A Text-book of Diseases of WomenPenrose, Charles B. (Charles Bingham)
Science
A Text-book of Diseases of Women
Penrose, Charles B. (Charles Bingham)
Women -- Diseases
The patient should be encouraged to pass water voluntarily. The
application of hot moist cloths to the external genitals sometimes
facilitates urination. In many cases the use of the catheter is never
necessary. If the urine is not voided about every eight hours, it
should be drawn with the catheter. Catheterization should be done
with strict attention to asepsis. The former frequency of cystitis
from the improper use of the catheter has already been referred to.
Catheterization should never be performed under any circumstances
by the aid of the tactile sense alone. The nurse should always see
what she is doing. The catheter--metal, glass, or preferably soft
rubber--should be sterilized by boiling, and should be preserved in a
1:20 solution of carbolic acid.
The catheter may be lubricated with sterilized oil or glycerin. The
labia should be separated, and the vestibule and the external meatus
should be wiped off with a solution of bichloride of mercury (1:2000).
After the catheter has been used once it should be thoroughly cleansed,
inside and out, and sterilized by boiling before being replaced in the
carbolic solution.
The secretion of urine is always diminished for a few days after
celiotomy, probably on account of the restricted ingestion of fluids.
The writer has found the average secretion in 111 cases of celiotomy on
women to be, during the first twenty-four hours, 13.4 ounces; during
the second twenty-four hours, 14.6 ounces; during the third twenty-four
hours, 19.6 ounces. In considering these numbers it should be
remembered that the gynecological patient passes, before operation, a
daily amount of urine much less than that passed by the average healthy
woman.
Food is usually first administered at the end of forty-eight hours.
If the patient be feeble, nutriment may be given by the mouth or the
rectum before this time. The patient may have any easily digested food
that she wishes, such as buttermilk, soup, beef-tea, milk or milk and
lime-water, soft-boiled egg, etc. The food should be given frequently
in small quantities. Buttermilk is one of the best foods with which to
begin. It gratifies thirst and is more readily digested than milk. Half
an ounce to an ounce may be given every hour until the retentive power
of the stomach is determined.
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