Identifier: nurseshandbo00cook (find matches)
Title: A nurse's handbook of obstetrics, for use in training-schools
Year: 1911 (1910s)
Authors: Cooke, Joseph Brown. (from old catalog)
Subjects: Obstetrics
Publisher: Philadelphia and London, J. B. Lippincott company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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he vagina is effectually eliminated. The physician will, ofcourse, instruct the nurse as to the solution to be used for thedouche and its temperature, but in the absence of any definitedirections, as, for example, when he merely leaves word to thenurse while she is out that the patient is to be douched, she maysafely use two quarts of normal salt solution (two drachms tothe quart) at a temperature of no° F. 244 A NURSES HANDBOOK OF OBSTETRICS. The temperature and pulse of both mother and child areto be taken every four hours during the first week and after-wards every night and morning unless the case is not doingwell, when the four-hour record is to be continued. The tem-peratures of both patients are to be recorded on separate charts,to facilitate a clear understanding of the entire record at oneglance. The public is so well educated in the matter of clinical ther-mometry that these charts must be kept out of sight of themother from the very first, so that in the event of any unex-
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Fig. 121.—Proper method of introducing douche tube. pected complication she will be ignorant of the amount of herfever and unsuspicious at the withdrawal of the chart from herdaily inspection. A pulse of ioo or a temperature of 100.50 F. is to be re-ported to the physician without delay, as either may indicatethe onset of some serious disorder. Every attention must be paid to the comfort of the patient,for the more nearly normal her case, the more tedious is herconfinement in bed while awaiting the involution of the uterus DIET IN THE PUERPERIUM. 245 and other generative organs. She should be moved from oneside of the bed to the other several times a day, and required toturn frequently from side to side after the first twenty-fourhours. Her personal toilet must never be neglected to the slight-est degree, and her face and hands should be washed and herteeth brushed several times daily. Her hair is to be well brushedand combed night and morning, and this is most easily managedby doin

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