A Treatise on Anatomy, Physiology, and Hygiene (Revised Edition)Cutter, Calvin
Science
A Treatise on Anatomy, Physiology, and Hygiene (Revised Edition)
Cutter, Calvin
Hygiene; Physiology
710. A small degree of heat will irritate the nerves, and cause an
increased action of the blood-vessels. This is attended with severe
smarting pain, and will be followed by the deposition of serum under
the cuticle, unless applications are made immediately, to prevent
vesication, or blistering. To prevent or suppress this state of
arterial action, wet some folds of cotton or woollen cloth with cold
water, and apply them to the parts scalded; continue to apply cold
water, so as to steadily maintain the low temperature of the
applications, as long as the _smarting pain_ is experienced. The
steady application of cold dressing also tends to prevent an increased
action of the blood-vessels, and will suppress it, if it already
exist.
711. When blisters are formed, the cuticle is separated from the other
tissues of the skin by the effusion of serum. In all cases, if this
layer of the skin is not removed, a small opening should be made in
the raised cuticle, by which the serum deposited may be removed. Under
such circumstances, never remove the cuticle, as it makes the best
possible covering for the blood-vessels and nerves of the true skin.
The cold water dressing, recommended in the preceding paragraph, may
then be applied as long as the smarting sensation continues. After the
pain has subsided, the blistered part may be covered by a patch of
cotton or linen cloth, upon which an ointment, made of lard and
bees-wax, has been spread.
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709. To what condition of the skin are the terms burns and scalds
applied? 710. What is the effect when only a small degree of heat is
applied to the skin? How can vesication be prevented? 711. What should
be the treatment when blisters are formed?
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712. If the cuticle has been removed, there will be much suffering,
because the nerves are unduly stimulated by the air. The cuticle is
the sheath or covering of the vessels and nerves of the skin, and when
it is removed, a substitute should be applied. This substitute should
be soothing, and cover the denuded surface. Linseed-meal or ground
slippery-elm bark poultice, fresh cream, or lard and bees-wax, spread
upon linen or cotton cloth, would make a good dressing. When dressings
are applied, they should not be removed until they become dry and
irritating.
713. If there is much suffering, administer to an adult from
twenty-five to sixty drops of laudanum, according to the severity of
the pain. If the patient is a child, from fifteen drops to a
tea-spoonful of paregoric may be administered. When there is much
prostration, some hot peppermint tea or other stimulant may be found
necessary to bring on reaction.
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