Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
A fairly typical method of treating toxemic vomiting, and of which the
nursing care forms a large part is somewhat as follows: When the
vomiting is only moderately severe, the patient is put to bed and
isolated from relatives and friends, because of her nervousness
resulting from the toxemia. She is given an abundance of very cold, 5
per cent. lactose solution by mouth in water or lemonade; from four to
six ounces being given every half hour if she is able to retain it. If
she is unable to take, by mouth, a total of about three litres of this
solution, in the course of twenty-four hours, she is sometimes given one
or two litres (of a 10 per cent. solution) by rectum by means of the
drip method. At least three hours are devoted to giving this amount of
fluid, the rectum being first washed out with a simple enema.
It is usually considered important to persist in giving small amounts of
practically any article of food that the patient fancies, in order to
encourage her in the belief that she can take nourishment and also to
accustom her stomach to receive and retain food. Olives and nuts are
particularly valuable for this purpose and are often kept on the
patient’s bedside table where she can reach them and nibble on them at
will. Ice cold fruits and fruit juices are useful, while strained apple
sauce, ice cold, is very valuable as a starting point from which a more
generous diet may be gradually developed. All foods should be very cold
except broths, which should be very hot. The dietary is gradually
increased to six small meals daily from which fats and proteids are
omitted.
In more severe cases, or if the patient does not improve, an injection
of 300 cubic centimetres of fresh 5 per cent. solution of glucose is
given under each breast daily, and sometimes a mild sweat-bath, given
with blankets and lasting twenty minutes. (See page 197 for sweat-bath.)
In very severe cases when the patient is unable to retain anything taken
by mouth; loses weight and strength; when possibly the urine decreases
in amount and contains acetone bodies and ammonia, the situation is
serious and the treatment is more drastic. All effort to give fluid by
mouth is abandoned and in addition to the sub-mammary injection of
glucose solution, a colonic irrigation of one and a half to two gallons
of sodium bicarbonate solution (from 2% to 5%) at 110° F., is given once
daily by the drip method. The daily hot pack is continued; a mustard
leaf is applied to the abdomen if necessary to relieve the pain and
nausea; glucose solution may be given intravenously and also a nutritive
enema, three times daily, consisting of a raw egg, four ounces of
peptonized milk and one-half ounce of whiskey.
Public-domain text, read in full here on John Shaqi.
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