An Index of treatment / by various writers ; edited by Robert Hutchison and H. Stansfield Collier.
- Date:
- 1907
Licence: In copyright
Credit: An Index of treatment / by various writers ; edited by Robert Hutchison and H. Stansfield Collier. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
862/904 page 842
![or forty-eight hours, feeding the child in the meantime with barley-wattr flavoured, in alternate bottles, with a teaspoonful of extract of malt. Thc- mother's milk can be drawn off with a breast pump, but it must not be given to the infant. For medicine we may order :— R Zinci Sulphat. gr Glycerin. n\^v Inf. Chirettaj ad 3ss To be given three times a day before food; Or, 3 gr. of citrate of potash in the same bitter infusion. In hand-fed babies, vomiting from gastric catarrh at once suggests a revision of the dietary, for, as in the case just referred to, a diet which is well suited to a healthy stomach often ceases to agree in the altered conditions. If the vomiti il matters are sour, special attention should be paid to the quantity of milk given in each meal, and it may be necessary to reduce this to a half, a quarter, or a sixth part of that originally allowed, or even to forbid it altogether. Its place can be taken by veal broth made weak and thickened with barley and strained ; fresh whey with cream and barley-water ; or whey and barley-water with Mellin's food. The size of the meal is also of importance. Vomiting of the food must be taken to show that too much has been swallowed, and therefore less must be allowed for the next meal. In bad cases, i teaspoonful at a time is often all that can be retained. If so, this must be given every quarter of an hour. If the child is very weak, cold white wine whey in teaspoonful doses may be given frequently. It is, of course, essential that everything ordered should be perfectly fresh and in good condition, and that attention be paid to the absolute cleanliness of the spoons and feeding-bottles. For medicine the remedies used may be those above recommended. But we may also order small doses of arsenic or ipecacuanha with an alkali and bitter infusion, or a combination of the tinctures of rhubarb and nux vomica. Thus, for a child of six months old :— B Liq. Arsen. (aut Vin. Ipec.) TIlss Potass. Citrat. gr iij Glycerin. Rx Inf. Chirettae ad 3ss To be given three times a day. Or, R Tinct. Nucis Vom. ^\ Tinct. Rhei Co. n\ij Glycerin. ^^.x Aq. Menth. Pip. ad 5ss To be given three times a day. In cases where the vomiting is obstinate, ingluvin in doses of ]^ gr. every tliree hours is often a successful remedy. Another equally valuable one is calomel: i gr. to be laid upon the tongue every hour. If the stomach contractions are violent, a poultice containing ^ part of mustard should be apphed for several hours to the epigastrium. If the vomiting has persisted for several days before the child comes under observation, and the gastric irritability is not quickly allayed, it is well to wash out the stomach. In hand-fed babies, vomiting, if neglected, or unskilfully treated, is apt to become chronic. In such cases it will be noted that the feet and legs are habitually cold, and the first step in the treatment will consist in covermg the lower hmbs and feet with a thick layer of cotton-wool. This simple measure m itself is often successful, and the sickness ceases when the feet are warm. A the same time, measures must be taken to prevent a fresh chill, and it is well to revise the dietary upon the lines already laid down, and, for medicine, to presence one or other of the remedies recommended above. (8<2)](https://iiif.wellcomecollection.org/image/b21509244_0862.jp2/full/800%2C/0/default.jpg)
