ken
in giving toast, unless it is softened with milk or broth, for the
crumbs may bring on a paroxysm of coughing and vomiting. The best
results in feeding with whooping cough are obtained by giving the food
in small quantities and oftener. A few ounces given every two hours
are less apt to be vomited than a larger quantity. It is also easier
for the child to take the small amount after an attack of coughing and
vomiting than it would be for him to attempt a larger meal.
~Use of Stimulants.~--In many cases where weakness is great, it has
been found advisable to add some stimulant to the diet. With infants
this is best given in albumen water, a small amount of good brandy
acting better than other stimulants. With young children some of the
predigested liquid beef preparations, such as liquid peptonoids, are
found valuable. These foods are given alternately with the other fluid
foods.
~Hygiene and Sanitation.~--Infants and children suffering with
whooping cough require plenty of fresh air and sunshine. They must be
kept out of doors as much as possible and sleep in well-ventilated
rooms or sleeping porches. They must be protected from drafts and
excitement, and never allowed to become over-tired. In this way the
anemia which so often results from prolonged attacks of whooping cough
is in a measure held in check. At times it is found necessary to give
some kind of an iron tonic, but this comes under the jurisdiction of
the physician instead of the nurse. When bad effects do occur in spite
of all the care exercised during the attack of whooping cough, they
must be accorded the treatment especially devised to meet the
situation.
MEASLES
This is an acute, infectious disease characterized by a red eruption
which appears on the fourth day. Measles is one of the most contagious
of all the diseases of childhood. It may be acquired by direct contact
with another case or by being in the room with a case. The infection
may also be carried through the air and occasionally by a third
person. Measles is more prevalent in the winter than in summer. In
cities it often occurs in epidemics. The period of incubation is from
ten days to three weeks, occurring generally at about two weeks after
exposure.
The attack may begin with the child showing a languid attitude,
complaining of headache. Then a cough develops, with nausea and fever
at times. The fever is often high, reaching 104 deg. F. on the second day.
As a rule the feve
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