Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Chicken Salad and Ice Cream Poisoning.~--Certain violent attacks of
so-called ptomaine poisoning may be traced to chicken salad which has
been allowed to stand overnight in tin receptacles or to ice cream
which has melted and been re-frozen. In any case the treatment
remains the same.
~Treatment.~--The patient is put to bed and the intestinal tract
cleansed by means of enemas and in many cases purgatives (salts,
castor oil, etc.) as directed by physician.
The symptoms usually present in those suffering from ptomaine
poisoning are nausea, vomiting, dizziness, pain more or less violent
in character, and prostration which is at times alarming.
~Dietetic Treatment.~--The treatment instituted under the
circumstances is very much the same as that used in other forms of
acute poisoning. All food is withheld for a period; the duration of
this starvation must necessarily depend upon the condition of the
patient, the violence of the poison and the extent of the prostration.
~Rectal Feeding.~--When the prostration is great, it is sometimes
necessary to give saline enemas and even rectal alimentation to
prevent collapse.
~Fluid Diet.~--After the violent attack subsides, the patient is
placed upon a fluid diet similar to that used in auto-intoxication and
practically the same as the diet for acute infectious diseases. The
diet must be gradually increased until it becomes normal and the nurse
must remember that the patient is in a condition to suffer a relapse
with the least indiscretion. It is advisable to have a thorough
investigation made to ascertain the source of the original attack,
that the patient may be able to avoid future trouble from partaking of
the same food.
~Personal Idiosyncrasies.~--It may be that there is a personal
idiosyncrasy against one particular food, and in this case it becomes
more or less of a simple matter to prevent future attacks. Certain
individuals are, for example, invariably poisoned by eating shellfish,
others manifest a similar idiosyncrasy against strawberries. Thus is
the old proverb demonstrated: "What is one man's meat is another
man's poison." And he who wantonly flies in the face of the danger
signals Nature provides for his guidance must necessarily suffer the
consequences of his folly.
It has been proved with certain individuals that the foods that at one
time cause an attack of poison at another time may be eaten with
impunity. Thus it would seem to remain a question not so much of the
type of poison, ptomaines, etc., as the amount of resistance
manifested at the time by the individual partaking of the infected
food.
ACIDOSIS
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