The principles of treatment and their applications in practical medicine / by J. Mitchell Bruce.

  • John Mitchell Bruce
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: The principles of treatment and their applications in practical medicine / by J. Mitchell Bruce. 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.

    518/676 (page 494)
    blisters, or fomentations to the epigastrium, or anodynes on spongio-piline (p. 489). II. Proghess of the Case.—For at least seven days, this system strictly followed.—If pain and sickness have ceased, expedite healing by internal medication (p. 485): (1) 1^ Bis' muthi Siibnitratis gr. xx. In a little water or milk every four hours. (2) 1^ Argenti Mtratis gr. 1, Aqu^ Destillat£e H On an empty stomach, once a day; the patient lying on the right side. In Hmmatcviesis.—See p. 489. On the lUh clay, pain and sickness being controlled, advance the diet (p. 487): Ordinary milk, milk and sac- charated lime water, or milk thickened with arrowroot or bread or biscuit crumb, to be substituted for peptonised milk: and the size of each feed increased from a half to 1 fl. oz.; from 1 fl. oz. to 2, and so on. If rectal feeding hitherto, this to be continued whilst half oz., 1 oz., etc., feeds of peptonised milk are given and effect noted (p. 488). Should pain return, resume rectal feeding only. If no pain, advance feeding by mouth as suggested, and gradually reduce number of enemata or suppositories. In Perforation.—See p. 543. On the '21st day—all going well and patient taking semi-j solid food—let her sit up in bed, with warm covering to shoulders, for a few minutes. If no pain, increase period ofj movement daily. By this time, bread and butter,, sweetbread, i eggs, milk puddings and boiled fish may be tried; later still, chicken and tender lean mutton. In a few days, aU going well, lift her on to a couch for half an hour. If pain come on, return her to bed at once, and avoid further experiments for a few days.—If no pain from sitting up, increase duration of it; and presently let patient stand; and then gradually walk. Pain to be signal for return to bed (p. 486).—At menstrual period patient to be kept strictly to bed for several days, however well (p. 492). Medicines. — Mild hsematinic to be given very cautiously from the date of successful sitting up (p. 491): Perri et Ammonii Citratis gr. V, Glycerini n]_xx, Aqu£e ad gi. Three times a day immediately after meals. III. Directions for convalescence and for preventing return of ulceration, see pp. 482, 489, 492.