Identifier: diseasesofch00mcco (find matches)
Title: Diseases of children for nurses
Year: 1911 (1910s)
Authors: McCombs, Robert Shelmerdine, 1880- (from old catalog)
Subjects: Children Pediatric nursing
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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e pus, and draining. There are severalmethods employed. A simple incision or an incision andthe removal of a portion of one or more ribs for betterdrainage are the methods usually followed. A rubbertube is inserted into the cavity to insure perfect drainage. Aspiration is accomplished by plunging a large needleor trocar and canula through the chest wall and havingthe instrument used attached by a tube to a vacuum pump.This method does not remove all of the pus nor the shredsof fibrinous material, and often has to be resorted torepeatedly, as proper drainage is not established. A jter-treatment.—This consists in methods employed tobring about the full expansion of the lungs. For thispurpose two bottles connected by tubing are used. Onebottle is filled with- water, which may be colored if con-venient. The child is instructed to blow the water from 78 DISEASES OE CHILDREN FOR NURSES one bottle into the other. This can be made a pastime,and it serves the purpose of .expanding the lungs.
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Fig. 24.—Apparatus for aspiration (Kerley). Nursing.—The temperature of the room should bemaintained at 68° F.; ventilation is necessary; bathingshould be restricted to sponging. Sleep and feeding usually are undisturbed. The two precautions to be taken by the nurse in dressinga case of empyema which has been operated upon are:(1) To see that there is no danger of the tube slippingthrough the wound and being lost in the pleural cavity.This can be prevented by inserting a safety-pin throughthe end of the tube. (2) To see that the exit of the tubeis covered with gauze. This covering acts as a valve DISEASES OF THE RESPIRATORY TRACT 79 which allows the pus to escape and prohibits air fromentering. The presence of air in the pleural cavityprevents the full expansion of the lungs, which have beencompressed by the fluid. The child should be allowed to move from side to side,but should be encouraged to lie on the side where thewound is situated, as long as there is any discharge. Atthe

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