How to Care for the Insane: A Manual for Nurses — John Shaqi
How to Care for the Insane: A Manual for NursesGranger, William D.
Science
How to Care for the Insane: A Manual for Nurses
Granger, William D.
Psychiatric nursing
_Poisoning._--Poisonous drugs are not kept upon the wards. Attendants
frequently have strong ammonia in their rooms to clean their clothing, and
a patient may get it and drink it. It is a strong alkali, and burns the
throat and mouth. Vinegar is the best ready antidote, but should be given
immediately or not at all. Soft soap is a strong alkali, and if eaten
becomes an irritating poison. Again vinegar is the best antidote.
The best antidotes for acids are soda, lime-water, soap-suds, and chalk;
for alkalies, weak acids, such as lemons, oranges, vinegar, or cider.
Olive oil, eggs, and mucilaginous drinks are the most bland and soothing
remedies to give. To vomit a person who has taken poison, give a pint or a
quart of lukewarm water; to it may be added one or two teaspoonfuls of
mustard. Syrup of ipecac is a common remedy, the dose is a teaspoonful,
and repeated in ten minutes if necessary. It assists vomiting to tickle
the throat with a finger or a feather. If after poisoning there is
depression or approaching coma, very strong tea or coffee is the best
stimulant, and it is as well an antidote to many poisons. If the heart and
pulse are very weak, whiskey diluted with water may be given and repeated.
_Injury from Eating Glass._--Patients sometimes eat glass. This injures by
the edges cutting and inflaming the walls of the stomach and intestines.
This may be so severe as to cause death. In the treatment do not give an
emetic or a cathartic. Such food as has a tendency to constipate the
bowels, and such as will also enclose the glass and coat its sharp edges,
is to be given. Potatoes, especially sweet, oatmeal, or thick indian-meal
pudding, are appropriate. Cotton, which is generally at hand, will, if
swallowed, engage the glass in its fibres, and so protect from injury.
_Injury with Needles._--This is a self-injury, but it may be severe and
require immediate attention. Patients may open a vein or an artery with a
needle, or plunge it into the eye. But the more common way is for a
patient to stick many needles under the skin, sometimes to the number of
several hundred. Sometimes patients introduce them near the heart or
lungs, and as a needle will often "travel" when in the flesh, it may work
its way into a deeper part, and so a number get into the lungs or the
heart, causing death. Within a few weeks I saw two needles taken from a
man's heart, who died in consequence of their presence there. An attempt
or desire to so injure one's self should be guarded against by the
attendants, and if accomplished should be at once reported to the
physician, that efforts may be made to extract the needle.
CHAPTER X.
SOME SERVICES FREQUENTLY DEMANDED OF ATTENDANTS, AND HOW TO DO THEM.
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