om should be about 70 deg. F., and the
patient must not be covered so warmly with clothing as to cause
perspiration. A flannel jacket may be made to surround the chest, and
should open down the whole front. The nightshirt is worn over this;
nothing more. Daily sponging of the patient with tepid water (85 deg. to
90 deg. F.) should be practiced. The body is not to be all exposed at
once, but each limb and the trunk are to be separately sponged and
dried. If the fever is high (104 deg. F.) the water should be cold (77 deg. to
72 deg. F.), and the sponging done every three hours in the case of a
strong patient. Visitors must be absolutely forbidden. No more than
one or two persons are to be allowed in the sick room at once.
The diet should consist chiefly of milk, a glass every two hours,
varied with milk mixed with thin cooked cereal or eggnog. It is wise
to give at the beginning of the disease a cathartic, such as five
grains of calomel followed in twelve hours by a Seidlitz powder, if
the bowels do not act freely before that time. To relieve the pain in
the side, if excruciating, give one-quarter grain morphine
sulphate,[4] and repeat once, if necessary, in two hours. The
application of an ice bag to the painful side frequently stops the
pain, and, moreover, is excellent treatment throughout the course of
the disease. The seat of pain usually indicates that the lung on that
side is the inflamed one, so that the ice bag should be allowed to
rest against that portion of the chest. Water should be freely
supplied, and should be given as well as milk even if the patient is
delirious.
The bowels are to be moved daily by glycerin suppositories or
injection of warm water. Dover's powder in doses of five grains is
useful to assuage cough. It may be repeated once, after two hours'
interval if desirable, but must not be employed at the same time as
morphine. After the first two or three days are passed, or sooner in
weak subjects, give strychnine sulphate, one-thirtieth grain, every
six hours in pill or tablet form. The strychnine is to be continued
until the temperature becomes normal, and then reduced about one-half
in amount for a week or ten days while the patient remains in bed, as
he must for some time after the temperature, pulse, and breathing have
become normal.
=CONSUMPTION; TUBERCULOSIS OF THE LUNGS; PHTHISIS.=--This disease
demands especial attention, not only because it is above all others
the great destroye
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