Insulin Therpay In I C U

•Télécharger en tant que PPT, PDF•

6 j'aime•825 vues

guestaaf4ca

Santé & Médecine

Insulin replacement therapy in ICU Roz Elliott CNC The Royal North Shore Hospital

Session outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is insulin? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is insulin? ,[object Object],S S Gly-Ile-Val-Glu-Gln-Cys-Cys-Thr-Ser-Ile-Cys-Ser-Leu-Tyr-Gln-Leu-Glu-Asn-Tyr-Cys-Asn Phe-Val-Asn-Gln-His-Leu-Cys-Gly-Ser-His-Leu-Val-Glu-Ala-Leu-Tyr-Leu-Val-Cys-Gly-Glu-Arg-Gly-Phe-Phe-Tyr-Thr-Pro-Lys-Thr S S S S A CHAIN B CHAIN

Actions of insulin ,[object Object],[object Object],[object Object],[object Object],[object Object]

Actions of insulin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Insulin receptors ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pharmacokinetics ,[object Object],[object Object],[object Object],[object Object]

Indications for insulin therapy in ICU ,[object Object],[object Object],[object Object]

Insulin resistance/hyperglycaemia in ICU patients ,[object Object],[object Object]

Insulin resistance/hyperglycaemia in ICU patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Insulin resistance/hyperglycaemia in ICU patients ,[object Object],[object Object],[object Object],[object Object],[object Object]

Recent developments ,[object Object],[object Object],[object Object],[object Object]

Recent developments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Intravenous administration ,[object Object]

Intravenous administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Intravenous administration ,[object Object],[object Object],[object Object],[object Object]

Future developments ,[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object]

Contenu connexe

Tendances

Icbt08i10p1039

anuraghearthack56

Corticosteroids to be withheld prior to surgery?

Mary Lorelei Ferol Macazo

Rosenberg on Immunosuppression

SMACC Conference

Class corticosteroids new

Raghu Prasada

Corticosteroids satya

sathyanarayanan varadarajan

Glucocorticoids by abdul qahar

Abdul Qahar {{Abdul Wali Khan University Mardan}} (Buner Campus)

New therapies in dm

arnab ghosh

corticosteroids

Rudhra Prabhakar

Corticosteroids

waheed marth

This 9-slide slide set created with PowerPoint is a short introduction to corticosteroids, in particular, the glucocorticoids, describing their receptor-mediated effects as well as why they exert both wanted and unwanted effects when used as anti-inflammatory and immunosuppressant drugs. This introduction to the topic of corticosteroids would be appropriate for beginners. Contributed by Christopher Fowler, Umeå University, Sweden.

Corticosteroids- an introduction

Pharmacology Education Project

Methyprednisolone Pulse Therapy for Nurses

Allan Corpuz

Steroids: a summary for care

Lyndon Woytuck

C peptide

Dr.M.Prasad Naidu

Corticosteroid therapy

Mansoura university Hospital

Pharmacology (Corticosteroids Lecture)

Ashfaq Ahmad

Introduction immunosuppression akl_isneap2017

FarragBahbah

Diabetes Mellitus (DM) can be considered as the 21st century pandemic and it therefore represents an alarming threat to public health with rising trends and severity worldwide. DM comprises a set of metabolic disorders, which share the phenotype of hyperglycaemia (increment in blood glucose concentration). Blood glucose concentration fluctuates considerably in response of food intake, hormonal cycles, or behavioral factors. These fluctuations may range from 70 to 180 mg/dL for most normal subjects, although blood glucose concentration remains within the normo glycaemic zone (10-110 mg/dL) for most of the time. The internal physiological regulation of these wide fluctuations is a complex and multifactorial process. The most critical regulatory role is played by the pancreas, wich upon sensing an elevation of blood glucose concentration, secretes insulin through its beta cells, while an opposite change in the glucose causes the secretion of glucagon through its alpha cells. The secreted insuline assists the uptake of glucose by the cells and then storage the excess of glucose in the liver in the form of glycogen. Secreted glucagon assists the catabolism of glycogen into glucose that is released from the liver into the bloodstream, while insulin inhibits glycogen synthase. Furthermore, free fatty acids in blood potentiate the short-term responsiveness of pancratic beta cells to glucose oscillations, but may inhibit long-term responsiveness. Finally, blood glucose concentration and its relation to insulin concentration depend on the action of several other hormones (e.g. epinephrine, norepinephrine, and cortisol, making the complexity of this multifactorial regulatory system evident. The primary effect of blood glucose is exercised by insulin, and most efforts to date have focused on the study of this causal relation. Prolonged hyperglycaemia is normally caused by defects in insulin secretion by the pancreatic beta cells or in the efficiency of insulin-facilitated glucose uptake by the cells. The exact quantitative nature of the dependence between blood glucose concentration and the action of the other hormones mentioned above, or factors such as diet, endocrine cycles, exercise, stress and so on, remains largely unknown (primarily because of the lack of appropriate data), although the qualitative effect has been established, the aggregate effects of all these factors for modeling purposes set the basis for the study of glucose variability.

Modelling the Variability in the Insuline-Glucose Feedback System

Vicente RIBAS-RIPOLL

Acute phase proteins

binduvaliparambil

Corticosteroids

Dr Shah Murad

Acute adrenal insufficiency /certified fixed orthodontic courses by Indian de...

Indian dental academy

Tendances (20)

Icbt08i10p1039

Corticosteroids to be withheld prior to surgery?

Rosenberg on Immunosuppression

Class corticosteroids new

Corticosteroids satya

Glucocorticoids by abdul qahar

New therapies in dm

corticosteroids

Corticosteroids

Corticosteroids- an introduction

Methyprednisolone Pulse Therapy for Nurses

Steroids: a summary for care

C peptide

Corticosteroid therapy

Pharmacology (Corticosteroids Lecture)

Introduction immunosuppression akl_isneap2017

Modelling the Variability in the Insuline-Glucose Feedback System

Acute phase proteins

Corticosteroids

Acute adrenal insufficiency /certified fixed orthodontic courses by Indian de...

Similaire à Insulin Therpay In I C U

perioperative-management.ppt

DrVANDANA17

Diabetes mellitus (DM):- It is a metabolicdisorder characterized by hyperglycaemia, (fasting plasma glucose ≥ 126 mg/dl and/or ≥ 200 mg/dl 2 hours after 75 g oral glucose),glycosuria, hyperlipidaemia, negative nitrogen balance and sometimes ketonaemia. Diabetes mellitus, one of the major public health problems worldwide, is a metabolic disorder of multiple etiologies distinguished by a failure of glucose homeostasis with disturbances of carbohydrate, fat and protein metabolism as a result of defects in insulin secretion and/or insulin action. According to International Diabetes Federation (IDF) report, elevated blood glucose is the third uppermost risk factor for premature mortality, following high blood pressure and tobacco use globally Cardiovascular diseases, neuropathy, nephropathy, and retinopathy are among the major risks that are associated with diabetes.These chronic complications may lead to hardening and narrowing of arteries (atherosclerosis) that could advance to stroke, coronary heart disease, and other blood vessel diseases, nerve damage, kidney failure, and blindness with time Two major types of diabetes mellitus are 1. Insulin-dependent diabetes mellitus (IDDM) / juvenile onset diabetes mellitus 2. Noninsulin-dependent diabetes mellitus (NIDDM) / maturity onset diabetes mellitus Insulin-dependent diabetes mellitus (IDDM) / juvenile onset diabetes mellitus There is β cell destruction in pancreatic islets; majority of cases are autoimmune (type 1A) antibodies that destroy β cells are detectable in blood, but some are idiopathic (type 1B)-no βcell antibody is found. 2.Noninsulin-dependent diabetes mellitus (NIDDM) / maturity onset diabetes mellitus Type 2 diabetes mellitus (T2DM) is the most prevalent metabolic disease worldwide. There is no loss or moderate reduction in β cell mass: insulin in circulation is low. normal or even high. no anti-β -cell antibody is demonstrable: has a high degree of genetic predisposition: generally has a late onset (past middle age). Over 90% cases of diabetes are type 2 DM Abnormality in gluco-receptor of β cells so that they respond at higher glucose concentration or relative β cell deficiency. In either way. insulin secretion is impaired: may progress to β cells failure. Reduced sensitivity of peripheral tissues to insulin: reduction in number of insulin receptors, “down regulation” of insulin receptors. Insulin history: Insulin was discovered in 1921 by Banting and Best who demonstrated the hypoglycaemic action of an extract of pancreas prepared after degeneration of the exocrine part due to ligation of pancreatic duct. It was first obtained in pure crystalline form in 1926 and the chemical structure was fully worked out in 1956 by Sanger. Insulin is a two chain polypeptide having 51 amino acids and MW about 6000. The A-chain has 21 while B-chain has 30 amino acids. Insulin is synthesized in the β cells of pancreatic islets as a single chain peptide Preproinsulin (110 AA) from which

Anti-Diabetic Drugs ppt.pptx

Manu1418

Cong. Hyperinsuliism.pptx

ssuser2dcad1

Insulin

Mahatma Gandhi Medical College & Hospital

Diabetes mellitus (DM):- It is a metabolicdisorder characterized by hyperglycaemia, (fasting plasma glucose ≥ 126 mg/dl and/or ≥ 200 mg/dl 2 hours after 75 g oral glucose),glycosuria, hyperlipidaemia, negative nitrogen balance and sometimes ketonaemia. Diabetes mellitus, one of the major public health problems worldwide, is a metabolic disorder of multiple etiologies distinguished by a failure of glucose homeostasis with disturbances of carbohydrate, fat and protein metabolism as a result of defects in insulin secretion and/or insulin action. According to International Diabetes Federation (IDF) report, elevated blood glucose is the third uppermost risk factor for premature mortality, following high blood pressure and tobacco use globally Cardiovascular diseases, neuropathy, nephropathy, and retinopathy are among the major risks that are associated with diabetes. These chronic complications may lead to hardening and narrowing of arteries (atherosclerosis) that could advance to stroke, coronary heart disease, and other blood vessel diseases, nerve damage, kidney failure, and blindness with time Two major types of diabetes mellitus are 1. Insulin-dependent diabetes mellitus (IDDM) / juvenile onset diabetes mellitus 2. Noninsulin-dependent diabetes mellitus (NIDDM) / maturity onset diabetes mellitus Insulin-dependent diabetes mellitus (IDDM) / juvenile onset diabetes mellitus There is β cell destruction in pancreatic islets; majority of cases are autoimmune (type 1A) antibodies that destroy β cells are detectable in blood, but some are idiopathic (type 1B)-no βcell antibody is found. 2.Noninsulin-dependent diabetes mellitus (NIDDM) / maturity onset diabetes mellitus Type 2 diabetes mellitus (T2DM) is the most prevalent metabolic disease worldwide. There is no loss or moderate reduction in β cell mass: insulin in circulation is low. normal or even high. no anti-β -cell antibody is demonstrable: has a high degree of genetic predisposition: generally has a late onset (past middle age). Over 90% cases of diabetes are type 2 DM Abnormality in gluco-receptor of β cells so that they respond at higher glucose concentration or relative β cell deficiency. In either way. insulin secretion is impaired: may progress to β cells failure. Reduced sensitivity of peripheral tissues to insulin: reduction in number of insulin receptors, “down regulation” of insulin receptors. Insulin history: Insulin was discovered in 1921 by Banting and Best who demonstrated the hypoglycaemic action of an extract of pancreas prepared after degeneration of the exocrine part due to ligation of pancreatic duct. It was first obtained in pure crystalline form in 1926 and the chemical structure was fully worked out in 1956 by Sanger. Insulin is a two chain polypeptide having 51 amino acids and MW about 6000. The A-chain has 21 while B-chain has 30 amino acids. Insulin is synthesized in the β cells of pancreatic islets as a single chain peptide Preproinsulin (110 AA) from whic

Anti-Diabetic Drugs ppt.pptx

Manu1418

Anaesthetic Management of Diabetes Mellitus in Pediatrics

cairo1957

anti diabetics [Autosaved] final.pdf

anshududhe

Diabetes mellitus (DM):- It is a metabolicdisorder characterized by hyperglycaemia, (fasting plasma glucose ≥ 126 mg/dl and/or ≥ 200 mg/dl 2 hours after 75 g oral glucose),glycosuria, hyperlipidaemia, negative nitrogen balance and sometimes ketonaemia. Diabetes mellitus, one of the major public health problems worldwide, is a metabolic disorder of multiple etiologies distinguished by a failure of glucose homeostasis with disturbances of carbohydrate, fat and protein metabolism as a result of defects in insulin secretion and/or insulin action. According to International Diabetes Federation (IDF) report, elevated blood glucose is the third uppermost risk factor for premature mortality, following high blood pressure and tobacco use globally Cardiovascular diseases, neuropathy, nephropathy, and retinopathy are among the major risks that are associated with diabetes. These chronic complications may lead to hardening and narrowing of arteries (atherosclerosis) that could advance to stroke, coronary heart disease, and other blood vessel diseases, nerve damage, kidney failure, and blindness with time Two major types of diabetes mellitus are 1. Insulin-dependent diabetes mellitus (IDDM) / juvenile onset diabetes mellitus 2. Noninsulin-dependent diabetes mellitus (NIDDM) / maturity onset diabetes mellitus Insulin-dependent diabetes mellitus (IDDM) / juvenile onset diabetes mellitus There is β cell destruction in pancreatic islets; majority of cases are autoimmune (type 1A) antibodies that destroy β cells are detectable in blood, but some are idiopathic (type 1B)-no βcell antibody is found. 2.Noninsulin-dependent diabetes mellitus (NIDDM) / maturity onset diabetes mellitus Type 2 diabetes mellitus (T2DM) is the most prevalent metabolic disease worldwide. There is no loss or moderate reduction in β cell mass: insulin in circulation is low. normal or even high. no anti-β -cell antibody is demonstrable: has a high degree of genetic predisposition: generally has a late onset (past middle age). Over 90% cases of diabetes are type 2 DM Abnormality in gluco-receptor of β cells so that they respond at higher glucose concentration or relative β cell deficiency. In either way. insulin secretion is impaired: may progress to β cells failure. Reduced sensitivity of peripheral tissues to insulin: reduction in number of insulin receptors, “down regulation” of insulin receptors. Excess of hyperglycemic hormones (glucagon, ete. ) obesity: ; cause relative insulin deficiency the β cells Tag behind Insulin history: Insulin was discovered in 1921 by Banting and Best who demonstrated the hypoglycaemic action of an extract of pancreas prepared after degeneration of the exocrine part due to ligation of pancreatic duct. It was first obtained in pure crystalline form in 1926 and the chemical structure was fully worked out in 1956 by Sanger. Insulin is a two chain polypeptide having 51 amino acids and MW about 6000. The A-chain has 21 while B-chain has 30 amino acids.

Anti-Diabetic Drugs ppt.pptx

Manu1418

Drugs for diabetes - Pharmacology

Areej Abu Hanieh

Insulin 2020

Pravin Prasad

Antidiabetic agents1dated

MD Specialclass

Antidiabetic agents1dated

MD Specialclass

DIABETES MELLITUS AND ANAESTHETIC IMPLICATIONS.pptx

rijjorajoo

managing diabetes in critically ill hospitalized patients

sumitverma88

Anti-Diabetic drugs

Eneutron

Diabetes screening

Kajal Rajdev

Pharmacotherapy of diabetes mellitus

Naser Tadvi

Anti diabetic drugs

Dr.Arka Mondal

diabetes mellitus

FREE EDUCATION FOR ALL

Antidiabetic drug Patho.ppt

ssuser996f71

Similaire à Insulin Therpay In I C U (20)

perioperative-management.ppt

Anti-Diabetic Drugs ppt.pptx

Cong. Hyperinsuliism.pptx

Insulin

Anti-Diabetic Drugs ppt.pptx

Anaesthetic Management of Diabetes Mellitus in Pediatrics

anti diabetics [Autosaved] final.pdf

Anti-Diabetic Drugs ppt.pptx

Drugs for diabetes - Pharmacology

Insulin 2020

Antidiabetic agents1dated

DIABETES MELLITUS AND ANAESTHETIC IMPLICATIONS.pptx

managing diabetes in critically ill hospitalized patients

Anti-Diabetic drugs

Diabetes screening

Pharmacotherapy of diabetes mellitus

Anti diabetic drugs

diabetes mellitus

Antidiabetic drug Patho.ppt

Dernier

Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Aurangabad Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Aurangabad Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Aurangabad Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl In 5 Star Hotel Service Available Booking Contact Details WhatsApp Chat: +91-8617370543 Guwahati Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Guwahati understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...

Dipal Arora

♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl 100% Genuine Please Contact Me Booking Contact Details WhatsApp Chat: +91-7001035870 Hyderabad Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Hyderabad understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 29-Apr(Ast)

♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...

astropune

Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent High Profile Call Girl 24×7 Booking Contact Details WhatsApp Chat: +91-9930245274 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 29-04-24 (Smt)

Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...

Call Girls in Nagpur High Profile

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time Call Mr Chirag Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls, Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In 03-May-2024 (chd) Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time

Call Girls Delhi

Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Kochi Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Kochi Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Kochi Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl In 5 Star Hotel Service Available Booking Contact Details WhatsApp Chat: +91-8250192130 Hyderabad Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Hyderabad understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 29-Apr(Ast)

Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...

astropune

Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Massage and Pleasant Why you Choose Us- +91-6378878445 Bangalore Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of $L16

Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...

tanya dube

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋 Call Mr Chirag Ji +91-7877925207 NORTH/SOUTH INDIANS HIGH CLASS MODELS/COLLEGE GIRLS/ HOUSEWIVES/BODY TO BODY MASSAGE, SANDWICH MASSAGE, SHOWER BATHING, BLOW JOB, LICKING, FRONT AND BACK SHOT, RUBBING, KISSING SMOOCHING ETC ETC... UNLIMITED FUN Call 24/7. Your assistance for your service... ☛ ✔✔ secure✔✔ 100% safe ✔✔ Vip Callgirl Service offers you the most beautiful High Profile sexy independent female Escorts in genuine ✔✔✔ To enjoy with hot and sexy girls ✔✔✔ A03524SW ★providing:- • Models • vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-models • Foreigner And Many More.. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋

TANUJA PANDEY

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Celebrity for 5* Hotels Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...

parulsinha

Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details WhatsApp Chat: +91-9332606886 Hyderabad Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Hyderabad understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 02-May(Ast)

Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...

chandars293

(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent CALL GIRLS Available for Sex Shot FULL Night Navi Mumbai ESCORTS Booking Contact Details WhatsApp Chat: +91-9920874524 24/7 Hotel service is offered 💐 every region in the VIP star category Genuine service with regular price guarantees and happiness for hotel outcall and incall services High-end Escorts Hi-fi foreigners model best n real service call; Russian new model actress Airhostess sexy girls uncovered service with AC rooms 5 star category Hotels call n Whatsapp Local college girls cheap escorts VIP Callgirl High class models from North and South India, college girls, housewives, body to body massage, sandwich massage, shower bathers, blow job painters, licking, front and rear shooters, smooching, rubbing, and more... ENDLESS FUN ✔ Full on escorts Service by High Profile ✔✔ Top North Indian Models ✔✔ Air-Hostess ✔✔ Foreigner,Russian ✔✔ College Girls ✔✔ Students ✔✔ Corporate Ladies ✔✔ MBA Students and Much More.... Our Services 🙏🙏🙏🙏🙏

(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...

Taniya Sharma

Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Ooty Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Ooty Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Ooty Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Gwalior Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Gwalior Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Gwalior Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available

Dipal Arora

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Rajasthan Booking Details Are here 06-May-2024( Mj) Click On WhatsApp Chat +91-9521753030 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...

Sheetaleventcompany

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night girls hear seeking Navi Mumbai Escorts I’m sweet , warm , beautiful and friendly, independent escort girl. My body is sexy and natural. All my pictures are recent and real. InCall and outcalls as well offer class and good service. Don’t hesitate to contact me, message me on whatssap. I’m waitting for you We Are Provide Escorts Service All OYO Hotels ,3*,4*,5* Star Hotel And Home Flat, Apartment. Guest-House. Services In -Call And Out – Call Both Are Services Available. 24Hrs. Any Time Any Where Call Whatsapp, +91-◖9833363713 ◗ Our Services and Rates: – – In call Shot 1500 Out Call Short 2000 : – In call Night 6000 Out Call Night 7000 Minimum To Maximum Range Available Only Serious And Genuine Persons Can Contact Us : +91-◖9833363713 ◗ More Information And Contact Profile Real Pic Visit Our Website City Wise Escorts Service Agency. Good Looking Cheap And Best Models Girls U Can Get Best Click On Link

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...

aartirawatdelhi

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Miss This Chance Of Getting Into My Sexy Boobs?t Booking Contact Details WhatsApp Chat: +91-9332606886 Hyderabad Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Hyderabad understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 01-May(Ast)

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...

chandars293

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Available Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Bhubaneswar Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Bhubaneswar Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Bhubaneswar Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...

Dipal Arora

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Rajasthan Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...

parulsinha

Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 9833325238 Nargish Khan Booking Contact Details WhatsApp Chat: +91-9833325238 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 06-May 24 (Smt)

Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...

Ishani Gupta

Dernier (20)