Infant-feeding in its relation to health and disease, by Louis Fischer; containing 54 illustrations, with 24 charts and tables, mostly original . r dextrinized barley and milk, or albumin-water,or the white of a raw egg mixed with half of a teacup ofcoffee and milk; or, if desired, a good concentrated soup,or bouillon, or broth, can be used. The same intervalgoverning ordinary meals should be more strictly adheredto while this process of feeding is used. It is well under-stood that all instruments, utensils, and food must bestrictly clean and sterile. Place the child flat on its back, and, fir


Infant-feeding in its relation to health and disease, by Louis Fischer; containing 54 illustrations, with 24 charts and tables, mostly original . r dextrinized barley and milk, or albumin-water,or the white of a raw egg mixed with half of a teacup ofcoffee and milk; or, if desired, a good concentrated soup,or bouillon, or broth, can be used. The same intervalgoverning ordinary meals should be more strictly adheredto while this process of feeding is used. It is well under-stood that all instruments, utensils, and food must bestrictly clean and sterile. Place the child flat on its back, and, first, pin either a heavy blanket or a stout sheet securely behind the body so that the hands are pinned down; have the assistant hold the childs elbows securely on each side; then force (250) FORCED FEEDING. 251 the mouth open and quickly pass the catheter, pour thefood into the funnel, and when the funnel is empty with-draw the catheter as quickly as possible. If this forcedfeeding is done very slowly or clumsily, then nausea andsometimes vomiting will be produced thereby. Hence,the technique should be carried out as carefully as Fig. 40.—Authors Apparatus for Irrigating Rectum and wellAdapted for Stomach-washing (Lavage) and also forForced Feeding (So-Called Gavage). Also Useful in NasalFeeding. Great care should be used in gavage. When childrenhave teeth, the nurse must separate the jaws. For thispurpose a piece of cork or a spoon covered with linen willanswer as a mouth-gag. Accidents may happen if thisprecaution is not taken. The writer has seen several chil-dren who had bitten the catheters and swallowed one of these cases the tube was easily dislodged by anemetic. Another required a gastrostomy. 252 INFANT-FEEDING. NASAL FEEDING. ]STasal feeding has long been in use where diseases ofthe mouth or spasm of the jaw or intubation in diphtheriarendered swallowing difficult. A thin rubber catheteris attached to a long rubber tube ending in a funnel;this is


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