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Mini Dragon Group (ages 6-7)

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Wyatt Roberts
Wyatt Roberts

3 : Kill Your Cares


This blog post is the first part of a series of 3, on a recent lecture I was asked to give on Critical Care Updates: Resuscitation Sequence Intubation. This talk was mostly derived from a podcast by Scott Weingart (Twitter: @EMCrit) where he talked about the physiologic killers during preintubation and perintubation. In this podcast, Scott mentions the HOp killers: Hypotension, Hypoxemia, and Metabolic Acidosis (pH) as the physiologic causes of pre-intubation/peri-intubation morbidity and mortality. Taking care of these critically ill patients that require intubation can be a high stress situation, with little room for error. In part one of this series we will discuss some useful strategies at the bedside to help us reduce pre-intubation/peri-intubation hypotension.




3 : Kill Your Cares



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Toilet use accounts for 25 to 30 percent of household water use. Many older homes have toilets with 3.5- to 5-gallon reservoirs, while newer, high-efficiency toilets use 1.6 gallons of water or less per flush. Replacing existing toilets with high-efficiency models is an easy way to reduce the amount of household water entering your septic system.


Try to spread washing machine use throughout the week. Doing all household laundry in one day might seem like a time-saver but it can harm your septic system. It will not allow your septic tank enough time to treat waste and could flood your drainfield.


Whether you flush it down the toilet, grind it in the garbage disposal, or pour it down the sink, shower, or bath, everything that goes down your drain ends up in your septic system. What goes down the drain affects how well your septic system works.


Your septic system contains a collection of living organisms that digest and treat household waste. Pouring toxins down your drain can kill these organisms and harm your septic system. Whether you are at the kitchen sink, bathtub, or utility sink:


Yes. Most drainfields (such as rock and pipe, chamber system, etc.) are constructed in open lawn areas and are not designed to handle vehicles or heavy equipment driving on them. The weight of vehicles and heavy equipment compacts the soil, which can damage pipes. Impermeable materials, such as concrete and asphalt, should not be laid on top of a drainfield because they reduce evaporation and the supply of oxygen to the soil. Oxygen is critical to the healthy bacteria in your septic system and the proper breakdown of sewage by soil microorganisms.


Investigations take time, but follow up if you feel like law enforcement is not taking your complaint seriously. Find more information on working with law enforcement to protect cats and reporting animal cruelty.


A necropsy is an autopsy for animals, performed in order to find the exact cause of death. Most states have a laboratory that performs post-mortem tests on animals, so try contacting your state government or searching online for a laboratory near you that will conduct a necropsy on a cat. Costs will vary.


Excited to learn more about caring for your new Just Add Ice Phalaenopsis orchid, you scour the internet for orchid care tips. Some of your research on Google, Instagram and YouTube created doubts about watering your orchid with ice cubes:


Watering orchids with ice cubes mimics the slow drip of water from leaves in tropical climates where orchids grow. Although ice isn't part of an orchid's natural habitat, neither is your home! Orchids thrive outside of their natural habitat when we take good care of them.


1. The pre-measured amount of ice cubes helps prevent overwatering. Giving your orchid too much water is one of the quickest ways to kill it. Using ice cubes for your watering method takes the guesswork out of how much water to use, helping you give your orchid the exact amount it needs to flourish.


No matter what conflicting information you've read online or heard on social media, rest assured that our orchid care resources and tips are based on research and years of experience. We're here to help your orchid thrive!


Control of moss requires more than just killing off the existing moss in the lawn. The best way to prevent moss from returning is to correct the underlying reason the moss began growing in the first place.


The battery in your car contains energy cells and a special lead-acid chemical solution that work together to provide a jolt of energy to get things moving and grooving when you turn your key in the ignition.


Corrosion around the terminals or loose cable connections can interfere with the battery charge and make it harder for the battery to start your engine. A quick terminal cleaning and cable check can help reestablish contact.


Many dogs have advanced heartworm disease by the time they are diagnosed. This means that the heartworms have been present long enough to cause substantial damage to the heart, lungs, blood vessels, kidneys, and liver. Rarely, cases may be so advanced that it is safer to treat organ damage and keep the dog comfortable than it is to risk negative effects associated with killing the heartworms. Dogs in this condition are not likely to live more than a few weeks or months. Your veterinarian will advise you on the best treatment approach for your dog based on the latest recommendations from the American Heartworm Society.


Treatment to kill microfilariaeBefore treatment with the drug that is used to kill adult heartworms, your dog will receive a drug to kill microfilariae (heartworm larvae). Your dog may need to stay in the hospital for observation on the day this medication is administered, and this may be performed either before or after the injections for adult heartworms. Following treatment, your dog will be started on a heartworm preventative.


Treatment to kill adult heartwormsAn injectable drug, melarsomine (Immiticide), is given to kill adult heartworms. Melarsomine kills adult heartworms in the heart and adjacent vessels. This drug is administered in a series of injections. Your veterinarian will determine the specific injection schedule according to your dog's condition. Most dogs receive an initial injection, followed by a 30-day period of rest, and then two more injections that are given 24 hours apart. As melarsomine can cause muscle pain, dogs will often receive pain medication as well.


Complete rest is essential during treatment. The adult worms die in a few days and start to decompose. As they break up, they are carried to the lungs where they lodge in the small blood vessels and are eventually reabsorbed by the body. This resorption can take several weeks to months, and most post-treatment complications are caused by these fragments of dead heartworms. This can be a dangerous period, so it is critical that your dog be kept as quiet as possible and is not allowed to exercise until one month following the final injection of heartworm treatment.


The first week after each injection is critical, as this is when the worms are dying. A cough is noticeable for seven to eight weeks after treatment in many heavily infected dogs. Prompt treatment is essential if your dog has a significant reaction in the weeks following the initial treatment, although such reactions are rare. Notify your veterinarian if your dog shows loss of appetite, shortness of breath, severe coughing, coughing up blood, fever, or depression. Treatment including anti-inflammatories, antibiotics, cage rest, supportive care, and intravenous fluids is usually effective in these cases.


Prednisone (Deltasone, Meticorten) is a corticosteroid often used to minimize complications from dying microfilariae or heartworms. Dogs with severe heartworm disease may require antibiotics, pain relief medications, special diets, diuretics to remove fluid accumulation in the lungs, and/or drugs to improve heart function prior to treatment for the heartworms. Even after the heartworms have been killed, some dogs may require lifelong treatment for heart failure. This includes the use of diuretics, heart medications such as ACE inhibitors, beta-blockers or cardiac glycosides, and special low-sodium diets.


You can prevent your dog from getting heartworms by using a heartworm preventive. When a dog has been successfully treated for heartworms, it is essential to begin a heartworm prevention program to prevent future recurrence. With the safe and affordable heartworm preventives available today, no pet should ever have to endure this dreaded disease. Consult with your veterinarian to determine which heartworm preventive program is best for your dog.


Smoking or using other tobacco products greatly increases your risk of developing laryngeal cancer. Drinking alcohol, especially a lot of it (more than one drink daily) also raises your risk. And using alcohol and tobacco together increases your risk even more.


For early laryngeal cancer, your care team will likely recommend surgery or radiation therapy. Research has shown that both are effective. Your team will base the decision on several factors, including:


The immune system consists of a complex process that your body uses to fight cancer. This process involves cells, organs, and proteins. Cancer can commonly get around many of the immune system's natural defenses, allowing cancer cells to continue to grow.


The type of immunotherapy, dose, and treatment schedule your doctor recommends will depend on many factors. These can include the type of cancer, size, location, and where it has spread. Your age, general health, body weight, and the possible side effects are also important. Talk with your doctor about why a specific immunotherapy plan is being recommended for you. 041b061a72


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