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
_The Administration and Effect of Medicine._--The only proper way of
giving medicine is by using standard weights and measures. Dropping
medicine, or using spoons or cups, is not sufficiently accurate. A drop
may be half a minim, or as large as two or even three. The modern teaspoon
holds ninety or more minims, and a tablespoon more than half an ounce.
Medicines are introduced into the system through the stomach, the lungs,
the rectum, the skin, or by being injected into the tissues, under the
skin. They are either local or general in their effects. A blister or a
poultice is a local remedy, so is an emetic, that acts by irritating the
walls of the stomach. General medicines are absorbed into the blood, and
carried to different parts of the body.
The following are a few of the reasons for which medicine is given: to
relieve pain, to give sleep, to produce vomiting, to check vomiting, to
move the bowels, to check diarrhoea, to assist digestion, to produce a
greater or diminished flow of urine, to increase the perspiration, to
increase the red blood corpuscles, to check hemorrhage, to regulate the
action of the heart, to overcome the effects of poison, to increase or
diminish the amount of blood in the brain, to control spasm, to diminish
the temperature in fever.
In some cases the effect desired and expected from a medicine given to a
patient is told to the attendant, who should closely observe and be able
to report the result. Sometimes medicines are left in the hand of the
attendant, to give in repeated doses, at stated intervals, till a desired
effect is produced. The attendant is also instructed to watch for certain
symptoms which show that the medicine is doing harm, when it is to be
discontinued. An attendant, who has studied and learned, "how and what to
observe" in his patient, will be able to give intelligently any medicine
ordered by a physician.
Sometimes medicines, given in large or long-continued doses, cause
symptoms that an attendant should notice and report to the physician; some
of these are, eruptions on the face and body, puffiness about the eyes,
irritation and running of the eyes, a metallic taste in the mouth,
bleeding of the gums or soreness of the teeth and profuse flow of saliva,
nausea, vomiting, diarrhoea, constipation, indigestion, ringing of the
ears, feeling of fulness in the head, headache, dizziness, drowsiness,
coma, convulsions, or convulsive movements of muscles.
In asylums, medicines are mostly sent to the wards in single doses, each
cup or bottle being marked with the name of the patient for whom it is
intended. The tray in which they are carried should never be set down and
left, for a mischievous or suicidal patient may poison himself by taking
every thing he can get hold of.
Public-domain text, read in full here on John Shaqi.
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