Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
=Milk Diet.=—Twelve ounces of whole milk (375 c.c.) may be given every
two hours; i. e., at six, eight, ten, twelve, two, four, five, and eight
o’clock, or the patient may sip it at her pleasure.
The milk may be given raw, boiled, diluted with plain water, lime water,
Vichy, seltzer, or Apollinaris to taste. The daily amount should include
three quarts of whole milk. Koumiss, buttermilk and milk soups are
sometimes allowed. Note the exact amount taken, and give reasons for
failure. Watch the stools for undigested milk.
=Liquid Diet.=—Whole milk, buttermilk, koumiss, beef tea, or beef,
chicken, mutton, oyster, or clam broth, in eight ounce portions, or two
ounces of beef juice, every two hours. Lemonade, orangeade, ice cream,
or fruit ices, at intervals and amounts as desired.
=Ulcer Diet.=—Whole milk and cream, equal parts, three ounces every two
hours. Sodium bicarbonate, thirty grains, in a small amount of water, to
be given before and thirty minutes after feeding. Albumin water, soft
boiled eggs, scraped beef, custard, and cream soups to be added later by
direction of the physician. No seasoning except salt is allowed.
=Prochownik Diet.=—This diet is advised where some necessity exists for
preventing a large child. It is administered in the last six weeks of
pregnancy only.
_Breakfast._—Small cup of coffee, two slices of toast (1 ounce).
_Lunch._—Small piece of meat, fish or an egg, a little sauce. A
vegetable prepared with fat, lettuce, a small piece of cheese.
_Dinner._—Same as lunch with three slices of bread and butter, and a
little milk.
A pint of water daily is allowed; taken in sips it lasts longer.
Soup, water, beer (all fluids) and sugar, pastry, and potatoes are
forbidden.
=Skimmed Milk Diet (Karell).=—Skimmed milk, to which a pinch of salt is
added, 3 to 6 ounces, three or four times daily, increasing the amount
gradually, taken slowly to allow thorough mixture with saliva, warmed in
winter, room temperature in summer.
=Acute Nephritis Diet.=—Whole milk, 1000 c.c.; cream, 250 c.c.; water,
150 c.c.; stewed fruit, well sweetened, 50 c.c.
Bread, well buttered, may be toasted, 150 gm. (equal to three slices).
Green salad of lettuce, celery, apple, pear or grape fruit, and served
either with olive oil, or with a mayonnaise dressing made from olive
oil, egg and lemon juice, with salt (but no pepper or condiments) may be
given in two small portions daily.
Cooked cereals (cream of wheat, etc.) with cream and sugar, one portion
equal to about two ounces, once daily.
The above represents a daily fluid intake of about 1500 c.c. The diet is
to be given in “three meals,” at eight, one, and six o’clock, with fluid
nourishment at eleven, three, and nine o’clock.
RECTAL FEEDING
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