Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Restricting the Fluids.~--It is necessary, on account of their
difficulty of elimination and because they impose an excessive tax
upon the circulatory organs.
~Treatment~ is largely dietetic in character by reason of the
advantages just mentioned.
~Starvation Treatment~ is instituted in order that the work of the
kidneys may be lessened. This treatment consists of abstinence from
food with a definite reduction in the fluid intake. It is found to be
necessary during the acute stage of the disease.
~Extreme Thirst~, which is apt to be an annoying symptom at this time,
is relieved, as far as possible, with small sips of water or ice
pellets held in the mouth.
~Nephritic Cures~ are devised, as far as possible, to relieve the
acute symptoms and to prevent the disease from developing into a
chronic condition. Milk is the basis of most of these cures. It is
given in definite amounts at stated intervals; the quantity and
frequency with which it is given being adjusted to the state of the
disease and the condition of the patient.
~The Karell Cure~ is one of the best known diet cures used in the
relief of acute nephritis. It consists of the giving of skimmed milk
three or four times a day in doses ranging from three to six ounces
for one week, at the end of which time, provided the stools remain
solid, an increase to two quarts a day is made.
~Constipation~ under the circumstances is a favorable symptom,
indicating as it does the agreement of the milk.
~Diarrhea~ as a result of gastro-intestinal disturbances has directly
the opposite indication. In these cases the milk must be reduced.
Karell advises the boiling of milk and relieving the constipation by
means of mild laxatives or enemas.
~Duration of the Karell Cure~ is from four to six weeks, after which a
gradual return to a normal diet is made.
~Hunger~ is apt to be prominent at this stage of the treatment and is
relieved during the second or third week by giving a small piece of
dry bread and milk, soup thickened with a cereal, once a day.
~Functional Kidney Tests~ are made to determine the character and
extent of the impairment of the functions of the kidneys. The diets
used in these tests contain definite amounts of certain diuretic
substances, and the analysis of the urine voided during the
twenty-four-hour period required by the test shows the nature of the
impairment and furnishes, in a measure, a means of determining the
amount of food and fluid which is safe for the patient to take. It
likewise shows the extent to which the restrictions in the salt and
proteins are necessary.
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