A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
As the discharge of pus begins to diminish, which may not be for
several weeks in bad cases, we may somewhat modify our treatment; the
strong applications need not be quite so strong, and the cleansing need
not be quite so frequent; but the most important item in the treatment
of all these cases is the frequent thorough cleansing of the eyes, and
if the cleansing is thoroughly done as above described each hour and
the lids kept constantly anointed, in order to prevent accumulation
of the irritating discharge, more frequent cleansing will not be
necessary. Great care must also be exercised to prevent much crying by
these little patients. They must be kept warm, regularly nursed or fed,
and the slightest derangement of the alimentary canal must be attended
to. If the cause of the crying cannot be ascertained and removed, it
is wiser to soothe the baby with a simple anodyne than to permit the
crying to go on.
It should not be necessary to point out the danger which lies in all
things which come in contact with the discharge from these eyes.
Blennorrhea neonatorum is responsible for at least 25 per cent. of all
the blindness in the world, and yet not one case in a hundred should
result disastrously if skilfully and patiently managed.
EMERGENCIES.
HEMORRHAGES.
Hemorrhage from the arteries may be recognized by its bright red color
and by the spurting jets by which the blood leaves the wound. Venous
(from the veins) hemorrhages flow in a steady stream and are darker in
color. Arterial hemorrhage may be checked by firm pressure over the
side nearest the heart or above the wound. Venous hemorrhages may be
checked by firm pressure on the side distant from the heart or below
the wound. Large veins like the jugular should be compressed both above
and below the wound because the vein may bleed from both ends. If
possible, digital pressure should be made directly over the bleeding
point.
Hemorrhage from the _leg_ may be checked by firm pressure upon the
femoral artery, in the middle of the groin at the top of the thigh.
Hemorrhage from the _forearm_ by compression under the inner edge of
the biceps against the humerus.
Hemorrhage from the _upper arm_ by compression of the axillary artery
against the humerus in the axilla.
Hemorrhage from the _cheek_ by compression on the facial artery against
the lower jaw just in front of the masseter muscle.
Flexing the limbs at the joints with a pad between them to make the
compression secure and then binding the part may prove a successful
method of arresting the flow of blood. A constrictor of rubber tubing
twisted firmly around the limb is a ready appliance and a most
successful way of checking a flow of blood from an injured limb. But it
should not remain on longer than absolutely necessary or gangrene may
result from complete stoppage of the circulation.
Public-domain text, read in full here on John Shaqi.
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