. Nursing in diseases of the eye, ear, nose, and throat . aration of the skin. She should then— Obtain a specimen of urine. Shave an area 1| to 2 inches around the ear, measuredfrom the meatus. Douche the ear with bichlorid of mercury, 1: 5000. Place a strip of gauze and collodion, not adhesiveplaster, over the margin of hair. Put a strip of gauze in the canal, and apply a dry dress-ing if iodin is to be used later; if not, the preparation mustbe continued as described above. When skin-grafting is to be employed in a radical,the left thigh (without reference to the ear that is to beoperated on
. Nursing in diseases of the eye, ear, nose, and throat . aration of the skin. She should then— Obtain a specimen of urine. Shave an area 1| to 2 inches around the ear, measuredfrom the meatus. Douche the ear with bichlorid of mercury, 1: 5000. Place a strip of gauze and collodion, not adhesiveplaster, over the margin of hair. Put a strip of gauze in the canal, and apply a dry dress-ing if iodin is to be used later; if not, the preparation mustbe continued as described above. When skin-grafting is to be employed in a radical,the left thigh (without reference to the ear that is to beoperated on) should be chosen, and its anterior and inneraspect prepared; because experience has shown that it DISEASES OF THE MIDDLE EAR 219 is easier to cut the skin from above downward than it isfrom below upward. If the surgeon cuts grafts withhis left hand, the right thigh should be prepared. For preparation of an operating room, refer to Chap-ter I. After the patient has been anesthetized, the bandageshould be cut and the dressing removed without the field. Fig. 53. —Arrangement of towels around mastoid region before opera- of operation being touched by the nurse whose hands arenot sterile. The patients body should be covered witha sterile sheet, and the head, face, and neck with towelsproperly arranged and pinned in place around the mas-toid by the nurse whose hands are sterile. Careful towel-ing, without the annoyance of excessive sailcloth, forthe protection of the wound from the skin, and, for whatis more important in mastoid surgery than elsewhere, theprotection of the freshly opened skin from contact withthe scrapings and pus from the virulently infected mastoidis necessary. A device, sometimes called an ether bridge, that rests 220 EYE, EAR, NOSE, AND THROAT NURSING on the cheek of the patient in front of the auricle overwhich a towel is placed is of considerable convenience inthat it gives the anesthetist an unobstructed view of thepatients face, but keeps him out of the
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectotorhin, bookyear1922