Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
_Uses._—Valuable stimulant in a slow first stage. It is combined
with castor oil to bring on labor at term. Castor oil 1 oz. and
quinine sulphate 10 gr. is given as the first dose, followed in an
hour by another 10 gr. of quinine, and an hour later by another.
_Dose._—2–20 gr.
=Regulin.= A mixture of agar-agar in dry form with extract of cascara
sagrada.
_Uses._—A laxative in chronic constipation.
_Dose._—Teaspoonful to tablespoonful in stewed fruit or mashed
potatoes, once daily.
=Russian Oil= (_Liquid Petrolatum_). Laxative in pregnancy and
puerperium. Acts mechanically and as a lubricant. Not unpleasant
to take.
_Dose._-½ oz. at bedtime, and, if necessary, before each meal. May
be given to breast-fed babies in doses of gtts. xv three times
daily.
=Senna.= Laxative and purgative. Acts especially on the large
intestine. Sometimes passes over in the milk to the child.
_Dose._—Fl. ext. 1–4 teaspoonfuls. In compound licorice powder the
dose is 30–80 gr. (about 10 gr. of senna to the dose).
=Silver Nitrate.= Caustic, antiseptic, stimulant, irritant and
antigonorrhœic. Table salt neutralizes it.
_Uses._—2% solution in water for pruritus vulvæ. 1% solution
dropped into the eyes of the newborn to prevent ophthalmia
neonatorum. Do not neutralize the 1% solution. ¼ gr. silver
nitrate with 2 gr. of pepsin in capsule for pernicious vomiting of
pregnancy.
=Sodium Bicarbonate= (_Baking powder_). Antacid, antirheumatic.
_Uses._—Gout, dyspepsia, acid stomach, acidosis, vomiting of
pregnancy. Soothes the skin when burned.
=Sodium Chloride.= (Salt.)
For normal saline use 10 gr. to 3½ oz. of water. For physiological
salt solution, add 15 gr. of Sod. Carb. to every 3½ oz. of normal
saline as made above.
=Sodium Citrate.= A white odorless, granular powder with cooling salty
taste.
_Uses._—Diuretic, antipyretic and refrigerant. Retards the
coagulation of albumin in milk and aids the digestibility of
proteins. May be indicated in gout and cystitis.
_Dose._—Internally, 15 to 60 gr. In the modification of cow’s milk
about two grains should be used for each ounce of the mixture.
=Spirits of Nitre, Sweet= (_Spirit Nitrous Ether_). 4% solution of
nitrous ether in alcohol. Diaphoretic, diuretic, antipyretic,
stimulant, antispasmodic.
_Uses._—Fever, dropsy, vomiting of pregnancy, colic, anuria.
_Dose._—For adult, 20–60 gtts. For infants small doses often
repeated.
=Stramonium= (_Jimson Weed_). Hypnotic, narcotic, antispasmodic.
_Uses._—For hæmorrhoids take Ung. Stramonii and Ung. Galli in
equal amounts and apply.
=Urotropin.= A white powder soluble in water. Urinary antiseptic,
diuretic.
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