The best application which can now be made to the skin for the double
purpose of softening the crusts and allaying the pruritus is a solution
of carbolic acid in olive oil (five or ten per cent.). When the itching
sensation of the face and hands is intense, it can be greatly relieved
if the nurse will frequently spray these parts with pure chloroform,
or, if the crusts have an unpleasant odor, with a mixture of chloroform
and some antiseptic solution.
In the case of restless or unmanageable children the elbows may be put
in splints so that the finger-nails cannot come in contact with the
face.
*Period of Convalescence.*--When the crusts have dried and fallen
from the face and body and no unpleasant complications still exist,
the patient may be considered as a convalescent. No treatment is
now required except a liberal diet, the daily bath, and a continued
application of carbolized vaseline or some antiseptic oil. When the
discolored cicatrices left after the falling of the crusts appear
elevated and hard, as is frequently the case upon the face and hands
(variola verrucosa), it is customary with some to paint them with
tincture of iodine. A pleasanter and more effective application is a
twenty per cent. solution of resorcin in rose-water.
When the skin has assumed its normal smoothness, and no indication of
the disease remains except the dull purplish-red spots where the crusts
have fallen, the patient may be regarded as well, and, after a careful
disinfection of his body, he may be furnished with fresh or thoroughly
disinfected clothing and discharged from the hospital or sick-room.
In disinfecting a patient prior to his discharge, not only should a
prolonged bath be taken, but the head should be thoroughly shampooed
with carbolic soap, the nails cut and scrubbed with the same, and the
mucous orifices of the body cleansed with peroxide of hydrogen.
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