A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
When typhoid fever is prevalent, the most reliable _preventive
measures_ consist in thorough boiling of all water and milk used for
drinking purposes and the avoidance of uncooked vegetables, oysters,
and shell-fish.
=Management.=—Unless otherwise directed take _temperature_,
_respiration_, and _pulse_ every three hours, in mouth or axilla, as
desired. If for any reason a change is made in taking temperature,
it should be noted on the chart. Note the effect of _sponging_ or of
_bathing_ upon temperature and pulse. Note the character of pulse, and
effect, if any, which stimulants have had upon it. Note the amount of
_cough_, and the character and quantity of the _expectoration_; also
any pain that may occur in the chest.
Note the amount of _flatulence_ and the number and character of the
_stools_; especially be on the lookout for blood or undigested food in
the discharges.
Note carefully any _abdominal pain_, any _increase in the distention_,
as these symptoms, with or without a rather abrupt _fall in
temperature_, _chills_, and _pinched features_, are suggestive of
perforation.
=Treatment for Hemorrhage.=—Stop all orders immediately, including
diet. Elevate the foot of the bed. Give morphin sulphate, gr. ¼ (gm.
0.015), hypodermically, and apply an ice coil or iced compresses to the
abdomen until the physician arrives.
Note the occurrence of _vomiting_ and the character of vomit.
Be on the lookout for retention of _urine_, which is quite common. Note
the amount of urine passed in a day and any abnormalities connected
with its appearance.
Note the condition of the _skin_ and _tongue_.
Note the amount of _sleep_, its character, whether quiet or restless
and whether or not there have been delirium, stupor, or twitching of
the muscles.
Note the exact amount and character of _nourishment_ taken, and the
time it was given; also the amount, time of administration, and effect
of _medicines_ and _stimulants_.
Cleanse the mouth and teeth frequently with some antiseptic wash, such
as listerine, 1 part; water, 3 parts.
Bed-sores can nearly always be prevented by keeping the patient and
bedding perfectly clean, the skin absolutely dry, and the bed-linen
smooth. Changes of position are also important. Parts subjected to
pressure and soiling should be washed at least twice daily with soap
and water, thoroughly dried, gently rubbed with alcohol, and then
dusted with a powder like the following:
Boric acid, 1 part;
Starch, 1 “
Zinc oxid, 1 “
If the skin be reddened and tender it may be painted with collodion and
then dusted. When the part cannot be kept dry, it should be smeared
with zinc ointment and powdered. In very prolonged cases it usually
becomes necessary to use water- or air-pillows or water- or air-beds.
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account