An index of diseases and their treatment / by Thomas Hawkes Tanner.

  • Thomas Hawkes Tanner
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: An index of diseases and their treatment / by Thomas Hawkes Tanner. Source: Wellcome Collection.

    402/540 (page 364)
    of t»pid water, aud applied along the whole length of (ho ha.k while .another smularly prepared, is laid over the chest and abdonu-i, In either case the patient is tlien carefully wrapped in a bhXTcov J-d .v,th three or more blankets, and has a down' ^coverh^ tktd^ver dl He should remain thus for 30, 45 or CO minutes, lying on Lis side or u a semi-recumbent position; the duration being timed bvL sedative effect produced The sweating is not geuenUly cxces;i^x But water, urea, and chloride of sodium of thi urine are siigb ly inrr s< this increase being considerable when the sheet is c<.n(im,,:,l I, I f ' hours. At the conclnsio,, th. .l,.,n„„. i.;.i .„ ^'^'^ f'-''' hours. At the conclusion the shallow bath m y IT for two three minutes, as a tonic. ustu icr u\ o The Wet Pad- as a CoolUuj .-t-/..Z.-When it is desired to brin- down the temperature as in the treatment of enteric fever, the patient is enveloped in a dripping .sheet and lightly covered by a single blanket 01 m extreme cases left without auy other coverin;^ than th- wet .heet which must be kept moist. The temperature mult be taken at bri. ' intervals in the mouth, rectum, or vagina, and when it falls to ti ' normal point or sooner should a distinct rigor occur, the patient should bo removed from the pack. ' l'-'-^ snouia _ A hlanktt bath affords au easy m-aus of induciue sweating 4. blanket IS wrung out of hot water and wrapped round ^he patient. 'Hc is xl b3 pack-ed in three or four dry blankets, and allowed to repose for thir minutes. The surface of the body should then be well rubbed w L warm towels, and the patient made comfortable in bed. _ The loet compress consists merely of a roll of lianuel or calico dinned in cold water and wrung out, and then applied rouud the .seat of miu on nightLd diy.° °^ ^'^'^^^^^ '^'''^ ™- '^^'^ compress is kepj 137. T/ic Hath as a Cooling Arjent. Even the warm bath at a tcmpeiuturo of or 00' Falir must prove a cooling agent to the body of a fever patient at IW or dho immersum may continue from fifteen minutes to an hour or lonn-er' Its sedative effects render it valuable when the nervous system is irritable. _ The temperature may, however, bo lowered to 70'or G.')' bv the addi- tion of cold water while the patient is in the bath. ThiS <ira<lmted bath has proved eCfoctual iu saving life iu cases of hyjierpyivxia during .acute rheumatism, enteric fever, .<tc. The temperature of the iialient must bo observed continuously, and wiien it h.as fallen to Idi'' or thereabout, or when shivering comes on, he must b.i removed to bod. Enteric fever, moreover, lias bmui exleusividy treatetl by cold batlis' (iO' or 70', witli considi'i-able siioces.s. The- jiatieut Avheneyer tlio temperature ivaehes 102' or 102.',' is at once place.] in tlie balh, and kept in it for 1.0 or -JO minule.s. This may have to be repeated seVci-al times in tlie day. Ill cases of delirium (i-emens with high fever, rolil fiipcrruslon may bo used whiii! Ihe patient i.s hehl iu the warm bath. From tt;n to tliirly bueki^ts of cold wat(trare to be poureil slowly over the lie.-id ; hot water being coiiliiiiiJilly .-idded to thr- b:il!i to maintain it.s heat, at !''>'. This treatnieut m.-iy frequently be counted upon to jn-oduoo souud sleep,