edsores.
These are apt to appear about the lower part of the spine, and begin
with redness of the skin, underneath which a lump may be felt.
Constant cleanliness and bathing with alcohol, diluted with an equal
amount of water, will tend to prevent this trouble, while moving the
patient so as to take the pressure off this region and avoiding any
rumpling of the bedding under his body are also serviceable, as well
as the ring air cushion. Medicine is not required, except for special
symptoms, and has no influence either in lessening the severity of or
in shortening the disease. Brandy or whisky diluted with water are
valuable in severe cases, with muttering delirium, dry tongue, and
feeble pulse; it is not usually called for before the end of the
second week, and not in mild cases at any time. A tablespoonful of
either, once in two to four hours, is commonly sufficient. Pain and
distention of the belly are relieved by applying a pad over the whole
front of the belly--consisting of two layers of flannel wrung out of a
little very hot water containing a teaspoonful of turpentine--and
covered by a dry flannel bandage wrapped about the body. Also the use
of white of egg and water, and beef juice, instead of milk, will
benefit this condition.
Diarrhea--if there are more than four discharges daily--may be checked
by one-quarter level teaspoonful doses of bismuth subnitrate, or
teaspoonful doses of paregoric, once in three hours. Constipation is
relieved by injections of warm soapsuds, once in two days. Bleeding
from the bowels must be treated by securing perfect quiet on the
patient's part, and by giving lumps of ice by the mouth, and cutting
down the nourishment for six hours. Fifteen drops of laudanum should
be given to adults, if there is restlessness, and some whisky, if the
pulse becomes feeble, but it is better to reserve this until the
bleeding has stopped. Patients may be permitted to sit up after a week
of normal temperature, but solid food must not be resumed until two or
three weeks after departure of fever, and then very gradually,
avoiding all coarse and uncooked vegetables and fruit.
The greatest care must be exercised by attendants to escape
contracting the disease and to prevent its communication to others.
The bowel discharges must be submerged in milk of lime (one part of
slaked lime to four parts of water), and remain in it one hour before
being emptied. The urine should be mixed with an equal amount of t
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