A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
_Treatment._—Gentle pressure and massage with warm oil over the abdomen
and a few doses of hot or peppermint water will expel the gas. Burnt
brandy is good. The simple warm enema is a common remedy. Wrap warm
flannels around the lower parts of the body and keep the hands warm.
=Diarrhea.=—Frequent loose evacuations without tenesmus.
_Causes._—Impure water or food; irritating secretions poured into the
bowels; bottled milk.
Diet should be restricted to cereal and albumin water. Flush the bowels
very gently with warm water.
=Dysentery.=—_Symptoms._—Fever, tenesmus and frequent small mucous,
bloody stools. Treat as diarrhea. Keep child warm, especially about the
abdomen.
=Cholera Infantum (Summer Complaint).=—_Symptoms._—Fever, intense
thirst, continuous vomiting, and purging of the bowels. Stools
soon become watery and pale-green in color, and the child has all
appearances of complete prostration.
_Treatment._—Stomach washing and intestinal irrigation carefully given.
Restrict diet to barley water containing a few drops of brandy and give
hourly for a few days.
=Rickets.=—A disease of infants, characterized by impaired nutrition of
the entire body and alteration of growing bones.
_Causes._—Not positively known. Heredity may be a predisposing factor.
Another theory given is want of sunlight, impure air, prolonged
lactation, and suckling. As it is a constitutional disease it is almost
certain to be due to a disturbance of nutrition. _It is much less found
in the breast-fed than in the artificially fed and more common when the
artificial feeding is bad than when it is properly given._
=Scurvy= is a constitutional disease of metabolism _due to a faulty
diet_. Probably the absence of some constituents in the nature of
vitamins. _Scurvy and rickets are two distinct diseases_, and yet both
may be due to _impure, improper infant feedings_.
_Three General Symptoms of Great Importance._—First, a diffuse soreness
of the body, so that the child cries when an attempt is made to move
it; second, slight fever; third, profuse sweating. Deformities may
often be prevented if, in the early stages, constant care is taken that
the child is properly held.
=Thrush.=—_Aphthæ._—Small white, furry mouth ulcers developing during
the first and second year of infancy.
_Cause._—Lack of cleanliness in the care of the mouth, especially after
feeding with bottled milk. The patches are tenacious, grow larger,
until sometimes they involve the entire gastro-intestinal tract,
resulting in acute indigestion and bowel disorders.
The first symptom is usually some evidence of painful distress in the
infant’s efforts to nurse; fever, diarrhea and vomiting occur and the
trouble may become acute.
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