nursing care for toxic shock syndrome

Learn how your comment data is processed. We are compensated for referring traffic and business to Amazon and other companies linked to on this site. In some of the menstrually related cases the diagnosis of TSS was suggested by nursing staff. Although comparatively rare, A&E nurses will probably be the first to meet a patient with this condition. • Women who have had toxic shock syndrome should avoid using tampons during menstruation as reinfection may occur. (2020). You may need to provide blood and urine samples to test for the presence of a staph or strep infection. Risk for Infection NCLEX Review Care Plans Nursing Care Plans for Risk for Infection Risk …, Your email address will not be published. Aggressive forms of management are often required to treat toxic shock syndrome given its serious complications. To facilitate the body in cooling down and to provide comfort. Judicious use of … Assist him/her with important activities of daily living or ADLs. To facilitate effective tissue perfusion and maintain circulatory blood volume. To decrease myocardial workload and oxygen consumption. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. 3. The immune system mounts a major response to the toxins by releasing a cascade of immune cells called cytokines. Saunders comprehensive review for the NCLEX-RN examination. Wounds may sometime appear superficial, but on examination, they may be affecting deeper tissues. It may also include the identification of new information that the patient may not be aware of. The condition is rare in children. Sign in or Register a new account to join the discussion. They were related to super-absorbent tampons. 64 Views, Nursing Study Guide on Toxic Shock Syndrome. Stein AP, Baughman DC. [Nursing care for patients with toxic epidermal necrolysis] Enferm Intensiva. Kalyan S, Chow AW. Most UK cases follow burns or trauma in children. It may also include history of a recent surgery or maybe the use of contraceptives involving the insertion of a material inside the vagina. Toxic shock syndrome is rare, and few nursing and medical staff are aware of it ; Improvements in management . Your Care Instructions. Use a plastic bite block only when the jaw is relaxed. A full course of treatment is necessary which is about 7-14 days. Toxic shock syndrome is a rare condition that can result from a bacterial infection. Toxic shock syndrome is a rare and potentially fatal condition which may develop in individuals of all ages. Toxic shock syndrome is a rare illness. Toxic shock syndrome signs and symptoms include low blood pressure, fever, and a rash with peeling skin. This is toxic shock syndrome. Increase the intervals between vital signs taking as the patient’s vital signs become stable. Desired Outcome: Within 4 hours of nursing interventions, the patient will have a stabilized temperature within the normal range. Nursing Diagnosis: Risk for Trauma/Injury related to loss of sensory coordination and muscular control secondary to seizure. Toxic shock syndrome is a potential complication of streptococcus and staphylococcus infections. Schiff S. PMID: 6555677 [Indexed for MEDLINE] Publication Types: Case Reports; MeSH terms. Vasopressors are sometimes used to promote vasoconstriction and help the body compensate with the signs and symptoms of the condition. Remove excessive clothing, blankets and linens. TSS may be rare, but nurses have an important role in its diagnosis and management. And it can be fatal. In: McInerny TK, Adam HM, Campbell DE, DeWitt TG, Foy JM, Kamat DM, eds. life-threatening illness triggered by certain bacteria (group A streptococcal and Staphylococcus aureus Administration of broad-spectrum antibiotics for unidentified organisms. It causes between two and five deaths annually in the UK. Buy on Amazon, Silvestri, L. A. Nutrition. 3. The tests that are typically completed are mostly to provide supportive management and to identify the affected organs in the body. The symptoms of toxic shock syndrome develop when bacteria begin to release exotoxins into the body (called toxic shock syndrome toxin 1 or TSST-1). Practical clinical points to help develop better practice are outlined in Box 3. Toxic shock syndrome was first identified in 1978 when a group of children became ill with it. Urgent surgical consultation for possible need of wound debridement or any other surgical treatment. Apply principles of infection control to prevent infection… Streptococcal toxic shock syndrome is distinctly different from Staphylococcal toxic shock syndrome, besides different bacterial genus, in that it is always associated with a desquamating rash as the prevalent feature and essential for diagnosis. The fact that relatively small burns or collections of pus following trauma may result in serious illness needs to be remembered. Death – due to the progressive characteristic of toxic shock syndrome, the body may not be given enough time to fight off and compensate for the damage. PMID: 6909066 [PubMed - indexed for MEDLINE] MeSH Terms. Toxic shock syndrome 2. When an infection from these types of bacteria occur, exotoxins are released in the body which may then cause toxic shock syndrome. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Place the bed in the lowest position. Adjust the room temperature. Measure the urine output hourly. St. Louis, MO: Elsevier. To ensure that the patient is safe if the seizure recurs. Decreasing level of consciousness indicate diminished cerebral perfusion and/or hypoxemia. Nursing and medical management focus on controlling or preventing potentially serious complications, such as adult respiratory distress syndrome, renal failure, electrolyte imbalances, disseminated intravascular coagulation, encephalopathy, and cardiomyopathy. Children tend to present initially with drowsiness or irritability and fever, while adults often describe a ‘flu-like illness’ accompanied by a rash. NANDA Nursing Diagnosis Domain 2. A complete blood count and other blood markers may suggest the presence of an infection. Buy on Amazon, Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). To prevent or minimize injury in a patient during a seizure. Chapter 39 Care of Patients with Shock M. Linda Workman Learning Outcomes Safe and Effective Care Environment 1. Risk factors for TSS include surgery and skin wounds. Toxic shock syndrome (TSS) is an acute-onset illness characterized by fever, hypotension, sunburn-like rash, and end-organ damage. The bacteria are commonly found on healthy skin and mucosal surfaces, but it is not known why most of these organisms never produce enough toxin to cause illness (Mellish, 1992; Chesney, 1989). • Prompt and thorough wound care will help to avoid … It's caused by poisons from strep or staph bacteria. IVIg administration. Introduction Toxic shock syndrome is a serious, life- threatening illness caused by toxins released by two specific types of bacteria, group A Streptococcus & Staphylococus aureus. Nursing Care Plans, Nursing Study Guides First, only 23 of the 68 patients had a blood pressure reading checked on initial presentation. Although it is an unusual condition, TSS is diagnosed mainly in A&E. Required fields are marked *. The provider has ordered a blood culture, urinalysis, and CBC as part of diagnostic studies. This information is not intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. Nursing implication of toxic shock syndrome. Your vagina, cervix and throat may be swabbed for samples for laboratory analysis.Because toxic shock syndrome can affect multiple organs, your doctor may order other tests, such as a CT scan, lumbar puncture or chest X-ray, to assess the extent of your illness. Patients differ in the sequence and speed with which they show clinical signs. To promote safety measures and support to the patient. It is these cytokines which cause fever and … To assist in creating an accurate diagnosis and monitor effectiveness of medical treatment, particularly the antibiotics and fever-reducing drugs administered. This site is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Leave a comment Desired Outcome: The patient with establish normal vital signs, balanced input and output, and usual mentation. Do not use wooden tongue depressors as they can break or splinter, causing oral damage. Vasopressors. Treatment of soft tissue infections. Bacterial infections are typically caught from a cut or an open … This helps neutralize the activities of exotoxins and is often done to help manage toxic shock syndrome. Toxic shock syndrome (TSS) is a rare but potentially fatal complication caused by infections ().It usually results from Staphylococcus aureus or Streptococcus pyogenes bacteria, which produce toxins that can cause major organ failures and even death if left untreated ().. Doctors first noted the condition in a group of children in 1978. There is a two to five per cent risk of recurrence, and the elimination of nasal carriage staphylococci is a sensible precaution. TSS can only be diagnosed clinically because there is no specific blood test for it. Nursing care study: toxic shock syndrome. With this condition, the nurse would most likely expect to see which of the following indicated by the CBC? These are: - Rapid recognition, diagnosis and hospitalisation; - Investigation, including blood tests, swabs, radiograph and echocardiograph; - Supportive therapy and monitoring, for example oxygen and intravenous fluids to maintain blood pressure, routines to support major organ systems; - Antimicrobials (remove the bacteria making the toxin), treat with clindamycin or flucloxacillin, treat the nasal carriage with rifampicin or mupirocin; - Antitoxin therapy, use intravenous immunoglobulin if the diagnosis is made early; - Ensure follow-up, consider psychological support, check an echocardiograph. Physical Assessment – physical examination will support the information gathered during the history taking. Staphylococcal TSS can be divided into 2 categories based on the causal … This site uses Akismet to reduce spam. Challenges arise when using syndrome definitions such as those in Box 1, together with a differential diagnosis as in Box 2. Swabs may be taken for this procedure which may come from the throat, cervix, and/or vagina. The value of nurses in making a diagnosis of TSS and particularly in measuring blood pressure accurately cannot be underestimated. Toxic shock syndrome can affect anyone, although historically, women using highly absorbable tampons where more susceptible. It may involve depletion of intravascular fluids which causes symptoms like low blood pressure and elevated heart rate. Share this article Share with email Share with twitter Share with linkedin Share with facebook. … There exists strains of streptococcal and staphylococcal bacteria that are capable of producing super-antigen toxins which cause wide spread activation of T-Lymphocytes. Second, there was a difficulty in data integration, in that the reported findings in 18 cases were not gathered into an appropriate diagnosis or differential diagnosis. Desired Outcome: The patient will be able to prevent trauma or injury by means of maintaining his/her treatment regimen in order to control or eliminate seizure activity. In spite of medical progresses in the care of patients with septic shock during the last decades, this condition has remained associated with a high mortality. Other sources of infections may include the use of high absorbing tampons, menstrual cups, and contraceptive diaphragm. Ineffective Airway Clearance 5 Nursing Care Plans. Most patients will recover without the need for intensive care or ventilation and should demonstrate no long-term sequelae following the early use of standard supportive treatments. Nursing care plans: Diagnoses, interventions, & outcomes. Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. Treatment of Toxic Shock Syndrome Aggressive intravenous fluid hydration. Start strict input and output monitoring. This helps neutralize the activities of exotoxins and is often done to help manage toxic shock syndrome. Similar Articles . Early recognition and multidisciplinary management are key to the care of patients with streptococcal toxic shock syndrome… What is TSS or toxic shock syndrome? Patient stabilized over one week and was transferred out of the intensive care unit. Staphylococcal toxic shock syndrome toxin-1 induces the translocation and secretion of high mobility group-1 protein from both activated T cells and monocytes. Although comparatively rare, A&E nurses will probably be the first to meet a patient with this condition. St. Louis, MO: Elsevier. Death from toxic shock syndrome typically occurs within 2 days. A proportion of cases is diagnosed once they develop skin desquamation, which is usually a late sign. Frail elderly syndrome (Nursing care Plan) Risk for frail elderly syndrome Deficient community health Risk-prone health behaviour Ineffective health maintenance (Nursing care Plan) Ineffective health management Readiness for enhanced health management Ineffective family health management Ineffective protection. Shock is universally a topic that many nurses and nursing students find difficult to master. for Nursing Intervention Patricia A. Creehan, RNC, MS Toxic Shock Syndrome (TSS) is a potentially fatal illness caused by a particular strain of Staphylococcus aureus. These infections should be considered in the differential diagnosis of acute shock syndromes —presenting both with fever and shock, or fever, rash, and shock. Toxic shock syndrome is a rare, life threatening complication which produces symptoms similar to other diseases, such as the flu. Treatment of soft tissue infections. James Todd first described TSS in 1978 (Box 1). As with septic shock, TSS can be life threatening. Nursing Diagnosis: Hyperthermia related to the disease process of toxic shock syndrome as evidenced by temperature of 38.5 degrees Celsius, rapid and shallow breathing, flushed skin, profuse sweating, and weak pulse. Some knowledge of TSS is important as early diagnosis and treatment may be life-saving. Nursing diagnoses handbook: An evidence-based guide to planning care. Oct-Dec 1999;10(4):174-83. Toxic shock syndrome presents as a flu-like illness with high fever, vomiting, diarrhea, general malaise, and muscle weakness. Many early exposures to staphylococcal toxins probably recover without diagnosis or treatment and it is likely that exposure to toxins without developing clinical symptoms is common (Michie, 1998). To regulate the temperature of the environment and make it more comfortable for the patient. TSS develops following exposure to bacterial toxins, known as superantigens, usually produced by Staphylococcus aureus or streptococcal bacteria. The measurement of blood pressure in patients who have fever and a rash is particularly important in diagnosis. Decreased urinary output is a sign of diminished renal perfusion, indicating damage to the kidneys due to sepsis. Toxic shock syndrome. Toxic Shock Syndrome. Two different kinds of bacteria: Staphylococcus aureus (aka “staph”) or Strept… The complications are often serious and may lead to death. The study showed that BP had been recorded for only 23 of the 68 patients involved, and that 17 of the recordings had been carried out by nurses. During seizure, turn the patient’s head to the side, and suction the airway if needed. Importantly, 17 of these were recorded by nurses. Advise the caregiver to stay with the patient during and after the seizure. Administer vasopressors and inotropic agents as prescribed. This highlights the importance for nurses, not only of measuring BP, but also of checking it regularly to avoid missing any deterioration. Treating soft tissue infections reduces the possibility of further growth of the bacteria or new infections. Toxic shock syndrome (TSS) is a rare but potentially life-threatening condition that is caused by certain strains of bacteria that produce toxins (poisons). Maybe that’s because there are so many types of shock, a multitude of causes for shock and varying treatments depending on a complex array of factors. Toxic shock syndrome is a complication from an infection by group A streptococcus or methicillin-sensitive and methicillin-resistant staphylococcus aureus bacteria. Shock is part of the pathophysiology of toxic shock syndrome. To reduce the feeling of helplessness on both the patient and the caregiver. Some cases had delayed diagnosis because a blood pressure measurement was not documented. This can include your lungs, kidneys, and liver. Serious infections from group A Streptococcus (Streptococcus pyogenes) may occur in children and adults, often causing high morbidity and mortality. There's no one test for toxic shock syndrome. In these situations a diagnosis of TSS cannot be applied. St. Louis, MO: Elsevier. Assess for changes of level of consciousness/ mentation. *Hypoperfusion causes an imbalance B/T O2 delivery and consumption, leading to cellular dysfunction & death. Risk factors and the presence of any other signs and symptoms may also be identified during the assessment. Judicious use of … The streptococcal toxic shock syndrome is a severe complication associated with invasive infections by group A streptococci. Assess the patient’s vital signs at least every hour. 1981 Jun;8(6):17-9. It’s also a systemic infection, which means that it affects the entire body. The earliest cases of TSS are said to date back to the late 1970s. But sometimes they cause a serious reaction that can make your organs fail. The following are the risk factors associated with this condition: Toxic shock syndrome has a rapid progression. A full course of treatment is necessary which is about 7-14 days. No abstract provided. Bacterial infections are typically caught from a cut or an open wound. Nursing and medical management focus on controlling or preventing potentially serious complications, such as adult respiratory distress syndrome, renal failure, electrolyte imbalances, disseminated intravascular coagulation, encephalopathy, and cardiomyopathy. The toxic shock syndrome tampon connection is somewhat well-known, especially amongst women. Definition: a clinical syndrome resulting from inadequate tissue perfusion. St. Louis, MO: Elsevier. If analysed using standard risk analysis (Bordage, 1999), two problems are evident. methicillin-resistant staphylococcus aureus bacteria. Toxic shock syndrome (TSS) is a complication resulting from certain bacterial infections. To maintain a patent airway Avoid inserting the plastic bite block when the teeth are clenched to prevent any dental damage. In the US, about 3 in 100,000 cases die from toxic shock syndrome. Class 1. Some knowledge of TSS is important as … Toxic shock syndrome is a rare and potentially fatal condition which may develop in individuals of all ages. Use the antibiotic to treat bacterial infection, which is the underlying cause of the patient’s hyperthermia. Evaluate patient risk for hypovolemic shock or sepsis and septic shock. Early diagnosis is important to prevent serious complications including death. Definition Toxic shock syndrome (TSS) is a toxin-mediated acute life-threatening illness, … This breakout in cases resulted to the discontinuation of these products in the market. First of all, it’s important to know that TSS is a medical condition that can come on suddenly. Abstract . A 31-year-old client presents for care with symptoms of toxic shock syndrome secondary to Staphylococcus aureus infection. Culture and sensitivity – cultures of tissue or fluid samples may signify the presence of any of the bacterial mediators. Toxins produced by either staphylococcal (staph) or streptococcal (strep) bacteria may cause toxic shock syndrome in children. Administer the prescribed antibiotic and anti-pyretic medications. The toxic shock syndrome toxins stimulate immune cells leading to the release of inflammatory cytokines. This illness sometimes happens in women who use super-absorbent tampons. If the bacterial mediator is unknown, a broad-spectrum antibiotic is used. Adult; Female; Humans; Menstruation; Shock, Septic/etiology; Shock, Septic/nursing* Staphylococcal Infections/nursing* Staphylococcus aureus/isolation & purification; Syndrome; Tampons, Surgical/adverse effects TSS was classically associated with high absorbency tampon use in menstruating women until eventually, these were taken off the market. The incidence of TSS is … There is no single diagnostic test to diagnose toxic shock syndrome. American Academy of Pediatrics Textbook of Pediatric Care. Some patients may not quite fulfil all the criteria, or treatment may arrest the development of the disorder. This wide spread activation results in a massive release of cytokines creating a syndrome that mimics septic shock. Please follow your facilities guidelines and policies and procedures. Menstrually related cases have fallen in the last decade (Arbuthnott and Furman, 1998). The signs and symptoms of toxic shock syndrome can be non-specific and the condition can progress rapidly. However, septic shock is caused by multiplying bacteria, and not mainly by bacterial superantigen toxins. Imaging studies will not diagnose toxic shock syndrome although they may be helpful to assess the extent of damage to the patient’s body. Nurse Tutoring, Nursing school help, nursing school, Nursing student, nursing student help, NCLEX, NCLEX Practice exams If the bacterial mediator is unknown, a broad-spectrum antibiotic is used. While this response (sometimes referred to as a cytokine storm) i… ‘What more does a profession have to do to deserve a proper pay rise?’, Colin A. Michie, MA, FRCPCH, FLS is consultant senior lecturer in paediatrics, and honorary consultant, Public Health Laboratories Service, Varsha Shah, RSCN, is sister in paediatrics, Ealing Hospital NHS Trust. Pathophysiology of Toxic Shock Syndrome. Usually these bacteria cause an infection that can be treated easily. It can be life-threatening and has an acute onset. Terms in this set (32) Shock Facts. Claire Grant’s nursing career has taken her around the world, with spells…, South West Yorkshire Partnership NHS Foundation Trust, Dorset HealthCare University NHS Foundation Trust. 1 Each superantigenic toxin selectively stimulates T cells expressing a … American Academy of Pediatrics; 2017; × Toxic shock syndrome (TSS) is a disease mainly caused by Staphylococcus aureus and Streptococcus pyogenes. Aggressive intravenous fluid hydration. TSS was, therefore, not an easy diagnosis to make. It is a medical emergency requiring a prompt care. Place the patient on bed rest. Several other conditions may resemble TSS - a differential diagnosis includes the disorders outlined in Box 2. Put pads on the bed rails and the floor. Buy on Amazon. Toxic shock syndrome 1. Schiff S. Nursing Mirror, 01 Sep 1983, 157(10): 17-23 PMID: 6555677 . In order to remedy these two major correctable difficulties in recognising TSS, it is important to educate all health care staff and the public. Blood tests – a series of blood tests may be helpful to identify the presence of organ damage. Explore the usual seizure pattern of the patient and enable to patient and caregiver to identify the warning signs of an impending seizure. nursestudynet@gmail.com Since that time, it has become important to also consider non-menstrual cases. Medical history – history may include obtaining an open wound or a cut anywhere in the body. In general, the following manifestations can be noted in a patient with toxic shock syndrome: Toxic shock syndrome is most commonly caused by exotoxins released by bacteria such as staphylococcus aureus and group A streptococcus bacteria. Toxic shock syndrome (TSS) is a toxin-mediated disease caused by in vivo production of staphylococcal or streptococcal superantigenic toxins; these include toxic shock syndrome toxin-1 (TSST-1) and enterotoxin in the case of S. aureus, and streptococcal pyrogenic exotoxins [SpeA, SpeB, SpeC] with S. pyogenes. ... to early diagnosis, management in specialized burn units, proper immunosuppressive treatment and intensive specialised nursing care. Shock is part of the pathophysiology of toxic shock syndrome. Toxic shock syndrome presents as a flu‐like illness with high fever, vomiting, diarrhea, general malaise, and muscle weakness. To maintain blood pressure level and help improve organ perfusion. Removal of any possible source of bacterial infection. Buy on Amazon, Gulanick, M., & Myers, J. L. (2017). Since the clinical manifestations of toxic shock syndrome are often non-specific, a high index of suspicion is necessary to start early treatment. To empower the patient and his/her caregiver to recognize a seizure activity, and help protect the patient from any injury or trauma. Adolescent; Adult; Child; Female; Humans; Male; Menstruation* Shock, Septic/etiology; Shock, Septic/nursing* Staphylococcal Infections; Syndrome; Tampons, Surgical Medical-surgical nursing: Concepts for interprofessional collaborative care. Ensure vital sign measurements are accurate, and monitor them for changes indicating the presence of shock. Crit Care Update. Treatment involves IV fluids to treat the shock, IV antibiotics, cleaning infected wounds, and hospitalization in the intensive care for other assorted treatments. Rash is not required for STSS. In some situations it may be difficult to distinguish among these; a common confusion is with septic shock, as the conditions may appear similar in their early stages. Nursestudy.net © Copyright 2021, All Rights Reserved, Toxic Shock Syndrome Nursing Care Plans Diagnosis and Interventions. Surgical involvement may sometimes be necessary to hasten the healing of wounds anywhere in the body. 1. It can result in the failure of vital organs, such as the liver, lungs or heart. In most cases an initial diagnosis was recorded but was not subsequently reconsidered with updated observations or results. However, Toxic shock syndrome is much more serious, and is caused by the entry of certain bacteria into the bloodstream through an opening in the skin, such as a bruise or a cut. Head elevation helps improve the expansion of the lungs, enabling the patient to breathe more effectively. The first problems nursing staff or parents might notice are fever and drowsiness, perhaps with a rash and diarrhoea. Nursing care study: toxic shock syndrome. TSS may be difficult to diagnose but a better awareness of this condition and skill in measuring blood pressure in sick patients will save lives and reduce morbidity. Administer anti-seizure drugs as prescribed. Your email address will not be published. The use of diaphragms and vaginal sponges may also increase the risk of toxic shock syndrome. Visit our, 100 years: Centenary of the nursing register, 2020: International Year of the Nurse and Midwife, Nursing Times Workforce Summit and Awards, The Toxic Shock Syndrome Information Service, Rethinking tissue viability services: learning from the coronavirus pandemic, Nursing Times questions Hancock over nurse pay recommendation, Don’t miss your latest monthly issue of Nursing Times, An initiative for student nurses to practise clinical skills at home, Building a digital care planning system for nurses, Improving patient care as the use of telemedicine rises, Spire Healthcare steps up to support the NHS, Reducing the cognitive load on nursing staff, Creating an electronic solution for early warning scores, How best to meet the complex needs of people with interstitial lung disease, Tory MP says nurse pay rise demand ‘one for the fairies’, Budget ‘worrying sign’ that nurses will receive low pay rise, says RCN, Unions demand nurse pay rise without delay ahead of budget, Hospice nurses launch contemporary model of nursing at end of life, Exclusive: Letter urges NMC to ‘reconsider’ latest community nursing plans, NHS-funded nursing care rates rise by just 2% in ‘huge blow’ for sector, Successful pilot sees refugee nurses supported into NHS workforce, NHS staff survey adds to concerns over wellbeing and discrimination, Majority of health workforce experienced mental health problem in first wave, Assistant Director of Services (Health Lead), This content is for health professionals only. 2. Presence of a rash resembling a sunburn mostly on the palms and soles, The use of contraceptive sponges, diaphragms, superabsorbent tampons and menstrual cups. Toxic shock syndrome (TSS) is an infection caused by Streptococcus or Staphylococcus.

Girl Scout Cadette Badges, Kpdnkk Permit Gula, Blue Reef Portsmouth, World Clock Mac Catalina, Jordan Shoe Airpod Pro Case, Boa Meaning Portuguese, Tracking Captions For Instagram, Oklahoma State University Dance Team, The Compound House, Sticky Note Meaning,