Write an article based on this "Gather your materials. Wash your hands Prepare and test the catheter. Prep the patient and administer saline. Insert the catheter and apply suction. Let the patient get some air."
article: Suctioning the tracheostomy tube is important because it helps to keep the airway free of secretions (mucus), which enables the patient to breathe better and reduces the risk of lung infection. Lack of proper suctioning is a major cause of infection in people who have a tracheostomy tube. The materials needed include: A suction machine Catheters (tubes) for suctioning (size 14 and 16 are used for adults) Sterile latex gloves Normal saline solution Normal saline lavage that is already prepared or a 5ml syringe A clean bowl filled with tap water thoroughly. Caregivers (either at the hospital or at home) must wash their hands before and after tracheostomy care. This primarily protects the patient from getting a bacterial infection through his neck hole. Wash your hands with warm water and soap for at least 20 seconds and don't forget to scrub between your fingers and underneath your fingernails. Dry your hands using paper towels or a clean cloth. Turn off the tap using the paper towel or cloth as a barrier to avoid contaminating your hands again. As an alternative, lather your hands with an alcohol-based sanitizer and then let them air dry. Place gloves on hands. The suction machine package should be opened carefully, while taking care not to touch the tip of the catheter. However, the thumb control vent that is located at the end of the catheter can be touched, so don't worry about that. If you wind the catheter around one hand, it will keep it managed, freeing up your other hand for other tasks. The catheter is usually attached to suction tubing that is connected to the suction machine. Turn the suction machine on and test through the catheter tip whether it's able to suction. Test for suction by placing your thumb over the port of the catheter and releasing. A tracheal tube may have a single or double opening, and it may be cuffed or uncuffed, fenestrated (allowing for speech) or unfenestrated. Make sure the patient's shoulders and head are slightly elevated. She should be comfortable during this procedure. Have her take approximately three to four deep breaths to calm down. Once the patient is situated, put 35 milliliters (0.100.17floz) of saline solution into the tracheal tube. This will help stimulate coughing up of mucus and add moisture to the mucus membranes. Saline solution should be used regularly while suctioning to prevent the formation of thick mucus plugs within the trachea, which can block the passage of air. The number of times saline should be instilled varies from one person to another depending on how thick or how much mucus she produces in her trachea. Caregivers should observe the color, odor, and thickness of the mucus secretions in case there's an infection the mucus turns a grayish green and smells bad. Guide the catheter gently into the tracheal tube until the patient begins to cough or until it stops and cannot go any further. This should be approximately 4 to 5 inches (10.2 to 12.7cm) deep into the tracheostomy tube in most cases. The natural curve of the catheter should follow the curve of the tracheal tube. Think of the catheter as a vacuuming device for cleaning the tracheal tube.The catheter should be pulled back a little before suction is applied, which should make the patient more comfortable. Apply suction by covering the thumb control vent while withdrawing the catheter from the tracheal tube in a slow and circular motion. Suction should not be applied for longer than about 10 seconds, during which the catheter should be rotating and pulling out consistently. There should always be suction on the way out. Tracheostomy tubes come in several sizes and materials such as semi-flexible plastic, rigid plastic, and metal. Some tubes are disposable, while others are reusable. Have the patient take three to four slow and deep breaths in between suctioning sessions because while the suctioning machine is working very little air can get to his lungs. The patient should be given oxygen after every suctioning is done or given time to breath depending on the patient's condition. With the catheter removed, suction tap water through the tube to get rid of any thick secretions, then wash the catheter with hydrogen peroxide. Repeat the process as needed if the patient is producing more secretions that have to be sucked out of the tracheal tube. Suctioning is repeated until the airway is clear of mucus/secretions. After suctioning, the oxygen is returned at the flow rate level that it was before the procedure.

Write an article based on this "Lower yourself into a crouch. Keep your weight on your heels. Balance your weight on one foot. Take a step forward. Get into a rhythm."
article: The most recognizable characteristic of the duck walk is its low position. Start by sinking into a squat, your center of gravity aligned over your heels. Get as deep as you comfortably can. You may want to lightly warm up and stretch your hips, knees and ankles beforehand to make working through the motion easier. If you're doing the duck walk for exercise purposes, a slightly higher stance (thighs about parallel to the ground) will be more muscularly demanding. To aid in stability, keep your entire foot in contact with the ground and rest most of your weight over your heels. This will ensure that you're taking advantage of the most surface area possible and will allow you to use minor adjustments to keep your weight evenly distributed. Tense the muscles in your legs the whole time you're in the bottom positionrelaxing could cause you to lose tightness and fall over. Engage your core by squeezing your abdomen. Don't allow your torso to lean or turn as you start the walking motion. At the bottom of the squat, lift one foot off the ground slowly. All of your weight will now be poised over your other foot. Spend a few seconds getting used to maintaining your balance in this posture. While duck walking, you will essentially alternate between single-foot balancing in a low crouch. Ankle flexibility is important at this stage because it makes balancing on one foot much easier. While balancing on your first foot, bring your opposite foot forward and across your body and set it down in front. Then, shift your weight to your front foot, pushing your back knee forward as you do so. Get centered over your front foot to stay upright. Hold your arms in front of your body or out to the sides to help you balance. Now repeat the stepping action using both legs to start walking. Make sure you shift your balance carefully when transitioning from one foot to the other. Duck walking can be quite strenuous at first, as you're basically holding yourself in a one-leg squat, but it will gradually become easier with practice. Try to cover 10-12 feet at a time by duck walking, or aim for a specific number of steps to complete. Increase your steps or distance over time as you get better. After every few steps, stand up and give your leg muscles a chance to recover.

Write an article based on this "Clean your dog with a warm, damp cloth. Remove all soiled bedding from whelping area. Allow your dog to rest. Make sure that your dog has access to plenty of fluids during and immediately following the whelping process."
article:
Make sure she's clean of any trace of blood, placental fluid, or fecal matter. Good hygiene reduces the risk of bacterial infection following birth. You may see leaking fluids, called lochia, for several weeks after giving birth. These fluids are natural and normal, resulting from the shedding of your dog's uterine lining. Healthy lochia should be odorless, and may range in color from greenish-brown to blood-red. If your dog hasn't licked her pups clean within a few minutes of birth, you should wipe the puppies' face and nostrils with a damp, clean cloth to remove the placental sac. Give the pup back to its mother immediately. If your dog appears uninterested in cleaning her new pups, you may need to rub them with a clean cloth to stimulate breathing. You may want to take your dog outside for a pee and/or poop while another person replaces bedding with clean, dry cloths. Continue to replace soiled bedding regularly, ensuring that the area remains clean. Keep a stash of clean bedding near your whelping box for easy access. Your dog may sleep for several hours following the birth, while her pups nurse or sleep. When she wakes, she should appear alert and interested in her new puppies. If your dog doesn't appear interested in her new pups, this may be a sign of infection.Check her for other signs of distress, such as whining, dilated eyes, or foul-smelling discharge. If these are present, contact your veterinarian immediately. Though your dog may sleep more than usual, you should be attentive to any signs of discomfort or restlessness. If your dog doesn't want to drink water, try offering her chicken broth.