A nurse's handbook of obstetrics, for use in training-schools . ized patient consists in keeping all her limbs ex-tended at full length so that she cannot get a purchase onanything. Her arms must be held straight out at her sides, sothat she cannot bend her elbows, and sufficient downward press-ure must be exerted just above her knees to prevent her drawingup her legs. At about this time the patient will often begin to vomit, andat the first sign of retching her head is to be turned as far aspossible to one side to allow the vomited matter to escape from 164 A NURSES HANDBOOK OF OBSTETRICS. he
A nurse's handbook of obstetrics, for use in training-schools . ized patient consists in keeping all her limbs ex-tended at full length so that she cannot get a purchase onanything. Her arms must be held straight out at her sides, sothat she cannot bend her elbows, and sufficient downward press-ure must be exerted just above her knees to prevent her drawingup her legs. At about this time the patient will often begin to vomit, andat the first sign of retching her head is to be turned as far aspossible to one side to allow the vomited matter to escape from 164 A NURSES HANDBOOK OF OBSTETRICS. her mouth and prevent its possible entrance into the this is done the lower jaw is to be drawn upward and for-ward as much as possible, and fresh ether must be administeredfreely, for the vomiting will stop as soon as the anaesthesia iscomplete. The mouth must be wiped out frequently with atowel, or with gauze or cotton in an ordinary sponge-holder,and care must be taken that the tongue is well forward and hasnot fallen back and occluded the throat. ,. : Fig. 61.—Administration of ether. Cone held snugly over face; chin raised upward andforward and pulse taken at facial artery. Complete anaesthesia will be attained in from ten to twentyminutes after beginning the administration of ether, and it ismaintained by adding about a drachm of ether to the coneeveryfour or five minutes. During ether narcosis the patients face should be slightlyflushed, but never pale or cyanotic; her respiration deep, pos-sibly stertorous (snoring), but never irregular; and her pulsefull, of good quality, fairly rapid, but never intermittent. The nurse should not only watch the respiratory movements BIRTH OF THE CHILD. 165 of the chest and abdomen, but make sure that respiration isproperly carried on by noting that ether vapor actually escapesthrough the cone with each expiratory act. As the patients wrist is not usually within the reach of theanaesthetist, the pulse may be taken at the facial
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Keywords: ., bookcentury1900, bookdecade1910, bookidnur, booksubjectobstetrics
