, and diabetes mellitus. New Key Points provide snapshots of what to expect in each chapter, or serve as a refresher of what you just read. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
Download or read book Foundations and Adult Health Nursing E Book written by Barbara Lauritsen Christensen and published by Elsevier Health Sciences. This book was released on 2013-12-27 with total page 2260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the popular LPN Threads series, this comprehensive text includes in-depth discussions of fundamental concepts and skills, plus medical-surgical content to help you provide safe and effective care in the fast-paced healthcare environment. Easy-to-read content, an enhanced focus on preparing for the NCLEX® Examination, and a wealth of tips and study tools make Foundations and Adult Health Nursing, 6th Edition, your must-have text!
Download or read book August s Consultations in Feline Internal Medicine Volume 7 E Book written by Susan E. Little and published by Elsevier Health Sciences. This book was released on 2015-11-25 with total page 1085 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stay current with cutting-edge information from the leading feline experts! August's Consultations in Feline Internal Medicine, Volume 7 takes the popular Current Therapy approach to the latest issues, advances, and therapies in feline care. The 103 new chapters are organized by body systems, making information easy to access, and include more than 800 new detailed photographs, diagrams, and MRI and ultrasound images. Discussions of scientific findings always emphasize clinical relevance and practical application. This edition addresses new topics ranging from feline obesity and food allergies to respiratory mycoplasmal infections. From feline expert Susan Little, with chapters written by more than 130 international specialists, this practical resource will be an invaluable addition to every small animal clinician's library. - The Current Therapy format focuses on the latest advances in feline care and includes broad, traditional, and controversial subjects of real clinical importance. - Clinically relevant approach is supported with scientific research and promotes practical, progressive clinical management. - More than 130 world-renowned contributors provide expert insight across the full spectrum of feline internal medicine. - Extensive references make it easy to find additional information about specific topics most important to your practice. - 103 ALL-NEW chapters reflect the latest findings, reports, and evidence-based coverage of pressing topics such as: - Managing respiratory mycoplasmal infections - Continuous glucose monitoring in cats with diabetes - Feline food allergy - Stem cell therapy for chronic kidney disease - Feline idiopathic cystitis - Electrochemotherapy - Current concepts in preventing and managing obesity - Recognition and treatment of hypertensive crises - Feline social behavior and personality - NEW Emergency and Critical Care Medicine section contains 13 chapters covering complicated and serious internal medical problems. - NEW! More than 800 colorful new images clarify concepts and demonstrate clinical examples.
Download or read book Critical Care Medicine E Book written by Joseph E. Parrillo and published by Elsevier Health Sciences. This book was released on 2013-10-16 with total page 1877 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here’s the most clinically oriented critical care text focusing on the adult patient. In full-color and superbly illustrated with clinical photographs, imaging studies, and management algorithms, and with a broad multidisciplinary focus, this text will help you enhance your skills at any level of training. Stands alone as a clinically oriented comprehensive reference. Completely updated and authorship expanded to reflect the evolution in critical care practice. In color for the first time, with new color schematics and treatment algorithms for greater ease of reference. Utilizes key points lists at the end of chapter, to help you make decisions rapidly and easily. Delivers key references that list other useful resources for information. Learn from the best ICU specialists worldwide with contributions from an increased number of international authorities. Effectively manage common complications in the ICU with updated coverage of severe sepsis, septic shock, surgical infections, neurogenic and anaphylactic shock, severe heart failure, acute coronary syndromes, and Acute Respiratory Distress Syndrome. Access the complete contents online at Expert Consult, along with an image bank and instructional videos!
Download or read book Mosby s Drug Guide for Nursing Students with 2020 Update E Book written by Linda Skidmore-Roth and published by Elsevier Health Sciences. This book was released on 2018-06-03 with total page 1294 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the most-trusted name in nursing comes the handbook designed to help you understand common drug families and interactions. Mosby’s Drug Guide for Nursing Students with 2020 Update provides you with the latest information on more than 4,000 generic and trade name drugs, along with a 2020 update to the latest FDA-approved medications. Side-effects are organized by body system and identified as common or life threatening, informing you what signs to watch for during assessments. In addition, drug monographs are arranged alphabetically, and each includes clear dosing, administration, and nursing process information, so you are ready for clinicals. In fact, what sets this handbook apart is its detailed coverage of rationales and explanations, drug-specific nursing diagnoses, administration of IV drugs, and medication safety - helping you to understand how families of drugs work together. More than 4,000 generic and trade-name drugs are profiled, covering almost every drug you will administer in practice or in clinicals. Black Box Warnings provide alerts to FDA warnings of dangerous or life-threatening drug reactions. Safety Alert icon highlights the most critical drug interactions and side effects. Bold headings in coverage of IV drug administration highlights dosage and IV administration instructions, including safety considerations, syringe, and additive compatibilities. Logical organization of side effects information show you what signs to watch for during assessments. Nursing Process steps are used as the framework for organizing all nursing care information. Alphabetical organization by generic name provides quick and easy access to specific drugs, and a full-color design highlights important information. Complete pharmacokinetic information includes the mechanism and absorption of the drug as well as its action, duration, and excretion. Cross-references indicate drug information that may be found in the appendixes. NEW! The most up-to-date information on drug dosage, warnings, and patient information ensures you understand the safe administration of common classes of drugs, as well as their common side effects and interactions.
Download or read book Stratification of tropical forests as seen in leaf structure written by B. Rollet and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume is the last contribution of a series of With the present book, a further gap concern studies concerned with the plant material of one ing leaf morphology and leaf venation, as well and the same area of Venezuelan Guiana. The as some structural peculiarities of physiological importance, is closed so that an exhaustive survey studies originated through a collaboration with the forest engineer Dr. B. Rollet, the FAO expert in of bark and leaf morphology and anatomy as well forest inventory who collected the material of tree as of fruit and seed structure of the plants of a barks, leaves, fruits and seeds in Venezuelan certain well-known area is herewith given. Not Guiana around the "Rio Grande", "EI Paraiso", only were hundreds of species studied, but and "EI Dorado" camps. In the first place, tree structural characteristics were related to "forest barks of about 280 species of dicotyledons stratification", i. e. to the different micro climatic belonging to 48 families were studied (family by conditions in the forest, as the height of the trees family) by Roth in separate publications which and shrubs studied was known. It is of common mainly appeared in Acta Botanica Venezuelica knowledge that in the lower forest layers, light is a and in Acta Biol6gica Venezuelica (see the bibli limiting factor, while humidity is sufficiently avail ography in Roth 1981).
Download or read book Men s Health written by and published by . This book was released on 2008-06 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Men's Health magazine contains daily tips and articles on fitness, nutrition, relationships, sex, career and lifestyle.