Blood Pressure Measurement: How to Check Blood Pressure Manually

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  • Опубликовано: 6 сен 2024
  • Blood pressure measurement technique: nurse demonstrates how to check a blood pressure manually at home with a blood pressure cuff kit (sphygmomanometer) and stethoscope.
    Your blood pressure reading can be an important measurement of your overall health, especially your cardiovascular health. In this video, I provide a demonstration on taking a blood pressure by first listening to the auscultatory gap. This is an important step because some patients (not all) can have a silent gap that can occur, which cause an inaccurate blood pressure reading.
    First, you'll want to perform hand hygiene and gather your supplies. Next, have the patient sit down with their arm at heart level and their legs uncrossed.
    Palpate to find the brachial artery, which is located near the bend of the arm. Once you find the brachial artery, you'll want to estimate the systolic pressure by inflating the cuff until you can no longer feel the brachial artery.
    The point when you no longer feel the brachial artery will be the estimated systolic pressure number. Once you find that number, you'll deflate the cuff and let the patient rest for 30-60 seconds. Next, you'll inflate the cuff 30 mmHg higher than the estimated systolic pressure number that you got earlier.
    Once you inflate the cuff to the appropriate point, slowly unscrew the bulb to allow it to fall about 2 mmHg per second, and listen closely for the first sound you hear, which will be your systolic number.
    Continue to let the needle fall until you hear the last sound of the pulse, which will be your diastolic number.
    Once you have your reading, you can deflate the cuff, remove it, and wipe it off. Then you will document the blood pressure reading.
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Комментарии • 336

  • @RegisteredNurseRN
    @RegisteredNurseRN  5 лет назад +223

    Hey, everyone! Thanks for watching. Don't forget:
    Notes: www.registerednursern.com/how-to-take-blood-pressure-manually-clinical-nursing-skills/
    Nursing Skills: ruclips.net/video/gUWJ-6nL5-8/видео.html
    Nursing Gear: teespring.com/stores/registerednursern
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    Twitter: twitter.com/NursesRN

    • @sumairarehman6795
      @sumairarehman6795 5 лет назад +3

      RegisteredNurseRN
      Hi
      I am your follower from last 3 years. Thanks for such helpful videos. Your teaching style is easy to understand.
      Bravo👍

    • @mushfiqshah4092
      @mushfiqshah4092 4 года назад

      Good very good dear . i love you

    • @monikadevi9522
      @monikadevi9522 4 года назад +2

      Thanks from India sarma

    • @katlehomokaba1245
      @katlehomokaba1245 4 года назад +1

      Hi all the way from South Africa
      Does the hand which you put the cuff on matter or you can just put on any arm?

    • @Lantern-oj2xc
      @Lantern-oj2xc 3 года назад

      So helpful thank you, this has been driving me nuts

  • @starladear234
    @starladear234 2 года назад +185

    I just left my MA clinical and had to go into the bathroom and cry. One of my classmates started making fun of me because I was on leave so some time had passed since I had practice.
    I was trying to take my time and get it right so I could get marked off as satisfactory. This girl literally started snickering at me and making fun of me under her breath.
    I went into the bathroom and while I was crying I pulled up your video. I don't know what happened but it gave me a surge of confidence. I walked right back into the lab, took my partner's BP and shut her ignorant comments right down.
    I'm not doing this for friends or recognition. I'm doing this to give my children a more positive and stable future.
    Thank you Nurse Sarah.

  • @GreatVibrationsAffirmations
    @GreatVibrationsAffirmations 3 года назад +1327

    This instruction was WAY better than my first lab day at nursing school. Thank you!

  • @user-wq4iy9ui9d
    @user-wq4iy9ui9d 9 месяцев назад +106

    This guy has the most intense gaze

  • @mariabourke9920
    @mariabourke9920 3 года назад +569

    Been trying to learn how to do this for over a month now In college and couldn’t grasp it at all! This helped me so much, thank you

    • @Lantern-oj2xc
      @Lantern-oj2xc 3 года назад +14

      Same this totally helped

    • @fi4doo861
      @fi4doo861 2 года назад +1

      Months?!!!😧😧😧

    • @batoolhayat3393
      @batoolhayat3393 2 года назад +13

      College are so useless the teacher get paid to just chill they don’t teach nothing Thank to Sara nurse She been great help

  • @surgicaltechcrafter2169
    @surgicaltechcrafter2169 5 лет назад +462

    Girl you are so amazing. I'm purchasing my stethoscope and goodies Friday and my daughter and I are going to nail this skill before I step a foot into clinicals. I want you to know when I grow up (I'm 48) I want to be like you. Thank you for making these videos and taking your precious time to help make great nurses

    • @traumaqueen4963
      @traumaqueen4963 Год назад +8

      I know this is four years later, but I hope your clinicals went well :)

  • @pistachiokween
    @pistachiokween 2 года назад +131

    Thank you for everything you do, Sarah! I admire your passion and simplification of crazy difficult processes. You take hundreds of pages of textbook material and condense it into a short video of important concepts, saving all of us nursing students so much valuable time! And speaking of valuable time, thank you for taking YOURS to help us become the best nurses we can be - like you! Love to you and your family.

  • @nursedaisydukes
    @nursedaisydukes 2 года назад +89

    Very clear and easy to understand video!! Love it, this is making my 1st week of Nursing school easier to understand!! P.S. The way your husband looks at you while your lecturing is so ADORABLE!! Blessings and Thanks for your videos!!

  • @ankurshah23
    @ankurshah23 4 года назад +54

    Good job on the patient for keeping his BP low while wear an apron and listening to the entire breakdown of BP procedures.

  • @mskreneeluv
    @mskreneeluv 3 года назад +79

    so glad I found this video, I'm in school to be a medical assistant and due to covid, they have assigned us proctors online for skills check off, the way you explained this went right along with the learning materials. this helped me out a lot.

  • @iang5362
    @iang5362 5 лет назад +48

    This is the first video I watched when in NU101. I have always watched your videos and in NU102, you were very resourcesful in the disease process. Im blessed to have you

  • @valenciaa2120
    @valenciaa2120 2 года назад +20

    I'm so glad I came across this video! my professor in A&P II had us check our blood pressure with the cuff, mind you I have never used one prior, I was so lost in class and she didn't give us any instruction on how to properly use one. This video helped me a lot ! Thank You!

  • @Kelvinllovejr
    @Kelvinllovejr Год назад +23

    Not a medical student but I'm a natural sponge. I was always curious how they took my blood pressure at my doctors office. This gives a great explanation for it. Thanks

  • @vohndaill
    @vohndaill 5 лет назад +72

    Hi Sarah. Thanks for your very informative and strategic videos. I just took my nclex last May 30, 2019 and passed for 75 items. More power!!!

  • @kellyk.8519
    @kellyk.8519 11 дней назад +1

    Excellent video, very clear. And thanks for the extra info with stage one and two hypertension results. I missed this in class. Thank goodness for RUclips 💕

  • @lakeisharanger3045
    @lakeisharanger3045 Год назад +10

    You are certainly a blessing to me as a nursing student. Thank you Nurse Sarah, God bless!

  • @ziggystardustxo
    @ziggystardustxo 11 месяцев назад +6

    We watched your videos a lot during medical assisting school. Thank you so much for your resources!

  • @foxtrottango8745
    @foxtrottango8745 3 года назад +27

    This update is very important for me!
    My co worker took his own BP with a wrist unit and said it was 163/110 😱
    I told him to go to the hospital or clinic and have it checked again but he didn’t, So I used your video to update me as it’s been around 18 yrs since I took someone’s BP. Thank you and your husband Dan for this video.
    👍😎👍

  • @tabatha2162
    @tabatha2162 5 месяцев назад +1

    I'm a CNA been taking pressures for years. Well latley I've had high BP and have been having to take mine. I find it difficult to take mine. Anyways you taught me a new trick today. With placing the stethoscope over on that attery. I was hearing
    Noises and getting really high readings. I just got 170/100. Was freaking out. I thought no way, and thought no I must be doing this wrong. Your technique first try 122/63!! Was so much clearer. Thanks for the tip.

  • @soonsuicidal
    @soonsuicidal 3 года назад +20

    What a lovely nurse and good teacher. Thank you so much for this. How I wish there are YT vids like this 12yrs ago. My professor didnt explain it well and left us guessing the whole time. 🤦🏻‍♀️😭

  • @swdw973
    @swdw973 11 месяцев назад +4

    I watched this because in the last two years, no two nurses have taken blood pressure the same way. Loose cuffs, tight cuffs, at the elbow crease, above the elbow crease. Consequently, BP numbers at the doctor's office are all over the place.

  • @rohaniesaalim5427
    @rohaniesaalim5427 3 месяца назад +12

    Dude is falling in love.

  • @bsbeach
    @bsbeach 5 лет назад +46

    Did someone tell you that I am learning this? Lol thanks for posting

  • @AllBubbledUpp
    @AllBubbledUpp 2 года назад +841

    Why the dude staring at her like that lol

    • @fatcat1015
      @fatcat1015 Год назад +45

      Cuz she is your sister dude

    • @Trillian2019
      @Trillian2019 Год назад +40

      I noticed that too 😂😂😂😂

    • @reneedb
      @reneedb Год назад +84

      Their married lol

    • @parthsaha5672
      @parthsaha5672 Год назад +53

      Mesmerized by her beauty 😂

    • @KKJ079
      @KKJ079 Год назад

      men are men😂

  • @DanRichter
    @DanRichter 3 года назад +51

    I've been a nurse for 6 years and still try to avoid manual BP when possible. I never seem to get clear systolic/diastolic numbers. I'll start hearing a weak pulse fade in around 200 and it seemingly never ends, just gets quieter, even after the cuff is all the way to zero.

    • @anyport8061
      @anyport8061 2 года назад +2

      Do you have Pulsatile Tinnitus? Also you could be hearing your own pulse faintly in your thumb.

    • @Fritzstmire
      @Fritzstmire 2 года назад +2

      Same here, whatever I pump the cuff up to that's when I start hearing the pulse beat. And it never stops, it just gets more and more faint I can still hear it all the way down to about 10

  • @w.powers5980
    @w.powers5980 Год назад +3

    This was a better explanation then I received in my EMR class

  • @strikermodel
    @strikermodel Год назад +12

    I have to take my blood pressure daily because mine is pretty high (mostly because of stress and anxiety over my current condition) and this was super easy to follow and understand! Thank you!

    • @tiraandaz
      @tiraandaz Год назад

      Is it possible to take your own blood pressure without any assistance? Do you do it that way? Does it work ?

  • @Chloeynacole16
    @Chloeynacole16 5 лет назад +161

    I’m having an extremely difficult time hearing the systolic on my skills partner and I’ve been practicing for about 2 weeks now. Any tips or things to try? Thanks so much for your awesome videos!

    • @timclark3858
      @timclark3858 4 года назад +13

      Follow the middle finger line to position it on the artery and make sure it's on.

    • @fennyshapwanale
      @fennyshapwanale 3 года назад +5

      Hey Chloey if you are finding it hard to listen you can always avoid using a stethoscope and palpate instead,,, just try and locate your branchial artery correctly and you will be good to go

    • @Caysum21345
      @Caysum21345 2 года назад

      @Mindyuhbusiness how do I check if it’s on or not??

    • @flyboy8752
      @flyboy8752 Год назад +3

      @@Caysum21345many stethoscopes are two sided, and they rotate at the metal stem where it attaches to the tubing. Easiest way to tell which side is on is to gently tap on each side and see which one is loud. If that’s not the side you want, then try twisting the head around while holding the metal stem right near the tubing. Hope that helps!

  • @christopherburke3257
    @christopherburke3257 4 года назад +24

    Taking an EMT-B class right now-very helpful. Thanks

  • @ericlondon5731
    @ericlondon5731 2 года назад +6

    Being a life long heat patient, I have had my pressure checked with the 'extra' first technique only once or twice. Most PA's will just slip an electronic cuff on my wrist and read it. I wish all of them did it more accurately.

  • @AlteSinclair
    @AlteSinclair Год назад +3

    I missed my skills lab for vitals and this helped me a lot for my EMT class thank you!!!!

  • @emilymiheso7214
    @emilymiheso7214 2 года назад +2

    This is the type of BP machine we used in college. When you listen keenly, the readings are perfect compared to the other machines. Thanks for sharing this llove it.

  • @Thealonghudson-xzkrto50
    @Thealonghudson-xzkrto50 Месяц назад

    She is a very good nurse and she is very gentle ❤

  • @evie9629
    @evie9629 4 года назад +25

    Thank you, nurse! I forgot how to use bp manually and now I'm gonna do it with my grandma hehehe

  • @aunties5798
    @aunties5798 5 лет назад +19

    Great job Sarah. I really love this particular skill. I work in LTC, and we mainly use mechanical devices for taking BPs.

  • @shirleytharp4608
    @shirleytharp4608 2 года назад +6

    This video was so much better than the tutorial on my job. Thank you 😊

  • @nishellal3002
    @nishellal3002 10 месяцев назад +2

    This was much better than what our teacher told us in lab

  • @nettamd
    @nettamd 3 месяца назад

    I got the first number right (systolic) when you were showing the numbers decreasing 😊 I start nursing school in the fall, and I'm definitely gonna be revisting this video 😊

  • @misha6212
    @misha6212 Год назад +1

    Your smile alone can cure my depression..

  • @PSciDoc
    @PSciDoc 2 года назад +7

    I'm the daughter and niece of nurses. I did taking a blood pressure manually as a demonstration speech in 8th grade. I have also had doctors that hate the blood pressure machines that are used now. When taken manually, there are things a professional can hear.

  • @stephaniesanchez26
    @stephaniesanchez26 5 лет назад +19

    why cant every professor be like sara :( these videos are a blessing!!!

  • @hlantolosinathi8992
    @hlantolosinathi8992 2 года назад +2

    That was so easy😭😭❤ School complicates stuff so much! You're a gem!

  • @kitajanehelton7384
    @kitajanehelton7384 Год назад +2

    I love y’all so much! Y’all are such big helps for me! I’ve made it thru prerequisites.. now time to apply to the program! 🎉❤ wish me luck!

  • @rexiiforsure9558
    @rexiiforsure9558 2 года назад +1

    I have an home blood pressure monitor and I take it the pressure every morning. If it’s high I take it on auto every 5 minutes to see if it’s going down it gets kinda obsessive I worry about it my blood pressure. I guess If I have high blood pressure might I need to go to the doctors and take pills to force it low

  • @kkstar1297
    @kkstar1297 2 года назад +4

    I’m taking a nurse aid class and they told us to pump it up to 160. Should I bring it down? Also how long should it take to actually take the blood pressure because sometimes I’m doing it for too long?

    • @abbyhoneywaffles
      @abbyhoneywaffles 2 года назад

      160 is average. If somebody has a higher baseline though, you'd pump it up higher.

  • @elijahbenson7550
    @elijahbenson7550 Год назад +1

    hey thanks for this video! me and my buddies are doing this in PE and this video greatly helped us 😅

  • @rainmakerii2610
    @rainmakerii2610 2 года назад +2

    I understood you,much clearer than my EMT instructor.Thanks for this lesson.

  • @diaeddine711
    @diaeddine711 7 месяцев назад +1

    Can someone plz tell me how to read it on the sphygmomanometer only ?

  • @soapthesoap
    @soapthesoap Год назад

    I have a big test tomorrow and this is really going to help, thank you!

  • @davewythe
    @davewythe 6 месяцев назад

    Great video, it was good how you mentioned not to occlude the brachial artery with the steth and that you mentioned why you go 30 mmHg above the point where you don't feel the brachial artery pusing anymore. We were taught in PA school to listen to the brachial artery stop pulsing with the steth. Do you think one method is better than the other? I'm guessing it doesn't really matter!

  • @sanchezaurier807
    @sanchezaurier807 2 года назад

    She is way better than my lecturer! And she is so beautiful👍

  • @laybrown3678
    @laybrown3678 2 года назад +1

    This was very detailed I love when explaining give real examples and tricks to use ❤️❤️❤️

  • @centristmiguel8581
    @centristmiguel8581 Год назад

    Can also palpate the radial artery to get your estimate if systolic. Most heart institutions teach it they way

  • @kuenzangdechen1931
    @kuenzangdechen1931 Год назад

    My go to page when I don’t understand in class. Thanks Sarah❤

  • @barbarahodges8835
    @barbarahodges8835 Год назад +1

    Thank you for your tutorial. It was very helpful.

  • @faeonie
    @faeonie Год назад +1

    Thank you so much your videos! Kind of offtopic but I think your stethoscope's so cutee 💗

  • @Sachink89218
    @Sachink89218 2 месяца назад

    Nurse sarah, your explaination is as beautiful as you!!!

  • @antonscheepers202
    @antonscheepers202 Год назад

    This is an excellent video - thorough, to the point, and correct. Question: post-Covid - I find many patients prefer the healthcare professional to be gloved - do you find the same? Presuming good hand hygiene - I don't think it is routinely necessary. (I realize the patient is also your husband - or so I believe.)

  • @sebghatullah150
    @sebghatullah150 2 года назад

    From Pakistan you are very tallented mam thank you your lectures helps me a lot

  • @marshmallowpop5541
    @marshmallowpop5541 3 года назад +2

    Currently watching this in the bathroom while I’m in training 😬 (on my break) and I’m about to get checked off

  • @Bushehri1
    @Bushehri1 3 года назад

    Thank you for the video, the older video was also very good and very clear , also this video with extra information especially with the highlights on the screen, again thanks a lot.

  • @thechosenones8105
    @thechosenones8105 3 года назад +1

    Very great video and well understood i am studying for my skills exam and i have a hard time with blood pressure . Thank you very much

  • @dineshjl4821
    @dineshjl4821 4 года назад +4

    Never have I ever seen such a gorgeous nurse ..😍🥰🤩😌

  • @GadgetsDunya
    @GadgetsDunya 2 года назад +1

    How to find brachial artery easily. I always find it difficult. Some tips about that?

  • @copperlight
    @copperlight 5 лет назад +8

    Hi Sarah, can you look 👀 at the dial to determine the BP if you cant hear anything? One of my instructor was an army nurse and told us she took BP by looking at the first and last bounce of the needle. But it seems as if that is not accurate.

    • @smithsonna035
      @smithsonna035 4 года назад +3

      Yes, you can I learnt to read the needle first before learning by listening

  • @rikudouray
    @rikudouray Год назад

    Thanks for the tips, I'm not a nurse but this one is very useful for me since I need to monitor my moms bp regularly. Also subs and binge more of your content later.

  • @Vitalaura313
    @Vitalaura313 11 месяцев назад +1

    Her remarkable beauty captivated the him and he is starring at her with love and pure heart❤❤😂😂

  • @authenticationstation2041
    @authenticationstation2041 Год назад

    Good explanation. That guy was like I just met this lady in the cafeteria and now I’m in her video.

  • @FawehinmiOluwatobi
    @FawehinmiOluwatobi Год назад +1

    Thank you, ma. I appreciate this.

  • @slaitracy7
    @slaitracy7 2 года назад

    My nursing instructor who teaching me the HHA class didn’t even show me like that. He just just a video I didn’t even understand and expect me to do it my self. I’m nervous because it will be my first time doing it (maybe it’s the fact I wanna do it perfect that bother me too much). Today he’s gonna so me to do it and I came here to watch before class started loll. That’s better

  • @SouthernRebels94
    @SouthernRebels94 Месяц назад

    I was wondering something is 130 over 60 considered good or bad in blood pressure? Because this was my first time doing my on readings, my first heart beat started at 130 and 60 was where i could no longer hear the sound.

  • @gwendolynrobinson3900
    @gwendolynrobinson3900 2 года назад

    I have to take my blood pressure at home to order birth control online because pharmacies around me around doing them anymore because of covid, thank you so much ♡

  • @R.L._Stine_88
    @R.L._Stine_88 4 года назад +17

    Hahahaha the patient looks so intense @ 0:53 to like 1:00 . Almost like he is in a staring contest or just scared as hell haha

    • @aida7212
      @aida7212 4 года назад +2

      Probably nervous AF or feeling awkward 😆

    • @b.freeman2118
      @b.freeman2118 3 года назад +10

      It’s her husband 😭😭😭

  • @samking224
    @samking224 Год назад +1

    Thank you. Informative.
    (I’m 59. In all my doctor office visits over the years, I don’t think they’ve ever been this diligent in taking my BP. )

  • @angelm007
    @angelm007 7 месяцев назад

    Wow.. that was surprisingly simple! Thank you (: What are some things to avoid when purchasing a manual pump? How do you know if they are of good quality vs one of bad quality? Any tips on what to know would be greatly appreciated! thank you(:

    • @angelm007
      @angelm007 7 месяцев назад

      What are some things to keep in mind besides brands and cuff length

  • @ivyp8762
    @ivyp8762 9 месяцев назад

    I had a nurse tell me she doesn't listen to the sounds to catch the reading. She says she just looks at where the first and last beat is caught on the gauge.. now thats not how i learned, but i was curious to see what yall think of that.

  • @hasiresha1368
    @hasiresha1368 Год назад

    You are the best, very clear and on point

  • @renildademetrial6284
    @renildademetrial6284 2 года назад

    I understands this kind od explanation not to much complecated. Thank you so much mam😊🥰

  • @InDatParish
    @InDatParish 2 года назад +1

    Interesting. I thought the bell end was just for kids. Thank you for talking about it

  • @saulsalas2458
    @saulsalas2458 2 года назад

    THANK YOU SO MUCHHHH, I am going to get graded over this and I finally understood it.

  • @the430movie
    @the430movie 3 года назад +3

    I wish I had this training when checking the nellcors as a biomed tech specialist years ago

  • @jhoanajonson1093
    @jhoanajonson1093 3 года назад +3

    Is it normal to still hear a patient's heart beat all the way to 20? I have some situation where I would take a patient's vital sign, sytolic would be wnl, but as I try to hear for dystolic I would keep hearing it all the way down to 20 and by hear I mean loud and clear. Is that normal? If not, how can I prevent that from happening?

    • @kingmoreno20
      @kingmoreno20 3 года назад

      Are you using your thumb to hold the stethoscope? You might be hearing your own pulse.

    • @edgarcia2015
      @edgarcia2015 3 года назад

      Make sure you are holding the stethoscope correctly and you are not listening to your thumbs pulse

  • @christopherallencomer5738
    @christopherallencomer5738 2 года назад +1

    THANKS GOD BLESS

  • @peopleofthephilippines3780
    @peopleofthephilippines3780 4 месяца назад

    Wow thank you better than my skills instructor

  • @matthewdavis2224
    @matthewdavis2224 2 года назад

    Thank you! I actually cited this in my reflective piece for my vital signs exam :)

  • @tinay9939
    @tinay9939 3 года назад +1

    Thank you so much! As a university student, You are a life-saver!

  • @miananwar8675
    @miananwar8675 3 года назад +1

    Excellent job Sarah

  • @CJ-xl2pt
    @CJ-xl2pt 2 года назад +1

    Thank you! I really forgot how to check the BP manually 😅

  • @NhuNguyen-wk3hl
    @NhuNguyen-wk3hl 5 лет назад +12

    Thank you Sarah! This is very helpful.❤️

  • @jamaicanxhoney4218
    @jamaicanxhoney4218 Год назад

    i keep getting that gap on my mother thank you RN Sarah

  • @shesjustniy434
    @shesjustniy434 2 года назад +1

    Thank you so much this helped a lot :) do you know where I can find a good sphygmomanometer and stethoscope online for practice or do you know where I can find a nice good one at Amazon that you would recommend thats affordable but give great accurate readings :)

  • @jbarkley4198
    @jbarkley4198 3 года назад +4

    I’m sitting here trying to find my brachial pulse. I can’t feel it on either arm

    • @p.f.h.2146
      @p.f.h.2146 3 года назад

      I am having the exact same problem

  • @johntuffield1457
    @johntuffield1457 5 лет назад +2

    Thanks for sharing. I watch your videos all the time. :)

  • @ionochie
    @ionochie Год назад

    ❤ I love her teaching.

  • @Modelfigurenurse
    @Modelfigurenurse 5 лет назад +46

    So we’re just gonna ignore the fact that Sarah is glowing in the video. She looks so young and fresh

    • @BookNerdQueen
      @BookNerdQueen 4 года назад +1

      I know right, I feel like that guy is just admiring her beauty

    • @nsanenthembrane
      @nsanenthembrane 4 года назад +2

      It’s all those years of nursing that’ll do that to you

  • @xugefu
    @xugefu Год назад +2

    Thanks!

  • @dave1208327
    @dave1208327 2 года назад +1

    The victim looks like Eddie Rabbitt!!! Freakin' awesome.

  • @JK-qk8jt
    @JK-qk8jt Год назад

    This is very helpful thank you.

  • @4u25out
    @4u25out 2 года назад

    Thank you Nurse.

  • @Temmybee_herbs
    @Temmybee_herbs Год назад

    You are a good teacher. Thanks for thid