Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis Sanitarium — John Shaqi
Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis SanitariumChicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Science
Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis Sanitarium
Chicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Tuberculosis
In cases where bed patients have a very large amount of sputum,
large cups of white enamel are used, with a hinged lid that
lifts readily. The sputum is from there thrown into receptacles
containing sawdust, taken to the incinerator and burned twice
daily. Both sputum cups and the large container holding sawdust
are sterilized by live steam.
=4. House of the Good Samaritan, Boston, Mass.=
Paper handkerchiefs and bags are recommended when the quantity
of sputum is small. Burnitol sputum cups without holders are
used; the bottom of each cup holds a small amount of sawdust,
which serves the purpose of hindering the sputum from
penetrating through the cup. All the cups are carefully tied up
in newspaper by the nurse or the patient before they are sent to
the incinerator.
=5. Chicago Fresh Air Hospital.=
Paper fillers and metal holders are used. The fillers are placed
in a large can, covered with sawdust, and then burned in the
incinerator. The holders are sterilized daily. The Hospital
recommends paper napkins where the quantity of sputum is small;
if there is no possible means of burning the sputum, it should
be treated with a strong solution of concentrated lye and then
poured into the water closet.
The chief source of infection is undoubtedly the expectoration of the
consumptive, spread by careless coughing and spitting. Be very emphatic in
instructing the patient to cover his mouth with a paper napkin when he
coughs and then to dispose of it carefully in such a way that no particle
of the sputum touches either his hands or his face. Insist on frequent
washing of the hands.
The following methods and solutions are employed in the treatment of
laryngeal tuberculosis in various institutions:
=North Reading (Mass.) State Sanatorium.=
The following are used as _gargles_:
Dobell's solution; Dobell's solution and formalin (one drop of formalin to
an ounce of solution); alkaline antiseptic N. F. (one to four water); salt
and sodium bicarbonate (one dram of salt and two drams sodium bicarbonate
to a pint of water).
_Sprays_ used at this institution are as follows:
Spray No. 1. Menthol spray in proportion of fifteen grains of menthol to
one ounce of alboline.
Spray No. 2. Menthol (4 drams plus 10 grains); thymol (7 drams plus 25
grains); camphor (7 drams plus 25 grains); liquid petrolatum (64 ounces).
Heroin spray. From one to three grains of heroin to one ounce of water.
Cocaine spray. From one-half to two per cent, usually before meals, for
dysphagia.
For _local applications_: Argentide, 1 to 200; argyrol, 10%; iodine,
potassium iodide and glycerine; heroin powder applied dry to ulcerations;
orthoform powder applied dry.
=Montefiore Home Country Sanitarium, Bedford Hills, N. Y.=
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