Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.Sackett, S. P.
Science
Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.
Sackett, S. P.
Infants -- Care; Materia medica; Obstetrics -- Popular works; Women -- Health and hygiene
In disease, the pulse may acquire a great degree of frequency. It may
reach 150 or even 200, but in such cases it is generally feeble and can
hardly be counted. Besides observing the frequency of the pulse, its
character in other respects must be noted.
IRREGULARITY OF THE PULSE generally indicates disease, and there are two
varieties of it. In most instances of irregular pulse, succeeding beats
differ in length, force and character; in the other variety a pulsation
is from time to time left out; the pulse is said to intermit.
In the DICROTIC PULSE a secondary wave or undulation can be felt. It is
often met in typhoid fever, and an inexperienced person might be led to
count double the number of beats.
Another important quality of the pulse is its hardness or
compressibility. The hard pulse ordinarily, though not always, indicates
inflammation. This hard pulse may be known by pressing pretty hard with
one finger, while we observe with the others whether we arrest or
abolish the pulse.
A pulse is said to be full or large if it is felt to strike a large
portion of the finger; other departures from the normal standard are
spoken of as soft, quick, or sharp, throbbing, bounding, thready, wiry,
flickering, &c.
OF THE TEMPERATURE.
The normal standard of the temperature of a healthy person is 98.4°.
There is some variation, and indeed a daily cycle of variations, so that
in the morning it is 99 or at least 98½ and in the evening 97½, but the
range is small, and if the variation is more than that, it is indicative
of disease. There is only a deviation of about 15° within which life can
be sustained; a temperature of more than 107° or less than 93° will
almost certainly prove fatal.
Every mother who can, as well as every nurse, ought to own a clinical
thermometer, as thereby she may detect the beginning of a disorder
before there are other marked signs of indisposition. She should use it
upon the first suspicion of a departure from health and frequently
afterwards, until she knows that the temperature is normal. An increase,
especially if beginning each day a little earlier, is a bad indication;
a decrease from a high temperature each day is a sign of improvement. In
pneumonia and generally in such disorders as are initiated with a chill,
the rise is sudden and rapid.
In typhoid and some other fevers, the elevation is slight at first and
gradually rises. The exacerbations and remissions or other deviations
can only be recognized by taking the temperature frequently, and it
should be taken at the same hour each day to exhibit the cycle of
changes.
An irregularity of temperature in the course of a disease that has a
regular type may indicate a complication, or it may depend upon local
causes, such as constipation, bad air, &c. The decline of fever and of
temperature may be gradual, or it may drop to a steady normal within a
few hours.
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