. Nursing in diseases of the eye, ear, nose, and throat . hey are made in different sizes and can be obtainedat almost any pharmacy. When the ordinary tip is used it should be long andnarrow, considerably smaller than the meatus, so as toallow ample room for the return flow. When the tip isplaced in position, barely within the meatus, whichshould be straightened in the same manner as when theear is syringed, the stream should be directed, not against the drum, but against the side of the canal far back. Ifthe discharge is very thick and tenacious the irrigatormay be raised. In certain cases so
. Nursing in diseases of the eye, ear, nose, and throat . hey are made in different sizes and can be obtainedat almost any pharmacy. When the ordinary tip is used it should be long andnarrow, considerably smaller than the meatus, so as toallow ample room for the return flow. When the tip isplaced in position, barely within the meatus, whichshould be straightened in the same manner as when theear is syringed, the stream should be directed, not against the drum, but against the side of the canal far back. Ifthe discharge is very thick and tenacious the irrigatormay be raised. In certain cases some surgeons directthe nurse to fill the canal with warm hydrogen peroxid,allowing it to remain for a few minutes before irrigat-ing. Others have considered this a dangerous practice,claiming that the effervescing of the peroxid might carrythe discharge from the middle ear into the who make use of it contend that it has been dem-onstrated that in every case of 0. M. P. A. of a few daysduration pus has already invaded the antrum, and that EAR. Fig. 50. —Lucaes glass siphon douche. DISEASES OF THE MIDDLE EAR 211 from its relation to the aditus and middle ear it couldnot well be otherwise. As the discharge diminishes theirrigations are made at longer intervals, being discon-tinued when the discharge has entirely ceased. Ice-bags and ice-coils should not be applied to themastoid except by special order of the surgeon. Coldlocal applications diminish the tenderness and relievethe pain without stopping the progress of the diseaseand mask the symptoms to a dangerous degree. Morphin,codein, acetanilid, phenacetin, or aspirin should not begiven, for the same reason. In nervous, restless patientssodium bromid, adalin,- and trional, drugs which inducesleep without so much interference with temperature orlocal condition, may be used for the first night or temperature should be taken by the rectum, everythree hours, night and day, and a careful watch kept forany sign o
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectotorhin, bookyear1922
