A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
_Treatment._—Absolute sterile cleanliness in the preparation and
administering of the patient’s food. The mouth must be cleansed with
warm boric acid solution after every feeding. The patches should be
touched gently with the same solution, and the lips anointed with a
soothing lotion.
=Convulsions.=—The principal predisposing causes are infancy conditions
affecting the nutrition of the brain and hereditary influences. The
brain grows more during the first year than in later life, and this
rapidity of growth is in itself an important predisposing cause of
functional derangement. After infancy attacks of convulsions are much
less frequent, and after seven years they are relatively rare. Death
may take place from a single attack in very young infants, especially
those who are rachitic.
Convulsions may be thought to indicate the onset of some acute disease
when they occur in a child over two years old, and when they come on
suddenly or with only slight premonition in a child previously well;
but the most important point is that they are accompanied by a high
temperature—104°-106° F. Acute meningitis is the only other condition
likely to produce these symptoms. Whether the convulsions mark the
onset of lobar pneumonia, scarlet fever, malaria, or some other disease
can be determined only by carefully watching the patient’s symptoms for
24 or 36 hours.
In convulsions depending upon some disorder of the alimentary tract,
we may get a history of chronic constipation or improper feeding,
and in nursing infants, sometimes of passion or intoxication in the
wet-nurse. Convulsions are so frequently due to digestive derangement
that the condition of these organs should be one of the first things
to be looked into. Examination of the urine should never be omitted
in any case of convulsions of doubtful origin, even where no dropsy
is present. This, both in infants and older children, is too often
overlooked. In all cases of convulsions of doubtful or obscure origin
occurring in infants, rickets should be suspected as the underlying
cause, and the child carefully examined for other evidences of that
disease.
_Treatment._—Cold should be applied to the head, best by means of an
ice-cap or cold cloths, and dry heat and counterirritation to the
surface of the body and extremities.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account