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.

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    neuritis and various functional disturbances, appear to be partly toxic, partly anaemic in origin, and therefore indicate the necessity for prolonged and intelligent treatment with medicinal and non-medicinal measures; but the bacillus has been found in some of the lesions and recovery may be im- possible. Venous thrombosis occurring at this or an earlier stage calls for recognised treatment, and may lead to per- manent obstruction and oedema, requiring constant elastic support. Outline of Practice. 1. Commencement of Case.—General Management.—Eest in bed; arrangements for illness of one or two months. Two intelligent, experienced, strong nurses. Eoom, bed, clothing: see pp. 589, 590. Strict attention to cleanliness and dis- infection ; draw-sheet changed at least twice a day, under- sheet daily, over-sheet every second day, night-shirt and day- shirt daily. Tepid water and soap night and morning. Use of bed-pan imperative, the nurse lifting patient and an assistant placing pan in position. Disinfection of stools, urine and sputa (p. 582).—Sponging in draw-sheet with water at 80°, 60° or lower r. if temperature reach 103° (p. 588).—Diet.—Fluids only (p. 590); 5 fl. oz. of milk or of beef-tea every two hours; two of the former feeds to one of the latter. Milk simply boiled, peptonized, or variously diluted and flavoured (p. 591). —Stivudants.—Not as a routine. Brandy best; either with the milk, or, if unpalatable, in water. Indications for and against alcohol: (p. 591).—Medicines.—None as a routine. For marked constipation (p. 587): (1) 1^ Mistura^ Olei Eicini 5i. [U.J^.P. 1^ Olei Eicini oiii, Mucilaginis Acacia3 3iss, Aqu?e Aurantii Floris 7?i, Aqu£e Cinnamomi 3iiss.] At once. (2) A soap-and-water enema, one pint.—A variety of intestinal disinfectants (pp. 581, 584): (1) 1^ Liqnoris Hydrargyri Per- chloridi il^^xxx. Aquae ad 51. [U.S.P. 1^ Hydrargyri Chloridi Corrosivi gr. Aquse Destillatie ^i.] Every four hours. (2) 1^ Olei Terebinthinae ]\x. In a capsule three times a day. (3) I)^ Olei Terebinthinai n]^x, Misturte Amygdalae si. [U.S.P, Emulsionis Amygdalae gi.] Three times a day. (4) 1^ Salol gr. X. In cachet or in broth, three times a day.—For severe