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 the _routine treatment_ of laryngeal tuberculosis at the Montefiore
Home Country Sanitarium orthoform emulsion is used, made up as follows:
Menthol, 2-5 grams; oil of sweet almonds, 30 grams; yolk of one egg;
orthoform, 12.5 grams; water added to make 100 grams.
In addition, silver salts are used in various strengths; also lactic acid
in various strengths. These two agents are applied by means of
applicators, whereas the emulsion is injected by a laryngeal syringe. The
laryngeal medicator of Dr. Yankauer, made by Tiemann, is also employed. By
means of this little apparatus a patient may medicate his own larynx,
using the emulsion mentioned or any other agent (such as formalin) which
may be desired.
=Eudowood Sanatorium, Towson, Md.=
At the Eudowood Sanatorium, Towson, Maryland, the following procedure is
used in the treatment of tuberculous ulcers of the larynx:
_Topical applications_ of lactic acid, 15 to 50%, followed by a spray
composed of 20 grains of menthol to 1 ounce of liquid alboline.
A _spray_ of 2% cocaine is used as often as is necessary to relieve the
pain.
Insufflation of orthoform powder, or the patient is directed to slowly
dissolve an orthoform lozenge in his mouth.
These treatments are enhanced by the application of an ice bag to the
throat, enforced rest of the vocal cords and rectal feeding, if necessary.
In laryngeal complications, semi-solid diet is generally more easily
swallowed. This is facilitated by a reclining position. Cold compresses
give some relief.
=Chicago Fresh Air Hospital=
For the relief of pains and difficulty in swallowing, the nurse is
instructed to spray the larynx with a 3 per cent solution of cocaine
before each meal.
As a more efficient treatment, but slower in action, the administration of
anaesthesine to the ulcerated epiglottis with a powder blower is
recommended. This is usually done by the physician, as is, also, the
insufflation of iodoform.
Cold packs are also used to give temporary relief, but they are not
recommended as being very reliable.
* * * * *
Authorities differ regarding the proper _diet_ for the advanced
consumptive. It is generally conceded, however, that it should not vary to
any great extent from the ordinary liberal diet, unless intestinal or
other complications arise. The physical idiosyncrasy of each patient must
first of all be taken into consideration, and this is primarily a matter
to be decided upon by the physician in charge. The nurse should, however,
be resourceful in her suggestions as to preparing a variety of palatable
dishes. According to Walters ("The Open Air Treatment"), in intestinal
tuberculosis, such foods as oatmeal, green vegetables, fruit and various
casein preparations are better dispensed with, as they are likely to cause
irritation and diarrhoea. Meat and meat juices should also be given with
caution, as they, too, cause diarrhoea.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account