Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Adjusting the Diet.~--In any case where preliminary diet is
prescribed the condition for which the operation is necessary
determines the nature of the diet; for example, if the operation is to
be upon the kidney, the diet beforehand would naturally be in the
nature of a nephritic one to save the diseased organ unnecessary work.
If the stomach or intestinal tract required surgical care, the diet
would necessarily be formulated to meet the particular needs of the
organ in question, an analysis of the stomach content furnishing the
keynote of the diet. In any case the food must be simple in character
and well prepared. All food in any way liable to bring about
indigestion should be studiously avoided.
~Habits.~--The habits of the patient must be regulated so that she may
not "overdo"; at the same time, gentle exercise may be the very thing
needed to give an impetus to the appetite and thus assist in the
adding of strength for the approaching ordeal. Many patients respond
readily to a change of air and scene and frequent small meals instead
of a few large ones,--a lunch in the mid-morning and mid-afternoon
hours, consisting of a glass of milk and a cracker or malted milk
chocolate or reenforced fruit juices. A cup of warm milk before
retiring induces the much-needed sleep, hence is advisable under the
circumstances.
~The Bowels.~--The bowels must be kept open. Coarse bread such as that
made from bran or graham flour is advisable. Prunes and figs cooked
with senna leaves are likewise simple laxatives which are both
palatable and effective. For stubborn cases of constipation it is
often found that a teaspoonful of a conserve made with a third of a
pound each of raisins, prunes, and figs ground fine, with an ounce of
senna leaves added, taken at bedtime and before breakfast, will
overcome the condition and make the patient more comfortable and the
general health better.
~Preliminary Light Diet.~--The day before the operation the diet must
be light; the intestinal tract must not be filled with a food mass
which is difficult to get rid of. On the morning of the operation the
patient is given no food if the operation is to be performed at an
early hour, otherwise a cup of tea, coffee, weak cocoa, or broth with
a cracker is given. Some physicians give a glass of milk at this time,
while others do not. It is the physician who must decide the question
if there is any doubt about it. The stomach must be empty before
administering the anesthetic.
In certain emergency operations when it has been impossible to prepare
the patient ahead, the difficulties attending the administering of the
ether are sometimes greatly increased. The cleansing of the stomach
and intestinal tract oftentimes eliminates or materially decreases the
nausea and vomiting which so often forms one of the most dreaded
sequences of the operation. For this reason many surgeons require the
patient to be given lavage before leaving the operating room.
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