. Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . Fig. 11.—Posterior Nasal Brushes. RHINOSCOPY. 21 a basin and liis niontli open. Tlic nose-piece is puHsed into one nos-tril and tlie fluid Hows out of the other. The douche should invari-ably be used io])u\ .it Hrst. Occasionally the temperature may be re-duced after a time, especially when astringents are required. Then. Fig. 12.—Nasal Douches and Anterior Nasal Syringe, a temperature of 85° F. may be employed and gradually reducedto 75- or even 70^—very rarely


. Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . Fig. 11.—Posterior Nasal Brushes. RHINOSCOPY. 21 a basin and liis niontli open. Tlic nose-piece is puHsed into one nos-tril and tlie fluid Hows out of the other. The douche should invari-ably be used io])u\ .it Hrst. Occasionally the temperature may be re-duced after a time, especially when astringents are required. Then. Fig. 12.—Nasal Douches and Anterior Nasal Syringe, a temperature of 85° F. may be employed and gradually reducedto 75- or even 70^—very rarely lower. The patient should breathequietly and restrain any movement of deglutition in order that theEustachian tubes may remain closed; for the accidental entrance offluid into the ear has sometimes given rise to serious is not necessary to have much pressure—just enough to cause thefluid to flow through the nares will suffice, and this will be producedwhen the vessel is not raised above the patients head. Heshould therefore be cautioned not to raise it higher or hemay be told to let it rest on his most serviceable liquids foruse in the douche are weak saline andalkaline solutions. Half a drachm ofsodium carbonate in a pint of water,with a little glycerin added, is one ofthe best forms for removing hardenedsecretions. This is less irritant thanthe salt solution so often used and 1 Ti 1 i. • • i-i D^ ^„ Fig.


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Keywords: ., bookcentury1800, bookdecade189, booksubjectmedicine, bookyear1895