Intramuscular IM Medications are most often injected Intramuscularly in the muscle. When expressing fluids or liquid nutrition slurries into a reptile, do it slowly enough so that it flows down towards the stomach, rather than so fast that it backs up into the mouth. This vigorous use of the side teeth helps to keep the teeth clean, the gums stimulated and the jaws exercised. Thus, green iguanas tend to be rather high maintenance lizards as keepers struggle to provide the humidity needed to fend off early kidney failure while keeping them warm enough to enable proper systemic functioning. General The Heat is on The following routes of administration are for these exceptional needs, not for administering basic maintenance fluids on a daily basis to an otherwise healthy reptile.
Because the Islamic year is roughly 10 days shorter than the Gregorian one, Ramadan shifts yearly. This year, August 21 marks the first day of Ramadan. Fasting for Muslims means abstaining from all foods and beverages, including gum and water, as well as medication and smoking, from dawn to sunset.
The two main meals of the day are suhur immediately before dawn and iftar immediately after sunset. These mealtimes are also related to two of the five main prayers Muslims perform every day. Muslims may consume other meals or snacks at night. Aside from hunger and thirst, Ramadan bestows spiritual peace to Muslims; during Ramadan, acts of worship are highly intensified.
It is impossible to describe typical suhur or iftar meals, considering the high diversity of the Muslim American community. Suhur can be dinner, or iftar, leftovers, typical breakfast foods, or ethnic foods. Social gatherings, many times buffet style, at iftar are frequent, and traditional dishes are often highlighted. A few dates and a cup of water are usually the first foods to break the fast, while fried pastries, salads, nuts, legumes, and breads are common.
Traditional desserts are often unavoidable, especially those made only during Ramadan. Water is usually the beverage of choice, but juice and milk are also consumed. Soft drinks and caffeinated beverages are consumed to a lesser extent. While weight loss is certainly not the driving power behind fasting, it is not uncommon for some to take advantage of it to shed a few pounds. At the same time, many Muslims see no changes in their weight, while others may gain weight.
Excess fried foods and desserts, overeating at buffet-style iftar parties, and reduced physical activity can be attributed to weight gain. Many Muslims aim for nutrient-dense foods to optimize nutrition and see fasting as a way to detox and allow the gut to rest. Fasting and Medical Issues Fasting does not pose any medical risks to healthy individuals. Exemptions to fasting are travel, menstruation, illness, older age, pregnancy, and breast-feeding.
However, many Muslims with medical conditions insist on fasting to satisfy their spiritual needs, and healthcare professionals must work with their patients to reach common ground.
Professionals should closely monitor individuals who decide to persist with fasting. The main chronic diseases of concern are diabetes, heart disease, hypertension, renal disease, and peptic ulcers.
Compliance with medications may be an issue, especially for those on daily daytime dosages. For patients with diabetes, things to consider are feasibility of adjusting medication and insulin dose, clinical stability, history of hypoglycemia and diabetic ketoacidosis, and the presence of other comorbidities.
Tips for the Dietitian Fasting during the month of Ramadan is one of the pillars of the religion and a highly valued act of worship. For dietitians to build a bridge of trust with their Muslim patients, they must respect the fasting practice and its spirituality. Dietitians can tailor nutritional care to the lifestyle of the month. The following are strategies to use to support your fasting patients:. All our reptiles are captive bred. Call Terry or Steve to discuss our range of reptiles and Lizards we have for sale at Appleton Exotics the leading supplier of exotic pets in the North West.
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Parrots at Appleton Exotics Parrots: North West Parrots All our birds have excellent clean, spacious conditions, they have constant attention from all the family, and therefore are extremely tame. Tortoises in the North West Tortoises: