Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
_Dose._—For adults, 2–3 teaspoonfuls. For infants, ¼–2
teaspoonfuls.
=Magnesia Sulphate= (_Epsom Salts._). Saline cathartic.
_Uses._—The profuse watery stools produced by magnesia are
valuable aids to elimination when the kidneys are overworked or
defective. In congestion of the breasts and threatened eclampsia,
or in any case where it is desirable to drain off waste or
dehydrate the system.
_Dose._—1 teaspoonful daily in hot water before breakfast. ½–1 oz.
as a single dose or 1 oz. by rectum, as in the =1–2–3 enema.=
=Menthol= (_Mint Camphor, Japanese Peppermint_). Analgesic,
antiseptic, anæsthetic, and vascular stimulant.
_Uses._—In pruritus vulvæ, vomiting of pregnancy, and hæmorrhoids.
_Dose._—By mouth 3–5 gr. In tampons, one part to five of oil. In
ointments one part to sixteen. To the vulva for pruritus, use the
spirits in 5% solution.
=Mercury= (_Hydrargyrum_). Cathartic, alterative, antisyphilitic,
antiseptic and disinfectant. Readily absorbed by the unprotected
mucous surface and relatively inert when the membrane is covered
by a discharge. Solutions of the bichloride when used as a lotion
unite with the albumin of a mucous discharge and form an
albuminate of mercury, which is inactive. Bichloride solutions
have small place in obstetrics. They are hard on the hands and
destructive to instruments. Other agents like lysol, ziratol and
chinosol have satisfactory germicidal properties and in addition
are nonpoisonous, lubricative and cleansing.
Mercury should only be given to the infant in the form of calomel
(the mild chloride). The dose is 1/12-⅛ gr., repeated if
necessary.
=Morphine.= Alkaloid of opium.
Antispasmodic, hypnotic, analgesic and narcotic.
_Uses._—To relieve pain, produce sleep, check diarrhœa, and to
control the pain, as well as the contractions of abortion. To
relax a rigid os.
_Dose._—In “Twilight Sleep” and rigid os the first dose is Morph.
sul. 1/6¼ gr. and scopolamine Hydrobromid 1/200–1/150. The
scopolamine to be repeated if required, in one-half or
three-quarters of an hour. The usual dose of morphine
hypodermically is 1/12½ gr.
=Nitroglycerine= (_Glonoin_). Vasomotor dilator, arterial stimulant.
_Uses._—For the prostration following hæmorrhage.
_Dose._-½00–1/50 gr. hypodermically.
=Novocaine.= Local anæsthetic, similar to cocaine, but less toxic. For
local anæsthesia in solutions of 0.25% to 2% usually in
association with adrenalin (5–10 drops of the 1:1000 solution to
each 10 c.c. of novocaine solution).
=Nux Vomica.= The plant from which strychnia is derived. Tonic,
stomachic, and stimulant to muscle, nerve, and heart.
_Uses._—Bitter tonic and stimulant. Vomiting of pregnancy and
agalactia.
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