----- النوع الثالث : 🔰الصدمة التوزيعية (Distributive Shock)🔰 ✨يحدث بسبب توسع شديد في الأوعية الدموية مما يؤدي إلى انخفاض ضغط الدم. وفيه ثلاثة أنواع: أ- الصدمة الإنتانية (Septic Shock) 🗯الأسباب: ✔العدوى البكتيرية الشديدة. ✔التهابات الرئة. ✔التهاب المسالك البولية. ✔التهاب الدم. 🗯الأعراض ▫️ارتفاع أو انخفاض الحرارة. ▫️انخفاض ضغط الدم. ▫️سرعة النبض. ▫️سرعة التنفس. ▫️تشوش الوعي. 🌟العلاج 💊المضادات الحيوية واسعة الطيف مب…

Channel
Future Nursing 🤍
@abokarma4nursing
On this record: Growth · Engagement · Posts · Citations · Cite this entry
1,333subscribers
+10 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
Register entry
| Telegram ID | -1002659174292 |
|---|---|
| Type | Channel |
| Username | @abokarma4nursing |
| Created | Between 1 March 2025 and 31 July 2025— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 6 August 2026 |
| Last confirmed live | 16 August 2026 |
| Measurements held | 5 |
| Confirmed unchanged | 1 time, most recently 16 August 2026 |
| On Telegram | t.me/abokarma4nursing |
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 16 Aug 2026, 07:14 | 1,333 | +3 |
| 12 Aug 2026, 14:46 | 1,330 | +2 |
| 9 Aug 2026, 16:31 | 1,328 | +5 |
| 6 Aug 2026, 08:04 | 1,323 | no change |
| 6 Aug 2026, 05:48 | 1,323 | first reading |
Engagement
20 posts held, back to 23 July 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 1 pageof Telegram’s post history, 20 posts per page.
- ERR · 30 days
- 19.6%
- avg views ÷ 1,333 subscribers
- Avg views / post
- 261
- 20 posts measured
- Reaction rate
- 0.65%
- reactions ÷ views · ER floor
- Posts in window
- 20
- of 20 held
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views— note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate. It is computed over the 11 of 20 measured posts that carry a reaction reading, and over those same posts' views.
| Window | Rolling 30 days · latest post in window 5 August 2026 |
|---|---|
| Posts held | 20 (23 July 2026 – 5 August 2026) |
| Views total | 5,219 |
| Reactions total | 20 |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 6 Aug 2026, 08:04 UTC |
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
Recent posts
النوع الثاني: 🌟Cardiogenic Shock🌟 الصدمة القلبية. 💬السبب Cause: القلب مش عارف يضخ وده بيقلل ↓Cardiac output الأمثلة Examples: ▫️MI جلطة ▫️Arrhythmias لخبطة في ضربات القلب ▫️Cardiomyopathy ▫️Valvular dysfunction مشاكل في الصمامات ✨العلامات المميزة Key Signs: أوردة الرقبة منفوخة ▪️Distended jugular veins ▪️Pulmonary edema مياه على الرئة ▪️↑CVP 🔸️العلاج Management: 1…
🔰أنواع الصدمة Types of Shock🔰 🌟النوع الأول 🌟 1. Hypovolemic Shock صدمة نقص حجم الدم. 💬السبب Cause: 🔹️فقدان >15-20% من حجم الدم اللي جوه الأوعية Intravascular volume الأمثلة Examples: ▪️ نزيف ▪️جفاف شديد ▪️حروق ▪️ترجيع/إسهال ✨العلامات المميزة Key Signs: ▫️ Flat neck veins ▫️↓CVP ▫️↑HR ▫️↓UOP العلاج Management: 1. وقف النزيف Stop the bleeding 2. ندي سوائل 🔸️Rapid fluid resuscitation: Crystalloids 20-30 ml/kg IV bo…
لحظة نادرة لرؤية جنين يبلغ من العمر 9 اسابيع تم اجهاضه وهو لا يزال محاط بالغشاء الأمنيوسي بسبب الحمل خارج الرحم "ectopic pregnancy"
----- 🌟SHOCK🌟 ----- ✨مصطلح الصدمة Shock بنستخدمه عشان نوصف حالة خطيرة ومعقدة بتحصل بسبب فشل حاد في الدورة الدموية Acute circulatory failure وبتعمل نقص أكسچين ، تراكم سموم ، وفشل في الأعضاء وممكن توصل للوفاة. ✨وبيعرفوها كمان على انها - حالة خطيرة بتحصل لما الأعضاء الحيوية في الجسم مايوصلهاش دم وأكسچين كفاية عشان تشتغل._ يعني حالة من نقص التروية الجهازي Clinical state of systemic hypoperfusion 🔹الأعراض العامة Genera…
كل اختصارات التحاليل اللي ممكن تقابلها♥️♥️ سهلة اهي😉♥️
قال النبي ﷺ:” أكثروا من الصلاة عليَّ ليلة الجمعة ويوم الجمعة فإن صلاتكم معروضة عليَّ “ اللهم صل وسلِّم وبارك على نبينا محمد وآله وصحبه أجمعين❤️ سُبْحَانَ الله وَبِحَمْدِهِ عَدَدَ خَلْقِهِ وَرِضَا نفسه وَزِنَةَ عرشه ومداد كلماته. لا إله إلا اللّٰه عَدَدَ خَلْقِهِ وَرِضَا نفسه وَزِنَةَ عرشه ومداد كلماته. الله أكبر عَدَدَ خَلْقِهِ وَرِضَا نفسه وَزِنَةَ عرشه ومداد كلماته. أستغفر اللّٰه وأتوب إليه عَدَدَ خَلْقِهِ …
اعتلال عضلة القلب التقييدي 🔰Restrictive Cardiomyopathy 🔰 (RCM) 🔸️بيتميز بـ خلل في الدياستول Diastolic dysfunction بسبب جدران بطينية جامدة بتقلل الملئ وبتقلل تمدد البطين. 🔸️وظيفة الانقباض Systolic function غالباً طبيعية. الـ RCM ممكن يكون مرتبط بـ الAmyloidosis - اللي هو ترسب بروتين اسمه أميلويد داخل الخلايا - أو أمراض ترشحية تانية. لكن في أغلب الحالات السبب "مجهول" Idiopathic. ---- 💬العلامات والأعراض: ✔ضيق نفس ش…
العلاج: 1. الأدوية: - حاصرات بيتا Beta blockers زي بروبرانول: تبطئ القلب وتدي وقت أطول للملئ - حاصرات قنوات الكالسيوم CCB زي الفيراباميل: نفس الفكرة + ترخي العضلة - مضادات اضطراب النظم : عشان ال AF أو VT - مدرات البول: بحذر شديد 2. إجراءات تداخلية: - استئصال الحاجز جراحياً Septal myectomy: ✔استئصال الحاجز جراحياً : نشيل جزء من الحاجز المتضخم Alcohol septal ablation: ✔ استئصال الحاجز بالكحول …
النوع الثاني: اعتلال عضلة القلب الضخامي 🔰 Hypertrophic Cardiomyopathy🔰 ( HCM) 🔸️هو حالة وراثية نادرة "سائدة جسمية"- Autosomal dominant بتصيب الرجال والنساء والأطفال - غالباً بتتشخص بعد البلوغ. - ممكن نستخدم إيكو دوبلر Doppler عشان نشوف الـ HCM وتغيرات تدفق الدم. - ممكن يكون مجهول السبب Idiopathic-يعني مفيش سبب معروف. ⁉️ايه اللي بيحصل في القلب؟ في الـ HCM عضلة القلب بتتضخم بشكل غير متماثل Asymmetrically وخاصة في ال…
في ثانوية عامة كان نفسي اجيب درجة عالية ولكن ربنا ما أدارشي ، اي نعم الحياة ضحكت لي بعدها وحققت حجات كتير بس والله يجدعان بعيط عند كل نتيجة ثانوية عامة بشوفها الناس فرحانة بيها ، لان كل اللي كان وما زال نفسي فيه اشوف نظرة فرحة في عيون ابويا وامي 🙃👀. ربنا يراضينا ويراضيكم ويفرح بكم وبنجاحكم اهلكم ومن تحبون ♥️♥️
Hemodialysis is indicated in: Severe Acute Kidney Injury (AKI) End-Stage Renal Disease (ESRD) Hyperkalemia (ارتفاع شديد في البوتاسيوم) Metabolic Acidosis غير المستجيبة للعلاج Pulmonary Edema / Fluid Overload (زيادة السوائل) Uremic symptoms مثل: Uremic encephalopathy Uremic pericarditis Severe nausea and vomiting بعض حالات drug or toxin poisoning Mnemonic: AEIOU A = Acidosis E = Electrolyte imbalance (Hyperkalemia) I …
Showing the 12 most recent of 20 posts we hold for @abokarma4nursing. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
Citation-graph rank
Citation-graph rank — 251,936 of 1,481,217entries in the measured graph. A weighted position computed from the forward and mention edges below — republished posts weigh more than named mentions — and recomputed periodically, over the whole graph. Published only as this ordinal position, never as a score: a position is a fact, and a score printed beside one channel’s name would read as a verdict this register does not make. The two counts beneath stay separate for the same reason mentions are never summed with forwards anywhere else on this page — a named-by count costs nothing to manufacture. The top 100 by this measure, or how it is computed.
Forward network
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
Mentions
Named by 13 registered channels — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
@Anaesthetic2 · 4,1012 postsمعلومات طبية💊🔬💉
@anlysic · 3,9952 postsالتمريض 💉💊
@ilove_nursing · 3,9992 postsطب عام وجراحه
@nany2020 · 4,9002 postsوظائف طبيه الريل Dental Marketing
@Dentalmarketing · 2,3741 postإقٌتبَآسآت دِڪتوورهـ ؛ 💘🙊
@FromMyWordT · 1,3031 postالكلية الألمانية للعلوم الطبية والتقنية
@Garman_college · 1,2861 post👨⚕ملائكة الرحمة👩⚕
@GoodDoctoooor · 1,1451 postMORPHIN💙💉💊
@MEDICALNOTE7 · 1,1101 postMedical Notes 📋
@mediconote · 1,9511 postهمسات من الطب والحياة💉💊
@mustafaAlabadi98 · 1,1341 postيوميات ممرضة ✌️😍
@nursing_love1 · 2,6111 postمذكرة طالب في الطب🧑⚕👩⚕
@studentnote1 · 1,6581 post
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
Cite this entry
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 16 August 2026 — this entry's latest reading, not the date you are reading this.
“Future Nursing 🤍” (@abokarma4nursing), 1,333 subscribers as measured 16 August 2026. Telegram Register, tgregister.com/channel/abokarma4nursing.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.