American Red Cross Text-Book on Home Hygiene and Care of the SickAmerican National Red Cross
Science
American Red Cross Text-Book on Home Hygiene and Care of the Sick
American National Red Cross
Home nursing; Hygiene; Nurses; Nursing
THE TONGUE in health is red and moist; when extended it is somewhat
pointed and can be held steadily. In sickness it may be cracked, dry and
parched, or if the patient is not properly cared for, it may be covered
with white, yellow, or brown coating; in many exhausting illnesses it is
flabby and trembling. In scarlet fever the tongue is often a vivid red
color, and is then called strawberry tongue. The odor of the breath may
be foul from decay or neglect of the teeth, from indigestion,
constipation, nasal catarrh, or special diseases.
THE THROAT and tonsils are sometimes red and swollen as in simple sore
throat; or they may be covered by white patches.
THE GUMS may be swollen, tender, or bleeding. A collection of sticky
brownish material may appear on the teeth and gums of neglected
patients.
COUGH when present may be: dry, or accompanied by expectoration;
painful, frequent, loud, or whooping; and worse by day or by night. The
sputum may be yellow, white, gray, rusty, blood-streaked, dark, or
frothy. The amount of sputum should be noticed as well as its
appearance.
APPETITE or absence of appetite should be noted, and also the amount of
food actually eaten by a patient; the amount eaten is frequently not the
same as the amount carried to him on a tray.
If VOMITING occurs, the color, consistency, amount, and general
appearance of the vomitus should be noted; if its appearance is unusual
the vomitus should be saved for the doctor's inspection.
EXCRETIONS.--The number of bowel movements is important, and also their
character. The consistency of the feces may be hard, soft or fluid;
their color may be any shade of brown, yellow or green, from black to
clay color. They should be saved for the doctor to see if appearance or
odor is unusual.
THE URINE in health is clear, amber colored, and slightly acid. From 30
to 50 ounces should be excreted in 24 hours; the amount varies, however,
especially according to the amount of fluid taken. It is important to
notice whether the urine is scanty or greatly increased in amount, dark
or pale, clear or cloudy, and whether sediment is deposited after
standing. It is essential that urine should be voided in sufficient
amount; the necessity for watching its quantity is frequently overlooked
in the home care of the sick. Frequency of urination should also be
noted. Inability to urinate, particularly where the urine has previously
been scanty, is serious if continued; it should be reported to the
doctor without delay. Inability to control the bladder and bowels are
also symptoms to be reported.
LOSS OF WEIGHT is significant in both adults and children, and failure
of babies and children to gain in weight is a danger signal.
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