Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Incipient Diseases~, especially tuberculosis and scurvy, may likewise
cause a rise of temperature. The relief of either disease or the fever
depends largely upon how quickly the conditions are discovered and the
means instituted to overcome them.
~Metabolism in Febrile Conditions~ of children, as well as of adults,
is rapidly increased, hence the energy output is greater, and for this
reason the fluid intake must be augmented in order to eliminate the
toxic substances produced as a result of the rapid breaking down of
the body tissues.
~The Kidneys~ are more or less strained to eliminate the products of
the increased metabolism and for this reason it is especially
necessary to adjust the diet in order to limit, as far as possible,
the foods which add to the burden already imposed upon the organs of
excretion.
~The Skin~ is an organ of excretion which, under normal conditions,
shares the work of the kidneys. In infectious conditions, accompanied
by eruptions which more or less cover the entire surface of the body,
this organ is temporarily out of commission, hence its work, as well
as their own, must be accomplished by the kidneys.
~Dietetic Treatment~ in the majority of infectious diseases may be
divided into three periods: Starvation, Fluid Diet, and Convalescent
Diet.
Starvation, during which time no food is given for twenty-four hours
or longer, in order to allow the digestive apparatus to rest and to
give time for any substance which may be causing the elevation of the
temperature to pass from the body. This treatment is also wise because
it furnishes an opportunity for the symptoms of the disease to
manifest themselves; Fluid Diet, given when acute symptoms subside,
and Convalescent Diet when danger from relapse is over.
~Scarlet Fever~ is treated with two main ideas in view--preventing the
development of nephritis and relieving the condition should it
develop.
~Dietetic Treatment~ is logically the only means of treating or
relieving nephritis. For the first three weeks, during which time this
complication is apt to develop, a milk diet is necessary. This may be
in the form of whole milk, milk soups, malted milk, etc. At the end of
this time, if there are still no symptoms of nephritis, a convalescent
diet, beginning with cereals and soft toast and progressing through
the simple digestible foods such as rice, baked potatoes, soft eggs,
etc., may be given. This is continued until the patient is well on the
road to recovery. Meat should not be added until practically all
danger of nephritis is passed.
~Nephritis.~--If, during the course of the disease this complication,
should develop, the treatment described for acute nephritis on page
336 should be immediately instituted.
~Diphtheria.~--Dangerous complications at times develop as a result of
diphtheria, making the treatment of this disease of the utmost
importance. Heart symptoms, pneumonia, albuminuria, and anemia are
among the complications to be dreaded and combated.
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