Bedpan and urinal should be always used. Bedclothes should be light and
warm. Wearing apparel if saturated with perspiration should be changed.
It is best to have two beds side by side so as to be able to move the
patient easily from one to another for cleansing purposes. Mattresses
should be suitably protected from penetration by the discharges. The air
of the sickroom can be made antiseptic by placing pieces of blotting
paper saturated with eucalyptus oil or phenol on plates about the
apartment or by pouring carbolic acid on hot water in a plate. The
doorways should be curtained by a sheet wet with disinfectant solution.
Great cleanliness of the body of the patient should be enforced by cold
sponging with an antiseptic solution. Skilful nursing is essentially
necessary. The motions should be disinfected by strong antiseptics such
as quicklime, carbolic acid, &c., as soon as they are passed.
II. _Dietetic._—From the commencement of the disease the diet should be
liquid and nourishing. Milk is best. The quantity for adults should not
be less than three or four pints in the twenty-four hours. It must be
given in small quantities at short intervals. Soda, potash or plain
carbonated water may be mixed with it. Barley water and thin sago water
may also be given. If the patient’s vital powers are low, the milk may
be peptonised by using Fairchild’s powders or by adding a little of
Benger’s Liquor Pancreatices. In cases when milk cannot be taken in
sufficient amount, animal food may be given in the form of plain meat
broth. Egg-flip with or without brandy may also be given. It is useless
to give strong meat essences when the digestive powers are seriously
impaired, and excess of zeal in this direction does a great deal of
harm. These accumulate in the intestinal canal and form a fermenting
mixture in which poisonous ptomaines form. Throughout the attack the
patient’s strength should be husbanded as carefully as possible. When
there is thirst, water, or iced water, or iced beer or stout, or
ice-cream, or fruit _sherbat_ should be given. During convalescence
great care should be taken of diet, for then the vital powers are at a
very low ebb.
III. _External._—In order to lower the temperature rubbing of the skin
with oil from the commencement of the disease has been recommended, but
this procedure is, I think, of no use. I suggest, however, that when
temperature is high 15 drops of Creosote may be rubbed near the axilla.
During height of fever, the body may be lightly sponged all over, twice
or thrice a day, with the following solution:—
Thymol 40 grains.
Spirit Lavendula 2 oz.
Spirit Vin. rectif. 3 ”
Acid Acetic dil. 3 ”
Aquæ Rose add 16 ”
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