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Medical ArticlesHypertensionArterial hypertension may be divided into stages. In the fi... Quacks And Quackery Quackery and the love of being quacked, are in human nat... Punctures Case Ii Mrs. Middleton, aged 40, wounded her wrist, on the ulnar side... Locomotor Ataxia This disease is a most difficult one to deal with, and any hea... Early Symptoms Of Irritating Foreign Body Such As A Peanut Kernel In The Bronchus 1. Initial laryngeal spasm is almost invariably present wit... The Habit Of Illness IT is surprising how many invalids there are who have... Head Soaping Have a piece of M'Clinton's soap, a good shaving brush, and a ... Breast Cancer I have worked with many young women with breast cancer; so ma... Oxygen Tank And Tracheotomy Instruments Respiratory arrest may occur from shifting of a foreign body,... 1 Is Water Applicable In All Typhoid Cases? The question has been raised, whether in typhoid cases, and i... Colic Of Whatever Kind Use A D current, pretty strong force. In severe cases, introd... Biscuits And Water The biscuits referred to are manufactured in Saltcoats.[A] The... Clinical Interpretation Of Pulse Tracings A moment may be spent on clinical interpretation of pulse tra... Liquorice See Constipation. ... Emergencies 5. Cardiac Emergency Drugs.--Besides some of the drugs alread... Vitamins For An Older Healthy Person Someone who is beyond 35 to 40 years of age should still feel... Shingles Though not often fatal, this illness gives serious trouble. It... Treatment Of Cicatricial Stenosis A careful direct endoscopic examination is essential before ... Foreign Bodies In The Bronchi For Prolonged Periods The sojourn of an inorganic foreign body in the bronchus for ... Convalescence When compensation has been restored, the patient may be allow... |
Rules For The Application Of Water In Typhoid CasesCategory: TREATMENT OF SCARLET-FEVER. Source: Hydriatic Treatment Of Scarlet Fever In Its Different Forms As a general rule, in typhoid cases, bathing should form one of the principal features of the treatment; i. e. the patient should have more baths than packs in proportion to the treatment of other cases. The temperature of the baths should be in proportion to the reactive power of the body; i. e. the longer the patient has been sick, and the weaker he is, the higher should be the temperature of the water, but never so high as to have rather a weakening than a strengthening effect upon the nervous system. The highest temperature which may be used should not exceed 75 deg. F. When the delirium is active, the patient restless, almost raging, the water should be used colder; when the delirium is more passive, the patient weak, muttering, the water should be warmer: in the former case, the water may be between 50 and 60 deg., in the latter, between 60 and 70 deg.. When the skin is hot and dry, a wet-sheet pack will produce relief, and assist in bringing out the rash. After the pack, a half-bath should be given, the duration of which must be regulated by the condition of the brain. If the delirium continues, the bath should be prolonged. The patient should not leave the bath before his head is clearer. It may be necessary for the patient to stay in the bath for more than half an hour. In a low condition, with passive delirium, the packs should not be continued very long, as they will be apt to increase the bad condition of the brain. In that case they should be used only to prepare the body for the bath following it. When the skin is cool and moist, neither a bath nor a pack is indicated. When the skin is rather cool and dry, an affusion of cold water and frictions with the bare hands should be used, and the patient packed afterwards in a dry blanket, to assist in producing a reaction. In such cases I have found very cold water to be of more service than water of a warmer temperature. When the patient has not been too much weakened already, a rash is likely to be produced by the proceeding, and in consequence of repeated baths, the nervous system to be relieved and a healthier reaction to be obtained. Should putrid symptoms appear, I would advise the use of mineral acids and chloride of lime, in addition to hydriatic treatment. In no case would I advise a hydriatic practitioner to overdo, either in regard to the temperature or to the quantity of the baths. The state of the brain and of the skin should always guide him. The increase of delirium will require a bath, and the dryness and heat of the skin a pack. If both symptoms exist, the bath is to be preferred, as the condition of the nervous system should always command the principal attention of the physician. When the nervous system is supported, the whole of the organism is, and the condition of the skin usually improves with the former. Next: Illustrations Previous: 1 Is Water Applicable In All Typhoid Cases?
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