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
Appliances for giving hot packs and hot-air baths are usually found in
all hospitals, and the nurse will use them as directed, which obviates
any necessity for describing them here. But in addition to correctly
adjusting and using the appliance itself, she must watch her patient for
evidence of exhaustion or shock; protect her from burns; keep cold
applications on her head and give her as much fluid as possible. And
when the hot pack is over, the patient must be taken from it gradually;
one blanket at a time, or the heat slowly reduced, and then the greatest
care taken that she is not chilled while being put into dry clothing,
for she must be kept warm and perspire slightly even after the sweat is
finished.
Restraint during convulsions should be as mild as possible, for
resistance only increases the patient’s excitement, and sustained effort
should be made to reduce it instead. To this end there are innumerable
details to be considered. Every act must be performed as quietly as
possible. The nurse must walk lightly and if her tread will be made
softer by wearing bedroom slippers, she should wear them. She should
consciously guard against kicking or striking the bed. All talking
should be in low tones; doors opened and closed quietly; papers should
not be rustled nor furniture scraped on the floor. The room should be as
dark as is feasible and the source of light screened from the patient’s
eyes.
She should be saved from biting her tongue by having placed between her
teeth something that will serve as a mouth gag and still not cut nor
bruise the mucous membranes. In a private home, one will find that a
cork answers admirably; or the handle of a wooden spoon well wrapped
with gauze or a clean handkerchief; or a small roll of bandage or clean
cloth tightly rolled. Another method is to take a fresh handkerchief, or
napkin, in the fingers by opposite corners, twist it slightly into a
roll and force it between the teeth and tie the two corners firmly
together at the back of the neck.
_Venesection._ The large intake of fluids tends to dilute and eliminate
the toxins which are giving so much trouble, but another very prompt and
efficacious measure is to withdraw from 500 cubic centimetres to 1000
cubic centimetres of blood by venesection, according to the condition of
the pulse. In preparing for a venesection the nurse will slip a small
rubber, covered with a towel, under the arm that is to be opened, and
scrub the inner surface of the elbow with soap and solutions according
to the wishes of the doctor in charge, and cover the cleaned area with a
dry sterile towel or one wet with a disinfecting solution. A sterile
towel should be slipped under the patient’s arm, one laid over the arm
above and one below the cleaned area so that the entire surrounding
field is protected by sterile towels.
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.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account