The practice of pediatrics . the question. Food should be at once stopped. 1. Thestomach and bowels are both to be cleansed by washing. Simple saltsolution or solution of sodium bicarbonate, 4 gm. to 500 (1teaspoonful to the pint) may be used for this purpose. The washing of 240 DISEASES OF THE ALIMENTARY TRACT the stomach should be done with water at a temperature of about 100° bowels may be washed with water at a temperature of 90° F. Ifthe vomiting and purging continue, these washings may be repeated infour to six hours, but it is usually not advisable to continue them sofrequent


The practice of pediatrics . the question. Food should be at once stopped. 1. Thestomach and bowels are both to be cleansed by washing. Simple saltsolution or solution of sodium bicarbonate, 4 gm. to 500 (1teaspoonful to the pint) may be used for this purpose. The washing of 240 DISEASES OF THE ALIMENTARY TRACT the stomach should be done with water at a temperature of about 100° bowels may be washed with water at a temperature of 90° F. Ifthe vomiting and purging continue, these washings may be repeated infour to six hours, but it is usually not advisable to continue them sofrequently for more than one day. 2. The temperature is to be eon-trolled by baths or packs. The bath is to be preferred because frictioncan be employed at the same time to keep up the circulation and preventcollapse. The infant is to be put in water at a temperature of 95° to100° F. and then the temperature is to be gradually lowered to 85° F.,sucba bath to be continued for fifteen to thirty minutes. Constant friction, Fig. 43. Method of hypodermoclysis. The bottle contains normal salt solution. The tubeis firstfllledbystripping to start siphon action. Two needles are used, one being inserted on either side of theabdomen. especially of the extremities, should be employed during the the baths fail to control the temperature, rectal irrigation withice-water has been recommended, the water being allowed to run inand out freely; but I have seen collapse produced or aggravated so oftenby such measures as to consider them more likely to be harmful thangood. The baths may be repeated every two or three hours as the intervals between the batbs cold packs to the trunk may beemployed, the infant being wrapped in a sheet wrung out of water at atemperature of 90° F. and water of the same temperature sprinkled over it ACUTE GASTROENTERIC INFECTIONS 241 from time to time. In cases of marked depression it is well to leavethe feet and legs out of the water and apply heat


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190