ted end of a large Davidson's syringe is
inserted into the rectum, and with the hips of the baby brought to the
edge of a basin (the heels held in the hands of the assistant), water
is forced into the rectum. Not more than one ordinary cup of water
should be introduced at any one time. After expulsion, another may be
gently injected.
_The diet_ in bronchitis is always reduced so that no extra work will
be thrown on the already overtaxed constitution of the child.
_Absolute rest_ is necessary and perfect quiet should prevail. The
humidity of the room should not be lower than 50 at any time, while
the air should be moderately cool and fresh.
Numerous other details which may be necessary in the management of
bronchitis will be directed by the physicians and nurses in charge of
the case.
SPASMODIC CROUP
It is believed that children with enlarged tonsils and adenoids are
much more subject to croup than others. Although very sudden in its
onset and very alarming, spasmodic croup, fortunately, is seldom
dangerous. A little child goes to bed in apparently normal condition
and wakes up suddenly with a coarse metallic cough, difficult
breathing, and with a distressed expression on the face.
Alternate hot and cold compresses should be applied to the
throat--first the hot cloths (wrung from very hot water) being applied
over the throat, which should be covered with a single thickness of
dry flannel. Then after three minutes of the hot cloths a very cold
cloth is applied to the skin itself for one half minute; then more of
the hot compress, followed again by the short cold, until five such
changes have been made. A bronchitis tent should be quickly improvised
so that the child can be "steamed."
Vomiting must be produced by kerosene (three or four drops on sugar),
alum and molasses, or ipecac (ten drops every fifteen minutes). Some
remedy must be administered continuously until free vomiting occurs. A
good dose of castor oil should be given after the spasm. Suitable
treatment should be administered through the day to prevent a
recurrence of the attack the next night.
The general vital resistance should be raised by outdoor life,
improved circulation, good food; adenoids if present, should be
removed.
Medical advice should be sought in every case of severe croup, for
membraneous croup usually is indicative of diphtheria, and the
diagnosis is important, as on it hangs the determination of the
administration of a
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