A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
_Causes._—Exposure to a cold, damp atmosphere, indigestion, or
irritation of the throat. There may be some hoarseness a few hours
preceding the attack and the child awakens suddenly in the paroxysm of
the sharp croup cough, experiences difficulty in breathing and has the
cyanotic appearance so terrifying to the mother, but which need give no
cause for serious alarm.
_Treatment._—Apply hot compresses about the throat. If the attack is
severe give an emetic—one dram of salt or mustard in one-half cup of
warm water, and repeat in twenty minutes if necessary; an enema of warm
water should be given and steam inhalation resorted to. Keep the child
in an even temperature, restrict diet for a few days, and keep bowels
active.
=Parotitis (Mumps).=—An infectious disease characterized by
inflammation of the parotid glands. Incubation is from two to three
weeks.
_Symptoms._—The disease comes on with a mild chill, pain below the ear
and swelling of the glands. There is great discomfort and the tension
is very disagreeable.
_Treatment._—Keep patient in bed during the height of the disease. Give
liquid and soft diet. Bowels should be opened freely. No medicine is
required unless fever is high. Apply cold compresses to the affected
part, though, if preferred, hot ones may be used. A pad of cotton with
oiled silk is the best application. In cases of extreme redness or
tenderness of the glands, leeches may be applied. In cases of delirium
use the ice-cap. For orchitis, lubricate the parts with camphorated oil
and support with a soft cotton pad.
Duration of disease, from seven to ten days.
=Whooping-Cough.=—An infectious disease, beginning with catarrh of
the air-passages, like an ordinary cold. The short expiratory coughs
following each other in rapid succession and the period of drawing a
long breath give rise to the whoop characterizing pertussis.
_Incubation._—A week to ten days.
_Treatment._—Isolate patient and if attack is severe put him in bed.
Fresh air is the most essential element. If the cough is distressing,
ipecacuanha wine and paregoric may be given. During convalescence the
child should be watched carefully, as at this period bronchopneumonia
and tuberculosis are apt to develop. Change of air is advisable.
Tonics and cod-liver oil should be employed. The diet should be easily
digestible, nourishing food. After each paroxysm and after the child
has recovered from the exhaustion it produces give nourishment. There
will be a partial if not complete absorption of the food before another
attack. Duration of the disease from six to twelve weeks.
=Colic.=—_Causes._—Constipation, indigestible foods, flatus,
overfeeding, improper foods and exposure to cold.
_Symptoms._—Child cries out very suddenly and sharply. There is a
convulsive movement of the extremities, the hands are tightly closed,
abdomen is tense.
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