Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Nurse's Directions for Collecting and Testing the Urine in Diabetes
Mellitus.~--The first urine voided in the morning at 7 A.M. should be
thrown away, after which the entire quantity during the ensuing
twenty-four hours, including that at 7 A.M. the following morning,
should be collected in a thoroughly clean, wide-mouth bottle
sufficiently large to contain the entire quantity. This should be kept
in a cool place to prevent decomposition. After the urine has been
measured, four or five ounces are removed for testing purposes. There
is no necessity for having an elaborately equipped laboratory for
making the simple tests of the diabetic urine. The nurse is only
required to make the simple tests, leaving the more elaborate one for
the physician. The articles necessary for these tests must be kept
perfectly clean in order to make the tests accurate. The bottle in
which the urine is collected must be washed and sterilized daily
before the collection begins. One small three-inch white enameled or
porcelain dish, one 10 c.c. graduated pipette, 6 test tubes, 1 small
alcohol lamp or Bunsen burner, 1 box of sodium carbonate, 1 box
talcum, and the reagents necessary for making the test, namely,
Benedict's solution, Fehling's solution, and Haines's solution.
SUMMARY
~Diabetes Mellitus~ is a disease in which the body becomes more or
less unable to utilize the sugars and starches, consequently there is
an abnormal amount of glucose in the urine.
~Manufacture of Sugar~ in the body from other food constituents
besides carbohydrates has been proved with regard to proteins, hence
the intake of nitrogenous substances must be restricted in
diabetes--to a less extent, however, than the sugars and starches.
~Acetone Bodies.~--Diacetic acid, oxybutyric acid, and acetone
develop in diabetes as a result of the breaking down of the fats and
the lack of certain neutralizing agents found chiefly in carbohydrate
foods.
~Acidosis~ is a form of intoxication due to the retention of these
toxic acids in the body. If not combated and overcome, it will result
in the diabetic coma which is fatal in so many cases.
~Diet Treatments.~--The best known treatments are those devised and
used by Drs. Allen and Joslin "The Starvation Treatment for Diabetes
Mellitus," and the "High Fat Diet" formulated by Drs. Newburg and
Marsh. All cases cannot be handled alike and it is for the physician
to determine the treatment calculated to give the best results in the
definite case.
~Training for Diabetic Nursing.~--So much depends upon the
administration of the treatment in this pathological condition that in
many hospitals special training is being given to the nurses in the
care of diabetic patients that they may be able intelligently to carry
out the necessary regime, both in the hospital and in private
practice.
~Symptoms.~--She must be able to recognize symptoms both from the
findings resulting from the urinalysis and from those manifested
otherwise by the patient.
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