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
If the nurse is to give the infusion, she should grasp the end of the
needle, to which the tubing is attached, with her right hand, pierce a
piece of sterile gauze; open the stop cock and allow the air and cold
fluid to escape, leaving a drop on the point of the needle; lift the
patient’s breast with her left hand and quickly plunge the needle in
just under it. The direction of the needle should be parallel to the
chest wall to insure its running below the breast tissue, and above, not
between the ribs. The needle, and the gauze through which it runs, may
be held in place by means of narrow strips of adhesive plaster. The stop
cock should be so adjusted that the warm fluid will flow into the
tissues very slowly, about an hour being required to introduce 1000
cubic centimetres. During this time the patient must be kept well
covered and the solution kept at about 105° F. as some of the heat is
lost in its course through the tubing. A hot water bag placed upon the
bed, over a coil of the tubing, is another means of maintaining the
desired temperature, but it must be watched and moved from time to time,
to guard against burning the patient. In hospitals where the infusion
apparatus is equipped with a heater, hot water bags are, of course not
needed, but they are of practical service in a patient’s home.
[Illustration:
FIG. 49.—Infusion being given under breast; needle held in place by
strips of adhesive and the solution kept warm by hot-water bottles
suspended on each side of the infusion bottle.
]
_Termination of pregnancy_ is resorted to much less frequently than
formerly, because it is believed that an eclamptic patient is
particularly susceptible to infection and also that the shock of an
induced labor is serious to so ill a woman.
The method of terminating pregnancy, when this is finally deemed
necessary, depends upon the condition of the cervix; the size of the
child; and upon the patient’s general condition. The method may be
simple induction of labor, by the introduction of a bougie, if haste is
not imperative; introduction of a bag; manual dilation of the cervix, if
it is soft and partly obliterated; vaginal hysterectomy, or even
cesarean section.
Chloroform is not used as an anesthetic, in eclampsia, nor to relieve
the labor pains nor control the convulsions because of its tendency to
increase the liver necrosis which is incidental to the disease.
Recovery is comparatively rapid, when it occurs. The blood pressure
drops to normal; the albumen and casts disappear from the urine and all
symptoms subside in from two to four weeks. (Chart 1.) And, happily,
since one attack confers an immunity, the patient who recovers from
eclampsia need not fear a recurrence of the disease.
Public-domain text, read in full here on John Shaqi.
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