A nurse's handbook of obstetrics . securecold to the gland. They may be supported by small pillows ateither side. If one breast only is infected a roller bandage ora Boston Lying-in-Hospital binder may be ordered. The patientfrequently complains of chill under this treatment. She shouldbe in bed and external heat applied. The bowels are best movedwith a saline cathartic, such as magnesium sulphate (Epsomsalt), one-half ounce in half a glass of water. Nursing must, of course, be stopped at the affected breast,and the ingestion of fluids is to be restricted as much as possibleuntil all the sympt
A nurse's handbook of obstetrics . securecold to the gland. They may be supported by small pillows ateither side. If one breast only is infected a roller bandage ora Boston Lying-in-Hospital binder may be ordered. The patientfrequently complains of chill under this treatment. She shouldbe in bed and external heat applied. The bowels are best movedwith a saline cathartic, such as magnesium sulphate (Epsomsalt), one-half ounce in half a glass of water. Nursing must, of course, be stopped at the affected breast,and the ingestion of fluids is to be restricted as much as possibleuntil all the symptoms have disappeared. This treatment, if begun at once, is usually successful inchecking the disease, but, as has been said, it must be institutedwithout a moments delay if it is to be effective. The inflamma-tion, under the treatment of rest, tight bandaging and ice-caps,with salines, usually subsides at the end of a day or two, andnursing is resumed. A doctor may attempt to avert the incision 286 A NURSES HANDBOOK OF PUERPERAL INSANITY. 287 in deep-seated infections by the the use of the Bier congestionbell. This is applied as often as is ordered for short periods oftime, but because of the pain involved in comparison with thetreatment outlined, it is but little used in practice. If the treatment outlined above is unsuccessful and the casegoes on to suppuration, the treatment is necessarily surgical, andthe nurse can only follow the directions of the medical at-tendant. • Local anaesthesia is generally given and the incision made assmall as possible. Evacuation of the pus is sometimes difficultto secure. The drain is perhaps a small wick or may be someform of suction cup, depending upon the area involved. Thisimplies the necessity at times for an anaesthetic at is not necessary to repeat the caution concerning the handlingof such pus. Gloves and gown to protect nurse and both pa-tients ; cleanliness and good technic are demanded. It may be said tha
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