A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Sylvester’s Method.=—Lay the patient upon his back; kneel above
the head, take firm hold of the arms above the elbow, and move them
horizontally—first away from the body, then over the head until the
hands touch behind; pull them backward for a few seconds. This process
expands the chest cavity, and the lungs are filled with air, inducing
inspiration. Return the arms to the first position, and make strong
pressure on the sides of the chest and epigastrium to expel the air
and effect expiration. Movements should not be too rapid; they should
be repeated about sixteen times a minute. In case of apparent want of
success, persist in the treatment until it has been ascertained that
the heart has ceased to beat.
=Marshall Hall’s Method.=—Roll the patient over on his breast, make
gentle pressure on the back, then turn the body gently but completely
on the side, and again make gentle pressure on the back. Repeat these
movements fifteen times every minute.
Artificial respiration may be kept up for hours before the faintest
symptoms of life are shown.
SUNSTROKE.
Two conditions result from exposure to excessive heat: thermic fever
and heat exhaustion.
In =thermic fever=, after prodromal symptoms consisting of headache,
nausea, and vomiting, there are stupor or coma, fever ranging from 105°
to 110° F., flushing of the face, contraction of the pupils, a rapid,
full pulse, and noisy respirations.
_Management._—Pack the patient in ice, and rub with ice. Ice-water
enemas may also be given. Bleeding and the subcutaneous administration
of normal salt solution are sometimes efficacious.
In =heat exhaustion= consciousness is not lost; the skin is cold and
moist; the respirations are shallow and rapid, but not noisy; and the
pulse is feeble.
_Management._—The patient should be covered with blankets and
surrounded with hot bottles. Aromatic spirit of ammonia (30 minims),
whisky, and black coffee are useful stimulants.
BATHS AND PACKS.
WARM PACK FOR PNEUMONIA PATIENTS.
Articles needed:
4 blankets. Foot-tub for hot water.
1 rubber and towel for head. Basin and ice.
1 long rubber sheet. 2 compresses for head.
Place under patient: First, blanket, then rubber sheet, covered with
second blanket. Place small rubber piece, covered with the towel, under
patient’s head. Third blanket put over patient. Leave patient on side
while woolen blanket is wrung out of hot water. Place this blanket
quickly under and about the patient, removing lower dry one at the
same time. Leave feet out of wet blanket, wrapping them up dry, and
use hot-water bottle if necessary. Cold compresses to head. Leave in
pack 45 minutes. Wipe dry; give alcohol rub. Take temperature and pulse
every half-hour after removing from pack.
COLD PACK TO REDUCE TEMPERATURE.
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