om disturbing worries and
assured of the possibility of recovery with proper care.

~Diet~ should be adequate without being too abundant; stuffing the
patient is no longer considered necessary, in fact it is believed that
forcing the eating of large quantities of eggs, etc., defeats its own
ends, upsetting the digestion and causing a disgust for food almost
impossible to overcome.

~Gastro-intestinal Disturbances~ are apt to develop as the disease
progresses. These are treated as in other conditions so complicated,
except that the period of starvation must necessarily be limited on
account of the metabolic waste already taking place from the disease
itself.

PNEUMONIA

~The Lungs~, as in pulmonary tuberculosis, are the seat of infection
and are temporarily hampered in their work of excretion.

~The Kidneys~ bear the brunt of the extra work caused by the
impairment of the lungs, consequently all unnecessary work must be
spared these organs if they are to be prevented from being overtaxed.

~Nephritis~ is one of the complications apt to develop when the
kidneys are not sufficiently strong to carry on their own work and
that generally done by the lungs.

~The Heart.~--Cardiac symptoms are also likely to develop during
attacks of pneumonia and make the disease one to be dreaded and
guarded against.

~The Diet.~--The dietetic treatment in pneumonia is like that used in
acute infectious diseases, fevers in general, fluids constituting the
form of diet and milk the chief food, as long as there is an elevation
of temperature.

TONSILLITIS

~The Heart.~--As in pneumonia, the development of cardiac symptoms
must be guarded against. These symptoms may not develop at once but
show later during or after convalescence.

~The Kidneys.~--Nephritis also develops in some patients and the
treatment is directed as far as possible to prevent its developing
into a chronic form.

~Dietetic Treatment~ is the same as used in acute infectious
conditions, fevers of short duration, taking care to institute the
diet for acute nephritis should the patient show evidences of this
disease.

PROBLEM

Write a diet order for a tuberculous patient weighing 135 pounds,
allowing 3000 calories and fifty per cent. of the protein to be
derived from animal sources.

FOOTNOTES:

[104] The addition of cream to coffee produces acute indigestion in
certain individuals, hence the nurse must be governed by this point in
formulating the