. The practice of pediatrics. be removed, for, if it is continued longer, too great a reduc-tion may take place. If the fever rises again rapidly to 105° F. or higher,it is well to keep the patient in the pack continuously. The degree ofcold necessary, in the individual case, to keep the temperature withinsafe limits will soon be learned. I recently kept in a pack for seventy-two hours a boy four years old with lobar pneumonia. In this casea continuous pack of 70° F. was required to keep the temperature at104° F. or slightly lower. Another reason for frequently taking the temperature is that,
. The practice of pediatrics. be removed, for, if it is continued longer, too great a reduc-tion may take place. If the fever rises again rapidly to 105° F. or higher,it is well to keep the patient in the pack continuously. The degree ofcold necessary, in the individual case, to keep the temperature withinsafe limits will soon be learned. I recently kept in a pack for seventy-two hours a boy four years old with lobar pneumonia. In this casea continuous pack of 70° F. was required to keep the temperature at104° F. or slightly lower. Another reason for frequently taking the temperature is that, earlyin the attack, we do not know how the fever will be affected by the con-tinued cool applications. In some children it is very readily influenced,and in such a case collapse might follow a very sudden reduction of thetemperature. In cases readily controlled, the pack may be necessaryfor only one-half hour or an hour, at intervals of three or four ice-bag may with advantage be kept at the head when the child is. Fig. 117.—The cool pack. in the pack. Suddenly enveloping the entire skin surface in a coldsheet at 70° F., as advocated by some writers, may increase the tem-perature and occasion grave symptoms of impending death, because ofthe sudden contraction of the superficial blood-vessels, which sends theblood to the viscera, producing congestion of the internal organs. BATHSThe newly born child should be given, daily, a basin-bath with luke-warm, boiled water and Castile soap until the cord falls and the navelheals. When this has taken place, the tub-bath may be given. Thetemperature of the bath for the very young infant should not be below95° F. nor above 100° F. Very young children should not be kept inthe water more than three minutes. After the third or fourth montha temperature of 90° to 95° F. is best, the child being kept in the waterabout five minutes. At this age I prefer to have the tub-bath given atnight, just before the child is put to bed. A
Size: 2526px × 989px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
