Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Convalescent Diet.~--The diets recommended for use during
convalescence from other intestinal disorders may serve here,
reducing, however, the allowance of meat, since meat proteins are
particularly susceptible to attacks of putrefactive bacteria.
~Dietary Precautions.~--After the body has returned to its normal
state, the patient must keep in mind the danger arising from
constipation and intestinal putrefaction. The following menu is given
as a guide to aid the individual in selecting a diet which will in a
measure assist in preventing future attacks of intestinal putrefaction
and auto-intoxication:
7 A.M. 1 glass of water with orange or lime juice.
BREAKFAST
8 A.M. Stewed prunes or figs.
Cereal and cream.
Buttered toast.
Crisp bacon.
Coffee.
LUNCHEON
Vegetable or tomato soup.
Green vegetables such as cauliflower, greens, or tomatoes; or
Baked dishes such as macaroni and cheese, scalloped macaroni and
tomatoes; or
Baked potatoes, or potatoes _au gratin_, or stuffed tomatoes with rice.
Stewed fruit or fruit jelly.
Sponge cake with simple sauce.
Junket.
Toasted crackers or bread.
DINNER
Milk soup.
Cream of spinach, celery, peas, or tomatoes.
Baked eggs, cheese souffle or nut loaf.
Tender green peas, cauliflower, spinach, boiled or creamed potatoes,
well-boiled rice.
Fruit, vegetable, tomato, or cheese salad.
Simple dessert, such as cottage pudding with simple sauce, fruit
pudding, prune whip, or frozen desserts; ice cream or water ices;
or
Cheese and crackers.
Coffee.
SUMMARY
DIARRHEA
~Character.~--Acute or chronic, accompanying many pathological
conditions, especially in children in whom diarrhea in any form must
be given immediate attention.
~Causes.~--Errors in diet, polluted water or milk, ptomaines, bad
hygiene, and certain drugs.
~Bowels.~--The stools vary in number from three to twelve a day. They
may be greenish yellow in color, containing mucus and particles of
undigested food and, in prolonged cases, blood.
~Treatment.~--Rest in bed and total abstinence from food for from
twenty-four to forty-eight hours. Salines are usually given by mouth
or by rectum, but this is left to the discretion of the physician.
Very little water is given by mouth during the period of total
abstinence. Thirst is relieved by bits of ice, and enemas are given if
necessary.
~Administration of Diet.~--When acute symptoms have disappeared and
the stools are becoming more normal in character and number, a fluid
diet of from four to six ounces is administered every three or four
hours or oftener if patient is very weak. Brandy may likewise be given
in cases in which exhaustion is marked.
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