. The Canadian nurse . get good resultsand reduce mortality. Two day nursesand one night nurse are assigned to thecare of five post-operative patients, allin single rooms. A sterile preparation isdone in the late afternoon before opera-tion and a cleansing enema is given atbed-time. No breakfast is allowed butthree ounces of orange juice is givenone and one-half hours before going tothe operating room. Sedatives are givenas ordered. The patient is encouraged to raise asmuch sputum as possible before goingto the operating room. This removessputum from the bronchial tree, whichmay have collected
. The Canadian nurse . get good resultsand reduce mortality. Two day nursesand one night nurse are assigned to thecare of five post-operative patients, allin single rooms. A sterile preparation isdone in the late afternoon before opera-tion and a cleansing enema is given atbed-time. No breakfast is allowed butthree ounces of orange juice is givenone and one-half hours before going tothe operating room. Sedatives are givenas ordered. The patient is encouraged to raise asmuch sputum as possible before goingto the operating room. This removessputum from the bronchial tree, whichmay have collected over night, andhelps to prevent bronchial the patient is operated on under localanaesthesia the cough reflex is not elim-inated, and if there is coughing duringthe operation there is less danger thatsputum might be aspirated into the otherlung. On return from the operating roomthe patient lies flat with a small headrest, and the foot of the bed elevated VOL. XXXV, No. 4 COLLAPSE THERAPY IN TUBERCULOSIS. A vleiVy takeji from the mr^ of the Manitoba Sanntoriu^ny Ninette for eight or nine hours to counteracttendency to shock, unless the patient hasdifficulty in breathing. Intravenousfluids, usually 1,000 cubic centimetersof normal saline and glucose 5 percent,are given, and nothing is allowed bymouth for four to six hours. Oxygenand carbon dioxide is given by nasalcatheter and periodically by mask forthree or four days. The carbon dioxidestimulates deeper respirations and coughwhich keep the bronchi free from spu-tum. As it is painful for the patient tocough the nurse holds the operated sidewhile the patient is coughing. This givessupport to the chest, relieves the pain,and encourages the patient to expelsputum. During rest hours, after the secondor third day, the patient is turned on theoperated side to prevent aspirating spu-tum into the good lung. A small firmpillow, twelve by eighteen inches insize, is placed below the axilla. Thishelps the collapse of the ches
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