A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
Wounds should be packed fully and evenly with some absorbent material.
Applications of heat and cold are common methods of checking
hemorrhages, heat being at all times preferable. Hot water poured on
open wounds will encourage coagulation. Bleeding from an ulcer of the
leg, which often results from varicose veins, should be stopped by firm
pressure over the wound.
_Hemorrhage from the Lungs._—A teaspoonful of salt taken internally
may stop it. Place an ice-bag over the chest. Morphin, gr. ⅛-¼, may be
given under the instructions of a physician. In all cases put patient
in bed and enjoin complete rest until medical aid arrives.
_Nose-bleed (Epistaxis)._—First of all, position and rest should be
attended to. The patient should not lie down unless very weak. The
higher the head the better. Loosen clothing about the neck and thorax.
Caution patient against coughing or sneezing. Holding the nostril
tightly closed, with cold applications to the back of the neck, is
sometimes successful. Insufflation of ice- or alum-water, or of tannic
acid solution may induce coagulation. Profuse bleeding will require
packing of the nostrils.
FRACTURES.
_Compound Open Fracture._—The bone is broken and the wound extends
from the seat of the fracture to the outside. Such wound may be caused
by the injury itself, or may occur secondarily from the protrusion of
pieces of bone through the skin.
_A comminuted fracture_ is one in which the bone is broken into a
number of fragments.
_An Impacted Fracture._—The broken ends have been forcibly driven into
one another, and are thus fixed.
_Multiple Fracture._—The bone is fractured at different points, or when
different adjoining bones are broken.
_A complicated fracture_ is one associated with a serious injury to
some important adjacent part—_e.g._, a large vessel.
_A green stick or incomplete fracture_ occurs where the bone is soft
and bends, and is only partially fractured; it is most frequent in
children.
=Symptoms= of fractures are usually pain, loss of function, deformity
(seen or felt by passing the fingers over the seat of pain), crepitus
or the grating sound produced and felt on rubbing the broken ends
against each other, abnormal mobility in the course of the bone,
swelling, and discoloration.
The principal point is to keep the part immovable and in a position to
give as little pain as possible. Support the limb with something stiff
and padded with cotton or remnants of yielding material. Bandages can
be made of handkerchiefs, strips of linen, ribbon, etc., to keep the
splint firm.
For the _forearm_ padded splints long enough to take in the hand from
above the elbow should be applied. Tie firmly with bandages and suspend
in a sling.
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