. First-year nursing : a text-book for pupils during their first year of hospital work . l should beat hand for scrubbing the skin where the needle is to beinserted. This scrubbing is done by the nurse, andshould be thorough. A sponge wet with alcohol is laidover the place until the doctor is ready to insert theneedle. The chest wall, either in the back, side, or justbelow or just above the breast, is chosen. About a pintmay be given in one place, and if more is required, anew spot is selected. Gentle rubbing may be used tohasten absorption of the solution. The wound made bythe needle is seale
. First-year nursing : a text-book for pupils during their first year of hospital work . l should beat hand for scrubbing the skin where the needle is to beinserted. This scrubbing is done by the nurse, andshould be thorough. A sponge wet with alcohol is laidover the place until the doctor is ready to insert theneedle. The chest wall, either in the back, side, or justbelow or just above the breast, is chosen. About a pintmay be given in one place, and if more is required, anew spot is selected. Gentle rubbing may be used tohasten absorption of the solution. The wound made bythe needle is sealed with collodion and a tiny wisp ofsterile cotton. After use, the apparatus should be rinsed and resteril-ized, wrapped so that it may be ready upon short needle should be boiled, rinsed in alcohol to preventrusting, and put away with a wire in it. SPECIAL DRESSINGS AND SURGICAL PROCEDURES 253 In extreme cases, where quick action is necessary, alarge glass syringe may be used instead of the bottle orirrigator, fitting its point into a very short tube attachedto the Fig. 48.—Giving salt solution under the skin. Hypodermoclysis. Salvarsan.—The apparatus and preparation for givingsalvarsan is very similar to that used for hypodermo-clysis. A tourniquet (rubber tubing about 18 incheslong) will be required, materials for cleansing the skin, a 254 FIRST YEAR NURSING sterile, graduated irrigator (small), a sterile graduateglass, dressings, sponges, and sterile towels. The patient lies flat, the inside of the bend of the elbowis exposed and scrubbed or painted with iodin, and thetourniquet is applied so as to impede—not check—the venous circulation. The salvarsan solution maybe ready prepared in a serum syringe, or it may haveto be mixed with saline in the sterile graduate and dis-solved. The salvarsan solution is allowed to flow through aspecial needle which is inserted in a vein. The doctorwho gives the treatment works with sterile hands, but theassisting
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