Answer:
Observing a mother expressing the breast milk : )
Answer:
C. Fluid Retention
Explanation:
Pioglitazone belongs to the family of Thiazolidinediones, they act as ligands of the PPARgamma receptor, a pair of nuclear hormone receptors that participate in the regulation of genes related to the metabolism of glucose and lipids. They are used for patients with DM2, specially those with renal disease, since they do not metabolize in the kidney. Among their therapeutical effects they increase secretion of adiponectine, lower liver fat and redistributes it to the subcutaneal layer of the skin. Their side effects include:
-Hepatotoxicity with increased liver enzymes
- Increase risk of long-term fractures
-Weight gain, due to fluid retention with edema. The edema is formed by intracellular effects by the stimulation of Na + pumps which stimulates the hydrosaline retention.
Muscles move bones by contracting and relaxing the muscle cells, which are connected to tendons. Tendons are a fibrous connective tissue that connects bone to muscle, so it is part of the process of muscle-bone movement. Muscle fibers contract, which shortens the muscle and uses the tendon to move the bone, the same goes for relaxing the muscle.
Caring; showing your patients that you care
communication; communicate clearly, more likely to gain trust and respect from patient
competence; know your professional area well, including your limitations
charting; documentation is proof, if it wasn't charted, it wasn't done
