A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
Lactose or milk-sugar is best for normal babies. It may split up in the
intestines into acids and when it ferments is likely to be a laxative.
Sucrose (cane-sugar) has no advantage over lactose, except that it is
cheaper. Do not give sucrose if other sugars are on hand.
Maltose (malt-sugar) is expensive and is never given pure.
Dissolve all sugars in warm sterilized water. Malt extract is more
laxative than other milk-sugar preparations. Malt extract should be
brought to boiling-point only.
PROPRIETARY FOODS.
Condensed and evaporated milks.
Malted foods, containing starch.
Starchy foods and various dry powders.
Kindolac, a dried milk.
Imperial Granum. Used in the same way as barley flour is prepared.
Eskay’s Food, which is valueless unless mixed with cows’ milk.
Mellin’s Food and Horlick’s Malted Milk.
The difference between Mellin’s and Horlick’s food is that Horlick’s
Milk has as its basis a dried milk preparation containing maltose and
dextrins. Use proprietary powders in the same way as oatmeal or flour
barley.
_Note._—Proprietary foods are only given to tide over a delayed feeding
of mother’s milk.
CARBOHYDRATE FORMULÆ.
Horlick’s food, 11 teaspoonfuls
Dextrimaltose, 10 “
Mellin’s Food, 11 “
Milk-sugar, 9 “
Barley flour, 15 “
Flour ball, 12 “
Dissolve carbohydrates in sterilized water before adding milk. All
mixtures should be cold when adding milk.
FLOUR BALL.
Four cups of wheat flour; place in muslin bag; place in warm water and
boil six hours. After taking out of bag, remove outer part; then break
up in chunks, place in radiator or slow oven to dry out. Pulverize by
grinding. May use it instead of sugar.
BARLEY GRUEL.
One tablespoonful barley flour; 1 quart of water. Boil twenty to thirty
minutes, then strain.
RICE GRUEL AND OATMEAL GRUEL.
Prepare the same as barley gruel.
_Note._—The flours thus made are very good carbohydrate foods. Gruels
from this kind of flour settle on standing. To prevent this, add
barley, oat, or wheat gruel flour before cooking. In using starch, boil
solution one hour.
SKIMMED MILK
is prepared by removing the gravity cream or by a centrifuge.
HOMOGENIZED MILK
is prepared by mixing olive oil and skimmed milk under great valvular
pressure.
WHEY.
1.—Boil 1 quart of milk; add 2 teaspoonfuls of rennet. Keep
at temperature of 103° F. for thirty minutes. Strain
through sterile cloth. To secure a fine soft curd add ½
teaspoonful of chymogen; allow to drain one hour. Sodium
citrate softens casein curd.
WHEY FOR SPECIAL INFANT FEEDING.
Add sodium bicarbonate, gr. x, to ½ pint of whey to render it alkaline,
and sugar of milk, ʒj, to raise sugar to 6 per cent.
WHEY: ESSENCE OF PEPSIN FORMULÆ.
2.—1 pint skimmed milk;
2 teaspoonfuls essence of pepsin or rennet.
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