,transcrib]'s ,notes3 ,und]scores 80 be=e & aft] a ^w or phrase indicate italics 9 ! orig9al text4 ,equal signs 80 be=e & aft] a ^w or phrase indicate bold 9 ! orig9al text4 ,small capitals h be5 conv]t$ to ,,solid capitals4 ,illu/rations h be5 mov$ s !y d n break up p>agraphs4 ,antiquat$ spell+s h be5 pres]v$4 ,typographical & punctuation errors h be5 sil5tly correct$4 ,! 8,,additional ,,notes0 section1 pages #baa to #bbf h be5 remov$ z !y s]ve no function 9 an ebook4 ,a ,,ref]5ce ,,h&-,,book ,,= ,,nurses ,,by ,,am&a ,k4 ,,beck1 ,r4 ,n4 ,graduate ( ! ,ill9ois ,tra9+ ,s*ool = ,nurses ,,f\r? ,,edition1 ,,revis$ ,,philadelphia ,,& ,,london ,w4 ,b4 ,,saund]s ,,company #aiai ,copyright1 #aije1 by ,w4 ,b4 ,saund]s & ,company4 ,repr9t$ ,augu/1 #aije1 ,july1 #aijf1 ,june1 #aijg1 & ,janu>y1 #aijh4 ,revis$1 repr9t$1 & recopyright$ ,augu/1 #aijh4 ,repr9t$ ,m>*1 #aiji1 ,febru>y1 #aiaj1 ,july1 #aiaj1 ,m>*1 #aiaa1 ,febru>y1 #aiab1 & ,augu/1 #aiab4 ,revis$1 repr9t$1 & recopyright$ ,febru>y1 #aiac4 ,repr9t$ ,octob]1 #aiac1 ,may1 #aiad1 ,novemb]1 #aiad1 ,janu>y1 #aiae1 ,may1 #aiae1 ,septemb]1 #aiae1 ,june1 #aiaf1 ,janu>y1 #aiag1 ,july1 #aiag1 ,novemb]1 #aiag1 ,april1 #aiah1 & ,augu/1 #aiah4 ,revis$1 repr9t$1 & recopyright$ ,m>*1 #aiai ,copyright1 #aiai1 by ,w4 ,b4 ,saund]s ,company ,,pr9t$ ,,9 ,,am]ica ,,press ,,( ,w4 ,b4 ,,saund]s ,,company ,,philadelphia ,,to ,,isabel ,mc,i,s,a,a,c ,= _m ye>s ,sup]9t5d5t ( ! ,ill9ois ,tra9+ ,s*ool = ,nurses1 ( ,*icago ,,& ,,to ,,idora ,c4 ,,rose ,=m]ly h] ,assi/ant & n[ h] ,successor ,,?is ,,book ,,is ,,affectionately ,,inscrib$ ,,preface ,,to ,,! ,,f\r? ,,edition4 ,9 ! pres5t edition ( ?is "w a few new subjects h be5 add$ & ! text has be5 some:at alt]$ 9 ord] t c]ta9 rec5t advances & *anges might be not$ & br\ght into daily s]vice4 ,i h n be5 unm9dful1 h[ev]1 ( ! fact t to be ( ! greate/ possible use to our pr(ession ?is volume mu/ rema9 small & compact4 ,i he> frequ5tly t ?is ,h&book is valu$ by my fell[-work]s & t x is to _m ( !m a daily help & companion4 ,?is is a s\rce ( great pleasure to me1 & ,i hope t ?is new edition w be f\nd m useful ev5 ?an any ( its pr$ecessors4 ,a4 ,k4 ,,beck1 ,r4 ,n4 ,,*icago1 ,,ill41 ,m>*1 #aiai4 ,,preface4 ,z a probation] do+ class & hospital "w & z a graduate tra9$ nurse ,i took notes ( all ! v>i\s =mul1 directions1 etc41 t might at "s "t be useful to me 9 ! pursuit ( my duties4 ,my class "w 0 productive ( _m valuable items ( in=mation2 ^! & su* o!r items z ,i ga!r$ 9 ! c\rse ( my hospital "w & :ile on private duty1 & o!rs :i* 7 ! result ( my own exp]i5ce & obs]vation1 ,i kept 9 a memor&um book :i* soon became indisp5sable to me1 & :i* ,i us$ until ! leaves became worn & fell ap>t4 ,i rewrote ?is memor&um book ?ree times1 & ! task ( its f\r? rewrit+ made me wi% t ,i _h its cont5ts 9 a =m m easily pres]v$4 ,! inspiration foll[$ t my notes 9 book =m w\ld be ( g5]al use to mo/ nurses & ( "s use to _m physicians4 ,?is little volume is ! result4 ,to my own notes1 all ( :i* h be5 submitt$ to compet5t au?orities = criticism1 ,i h add$ sev]al articles by em95t physicians & sup]9t5d+ nurses1 :i* t5d to r\nd out ! usefulness ( ! book4 ,i h kept 9 m9d1 h[ev]1 my orig9al int5tion ( produc+ a h&-book ( conv5i5t size = quick ref]5ce4 ,to ! au?ors ( ^! articles1 to ! fri5dly critics to :om my notes 7 submitt$1 & to ! k9d fri5ds :o enc\rag$ me 9 ?is "w1 ,i ext5d my s9c]e ?anks4 ,,am&a ,k4 ,,beck1 ,r4 ,n4 ,,ref]5ce ,,h&-,,book ,,= ,,nurses4 ,,abbreviations4 ,,abbreviation4 ,,lat94 ,,engli%4 ,ana ,( ea*4 ,a4 c4 ,ante cibum ,be=e meals4 ,ad41 ,add4 ,adde ,let !re be add$4 ,ad lib4 ,ad libitum ,at pleasure4 ,adv4 ,adv]sum ,aga9/4 ,alt4 dieb4 ,alt]nis diebus ,e o!r day4 ,alt4 hor4 ,alt]nis horis ,e o!r h\r4 ,aq4 ,aqua ,wat]4 ,aq4 a/r4 ,aqua a/ricta ,ice4 ,aq4 bull4 ,aqua bulli5s ,boil+ wat]4 ,aq4 de/4 ,aqua de/illata ,di/ill$ wat]4 ,aq4 f]v4 ,aqua f]v5s ,hot wat]4 ,aq4 font4 ,aqua fontana ,spr+ wat]4 ,aq4 m>4 ,aqua m>9a ,sea-wat]4 ,aq4 tep4 ,aqua tepida ,tepid wat]4 ,ba4 ,b>ium ,b>ium4 ,b4 ,a4 ,balneum ar5 ,s&-ba?4 ,bib4 ,bibe ,dr9k4 ,b4 i4 d4 or ,b4 d4 ,bis 9 die ,twice daily4 ,b4 ,m4 ,balneum m>is ,sea-wat] ba?4 ,bull4 ,bulliat ,let x boil4 ,b4 ,v4 ,balneum vaporis ,vapor-ba?4 ,c4 ,conguis ,gallon4 c4 ,cum ,)4 ,cap4 ,capsul> ,a capsule4 ,c4c4 ,c5timet] cubicum ,cubic c5timet]4 ,c]at4 ,c]atum ,a c]ate4 ,*>t4 ,*>tula ,a small pap]4 ,c4 ,m4 ,cras mane ,tomorr[ morn+4 ,c4 ,n4 ,cras nocte ,tomorr[ night4 ,col4 ,cola ,/ra94 ,colet4 ,coletur ,let x be /ra9$4 ,collyr4 ,collyrium ,an eye-wa%4 ,comp4 ,compositus ,comp\nd4 ,cong4 ,congius ,a gallon4 ,cons4 ,cons]va ,keep4 ,coq4 ,coque ,boil4 ,cra/4 ,cra/9us ,= tomorr[4 ,c4 ,v4 ,cras vesp]e ,tomorr[ ev5+4 ,d4 ,da ,let x be giv54 ,decoct4 ,decoctum ,decoction4 ,def4 ,defcatio ,defecation4 ,dieb4 alt4 ,diebus alt]nis ,on alt]nate days4 ,dieb4 t]t4 ,diebus t]tiis ,e ?ird day4 ,dil4 ,dilue ,dissolve4 ,dilut4 ,dilutus ,dilute4 ,dim4 ,dimidius ,"o-half4 ,disp4 ,disp5sa ,disp5se4 ,divid4 ,divid5dus ,to be divid$4 ,d4 ,p4 ,directione propria ,) a prop] direction4 ,dr41 ,dra*ma ,a dram4 ,emuls4 ,emulsum ,emulsion4 ,en41 ,enem4 ,enema ,a rectal injection4 ,et4 ,et ,&4 ,exhib4 ,exhibeatur ,let x be giv54 ,ext4 ,extractum ,an extract4 ,ext4 fl4 ,extractum fluidum ,fluidextract4 ,f41 ,ft4 ,fiat ,make4 ,filt4 ,filtra ,filt]4 ,fl4 ,fluidum ,fluid4 ,f4 m4 ,fiat mi/ura ,make a mixture4 ,g>g4 ,g>g>isma ,a g>gle4 ,gm4 ,gramma ,a gram4 ,gr4 ,granum ,a gra94 ,gtt4 ,gutta ,a drop4 ,h4 ,hora ,an h\r4 ,hor4 decub4 ,hora decubitus ,at b$time4 ,h4 s4 ,hora somni ,at b$time4 ,id4 ,idem ,! same4 ,i4 e4 ,id e/ ,t is4 ,ind4 ,9 dies ,daily4 ,infus4 ,infusum ,infusion4 ,l4 ,lit] ,a lit]4 ,lb41 lb4 ,libra ,a p\nd4 ,l94 ,l9im5tum ,a l9im5t4 ,liq4 ,liquor ,a solution4 ,lot4 ,lotio ,a lotion4 ,m4 ,misce ,mix4 ,m41 ,m9imum ,a m9im4 ,mas4 ,massa ,a pill mass4 ,mi/4 ,mi/ura ,a mixture4 ,n4 b4 ,nota b5e ,note well or take p>ticul> notice4 ,no4 ,num]us ,numb]4 ,noct4 ,nocte ,at night4 ,o4 ,oct>ius ,a p9t4 ,o4 m4 ,omni mane ,e morn+4 ,omn4 hor4 ,omni hora ,e h\r4 ,omn4 noct4 ,omni nocte ,e night4 ,ov4 ,ovum ,egg4 ,p4 ,c4 ,po/ cibum ,aft] meals4 ,pil4 ,pilula ,a pill4 ,prp4 ,prp>atus ,prep>$4 ,p4 r4 n4 ,pro re nata ,:5 necess>y4 ,pulv4 ,pulvis ,a p[d]4 ,q4 ,quaque ,e4 ,q4 i4 d4 or ,q4 d4 ,quatuor 9 die ,f\r times a day4 ,q4 l4 ,quantum libet ,z mu* z y *oose4 ,q4 p4 ,quantum placeat ,at w4 ,qq4 hor4 ,quaqua hora ,e h\r4 ,q4 s4 ,quantum sufficit ,a suffici5t quantity4 ,q4 v4 ,quantum vis ,z mu* z y l4 ,recipe ,take4 ,rep4 ,repetatur ,let x be repeat$4 ,s4 ,s9e ,)\t4 ,scrup41 ,scrupulum ,a scruple4 ,sig4 ,signa ,m>k or sign4 ,s+4 ,s+ulorum ,( ea*4 ,solv4 ,solve ,dissolve4 ,s4 ,o4 ,s4 ,si opus sit ,if necess>y4 ,spt4 ,spiritus ,_s4 ,ss4 ,semis ,a half4 ,/at4 ,/atim ,imm$iately4 ,su4 ,sumet ,let him take4 ,syr4 ,syrupus ,syrup4 ,t4 i4 d4 or ,t4 d4 ,t] 9 die ,?ree times a day4 ,t9ct4 or ,tr4 ,t9ctura ,a t9cture4 ,trit4 ,tritura ,triturate4 ,tro*4 ,tro*iscus ,a loz5ge4 ,ult4 prs4 ,ultimum prscriptus ,la/ prescrib$4 ,unc41 ,uncia ,an ounce4 ,ung4 ,ungu5tum ,an o9tm5t4 ,u4 ,s4 ,p4 ,unit$ ,/ates ,ph>macopia4 ,ut4 dict4 ,ut dictum ,z direct$4 ,ut5d4 ,ut5dus ,to be us$4 ,vehic4 ,vehiculum ,a vehicle4 ,vel ,vel ,or4 ,v94 ,v9um ,w9e4 ,vitel4 ovi ,vitellus ovi ,yolk ( egg4 ,viz4 ,videlicet ,namely4 ,vs4 ,v5sectio ,v5esection4 ,,gloss>y ,,( ,,mat]ia ,,m$ica4 ,9 ! foll[+ ,gloss>y w be f\nd %ort def9itions ( _m ( ! t]ms employ$ 9 ! ,disp5satory to designate ! m$ical prop]ties ( ! rem$ies2 mo/ ( ! words are commonly employ$ z n\ns1 & sometimes z adjectives4 ,absorb5ts4--,drugs us$ to produce absorption ( exudates or diseas$ tissues4 ,ab/]g5ts4--,det]g5ts 7cleans+ ag5ts74 ,alt]atives4--,m$ic9es us$ to s modify nutrition z to ov]come morbid processes4 ,analeptics4--,re/orative m$ic9es or food4 ,analgesics4--,m$ic9es us$ to allay pa94 ,anaphrodisiacs4--,m$ic9es us$ to allay sexual feel+4 ,ane/hetics4--,m$ic9es us$ to produce ane/hesia or unconsci\sness4 ,anodynes4--,m$ic9es us$ to allay pa94 ,antacids4--,m$ic9es us$ to neutralize acid 9 ! /oma* & inte/9es4 ,an!lm9tics4--,m$ic9es us$ to de/roy inte/9al worms4 ,anti>?ritics4--,m$ic9es us$ = ! relief ( g\t4 ,antihydropics4--,m$ic9es us$ = ! relief ( dropsy4 ,antili?ics4--,m$ic9es us$ = ! relief ( calcul\s affections4 ,antip]iodics4--,m$ic9es us$ = ! relief ( mal>ial fev]s4 ,antipyretics4--,m$ic9es us$ = ! r$uction ( bodily temp]ature 9 fev]s4 ,antiseptics4--,sub/ances :i* h ! p[] ( prev5t+ putrefaction4 ,antispasmodics4--,m$ic9es us$ = ! relief ( n]v\s irritability & m9or spasms4 ,antisyphilitics4--,m$ic9es us$ = ! relief ( syphilis4 ,antizymotics4--,sub/ances :i* h ! p[] ( kill+ disease g]ms4 ,ap]i5ts4--,mild purgatives4 ,aphrodisiacs4--,sub/ances us$ to increase sexual p[] or excitem5t4 ,aromatic ,bitt]s4--,m$ic9es :i* unite ! prop]ties ( ! aromatic & simple bitt]s4 ,aromatics4--,m$ic9es *>act]iz$ by a fragrant or spicy ta/e & odor1 & /imulant to ! ga/ro-inte/9al muc\s membrane4 ,a/r+5ts4--,m$ic9es hav+ ! p[] ( influ5c+ vital contractility1 !reby cond5s+ tissues4 ,bitt]s1 ,simple4--,m$ic9es :i* h a bitt] ta/e & h ! p[] ( /imulat+ ! ga/ro-inte/9al muc\s membrane1 )\t affect+ ! g5]al sy/em4 ,bli/]s4--,m$ic9es :i* :5 locally appli$ cause inflammatory exudation ( s]um f ! sk91 & are us$ z revulsants4 ,calefaci5ts4--,m$ic9es us$ ext]nally to cause a s5se ( w>m?4 ,c>diac ,depressants4--,m$ic9es us$ to l[] ! he>t's action4 ,c>diac ,/imulants4--,m$ic9es us$ to increase ! he>t's action4 ,c>m9atives4--,m$ic9es conta9+ a volatile oil us$ to excite inte/9al p]i/alsis & provoke an expulsion ( flatus4 ,ca?>tics4--,purgatives4 ,cau/ics4--,m$ic9es us$ to de/roy liv+ tissues4 ,*olagogues4--,m$ic9es :i* provoke a fl[ ( bile4 ,con/r+5ts4--,a/r+5ts4 ,convulsants4--,m$ic9es :i* cause convulsions4 ,correctives4--,m$ic9es us$ to correct or r5d] m pleasant ! action ( o!r rem$ies1 especially purgatives4 ,corrig5ts4--,correctives4 ,demulc5ts4--,mucilag9\s pr9ciples :i* are us$ 9 solution to soo! & protect irritat$ muc\s membranes & o!r tissues4 ,deob/ru5ts 7obsolete & n v def9ite74--,m$ic9es :i* ov]come ob/ruction2 ap]i5ts4 ,deodorants4--,sub/ances :i* de/roy or hide f\l air4 ,depilatories4--,sub/ances us$ to remove hair4 ,depressants4--,s$atives4 ,depressomotors4--,m$ic9es :i* less5 motor activity4 ,depurants4--,m$ic9es :i* act ^u ! emunctories s z to cause excretion & !reby purify ! sy/em4 ,det]g5ts4--,m$ic9es :i* cleanse w\nds1 ulc]s1 etc4 ,diaphoretics4--,m$ic9es :i* produce sweat+4 ,dige/ants4--,f]m5ts & acids :i* h ! p[] ( aid+ 9 ! solution ( food4 ,dilu5ts4--,m$ic9es :i* dilute secretions & excretions4 ,dis9fectants4--,sub/ances :i* h ! p[] ( de/roy+ disease g]ms or ! noxi\s prop]ties ( decay+ organic matt]4 ,diuretics4--,m$ic9es :i* increase ! secretion ( ur9e4 ,dra/ics4--,purgatives :i* cause mu* irritation4 ,ecbolics4--,m$ic9es :i* produce abortion4 ,eccoprotics or ,ectoprotics4--,laxatives4 ,emetics4--,m$ic9es :i* cause vomit+4 ,emm5agogues4--,m$ic9es :i* /imulate m5/ruation4 ,emolli5ts4--,sub/ances us$ to me*anically s(t5 & protect tissues4 ,epispatics4--,bli/]s4 ,errh9es4--,m$ic9es :i* increase ! nasal secretions4 ,es*>otics4--,cau/ics4 ,evacuants4--,m$ic9es :i* evacuate2 *iefly appli$ to purgatives4 ,excitants4--,/imulants4 ,excitomotors4--,m$ic9es :i* increase motor activity4 ,expectorants4--,m$ic9es :i* act ^u ! pulmonic muc\s membrane & increase or alt] its secretions4 ,febrifuges4--,m$ic9es :i* dissipate fev]4 ,galactagogues4--,m$ic9es :i* increase ! secretion ( milk4 ,g]micides4--,ag5ts t de/roy g]ms4 ,hemo/atics4--,m$ic9es :i* arre/ hemorrhages4 ,hydragogues4--,purgatives :i* cause l>ge wat]y dis*>ges4 ,hypnotics4--,m$ic9es :i* cause sleep4 ,laxatives4--,mild purgatives4 ,local ,ane/hetics4--,m$ic9es :i* :5 appli$ locally de/roy s5sation4 ,mydriatics4--,m$ic9es :i* cause mydriasis1 or dilation ( ! pupil4 ,myotics4--,m$ic9es :i* cause myosis1 or contraction ( ! pupil4 ,n>cotics4--,p[]ful anodyne hypnotics4 ,neurotics4--,m$ic9es :i* act ^u ! n]v\s sy/em4 ,nutriants4--,m$ic9es :i* modify ! nutritive processes4 ,nutri5ts4--,sub/ances :i* n\ri%4 ,oxytocics4--,m$ic9es :i* /imulate ut]9e contractions4 ,p]i/altics4--,m$ic9es :i* increase p]i/alsis4 ,prophylactics4--,m$ic9es :i* prev5t ! tak+ or developm5t ( disease4 ,protectives4--,m$ic9es :i* protect a "p :5 appli$ to x4 ,ptyalagogues4--,sialagogues4 ,purgatives4--,m$ic9es :i* produce copi\s dis*>ges f ! b[els4 ,refrig]ants4--,m$ic9es :i* less5 bodily temp]ature4 ,revulsants4--,m$ic9es :i* by caus+ irritation draw n]v\s =ce & blood f a di/ant diseas$ "p4 ,rubefaci5ts4--,m$ic9es :i* cause irritation & r$ness1 & are us$ z revulsants4 ,s$atives4--,m$ic9es :i* l[] functional activity4 ,sialagogues4--,m$ic9es :i* excite saliv>y gl&s to secretion4 ,somnifaci5ts4--,soporifics4 ,soporifics4--,m$ic9es :i* cause sleep4 ,sorbefaci5ts4--,m$ic9es :i* cause absorption4 ,specifics4--,m$ic9es :i* h a direct curative influ5ce on c]ta9 individual diseases4 ,/imulants4--,m$ic9es :i* increase functional activity4 ,/oma*ics4--,/imulants to ! /oma*4 ,/yptics4--,hemo/atics4 ,sudorifics4--,m$ic9es :i* produce sweat+4 ,t5icides4--,m$ic9es :i* kill ! tapeworm4 ,tonics4--,m$ic9es :i* p]man5tly increase ! sy/emic tone by /imulat+ nutrition4 ,v]micides4--,m$ic9es :i* kill inte/9al worms4 ,v]mifuges4--,m$ic9es :i* cause ! expulsion ( inte/9al worms4 ,vesicatories4--,bli/]s4 ,,roman ,,num]als4 ,i-- #a ,,ii-- #b ,,iii-- #c ,,iv-- #d ,v-- #e ,,vi-- #f ,,vii-- #g ,,viii-- #h ,,ix-- #i ,x-- #aj ,,xi-- #aa ,,xii-- #ab ,,xiii-- #ac ,,xiv-- #ad ,,xv-- #ae ,,xvi-- #af ,,xvii-- #ag ,,xviii-- #ah ,,xix-- #ai ,,xx-- #bj ,,xxx-- #cj ,,xl-- #dj ,l-- #ej ,,lx-- #fj ,,lxx-- #gj ,,lxxx-- #hj ,,xc-- #ij ,c-- #ajj ,d-- #ejj ,m--#ajjj ,,popul> ,,& ,,(ficial ,,names ,,( ,,m$ic9al ,,prep>ations4 ,bak+ soda ,sodium bic>bonate4 ,sodii bic>bonas4 ,ba%am's mixture ,solution ( iron & ,liquor f]ri et ammonium acetate4 ammonii acetatis4 ,blaud's pills ,pills ( iron c>bonate4 ,pilul f]ri c>bonatis4 ,blue mass or ,mass ( m]cury4 ,massa hydr>gyri4 blue pill4 ,blue o9tm5t ,o9tm5t ( m]cury4 ,ungu5tum hydr>gyri4 ,borax ,sodium borate4 ,sodii boras4 ,br[n mixture ,comp\nd licorice ,mi/ura glycyrrhiz mixture4 composit4 ,calomel ,mild *lorid ( m]cury4 ,hydr>gyri *loridum mite4 ,ca/or oil ,oleum ric9i4 ,cod-liv] oil ,oleum morrhu4 ,corrosive ,corrosive *lorid ( ,hydr>gyri *loridum sublimate4 m]cury4 corrosivum4 ,cream-(-t>t> ,potassium bit>trate4 ,potassii bit>tras4 ,croton oil ,oleum tiglii4 ,dov]'s p[d] ,p[d] ( ipecac & ,pulvis ipecacuanh opium4 et opii4 ,epsom salt ,magnesium sulphate4 ,magnesii sulphas4 ,f[l]'s solution ,solution ( potassium ,liquor potassii ars5ite4 ars5itis4 ,glaub]'s salt ,sodium sulphate4 ,sodii sulphas4 ,gum ,arabic ,acacia4 ,h]o9 ,die?ylmorph9 hydro*lorid4 ,hive syrup ,comp\nd syrup ( ,syrupus scill squills4 compositus4 ,h(fmann's ,comp\nd _s ( ,spiritus !ris anodyne4 e!r4 compositus4 ,huxham's ,comp\nd t9cture ( ,t9ctura c9*on t9cture4 c9*ona4 composit4 ,jabor&i ,piloc>pus4 ,lady ,web/]'s ,pill ( aloes & ,pilula aloes et pill4 ma/ic4 ma/i*es4 ,laudanum ,t9cture ( opium4 ,t9ctura opii4 ,licorice p[d] ,comp\nd licorice ,pulvis glycyrrhiz p[d]4 compositus4 ,lugol's solution ,comp\nd solution ( ,liquor iodi compositus4 iod94 ,mag5die's ,solution ( morph9 ,liquor morph9 solution4 sulphate4 sulphatis4 ,male f]n ,filix mas4 ,aspidium4 ,muriatic acid ,hydro*loric acid4 ,acidum hydro*loricum4 ,mu/>d ,s9apis4 ,nitroglyc]9 ,glono94 ,oil ( ,oil ( gaul!ri4 ,oleum gaul!ri4 w9t]gre5 ,p>egoric ,camphorat$ t9cture ,t9ctura opii ( opium4 camphorata4 ,ph5ol ,c>bolic acid4 ,acidum c>bolicum4 ,prussic acid ,hydrocyanic acid4 ,acidum hydrocyanicum4 ,ro*elle salt ,sodium & potassium ,sodii et potassii t>trate4 t>tras4 ,salt ,common salt1 sodium ,sodii *loridum4 *lorid4 ,seidlitz p[d] ,comp\nd eff]vesc+ ,pulvis eff]vesc5s p[d]4 compositus4 ,sweet _s ,_s ( nitr\s e!r4 ,spiritus !ris ( nit]4 nitrosi4 ,t>t> emetic ,antimony & potassium ,antimonii et potassii t>trate4 t>tras4 ,wa%+ soda ,sodium c>bonate4 ,sodii c>bonas4 ,wit*-hazel ,hamamelis4 ,,weights ,,& ,,measures4 ,,troy ,,weight4 #bd gra9s #a dwt4 #bj dwts4 #a ounce4 #ab ounces #a p\nd4 ,us$ = weigh+ gold1 silv]1 & jewels4 ,,apo!c>ies' ,,weight4 #bj gra9s #a scruple4 #c scruples #a dram4 #h drams #a ounce4 #ab ounces #a p\nd4 ,! ounce & p\nd 9 ?is are ! same z 9 ,troy weight4 ,,avoirdupois ,,weight4 #bg_/ gra9s #a dram4 #af drams #a ounce4 #af ounces #a p\nd4 #be p\nds #a qu>t]4 #d qu>t]s #a cwt4 #bjjj lbs4 #a %ort ton4 #bbdj lbs4 #a long ton4 ,,dry ,,measure4 #b p9ts #a qu>t4 #h qu>ts #a peck4 #d pecks #a bu%el4 #cf bu%els #a *aldron4 ,,liquid ,,measure4 #d gills #a p9t4 #b p9ts #a qu>t4 #d qu>ts #a gallon4 #ca gallons #a b>rel4 #b b>rels #a hog%ead4 ,,"t ,,measure4 #fj seconds #a m9ute4 #fj m9utes #a h\r4 #bd h\rs #a day4 #g days #a week4 #bh1 #bi1 #cj1 or #ca days #a cal5d> mon? 7#cj days #a mon? 9 comput+ int]e/74 #cfe days #a ye>4 #cff days #a leap ye>4 ,,circul> ,,measure4 #fj seconds #a m9ute4 #fj m9utes #a degree4 #cj degrees #a sign4 #ij degrees #a quadrant4 #d quadrants #ab signs1 or #cfj degrees #a circle4 ,,long ,,measure4 #ab in*es #a foot4 #c feet #a y>d4 #e y>ds #a rod4 #dj rods #a furlong4 #h furlongs #a /atute mile4 #c miles #a league4 ,,clo? ,,measure4 #b in*es #a nail4 #d nails #a qu>t]4 #d qu>t]s #a y>d4 ,,m>9]s' ,,measure4 #f feet #a fa?om4 #bj fa?oms #a cable l5g?4 #g ca4 lg?4 #a mile4 #ebhj feet #a /at4 mile4 #fjhe feet #a naut4 mile4 ,,miscellane\s4 #c in*es #a palm4 #d in*es #a h&4 #f in*es #a span4 #ah in*es #a cubit4 #ba4h 94 #a ,bible cubit4 #b feet #a milit>y pace4 ,,squ>e ,,measure4 #add sq4 94 #a sq4 ft4 #i sq4 feet #a sq4 yd4 #cf sq4 yds4 #a sq4 rod4 #dj sq4 rods #a rood4 #d roods #a acre4 #fdj acres #a sq4 mile4 ,,num]ical ,,table4 #ab ?+s #a doz54 #ab doz5 #a gross4 #ab gross #a great gross4 #bj ?+s #a score4 #bd %eets #a quire4 #bj quires1 or #dhj %eets #a ream4 ,,simple ,,fractions4 _/ ( #ae #f #ae #aj #i _/ ( #ae #c #ae #aj #d_/ _/ ( #fj #c #fj #aj #ah _/ ( #fj #f #fj #aj #cf ,,metric ,,sy/em4 ,met] ,unit ( l5g?4 ,gram ,unit ( weight4 ,lit] ,unit ( capacity4 ,,metric ,,measures ,,( ,,l5g? ,,decreas+4 ,decimet] 7dm47 "o-t5?1 4#a1 or _/ ( a met]4 ,c5timet] 7cm47 "o-hundr$?1 4#ja1 or _/ ( a met]4 ,millimet] 7mm47 "o-?\s&?1 4#jja1 or _/ ( a met]4 ,,metric ,,measures ,,( ,,l5g? ,,increas+4 ,decamet] 7,dm47 #aj met]s4 ,hectomet] 7,hm47 #ajj met]s4 ,kilomet] 7,km47 #ajjj met]s4 ,,approximate ,,equival5ts ,,( ,,metric ,,& ,,/&>d ,,measures ,,( ,,l5g?4 #a met] #ci4cg in*es4 #a c5timet] in*4 #e c5timet]s #b in*es4 #cj4e c5timet]s #ab 8 #a millimet] _/ in*4 #be millimet]s #a 8 ,,metric ,,weights4 #a gram 7,gm47 weight ( #a cubic c5timet] ( wat]4 #a decigram 7dg47 "o-t5?1 #j4a1 or _/ ( a gram4 #a c5tigram 7cg47 "o-hundr$?1 #j4ja1 or _/ ( a gram4 #a milligram 7mg47 "o-?\s&?1 #j4jja1 or _/ ( a gram4 #a ,decagram 7,dg47 #aj grams4 #a ,hectogram 7,hg47 #ajj grams4 #a ,kilogram 7,kg47 #ajjj grams4 ,,approximate ,,equival5ts ,,( ,,metric ,,& ,,apo!c>ies' ,,weights4 #j4jja gram _/ gra94 #j4jjb 8 _/ 8 #j4jjh 8 _/ 8 #j4ja 8 _/ 8 #j4jfe 8 #a 8 #j4a 8 #a4e gra9s4 #j4b 8 #c 8 #j4e 8 #g4g 8 #a4j 8 #ae4d 8 #aj4j grams #aed 8 #ajj4j 8 #aedc 8 _/ gra9 #j4jjjfe gram4 _/ 8 #j4jjac 8 _/ 8 #j4jjb 8 _/ 8 #j4jjc 8 _/ 8 #j4jjfe 8 _/ 8 #j4jjh 8 _/ 8 #j4jaf 8 _/ 8 #j4jc 8 #a 8 #j4jfe 8 #aj 8 #j4fe 8 #ae 8 #a4j 8 ,,metric ,,measures ,,( ,,capacity4 #a lit] 7l47 ! measure ( #ajjj grams ( wat]4 #a decilit] 7dl47 _/ or #j4a ( a lit]1 or #ajj cubic c5timet]s4 #a c5tilit] 7cl47 _/ or #j4ja ( a lit]1 or #aj cubic c5timet]s4 #a millilit] 7ml47 _/ or #j4jja ( a lit]1 or #a cubic c5timet] 7c4c474 #a decalit] 7,dl47 #aj lit]s4 #a hectolit] 7,hl47 #ajj lit]s4 ,,approximate ,,equival5ts ,,( ,,metric ,,& ,,apo!c>ies' ,,measures ,,( ,,capacity4 #a lit] #b p9ts4 #ajjj c4c4 #b p9ts4 #ajj c4c4 #c4d fluid\nces4 #cj c4c4 #a fluid\nce4 #aj c4c4 #b4g fluidrams4 #a c4c4 #af m9ims4 #a m9im #j4jf c4c4 #aj m9ims #j4f c4c4 #bj m9ims #a4be c4c4 #cj m9ims #b4j c4c4 #a fluidram #c4ge c4c4 #b fluidrams #g4e c4c4 #a fluid\nce #cj4j c4c4 #af fluid\nces #dgd c4c4 ,,apo!c>ies ,,or ,,troy ,,weight4 #bj gra9s 7gr47 #a scruple 774 #c scruples 77 #a dram 774 #h drams 77 #a ounce 774 #ab ounces 77 #a p\nd 7lb474 ,,apo!c>ies' ,,or ,,w9e ,,measure4 #fj m9ims 7m47 #a fluidram 7f74 #h fluidrams 7f7 #a fluid\nce 7f74 #af fluid\nces 7f7 #a p9t 7,o74 #h p9ts 7,o74 #a gallon 7,cong474 ,,approximate ,,fluid ,,measures4 #a teaspoonful #a fluidram1 or fj4 #a dess]tspoonful #b fluidrams1 or fij4 #a tablespoonful #d fluidrams1 or fiv4 #a w9eglassful #b fluid\nces1 or fij4 #a teacupful #d fluid\nces1 or fiv4 ,,tables ,,= ,,p]c5tage ,,( ,,solutions4 ,! foll[+ tables are suffici5tly correct = practical purposes3 ,,apo!c>ies' ,,measure4 ---------------------------------------- --------------------- ,= #a ounce4 ,= #a p9t4 ---------------------------------------- --------------------- #a p] c5t4 7#a 3 #ajj7 #e ,m4 or #e gra9s #ge ,m4 or #ge gra9s #b 8 7#a 3 #ej7 #aj 8 #aj 8 #b drams #c 8 7#a 3 #cc7 #ae 8 #ae 8 #c 8 #d 8 7#a 3 #be7 #ai 8 #ai 8 #e 8 #e 8 7#a 3 #bj7 #bd 8 #bd 8 #f 8 #aj 8 7#a 3 #aj7 #dh 8 #dh 8 #ac 8 ---------------------------------------- --------------------- ,= #a qu>t4 ,= #a gallon4 ---------------------------------------- --------------------- #a p] c5t4 7#a 3 #ajj7 #b drams #aj drams #b 8 7#a 3 #ej7 #e 8 #b ounces #c 8 7#a 3 #cc7 #g 8 #c oz4 & #f drams #d 8 7#a 3 #be7 #aj 8 #e ounces #e 8 7#a 3 #bj7 #ac 8 #f oz4 & #d drams #aj 8 7#a 3 #aj7 #bf 8 #ac ounces ---------------------------------------- --------------------- ,,metric ,,measure4 ---------------------------------------- ------------------- #cj ,c4c4 #ejj ,c4c4 ---------------------------------------- ------------------- #a p] c5t 7#a 3 #ajj7 #j4cj gram #e4jj grams #b 8 7#a 3 #ej7 #j4fj 8 #aj4jj 8 #c 8 7#a 3 #cc7 #j4ij 8 #ae4jj 8 #d 8 7#a 3 #be7 #a4bj grams #bj4jj 8 #e 8 7#a 3 #bj7 #a4ej 8 #be4jj 8 #aj 8 7#a 3 #aj7 #c4jj 8 #ej4jj 8 ---------------------------------------- ------------------- #ajjj ,c4c4 #d lit]s4 ---------------------------------------- ------------------- #a p] c5t 7#a 3 #ajj7 #aj4jj grams #dj4jj grams #b 8 7#a 3 #ej7 #bj4jj 8 #hj4jj 8 #c 8 7#a 3 #cc7 #cj4jj 8 #abj4jj 8 #d 8 7#a 3 #be7 #dj4jj 8 #afj4jj 8 #e 8 7#a 3 #bj7 #ej4jj 8 #bjj4jj 8 #aj 8 7#a 3 #aj7 #ajj4jj 8 #djj4jj 8 ---------------------------------------- ------------------- ,,solutions4 ,,to ,,make ,a #a3 #ejj ,,solution4 ,add #a gr4 or #a m4 to #a ounce ( wat]4 ,add #ae 8 #ae 8 #a p9t 8 ,add #cj 8 #cj 8 #a qu>t 8 ,add #abj 8 #abj 8 #a gallon 8 ,to make #a 3 #ajjj sol4 take #a "p ( #a4ejj sol4 & #a "p wat]4 ,to make #a 3 #bjjj 8 #a 8 #a4ejj 8 #c p>ts wat]4 ,to make #a 3 #djjj 8 #a 8 #a4ejj 8 #g 8 ,to make #a 3 #ejjj 8 #a 8 #a4ejj 8 #i 8 ,to make a #a3 #ejj solution ( =maldehyd add #ch m9ims ( =mal9 7a #dj p] c5t4 solution ( =maldehyd7 to #a p9t ( wat]4 ,a ,,h&y ,,solution ,,table ,,) ,,dome/ic ,,measures4 ,,solution4 ,,dome/ic ,,measure4 #a 3 #ajjj #a teaspoon to gallon4 ( #a p] c5t4 #ae drops to qu>t4 #a 3 #ejj #b teaspoons to gallon4 ( #a p] c5t4 #cj drops to qu>t4 #a 3 #bjj #e teaspoons to gallon4 ( #a p] c5t4 #a teaspoons to qu>t4 #a 3 #ajj #b teaspoons to qu>t4 #a p] c5t4 #a teaspoons to p9t4 #a 3 #ej #e teaspoons to qu>t4 #b p] c5t4 #b teaspoons to p9t4 #a 3 #be #b tablespoons to qu>t4 #d p] c5t4 #e teaspoons to p9t4 #a 3 #bj #c tablespoons to qu>t4 #e p] c5t4 #a tablespoons to p9t4 ,,to ,,prep>e ,a #a3 #ejj ,,solution4 ,!re are #gfhj m4 9 #a p9t ( solution 7wat]72 !re=e we divide #gfhj by #ejj z foll[s3 #ejj7gfhj7ae m4 to #a p9t ( solution 7wat]74 #ejj -------- #bfhj #bejj -------- #ahjj #aejj -------- #cjj1 or ( a m4 ,n4,b4--,divide ! numb] ( m4 9 #a p9t by ! /r5g? ( ! solution1 & !n divide ! result by ! p]c5tage ( orig9al /r5g? ( ! article4 ,:5 orig9al /r5g? ( solution is less ?an #ajj p] c5t41 z1 = example1 =maldehyd1 :i* is #dj p] c5t41 divide ! quoti5t above result+ by ! p]c5tage ( /r5g?--viz43 #dj7aecf7ch m4 to #a p9t ( solution 7wat]74 #abj ------ #ccf #cbj ------ _/ 4 ,to get a _/ ( a gra9 dose ( any drug out ( a solution ( #fj m9ims conta9+ _/ ( a gra9 ( t drug1 compute z foll[s3 _/ or #a gra9 #cb #fj1 or #aibj m4 _/ _/ ( #aibj m4 #ajj7aibj7ai m4 #ajj ------ #ibj #ijj ------ #bj1 or m4 ,,rule4--,multiply ! quantity ( ! solution on h& 9 m9ims by a numb] indicat+ ! fractional am\nt ( ! drug !re9 conta9$1 & divide by a numb] indicat+ ! fractional am\nt ( ! drug desir$4 ,9 #bj p>ts ( solution we h #a "p ( c>bolic acid4 ,9 #a "p 8 8 _/ 8 8 ,9 #ajj p>ts 8 8 #ajj _/ #e pt4 8 ,s t _/ solution is a #e p] c5t4 c>bolic acid solution4 #dj p>ts conta9 #a "p ( c>bolic acid4 #a "p conta9s _/ 8 8 #ajj p>ts conta9 #ajj _/ #b p>ts ( c>bolic acid4 ,s t _/ solution is a #b p] c5t4 c>bolic acid solution4 ,,action1 ,,uses1 ,,& ,,doses ,,( ,,! ,,mo/ ,,important ,,drugs4 ,acetanilid4--,?is sub/ance1 a d]ivative ( anil91 is us$ to l[] temp]ature2 to relieve heada*es & neuralgic pa9s2 & to allay spasm1 z 9 *orea & :oop+-c\gh4 ,toxic doses cause lividity1 cold sweats1 r++ 9 ! e>s1 & he>t failure4 ,! dose is f #e to #aj gra9s 7#j4c-j4f gm474 ,ars5ic4--,ars5ic is us$ int]nally z a tonic 9 anemia1 an alt]ative 9 *ronic con/itutional diseases1 z a special rem$y 9 *orea1 & z an anti-mal>ial4 ,ext]nally1 x is occasionally us$ z a cau/ic4 ,! indications ( its too free use are puff9ess "u ! eyes1 or grip+ pa9s 9 ! abdom51 ) di>rhea4 ,toxic doses cause abdom9al pa91 vomit+1 purg+1 swell+ ( ! face1 & collapse4 ,prep>ations ( ars5ic %\ld be giv5 aft] meals4 ,! dose ( ars5\s acid is f _/ to _/ gra9 7#j4jjaf-j4jjcb gm472 ( ,f[l]'s ,solution 7,liquor ,potassii ,ars5itis71 #a m9im 7#j4jf c4c471 v gradually increas$ to #aj m9ims 7#j4f c4c474 ,aconite4--,?is drug depresses ! he>t1 sl[s ! pulse1 & l[]s temp]ature4 ,ext]nally1 x causes numbness & ane/hesia4 ,int]nally1 x is employ$ *iefly z a he>t s$ative 9 hyp]trophy ( ! he>t1 & z a febrifuge 9 acute febrile disease :5 ! pulse is /rong & rapid4 ,locally1 x is sometimes employ$ 9 l9im5ts 9 neuralgia & muscul> rheumatism4 ,aconite is a p[]ful poison1 caus+ 9 ov]doses t+l+ ( ! lips1 tongue1 & extremities1 cold sweat1 pallor1 a feeble pulse1 & collapse4 ,! dose ( ! t9cture 7,t9ctura ,aconiti7 is f #a to #e m9ims 7#j4jf-j4c c4c474 ,alcohol4--,9 mod]ate cases alcohol /imulates ! he>t1 favors dige/ion1 & less5s tissue-wa/e4 ,= ^! reasons x is a useful rem$y 9 l[ fev]s1 l typhoid fev]1 diph!ria1 & pneumonia4 ,on acc\nt ( its prompt action1 x is a valuable circulatory /imulant 9 sudd5 he>t failure4 ,x has be5 rec5tly recomm5d$ also z an antidote 9 c>bolic-acid poison+4 ,ext]nally1 x is us$ z a cleans] = ! sk9 & z a /imulant application 9 ! prev5tion ( b$-sores4 ,prep>ations4--,w9es are produc$ by ! spontane\s f]m5tation ( fruits4 ,! /ronge/ are port1 ,madeira1 & %]ry1 ea* ( :i* conta9s ab\t #bj p] c5t4 ( alcohol4 ,! dose is f #d to #h drams 7#ae-cj c4c474 ,! weake/ w9es are ! cl>ets & ,rh9e w9es1 :i* conta9 ab\t #h p] c5t4 ( alcohol4 ,! dose ( ^! is f #a to #b ounces 7#cj-fj c4c474 ,*ampagne is prep>$ by add+ sug> to an ord9>y w9e1 & all[+ ! mixture to f]m5t 9 cork$ bottles1 ! c>bon dioxid ?us be+ reta9$4 ,x conta9s f #aj to #ab p] c5t4 ( alcohol4 ,! dose is f #a to #b ounces 7#cj-fj c4c474 ,:isky is made by subject+ f]m5t$ gra9s to di/illation4 ,rum is made by di/ill+ f]m5t$ molasses4 ,g9 is prep>$ by di/ill+ f]m5t$ gra9 & add+ oil ( junip] b]ries to ! di/illate4 ,br&y is a _s produc$ by ! di/illation ( a w9e4 ,:isky1 rum1 g91 & br&y conta9 f #dj to #ej p] c5t4 ( alcohol4 ,! dose ( ea* is f #a to #d drams 7#d-ae c4c474 ,be]1 ale1 & port] are made f an infusion ( malt--t is1 f]m5t$ b>ley1 flavor$ ) hops4 ,!y ea* conta9 f #d to #f p] c5t4 ( alcohol4 ,9 l>ge doses alcohol 9 any =m causes m5tal excitem5t1 delirium1 loss ( co-ord9ation1 & f9ally /upor & coma4 ,dea? may result f p>alysis ( ! he>t or respiration4 ,aloes4--,?is is ca?>tic & /imulant1 & is giv5 9 *ronic con/ipation1 am5orrhea1 & atonic dyspepsia4 ,! laxative dose is f to #b gra9s2 ! purgative & emm5agogue dose is #b to #e gra9s4 ,ammonia4--,?is is a gas employ$ m$ic9ally 9 ! =m ( a wat]y solution 7wat] ( ammonia7 or an alcoholic solution 7_s ( ammonia74 ,^! prep>ations are us$ int]nally z he>t /imulants1 respiratory /imulants1 ga/ric antacids1 & ext]nally z c\nt]irritants4 ,! dose ( ! ,aromatic ,_s 7,spiritus ,ammoni ,aromaticus7 is f to #a dram 7#b-d c4c471 well dilut$4 ,l>ge doses ( ammonia prep>ations cause burn+ pa9 9 ! ?roat & abdom51 vomit+1 purg+1 & collapse4 ,antipyr94--,?is drug has ab\t ! same action & uses z acetanilid1 & may be giv5 9 ! same dose4 ,antitox9 ( ,diph!ria4--,?is is obta9$ f heal?y horses :i* h be5 r5d]$ artificially immune to diph!ria f hav+ receiv$ a prolong$ c\rse ( treatm5t ) diph!ria tox9 9 doses gradually increas$4 ,! immunity is due to ! =mation 9 ! blood ( a sub/ance :i* 9 "s way c\nt]acts ! poison or tox9 ( ! disease4 ,?is sub/ance is kn[n z ! antitox94 ,x exi/s 9 ! s]um ( ! blood1 & s f> has n be5 sep>at$ f x4 ,! dose ( ! s]um is measur$ 9 units1 a unit be+ t5 times ! am\nt ( antitox9 requir$ to save ! life ( a gu9ea-pig :i* has be5 inject$ ) #ajj fatal doses ( diph!ria tox94 ,antitox9 acts bo? z a curative & a prev5tive rem$y4 ,s9ce its introduction ! mortality ( diph!ria has be5 r$uc$ m ?an "o-half4 ,! curative dose is f #bjjj to #ejjj units1 to be repeat$ 9 f six to twelve h\rs1 if necess>y4 ,! prophylactic dose is #ejj units4 ,! protection af=d$ is only tempor>y1 la/+ f two to ?ree weeks4 ,! injections are sometimes foll[$ by a rise ( temp]ature1 pa9 9 ! jo9ts1 or a cutane\s ra%1 b ^! symptoms are )\t s]i\s significance4 ,aspir94--,?is is acetyl-salicylic acid & is us$ l sodium salicylate 9 rheumatism & pleurisy1 & z an antipyretic & analgesic4 ,dose1 #e to #ae gra9s4 ,atrop94--,see ,belladonna4 ,belladonna4--,?is drug owes its activity to ! alkaloid atrop94 ,x is employ$ int]nally to /imulate ! respiration2 to /imulate ! circulation2 to allay local spasm1 z 9 a/hma & :oop+-c\gh2 to *eck excessive secretion1 z 9 ! night-sweats ( ph?isis2 & to /imulate p]i/alsis 9 atonic con/ipation4 ,locally1 x is employ$ 9 ! =m ( solutions ( atrop9 to dilate ! pupil ( ! eye1 & 9 ! =m ( a l9im5t or pla/] ( belladonna z a s$ative application 9 v>i\s inflammatory conditions4 ,toxic doses ( belladonna cause dilatation ( ! pupils1 dryness ( ! ?roat1 quick5+ ( ! pulse & respiration1 delirium1 & a diffuse r$ ra% resembl+ t ( sc>lat9a4 ,! dose ( atrop9 is f _/ to _/ gra9 7#j4jjjdc-j4jjac gm472 ( ! ,t9cture ( ,belladonna 7,t9ctura ,belladonn71 #e to #bj m9ims 7#j4c-a4b c4c472 ( ! ,extract ( ,belladonna 7,extractum ,belladonn71 to gra9 7#j4jjh-j4jaf gm474 ,bismu?4--,! insoluble prep>ations ( ! metal--subnitrate1 subc>bonate1 & subgallate--are us$ int]nally z mild antiseptics1 s$atives1 a/r+5ts1 & antacids 9 v>i\s inflammatory diseases ( ! /oma* & b[el4 ,!y are sc>cely poison\s :5 tak5 int]nally 9 any am\nt4 ,! usual dose ( any "o ( ! prep>ations nam$ is f #e to #cj gra9s 7#j4c-b gm47 9 dry p[d] or /irr$ 9 milk or wat]4 ,bromids4--,! salts ( brom9 9 common use are ! bromids ( potassium1 sodium1 ammonium1 & /rontium4 ,! action ( ^! is v simil>4 ,!y are especially useful z depressants to ! c5tral n]v\s sy/em4 ,!y are employ$ to produce sleep1 to *eck convulsions1 & to relieve heada*e & neuralgic pa94 ,l>ge doses depress ! he>t & respiration4 ,! cont9u$ use ( ! bromids causes a condition kn[n z bromism4 ,?is is *>act]iz$ by fetor ( ! brea?1 a ra% on ! sk91 languor1 & somnol5ce4 ,! dose ( ! brom9 salts is f #aj to #fj gra9s 7#j4f-d gm474 ,caffe94--,?is is an alkaloid obta9$ f c(fee4 ,x is a he>t /imulant1 respiratory /imulant1 bra9 /imulant1 & kidney /imulant 7diuretic74 ,! dose is f #a to #e gra9s 7#j4jf-j4c gm474 ,calomel4--,see ,m]cury4 ,c>bolic ,acid4--,ext]nally1 ?is acid is us$ 9 weak solutions 7#a 3 #dj to #a 3 #bj7 z an antiseptic1 & 9 conc5trat$ =m z a cau/ic4 ,weak solutions are also employ$ to allay it*+ 9 sk9 diseases4 ,int]nally1 c>bolic acid is us$ z an antiseptic 9 dyspepsia & di>rhea4 ,applications ( c>bolic acid1 ev5 :5 dilute1 %\ld nev] be prolong$1 z !y are liable to cause gangr5e4 ,poison+ by c>bolic acid is *>act]iz$ by :ite pat*es on ! lips1 ! odor ( ! drug on ! brea?1 burn+ pa9 9 ! abdom51 vomit+1 purg+1 unconsci\sness1 & collapse4 ,! dose is f to #c m9ims 7#j4jc-j4b c4c474 ,ca/or ,oil4--,?is is an oil express$ f ! se$ ( an ,ea/ ,indian plant4 ,! se$s !mselves are acrid poisons4 ,x is a mild purgative1 unload+ ! b[els v ?or\ghly 9 f f\r to six h\rs4 ,x may be giv5 9 flexible capsules1 9 emulsion1 or ) equal p>ts ( lemon-juice & glyc]94 ,! dose is f to #a ounce 7#ae-cj c4c474 ,!re are two simple me?ods ( tak+ ca/or oil )\t produc+ nauseat+ effects4 ,h ! pati5t wa% out ! m\? ) wat] z hot z c be borne1 !n swall[ ! oil1 & foll[ ?is by r9s+ out ! m\? well ) hot wat]4 ,! o!r me?od is to hold a piece ( ice 9 ! m\? long en\gh to *ill ! l9+ membrane1 swall[ ! oil1 & r9se ! m\? ) ice-wat]4 ,*loral4--,?is sub/ance is an active depressant ( ! bra9 & sp9al cord4 ,9 l>ge doses x also depresses ! he>t & respiration4 ,x is employ$ to produce sleep & to *eck convulsions4 ,! dose is f #aj to #cj gra9s 7#j4f-b gm47 9 "s agreeable syrup4 ,poison\s doses cause unconsci\sness1 emb>rass$ brea?+1 & collapse4 ,*loralamid4--,?is is a comp>atively safe & reliable hypnotic1 produc+ sleep )\t caus+ mu* depression ( ! he>t or disagreeable aft]-effects4 ,! dose is f #aj to #cj gra9s 7#j4f-b gm471 well dilut$4 ,hot liquids decompose x4 ,*lor(orm4--,?is sub/ance is employ$ by inhalation z a g5]al ane/hetic1 by ! m\? z a s$ative 9 colic1 neuralgia ( ! /oma*1 & ob/9ate c\gh1 & ext]nally 9 ! =m ( l9im5t z a c\nt]irritant 9 muscul> rheumatism1 spra9s1 etc4 ,z a g5]al ane/hetic x is m p[]ful ?an e!r1 m readily inhal$1 b n s safe4 ,dea? f *lor(orm is usually ! result ( he>t failure4 ,! dose ( ,_s ( ,*lor(orm 7,spiritus ,*lor(ormi7 is f #e to #cj m9ims 7#j4c-b c4c472 ( ,*lor(orm-wat] 7,aqua ,*lor(ormi71 #a to #h drams 7#d-cj c4c474 ,c9*ona 7,p]uvian ,b>k74--,?is is ! b>k ( an ev]gre5 tree gr[+ 9 ! tropics4 ,x owes its m$ic9al prop]ties to qu99 & c9*on91 especially ! =m]4 ,x is us$ z a g5]al tonic1 z a /oma*ic1 z a febrifuge1 & z an anti-mal>ial4 ,l>ge doses cause r++ 9 ! e>s1 heada*e1 deafness1 dimness ( vision1 convulsions1 & coma4 ,! dose ( qu99 & its salts is f #a to #cj gra9s 7#j4jf-b gm472 ( c9*on91 #a to #cj gra9s 7#j4jf-b gm472 ( ! ,comp\nd ,t9cture ( ,c9*ona 7,huxham's ,t9cture71 #a to #d drams 7#d-ae c4c474 ,coca94--,?is is ! alkaloid ( a %rub 7coca7 gr[+ 9 ,s\? ,am]ica4 ,appli$ to muc\s membranes or raw surfaces1 or inject$ "u ! sk91 x blan*es ! "p & produces ane/hesia4 ,appli$ directly to ! sk91 h[ev]1 x is )\t effect1 z x is n absorb$ f ! unbrok5 sk94 ,int]nally1 x is sometimes employ$ to /imulate ! he>t1 to /imulate ! respiration1 & to allay vomit+4 ,its repeat$ use1 ev5 z a local rem$y1 is dang]\s1 9 t x is prone to cause a habit1 ! symptoms ( :i* are m5tal failure1 loss ( fle% & /r5g?1 anemia1 & int5se crav+ = ! drug4 ,! symptoms ( acute coca9-poison+ are excitem5t1 delirium1 a rapid pulse1 hurri$ brea?+1 convulsions1 & coma4 ,! dose ( coca9 is f to gra9 7#j4jjh-j4jc gm474 ,z an ane/hetic x is usually employ$ 9 f #b to #d p] c5t4 solutions4 ,a #b-;gra9 tablet ( coca91 dissolv$ 9 a teaspoonful ( wat]1 makes a #b p] c5t4 solution2 a #d-;gra9 tablet1 9 ! same am\nt ( wat] makes a #d p] c5t4 solution2 a #aj-;gra9 tablet 9 a l am\nt furni%es a #aj p] c5t4 solution4 ,^! p]c5tages are n ma!matically correct1 b are suffici5tly exact = any surgical purposes4 ,cod-liv] ,oil4--,?is is m ( a food ?an a m$ic9e4 ,x is pref]able to o!r oils 9 be+ m readily dige/$4 ,:5 well borne by ! /oma*1 x is a valuable rem$y 9 wa/+ diseases1 especially ph?isis4 ,! dose is f #a to #d drams 7#d-ae c4c474 ,x may be giv5 9 emulsion1 9 flexible capsules1 or pure1 dropp$ 9 ! fro? ( port]4 ,x is be/ tak5 two h\rs aft] meals4 ,creasote4--,?is is an oily sub/ance obta9$ f ! sl[ burn+ ( bee*wood4 ,x is *iefly us$ int]nally z an antiseptic 9 dyspepsia & di>rhea1 & z an expectorant 9 purul5t bron*itis & ph?isis4 ,l>ge doses produce ! same toxic effects z are obs]v$ 9 c>bolic-acid poison+4 ,! dose is f #b to #bj m9ims 7#j4a-a4b c4c47 9 capsules1 9 milk1 or 9 "s bitt] t9cture1 l t ( g5tian4 ,! dose ( creasote c>bonate 7creosotal71 :i* is free f ! unpleasant odor & ta/e ( pure creasote1 is f #e to #bj m9ims 7#j4c-a4b c4c474 ,croton ,oil 7,oleum ,tiglii74--,?is is an oil express$ f ! se$ ( a small tree gr[+ 9 ,asia4 ,locally x is an active vesicant2 int]nally x is a p[]ful purgative4 ,l>ge doses cause sev]e inflammation ( ! /oma* & b[els4 ,! dose is f #a to #b drops 7#j4jf-j4ab c4c47 9 glyc]91 olive oil1 or bread-crumbs4 ,a bl& vehicle is necess>y to prev5t ! vesicat+ effect ( ! drug on ! ?roat4 ,dilut$ ) f #b to #d p>ts ( olive oil1 & appli$ ) friction1 x is sometimes us$ z a c\nt]irritant 9 inflammatory diseases ( ! *e/4 ,digitalis4--,?is is a p[]ful circulatory /imulant1 /r5g!n+ ! contractions ( ! he>t1 con/rict+ ! p]iph]al blood-vessels1 & sl[+ ! pulse4 ,by increas+ ! blood-pressure 9 ! kidneys x also increases ! fl[ ( ur9e4 ,x is *iefly us$ z a /imulant 9 he>t disease :5 !re is failure ( circulation1 & z a diuretic 9 v>i\s =ms ( dropsy4 ,! effects ( ! drug %\ld be c>efully wat*$2 too l>ge doses cause m>k$ sl[+ & irregul>ity ( ! pulse1 & a decrease r ?an an increase 9 ! ur9e4 ,! dose ( p[d]$ digitalis leaves is f to #b gra9s 7#j4jc-j4ac gm472 ( ! ,t9cture 7,t9ctura ,digitalis71 #e to #bj m9ims 7#j4c-a4b c4c472 ( ! infusion 7infusum digitalis71 #a to #d drams 7#d-ae c4c472 ( digital91 an important pr9ciple ( ! leaves1 _/ to _/ gra9 7#j4jjjfe-j4jja gm474 ,ergot4--,?is is a fungus gr[+ on rye4 ,x is employ$ to contract ! blood-vessels 9 int]nal hemorrhage & to /imulate ! ut]9e contractions 9 ! second /age ( labor :5 po/-p>tum hemorrhage is fe>$4 ,its use 9 ! e>ly /age ( labor to ha/5 deliv]y is dang]\s1 s9ce x may cause tetanic spasm ( ! ut]us & asphyxiation ( ! *ild or ev5 rupture ( ! ut]us4 ,! dose ( ! ,extract ( ,ergot 7,extractum ,ergot7 is f #a to #ae gra9s 7#j4jfe-a gm472 ( ! ,fluid ,extract 7,extractum ,ergot ,fluidum71 to #a dram 7#b-d c4c472 ( ! ,w9e 7,v9um ,ergot71 #a to #d drams 7#d-ae c4c472 ( ergot91 a conc5trat$ extract1 #b to #e gra9s 7#j4ac-j4c gm474 ,:5 giv5 hypod]mically abscess is likely to =m1 ev5 "u ! mo/ /rict antiseptic precautions4 ,e!r4--,next to nitr\s oxid1 ?is is ! safe/ ( ! g5]al ane/hetics1 al?\gh x is n s readily inhal$ z *lor(orm1 & is m apt to produce unpleasant aft]-effects1 su* z nausea & vomit+4 ,! latt] may sometimes be reliev$ by ! inhalation ( hot v9eg> fumes4 ,dea? f e!r is usually ! result ( asphyxia1 & n1 z 9 ! case ( *lor(orm1 f he>t failure4 ,int]nally1 by ! m\? or hypod]mically1 e!r is sometimes us$ z a circulatory /imulant 9 sudd5 he>t failure4 ,great c>e %\ld be ex]cis$ 9 h&l+ e!r 9 ! neighborhood ( light$ gas-jets1 z ! vapor ( ! drug is highly inflammable4 ,e!r %\ld be /or$ 9 well-/opp]$ conta9]s1 9 a cool place1 remote f lights & fire4 ,! dose ( e!r z a circulatory /imulant is f #e to #cj m9ims 7#j4c-b c4c47 9 ice-wat] or hypod]mically4 ,=maldehyd4--,?is gas is employ$ 9 ! =m ( a #dj p] c5t4 solution 7=mal974 ,x is us$ z an antiseptic1 dis9fectant1 & deodorant4 ,x is ! be/ dis9fectant = sick-rooms t we possess1 al?\gh on acc\nt ( its lack ( p5etrat+ p[] x c n be us$ = dis9fect+ b$d+1 /uff$ furniture1 c>pets1 books1 etc4 ,to be effective ! gas mu/ be g5]at$ f =mal9 9 a special app>atus1 or f p>a=m tablets heat$ ov] a suitable lamp4 ,attempts to vaporize solution ( =maldehyd f an op5 vessel plac$ on a /ove are unsuccessful1 s9ce ?is treatm5t conv]ts mo/ ( ! =maldehyd gas into cry/als ( p>a=m4 ,solutions ( =mal9--#a 3 #bjjj to #a 3 #ejj--;are sometimes us$ = irrigat+ suppurat+ cavities & dis9fect+ in/rum5ts4 ,a solution ( #a "p ( =mal9 to #bj p>ts ( wat] makes a good dis9fectant = /ools1 ur9e1 & sputa4 ,iodids4--,! salts ( iod9--potassium1 sodium1 ammonium iodid--resemble ea* o!r 9 _! action & uses4 ,!y are us$ z alt]atives 9 con/itutional diseases1 l *ronic rheumatism & g\t1 z absorb5ts ( exudates 9 *ronic inflammatory diseases1 & z elim9ants 9 *ronic m9]al poison+4 ,_! cont9u$ use occasions a gr\p ( symptoms--frontal heada*e1 nasal dis*>ge1 sore ?roat1 & a cutane\s eruption--t]m$ iodism4 ,! dose is f #e to #cj gra9s 7#j4c-b gm471 well dilut$1 aft] meals4 ,iod(orm4--,?is drug owes its virtues to iod91 ( :i* x conta9s ab\t #ej p] c5t4 ,:5 br\ght into contact ) raw surfaces x ex]ts a mild ane/hetic effect1 lib]ates its iod91 & !reby acts z an antiseptic4 ,:5 appli$ too freely x may be absorb$ & cause toxic effects--heada*e1 elevation ( temp]ature1 re/lessness1 a diffuse r$ ra% on ! face & limbs1 delirium1 /upor1 & collapse4 ,! unpleasant odor ( ! drug c be remov$ f ! h&s & f in/rum5ts by oil ( turp5t9e4 ,ipecac4--,?is drug is us$ z an emetic & expectorant4 ,z an emetic x is safe1 b some:at sl[ 9 action4 ,x is especially useful 9 ! "y & feeble1 z x causes b little depression4 ,! dose ( p[d]$ ipecac1 z an emetic1 is f #bj to #cj gra9s 7#a4b-b gm472 ( ! ,syrup 7,syrupus ,ipecacuanh71 z an expectorant1 f #aj-fj m9ims 7#j4f-d c4c472 z an emetic1 f #b to #d drams 7#h-ae c4c472 ( ! w9e1 z an expectorant1 f #aj to #cj m9ims 7#j4f-a4h c4c472 z an emetic1 #a dram 7#d c4c474 ,iron4 7,f]rum74--,! v>i\s prep>ations ( iron are employ$ z tonics & a/r+5ts4 ,z tonics1 !y are especially indicat$ 9 simple anemia2 z a/r+5ts !y are employ$ locally 9 ble$+1 &1 int]nally1 9 di>rhea4 ,! dose ( ,r$uc$ ,iron 7,f]rum ,r$uctum7 is f #a to #e gra9s 7#j4jf-j4c gm472 ( ! ,pills ( ,iron ,c>bonate or ,blaud's ,pills 7,pilul ,f]ri ,c>bonatis71 #a to #c pills2 ( ! ,t9cture ( ,f]ric ,*lorid 7,t9ctura ,f]ri ,*loridi71 #e to #aj m9ims 7#j4c-j4f c4c472 ( ! ,solution ( ,iron & ,ammonium ,acetate or ,ba%am's ,mixture 7,liquor ,f]ri et ,ammonii ,acetatis71 #a to #d drams 7#d-ae c4c472 ( ! ,sulphate ( ,iron 7,f]ri ,sulphas71 #a-c gra9s 7#j4jf-j4b gm472 ( ! ,syrup ( ,iodid ( ,iron 7,syrupus ,f]ri ,iodidi71 #e to #fj m9ims 7#j4c-d c4c474 ,! ,solution ( ,iron ,subsulphate 7,monsel's solution7 is us$ only z a hemo/atic1 & ,iron ,hydrate ) ,magnesia z an antidote 9 ars5ic-poison+4 ,! dose ( ! latt] is a tablespoonful e t5 to fifte5 m9utes4 ,lead4--,! prep>ations ( lead are us$ int]nally & ext]nally z s$atives & a/r+5ts4 ,lead ,acetate 7,plumbi ,acetas7 is employ$ int]nally 9 di>rhea4 ,! dose is f #a to #c gra9s 7#j4jf-j4b gm471 9 pill =m4 ,! ,solution ( ,lead ,subacetate 7,liquor ,plumbi ,subacetatis7 is employ$ ext]nally4 ,dilut$ ) f #e to #f p>ts ( wat] x is us$ z a s$ative application 9 ivy-poison+ & erysipelas4 ,! ,dilute ,solution ( ,lead ,subacetate 7,liquor ,plumbi ,subacetatis ,dilutus7 is kn[n z lead-wat]1 & is *iefly employ$ 9 mak+ ! s$ative prep>ation kn[n z lead-wat] & laudanum4 ,z usually disp5s$ x conta9s #a dram 7#d c4c47 ( laudanum & #d drams 7#ae c4c47 ( lead-wat] to #b ounces 7#fj c4c47 ( wat]4 ,acute lead-poison+ is *>act]iz$ by a burn+ pa9 9 ! abdom51 a metallic ta/e 9 ! m\?1 vomit+1 purg+1 coma1 & collapse4 ,*ronic lead-poison+ is *>act]iz$ by anemia1 inte/9al colic1 con/ipation1 a blue l9e on ! gums 7deposit ( lead sulphide71 & p>alysis ( ! =e>ms 7wri/-drop74 ,magnesium ,sulphate 7,epsom ,salt74--,?is salt is an excell5t hydragogue ca?>tic1 produc+ 9 ! c\rse ( a few h\rs copi\s wat]y /ools4 ,x is also employ$ z an antidote 9 acute lead-poison+ & c>bolic-acid poison+4 ,to secure ! mo/ prompt & p[]ful ca?>tic effect ! drug is be/ giv5 be=e breakfa/1 9 a s+le dose1 & ) b a small quantity ( wat]4 ,dose1 f #a to #h drams 7#d-ca gm474 ,magnesium ,oxid 7,magnesia74--,?is is a :ite1 ta/eless1 & insoluble p[d]4 ,x is a ca?>tic1 b mu* mild] 9 action ?an ,epsom salt4 ,dose1 f #aj to #fj gra9s 7#j4f-d gm474 ,magnesium ,citrate4--,an eff]vesc+ solution ( ?is drug is mu* us$ z an agreeable laxative4 ,! dose is f #f to #ab ounces 7#ahj-cfj c4c474 ,m]cury4--,! mo/ important prep>ations ( ?is metal are calomel1 blue mass1 corrosive sublimate1 oxid ( m]cury1 iodid ( m]cury1 nitrate ( m]cury1 & o9tm5t ( m]cury4 ,calomel 7,hydr>gyri ,*loridi ,mite74--,?is prep>ation is employ$ int]nally z a ca?>tic & ga/ric s$ative1 & ext]nally z a /imulat+ & antiseptic du/+-p[d]4 ,z a ca?>tic its be/ effect is secur$ by giv+ x 9 doses ( f to gra9 7#j4jjf-j4ja gm47 e half-h\r or h\r1 until a gra9 has be5 tak54 ,9 ?is way ! :ole am\nt +e/$ is absorb$4 ,:5 l>ge doses are employ$ mu* ( ! drug escapes absorption4 ,blue ,mass or ,blue ,pill 7,massa ,hydr>gyri74--,?is is a mixture ( m]cury1 glyc]91 honey1 & licorice4 ,its action is mu* l t ( calomel4 ,corrosive ,sublimate or ,bi*lorid ( ,m]cury 7,hydr>gyri ,*loridum ,corrosivum74--,al?\gh irritant1 toxic1 & de/ructive to in/rum5ts1 no o!r drug has supplant$ ?is salt z an antiseptic = use 9 g5]al surg]y4 ,! foll[+ are ! /r5g?s ( ! solutions usually employ$ = v>i\s purposes3 = ! sk91 #a 3 #ajjj to #a 3 #ejj2 = w\nds1 #a 3 #aj1jjj to #a 3 #bjjj2 = cavities ( ! body1 #a 3 #bj1jjj to #a 3 #ejjj4 ,corrosive sublimate is n a good dis9fectant = /ools1 sputa1 etc41 z x =ms an imp5etrable coagulum on ! outside ( ! mass4 ,int]nally1 corrosive sublimate is us$ z an alt]ative 9 con/itutional diseases 9 doses ( _/ to _/ ( a gra9 7#j4jja-j4jje gm474 ,oxid ( ,m]cury4--,?is appe>s 9 two =ms--yell[ oxid & r$ oxid4 ,bo? prep>ations are employ$ ext]nally 9 ! =m ( o9tm5ts = _! alt]ative prop]ties4 ,iodid ( ,m]cury4--,?is salt occurs 9 two =ms3 ,r$ ,iodid or ,b9iodid 7,hydr>gyri ,iodidum ,rubrum7 & ,yell[ or ,gre5 ,iodid 7,hydr>gyri ,iodidum ,flavum74 ,! fir/ is an irritat+ prep>ation1 some:at resembl+ corrosive sublimate 9 its action2 ! latt] is comp>atively unirritat+1 & is mu* us$ int]nally z an alt]ative4 ,! dose ( ! r$ iodid is f _/ to _/ gra9 7#j4jja-j4jje gm472 ( ! yell[ or gre5 iodid1 _/ to gra9 7#j4jjf-j4jc gm474 ,nitrate ( ,m]cury4--,?is prep>ation is us$ 9 ! =m ( a solution 7,liquor ,hydr>gyri ,nitratis7 z a p[]ful cau/ic4 ,o9tm5t ( ,m]cury1 or ,blue ,o9tm5t 7,ungu5tum ,hydr>gyri74--,?is is an o9tm5t ( metallic m]cury4 ,x is us$ z a /imulant & absorb5t application 9 *ronic inflammatory swell+s1 z a p>asiticide 9 c]ta9 sk9 diseases1 & by inunction 9 syphilis4 ,:5 us$ = ! latt] purpose ab\t a dram 7#d gm47 %\ld be rubb$ 9 ! axilla1 gro91 or inn] surface ( ! arm or ?igh daily1 a diff]5t region be+ select$ ea* "t1 s z to avoid irritation ( ! sk94 ,m]curial ,poison+4--,pati5ts tak+ m]cury cont9u\sly1 ev5 9 small doses1 %\ld be c>efully wat*$1 z symptoms ( ptyalism or salivation sometimes arise v spe$ily4 ,?is condition is manife/$ by fetor ( ! brea?1 sor5ess ( ! tee? :5 ! jaws are br\ght toge!r1 increas$ fl[ ( saliva1 r$ness & swell+ ( ! gums1 & f9ally by ulc]ation ( ! tissues1 loss ( ! tee?1 & necrosis ( ! jaw bones4 ,on ! slighte/ evid5ce ( ^! symptoms ! drug %\ld be susp5d$1 & ! m\? wa%$ out frequ5tly ) a solution ( hydrog5 p]oxid 7#a 3 #d7 or ( potassium *lorate 7#a dram to #h ounces ( wat]74 ,! +e/ion ( a s+le l>ge dose ( an irritant salt ( m]cury1 su* z ! bi*lorid or b9iodid1 gives rise to sev]e burn+ pa9 9 ! abdom51 vomit+1 bloody purg+1 & collapse4 ,nitroglyc]94--,?is drug is a depressant to ! c5tral n]v\s sy/em1 a he>t /imulant1 & a dilator ( ! p]iph]al blood-vessels4 ,x is useful 9 c]ta9 local spasms 7a/hma71 9 he>t failure1 & 9 neuralgia ( ! he>t4 ,ow+ to its action 9 dilat+ ! vessels1 x sometimes causes1 ev5 9 small doses1 heada*e1 dizz9ess1 & flu%+ ( ! face4 ,! dose ( nitroglyc]9 is f _/ to _/ ( a gra9 7#j4jjjc-j4jjac gm474 ,! dose ( ! #a p] c5t4 alcoholic solution 7,spiritus ,glono9i7 is f #a to #e m9ims 7#j4jf-j4c c4c474 ,! latt] %\ld be kept 9 well-/opp]$ bottles1 9 a cool place1 remote f lights or fire4 ,nux ,vomica4--,?is is ! se$ ( an ,ea/ ,indian tree4 ,its activity dep5ds ^u an alkaloid /ry*n94 ,x is a g5]al /imulant1 act+ especially ^u ! sp9al cord1 respiratory c5t]1 he>t1 /oma*1 & inte/9e4 ,x is employ$ 9 a great v>iety ( affections 9 :i* !re is defici5t functional activity4 ,! limit ( tol]ance is indicat$ by re/lessness1 /iffness ( ! neck muscles1 & j]k+ ( ! limbs4 ,toxic doses cause viol5t spasms closely resembl+ ^? ( lock-jaw or tetanus4 ,! convulsions ( /ry*n9-poison+1 h[ev]1 come & g1 ! muscles be+ completely relax$ 9 ! int]vals1 &1 moreov]1 !y r>ely involve ! muscles ( ! jaw4 ,! dose ( ! ,t9cture ( ,nux ,vomica 7,t9ctura ,nucis ,vomic7 is f #e to #bj m9ims 7#j4c-a4b c4c472 ( ! ,extract ( ,nux ,vomica 7,extractum ,nucis ,vomic71 to gra9 7#j4ja-j4jaf gm472 ( ,/ry*n9 ,sulphate 7,/ry*n9 ,sulphas71 _/ to _/ ( a gra9 7#j4jja-j4jjc gm474 ,opium4--,?is is ! dri$ juice ( a species ( poppy gr[+ 9 ,asia4 ,x conta9s sev]al alkaloids1 ! *ief ( :i* are morph9 & code94 ,f morph9 are prep>$ artificially two alkaloids--apomorph9 & h]o94 ,opium depresses ! bra91 depresses ! respiration1 /imulates ! he>t slightly1 less5s ! p]i/altic movem5ts ( ! b[el1 & dim9i%es all secretions1 except ! sweat4 ,x is employ$ to induce sleep1 to relieve pa91 to allay c\gh1 to *eck di>rhea1 & to promote p]spiration4 ,opium-poison+ is m>k$ by ?ree /ages3 ! fir/ /age is %ort & *>act]iz$ by m5tal exhil>ation2 9 ! second /age ! pupils are greatly contract$ 7p9-po9t71 ! respirations are sl[1 ! pulse is sl[ & full1 & !re is deep /upor4 ,9 ! ?ird /age ! pati5t c no long] be ar\s$ 7coma71 ! respiration becomes %all[ & irregul>1 ! pulse becomes rapid & weak1 ! pupils f9ally dilate1 & ! pati5t dies f failure ( ! respiration4 ,ev5 aft] small doses ( opium _m pati5ts suff] f heada*e & nausea4 ,*ildr5 are mu* m s5sitive to its action ?an adults4 ,morph9 resembles opium 9 action1 b is m p[]ful1 less nauseat+1 & less con/ipat+4 ,code9 is less p[]ful z a hypnotic & less depress+ ?an morph94 ,! dose ( opium is f to #a gra9 7#j4jc-j4fe gm472 ( ! ,extract ( ,opium 7,extractum ,opii71 to gra9 7#j4jjh-j4jc gm472 ( ! ,t9cture ( ,opium or ,laudanum 7,t9ctura ,opii71 #aj to #bj m9ims 7#j4f-a4b c4c472 ( ! ,camphorat$ ,t9cture ( ,opium or ,p>egoric 7,t9ctura ,opii ,camphorata71 to #d drams 7#b-ae c4c472 ( ,dov]'s ,p[d] 7,pulvis ,ipecacuanh et opii71 #e to #aj gra9s 7#j4c-j4f gm472 ( morph9 & its salts 7sulphate1 hydro*lorate1 etc471 to gra9 7#j4jjh-j4jc gm471 & ( code91 to #a gra9 7#j4jc-j4jf gm474 ,h]o9 is *iefly us$ to allay c\gh4 ,! dose is f _/ to ( a gra9 7#j4jje-j4jjh gm474 ,apomorph9 is employ$ z an emetic & z an expectorant 9 bron*itis4 ,! dose z an emetic is f to ( a gra9 7#j4jjf-j4ja gm471 always hypod]mically2 ! dose z an expectorant is f _/ to _/( a gra9 7#j4jjc-j4jjf gm471 always by ! m\?4 ,p>aldehyd4--,?is is an oily liquid1 hav+ a peculi> unpleasant odor & ta/e4 ,x is us$ *iefly z a hypnotic4 ,:ile comp>atively safe & reliable1 its disagreeable ta/e & p]si/5t odor on ! brea? detract f its usefulness4 ,! dose is f to #a dram 7#b-d c4c471 9 "s pleasant vehicle4 ,ph5acet94--,?is anil9 d]ivative has prop]ties v simil> to ^? ( acetanilid1 & is us$ = ! same purposes4 ,dose1 #e to #aj gra9s 7#j4c-j4f gm474 ,physo/igma4--,?is is ! se$ ( a climb+ plant gr[+ 9 ,africa4 ,its activities dep5d ^u an alkaloid kn[n z es]9 or physo/igm94 ,x depresses ! sp9al cord1 /imulates ! p]i/altic movem5ts ( ! b[el1 &1 :5 appli$ to ! eye1 contracts ! pupil4 ,x is employ$ to *eck c]ta9 convulsions 7tetanus & /ry*n9-poison+71 to ov]come atonic con/ipation1 &1 locally1 to contract ! pupils4 ,! dose ( ! ,t9cture ( ,physo/igma 7,t9ctura ,physo/igmatis7 is f #e to #bj m9ims 7#j4c-a4b c4c472 ( ! ,extract ( ,physo/igmatis 7,extractum ,physo/igmatis71 _/ to ( a gra9 7#j4jje-j4ja gm472 ( es]9 or physo/igm9 & its salts1 _/ to _/ ( a gra9 7#j4jjjd-j4jjac gm474 ,piloc>pus1 or ,jabor&i4--,?is is ! leaves ( a ,s\? ,am]ican plant4 ,its virtues dep5d entirely ^u an alkaloid kn[n z piloc>p94 ,! *ief action ( ! drug is on ! secretions--sweat1 saliva1 & ur9e--:i* x m>k$ly increases4 ,l>ge doses depress ! circulation4 ,locally1 9 ! eye1 x contracts ! pupil l es]94 ,x is ma9ly employ$ int]nally z a diaphoretic 9 ,bright's disease & dropsical conditions4 ,! dose ( ! ,fluid ,extract 7,extractum ,piloc>pi ,fluidum7 is f #bj to #fj m9ims 7#a4e-d c4c472 ( piloc>p9 & its salts1 to gra9 7#j4jjh-j4jc gm474 ,! latt] are usually adm9i/]$ hypod]mically4 ,qu994--,see ,c9*ona4 ,salicylates4--,^! salts are employ$ 9 m$ic9e *iefly z antirheumatic rem$ies4 ,_! mann] ( action1 h[ev]1 is unkn[n4 ,!y are also us$1 bo? int]nally & ext]nally1 to "s ext5t z antiseptics4 ,l>ge doses cause r++ 9 ! e>s1 heada*e1 deafness1 nausea1 & a gre5i% discoloration ( ! ur9e4 ,! dose ( salicylic acid or its salts 7ammonium1 sodium1 /rontium7 is f #e to #bj gra9s 7#j4c-a4c gm472 ( ,oil ( ,gaul!ria 7,me?yl ,salicylate71 #e to #bj m9ims 7#j4c-a4b c4c474 ,^! prep>ations %\ld be giv5 aft] meals1 well dilut$4 ,! foll[+ rem$ies h prop]ties l ! salicylates1 b are less p[]ful & less irritant to ! /oma*3 ,salol1 dose1 #e to #bj gra9s 7#j4c-a4c gm472 saloph51 #e to #cj gra9s 7#j4c-b gm472 aspir91 #e to #bj gra9s 7#j4c-a4c gm474 ,s5na4--,?is is a purgative *olagogue & is us$ 9 ! con/ipation ( *ildr5 & pregnant wom54 ,dose1 9 sub/ance1 #e to #bj gra9s2 9 fluidextract or t9cture1 #a to #d fluidrams4 ,silv]4--,! mo/ important salt ( ?is metal is ! nitrate4 ,locally1 9 conc5trat$ =m1 ! latt] is a cau/ic2 9 dilute =m x is a s$ative1 a/r+5t1 & antiseptic4 ,int]nally1 9 small doses1 silv] nitrate is useful z an a/r+5t & antiseptic 9 inflammatory & ulc]ative conditions ( ! /oma* & b[el4 ,! prolong$ use ( ! drug1 ev5 9 small doses1 is foll[$ by a p]man5t grayi% discoloration ( ! sk9 7argyria7 f ! precipitation ( ! metal 9 ! tissues4 ,toxic doses ( silv] nitrate cause burn+ pa9 9 ! abdom51 vomit+ ( :ite1 curdy matt]1 & bloody purg+4 ,! dose ( silv] nitrate is f to ( a gra9 7#j4ja-j4c gm471 usually 9 pill =m4 ,sev]al comb9ations ( metallic silv] ) album9 are mu* us$ z antiseptics & a/r+5ts 9 inflammatory diseases ( muc\s membranes4 ,!y h advantage ov] silv] nitrate 9 be+ less irritat+ & 9 n be+ decompos$ by ! juices ( ! tissues4 ,! mo/ important ( ^! organic comp\nds are prot>gol & argyrol4 ,!y are usually appli$ 9 solutions ( f #a to #aj p] c5t4 ,a soluble =m ( metallic silv] is also employ$ 9 ! =m ( #ae p] c5t4 o9tm5t1 kn[n z ,cr$'s o9tm5t4 ,x is recomm5d$ z an antiseptic 9 v>i\s infecti\s diseases4 ,sp>te94--,?is is an alkaloid f ! broom plant4 ,x is us$ to "s ext5t z a he>t tonic & diuretic 9 doses ( f to gra9 7#j4jae-j4jc gm474 ,/rophan?us4--,?is is ! se$ ( a climb+ plant gr[+ 9 ,africa4 ,its action v closely resembles t ( digitalis1 = :i* x is sometimes sub/itut$4 ,! dose ( ! t9cture 7,t9ctura ,/rophan?i7 is f #c to #aj m9ims 7#j4b-j4f c4c474 ,sulphonal4--,?is artificial comp\nd is us$ almo/ entirely z a hypnotic4 ,9 s+le doses x is comp>atively safe & reliable1 b sl[ 9 its action4 ,languor1 heada*e1 & dr[s9ess n infrequ5tly foll[ its use4 ,! repeat$ adm9i/ration ( sulphonal ov] sev]al days or weeks is di/9ctly dang]\s1 be+ (t5 foll[$ by *ronic poison+4 ,! latt] is m>k$ by a r$ coloration ( ! ur9e1 colicky pa9s1 pr(\nd depression1 weakness1 & collapse4 ,! dose ( sulphonal is f #aj to #cj gra9s 7#j4f-b gm474 ,x is be/ giv5 9 hot tea or hot milk1 "o or two h\rs be=e b$time4 ,tannic ,acid1 ,tann94--,?is is employ$ ext]nally z an a/r+5t & /yptic1 & int]nally z an a/r+5t 9 atonic di>rheas4 ,x is us$ 9 ! =m ( a g>gle or 9 tro*es 9 relax$ conditions ( ! ?roat1 9 solution to prev5t b$-sores1 & 9 ! =m ( o9tm5t or suppositories = ! relief ( int]nal piles4 ,dose1 #a to #aj gra9s4 ,trional4--,?is rem$y resembles sulphonal 9 action1 & is us$ = ! same purpose4 ,x may also be giv5 9 ! same dose & mann] z sulphonal4 ,urotrop94--,?is comp\nd1 prep>$ by ! action ( ammonia on =maldehyd1 is employ$ z a p[]ful ur9>y antiseptic 9 doses ( f #c to #e gra9s 7#j4b-j4c gm474 ,l>ge doses may cause pa9 9 ! bladd]1 frequ5t ur9ation1 & bloody ur9e4 ,v]atrum ,viride4--,?is is ! root ( a ,nor? ,am]ican h]b4 ,its action resembles t ( aconite 9 t x depresses ! he>t & sl[s ! pulse4 ,x is1 h[ev]1 m nauseat+ ?an aconite1 & :5 locally appli$ does n cause numbness1 t+l+1 & ane/hesia4 ,l>ge doses cause vomit+1 muscul> weakness1 dizz9ess1 sweat+1 failure ( pulse1 & collapse4 ,x is us$ z a s$ative 9 acute inflammatory diseases to subdue ov]action ( ! he>t4 ,! dose ( ! t9cture ( v]atrum viride 7t9ctura v]atri viridis7 is f #a to #e m9ims 7#j4jf-j4c c4c474 ,,dosage4 ,! foll[+ g5]al rules w aid ! /ud5t 9 rememb]+ ! safe dose ( _m important prep>ations3 #a4 ,t9ctures ( v active drugs1 su* z opium1 digitalis1 belladonna1 physo/igma1 nux vomica1 gelsemium1 arnica1 & capsicum may be giv5 9 doses ( f #e to #bj m9ims 7#j4c-a4b c4c471 except ! t9ctures ( aconite1 v]atrum viride1 iod91 & can?>ides1 ! dose ( :i* is f #a to #e m9ims 7#j4jf-j4c c4c474 #b4 ,t9cture ( less active drugs1 su* z g5tian1 calumba1 kram]ia1 quassia1 val]ian1 c9*ona1 k9o1 may be giv5 9 doses ( f to #a dram 7#b-d c4c474 #c4 ,solid extracts ( active drugs may be giv5 9 doses ( f to ( a gra9 7#j4ja-j4jaf gm474 #d4 ,solid extracts ( less active drugs may be giv5 9 doses ( f to #e gra9s 7#j4jc-j4c gm47 or m4 #e4 ,dilute acids 7hydro*loric1 nitric1 nitrohydro*loric1 sulphuric7 may be giv5 9 doses ( f #e to #bj m9ims 7#j4c-a4c c4c471 except dilute hydrocyanic acid1 ! dose ( :i* is f #a to #e m9ims 7#j4jf-j4c c4c474 #f4 ,all m$icat$ syrups1 except ! syrup ( iodid ( iron & ! comp\nd syrup ( squill1 may be giv5 9 doses ( #a to #b drams 7#d-h c4c47 or m4 #g4 ,all infusions may be giv5 9 doses ( to #a ounce 7#ae-cj c4c47 or m1 except ! infusion ( digitalis1 ! dose ( :i* is f #a to #d drams 7#d-ae c4c474 #h4 ,all (ficial mixtures may be giv5 9 doses ( f #a to #d drams 7#d-ae c4c474 #i4 ,all spirits may be giv5 9 doses up to #a dram 7#d c4c471 except ! _s ( nitroglyc]9 7glono971 ! dose ( :i* is f #a to #e m9ims 7#j4jf-j4c c4c471 ! _s ( phosphorus1 ! dose ( :i* is f #e to #ae m9ims 7#j4c-a c4c471 & ! _s ( bitt] almond1 ! dose ( :i* is f #e to #aj m9ims 7#j4c-j4f c4c474 #aj4 ,all wat]s 7aqu7 may be giv5 9 doses up to #a ounce 7#cj c4c471 except aqua ammoni1 aqua *lori1 & aqua lauroc]asi 7*]ry-laurel71 ! dose ( :i* is ab\t dram 7#b c4c474 #aa4 ,volatile or ess5tial oils may be giv5 9 doses up to #e m9ims 7#j4c c4c47 or m1 except ! oil ( bitt] almond1 ! dose ( :i* is f to m9im 7#j4jae-j4jc c4c474 ,,to ,,asc]ta9 ,,doses ,,( ,,m$ic9e ,,= ,,*ildr54 ,! foll[+ rule ( ,"y is suffici5tly accurate = mo/ drugs3 ,add #ab to ! age & divide by ! age to get ! d5om9ator ( ! fraction1 ! num]ator ( :i* is #a4 ,?us1 = a *ild ( two ye>s1 #b #ab ------ #g1 & ! dose is ( t = an adult4 #b ,= *ildr5 up to twelve mon?s ( age1 ,"y's rule may be work$ out z foll[s3 ,add #add to ! age 9 mon?s1 :i* sum becomes ! d5om9ator ( ! fraction1 ! num]ator ( :i* is ! *ild's age4 ,?us1 = a baby ( eight mon?s1 #h #h ------ ----1 or _/ ( an adult's dose2 #h #add #aeb = a baby ( six mon?s1 #f #f ------ ----1 or _/ ( an adult's dose4 #f #add #aej ,! foll[+ table1 bas$ on ,"y's rule1 is suffici5tly accurate 9 ord9>y cases1 & its use w avoid ! necessity ( ma!matic calculations on ! "p ( ! physician3 ,*ild ag$ "o mon? _/ ( an adult's dose4 8 8 two mon?s _/ 8 8 8 8 8 ?ree mon?s _/ 8 8 8 8 8 f\r mon?s _/ 8 8 8 8 8 five mon?s _/ 8 8 8 8 8 six mon?s _/ 8 8 8 8 8 sev5 mon?s _/ 8 8 8 8 8 eight mon?s _/ 8 8 8 8 8 n9e mon?s _/ 8 8 8 8 8 t5 mon?s _/ 8 8 8 8 8 elev5 mon?s _/ 8 8 8 8 8 twelve mon?s _/ 8 8 8 8 8 two ye>s _/ 8 8 8 8 8 ?ree ye>s _/ 8 8 8 8 8 f\r ye>s _/ 8 8 8 8 8 five ye>s _/ 8 8 8 8 8 six ye>s _/ 8 8 8 8 8 sev5 ye>s _/ 8 8 8 8 8 eight ye>s _/ 8 8 8 8 8 n9e ye>s _/ 8 8 8 8 8 t5 ye>s _/ 8 8 8 8 8 elev5 ye>s _/ 8 8 8 8 8 twelve ye>s _/ 8 8 8 ,( p[]ful n>cotics1 su* z opium1 sc>cely m ?an "o-half ( ?is proportion %\ld be us$4 ,9 ! case ( mild ca?>tics1 h[ev]1 two or ev5 ?ree times ?is proportion may be giv54 ,,! ,,dose ,,( ,,drugs ,,adm9i/]$ ,,subcutane\sly ,,& ,,by ,,! ,,rectum4 ,! dose ( a drug giv5 hypod]mically is usually ab\t "o-half ! quantity giv5 by ! m\?1 :ile twice z l>ge a dose is g5]ally giv5 by ! rectum z w\ld be giv5 by ! m\?4 ,,prop] ,,"t ,,to ,,take ,,m$ic9es4 ,alkalis %\ld be giv5 be=e food4 ,iod9 & iodids %\ld be giv5 on an empty /oma*1 :5 !y rapidly diffuse into ! blood4 ,if giv5 dur+ dige/ion ! acids & />* alt] & weak5 ! dige/ion4 ,acids1 z a rule1 %\ld be giv5 betwe5 ! dige/ive acts1 because ! muc\s membrane ( ! /oma* is 9 a favorable condition = ! diffusion ( ! acids into ! blood4 ,acids may be giv5 be=e food :5 prescrib$ to *eck ! excessive =mation ( ! acids ( ! ga/ric juice4 ,by giv+ x be=e meals y *eck ! osmosis /oma*w>d ( ! acid-=m+ mat]ials4 ,irritat+ & dang]\s drugs %\ld be giv5 directly aft] food1 su* z ! salts ( ars5ic1 copp]1 z9c1 & iron1 except :]e local conditions require _! adm9i/ration 9 small doses be=e food4 ,oxid & nitrate ( silv] %\ld be giv5 aft] process ( dige/ion is end$2 if giv5 dur+ food1 *emic reactions de/roy or impair _! special attributes & defeat ! object = :i* !y 7 prescrib$4 ,metallic salts1 especially corrosive sublimate1 also tann9 & pure alcohol1 impair ! dige/ive p[] ( ! active pr9ciple ( ! ga/ric juice1 s %\ld appe> 9 ! /oma* dur+ its p]iod ( inactivity4 ,malt extracts1 cod-liv] oil1 phosphates1 etc41 %\ld be giv5 ) or directly aft] food1 s t !y may ent] ! blood ) ! products ( dige/ion4 ,,poisons ,,& ,,antidotes4 ,g5]al ,treatm5t4--,elim9ate if possible by emetics1 z z9c sulphate1 #aj to #bj gra9s2 copp] sulphate1 #e gra9s2 or hypod]mic injection ( apomorph91 gra94 ,use /oma*-pump or -tube :]e vomit+ _c be produc$1 obs]v+ great c>e if irritant poison has caus$ injury to tissues4 ,9 c>diac failure give /imulants4 ,9 n>cosis keep pati5t awake4 ,9 ?reat5$ p>alysis ( respiratory movem5ts use alt]nate hot & cold spray to *e/1 slapp+1 & artificial respiration4 ,ammonia1 atrop91 caffe91 & /ry*n9 are useful respiratory /imulants4 ,acetanilid4--,emetic2 re/ 9 recumb5t position2 /imulants--ammonia & /ry*n92 artificial respiration2 oxyg5 inhalations2 ext]nal heat4 ,acid1 ,c>bolic4--,alcohol or ,epsom salt z an antidote4 ,?ree or f\r ounces ( dilut$ alcohol1 foll[$ by lavage ) a solution ( ,epsom salt2 ext]nal heat2 demulc5ts2 /imulants hypod]mically4 ,acid1 ,hydrocyanic4--,fre% air2 artificial respiration2 oxyg5 inhalations2 ammonia by inhalation & by intrav5\s injection4 ,acid1 ,oxalic4--,*alk or lime z an antidote2 demulc5ts1 l oil or egg-album94 ,acids1 ,m9]al4--,*alk1 magnesia1 soap1 or :ite-wa% f wall to neutralize poison2 demulc5t dr9ks--bl& oils or egg-:ite2 /imulants hypod]mically4 ,aconite4--,recumb5t position2 empty /oma* ) pump ) pati5t flat on back2 ext]nal heat2 /imulants--alcohol1 ammonia1 /ry*n9--hypod]mically4 ,ammonia4--,v9eg> ) lemon-juice to neutralize ! poison2 :ite ( egg or oil to allay irritation4 ,anil9 ,dyes4--,give pl5ty ( w>m wat] to induce emesis2 place pati5t 9 recumb5t position2 loos5 clo?+ & p]mit free circulation ( fre% air4 ,antimony 7,t>t> ,emetic74--,tannic acid z an antidote2 use /oma*-pump2 ext]nal heat2 /imulants4 ,antipyr94--,same z ,acetanilid4 ,ars5ic4--,/oma*-pump or an emetic2 fre%ly precipitat$ f]ric hydrate 7tablespoonful e t5 m9utes7 made by add+ magnesia to any iron solution2 demulc5ts--oil or egg-album94 ,atrop94--,same z ,belladonna4 ,belladonna4--,emetic or /oma*-pump2 tannic acid z an antidote2 cold to head2 enema ( w>m black c(fee4 ,camphor4--,empty ! /oma*2 apply a hot-wat] bag to ! abdom51 & /imulate ! pati5t if necess>y4 ,can?>ides4--,emetic or /oma*-pump2 egg-:ite2 mucilag9\s dr9ks 9 abundance2 avoid all oily sub/ances4 ,*lor(orm4--,)drawal ( drug2 l[]+ ( head2 pull+ tongue =w>d2 artificial respiration2 /imulants--/ry*n91 digitalis1 ammonia4 ,coca94--,empty ! /oma* by means ( ! /oma*-pump or an emetic4 ,/imulate pati5t & adm9i/] artificial respiration4 ,col*icum4--,/oma*-pump or emetic2 ext]nal heat2 :ite ( egg2 /imulants2 opium = pa94 ,copp] ,sulphate4--,yell[ prussiate ( potassium1 soap1 or magnesia2 milk & album9 freely2 opium = pa94 ,corrosive ,sublimate4--,:ite ( egg freely2 milk2 emetic or /oma*-pump2 opium = pa94 ,creosote4--,same z ,c>bolic acid4 ,croton ,oil4--,emetic2 mucilag9\s dr9ks2 opium4 ,cyanide ( ,potassium4--,same z ,hydrocyanic acid4 ,digitalis4--,recumb5t position2 /oma*-pump ) pati5t recumb5t2 ext]nal heat2 tannic acid4 ,elat]ium4--,emetic2 ext]nal heat2 demulc5ts2 opium4 ,ergot4--,empty /oma*2 copi\s drafts ( w>m wat]1 c(fee1 or tea2 quick purgative 7croton oil72 place pati5t 9 recumb5t position2 give hot sponge-ba? & apply friction to ! body4 ,gas1 ,illum9at+4--,fre% air2 artificial respiration2 oxyg5 inhalations2 injections ( ammonia & /ry*n94 ,iod94--,/>*-pa/e z an antidote2 emetic2 ext]nal heat2 demulc5ts2 opium4 ,lead ,salts4--,epsom salt z antidote2 emetic2 milk or egg-:ite4 ,lobelia4--,ext]nal heat2 tannic acid2 /oma*-pump2 /imulants4 ,mat*es4--,same z ,phosphorus4 ,morph94--,same z ,opium4 ,mu%room1 poison\s 7,toad-/ools74--,emetics2 atrop9 7_/ gr47 hypod]mically2 ca/or oil2 /imulants4 ,nux ,vomica4--,same z ,/ry*n94 ,opium4--,/oma*-pump or emetic2 repeat$ lavage2 black c(fee enema2 potassium p]manganate 7#e gr47 9 tumbl]ful ( wat]1 or tannic acid z an antidote2 keep pati5t awake ) cold affusions or electric bru%2 artificial respiration2 respiratory /imulants--atrop91 ammonia1 /ry*n91 coca91 caffe94 ,ph5acet94--,same z ,acetanilid4 ,phosphorus4--,copp] sulphate z an emetic2 dilute p]oxid ( hydrog5 or potassium p]manganate z an antidote2 ,epsom salt z a purge2 avoid all oils & fatty sub/ances4 ,potassa or ,soda 7,lye74--,v9eg> or lemon-juice z an antidote2 oils or egg-:ite2 opium4 ,ptoma9 ,poison+4--,empty ! /oma* by means ( ! /oma*-pump or by an emetic4 ,apply a hot-wat] bag to ! abdom54 ,give opium or morph9 to allay ! pa9 & *eck di>rhea4 ,give a l>ge dose ( ca/or oil4 ,rat ,poison4--,?is usually conta9s ars5ic or phosphorus 7q4 v474 ,silv] ,nitrate4--,solution ( common salt z antidote2 emetic2 demulc5t dr9ks4 ,silv] nitrate /a9s on ! sk9 may be :it5$ & _! removal mu* exp$it$ by ! application ( a solution made accord+ to ! foll[+ =mula3 ,m]cury bi*lorid1 gr4 v2 ,ammonium *lorid1 gr4 v2 ,aqua1 ij4 ,/ramonium4--,same z ,belladonna4 ,/ry*n94--,absolute quiet2 if convulsions h begun1 d n use /oma*-pump unless ! pati5t fir/ be e!riz$2 tannic acid z antidote2 inhalations ( *lor(orm or amyl nitrite = convulsions2 potassium bromid 7j7 & *loral 7gr4 xxx7 by m\? or rectum4 ,tobacco4--,emetic2 ext]nal heat2 /imulants4 ,,antidotes4 #a4 ,album51 ,egg-:ite4--,dissolve #d egg-:ites 9 #a qu>t ( w>m wat]4 #b4 ,milk1 ,fatty ,oils1 ,mucilag9\s ,sub/ances4--,sub/itutes = album54 #c4 ,ca/ile ,soap4--,dissolve 9 pl5ty ( wat]2 sub/itute = album54 #d4 ,tannic ,acid1 ,c(fee1 ,tea4--,to precipitate v>i\s alkaloids4 #e4 ,v9eg>1 ,dilut$ ,m9]al ,acids4--,to neutralize alkalies & alkal9e salts4 #f4 ,emetics4--7#a7 ,z9c sulphate1 grs4 v-xv1 repeat$ twice if necess>y at fifte5-m9ute int]vals1 or until emesis is produc$4 7#b7 ,mu/>d1 j-iv1 /irr$ to a cream ) w>m wat]4 7#c7 ,ipecac1 gr4 xv2 repeat if necess>y 9 fifte5 m9utes4 7#d7 ,t>t> emetic1 gr4 1 9 sweet5$ wat] = *ildr54 ,note4--,9 all poison cases loos5 clo?+ in/antly & p]mit free circulation ( fre% air2 protect body ) w>m blankets2 d n use pump or give emetics if acid has be5 tak5 9 conc5trat$ =m2 secure necess>y drugs s t m$ication may be giv5 at once ^u direction ( physician 9 *>ge4 ,,miscellane\s ,,=mul4 ,,semmola',s ,,mixture4 ,sodium iodid1 gr4 xv2 ,sodium phosphate1 gr4 xxx2 ,sodium *lorid1 gr4 cx2 ,aqua1 xxxvj4 ,a diuretic & laxative mixture4 ,,normal ,,salt ,,solution4 ,/ock salt solution is kept = ! purpose ( mak+ normal salt solution quickly & accurately4 ,use sodium *lorid 7common salt7 dri$ suffici5tly to granulate4 ,/ock ,salt ,solution by ,weight4 ,sodium *lorid1 jss 7#dg gm472 ,wat]1 fviij 7#bcg c4c474 ,boil 9 a clos$ vessel fifte5 m9utes4 ,:5 cold make up ) /]ile wat] to fj-viij4 ,/ra9 ?r\gh /]ile cotton into a /]ile bottle1 & keep tightly cork$4 ,normal salt solution %\ld conta9 #ij gra9s ( salt 9 #a qu>t 7#a ,l47 ( wat]4 ,normal ,salt ,solution4 ,/ock salt solution1 fj 7#cj c4c472 ,/]ile wat]1 ,oij 7#a ,l474 ,salt ,solution4 ,di/ill$ wat]1 ,oiv2 ,purifi$ salt1 xij4 ,,c>bolic ,,acid ,,solution 7#e ,,p] ,,c5t474 ,cold /]ile wat]1 gal4 j2 ,c>bolic acid 7#ie p] c5t471 iv4 #a3 #bj ,,solution ,,glyc]9 ,,=maldehyd4 ,/]ile glyc]91 viss 7#bc c4c472 ,solution =maldehyd1 ,oj 7#ejj c4c474 ,,solution 7#a3 #ajjj7 ,,( ,,bi*lorid ,,( ,,m]cury 7,,corrosive ,,sublimate74 ,m]cury bi*lorid or corrosive sublimate1 gr4 xv 7#a gm472 ,common salt1 gr4 xv 7#a gm472 ,/]ile wat]1 ,oij 7#a ,l474 ,! salt 9 ?is =mula is add$ to prev5t decomposition ( ! m]curial salt by ! album9\s juices ( ! tissues4 ,,alkal9e ,,solution ,,( ,,cyanid ,,( ,,m]cury4 ,"s surgeons recomm5d cyanid ( m]cury 9 solutions ( #a3 #ajjj or #a3 #bjjj 9 place ( ! bi*lorid ( m]cury4 ,x is a p[]ful antiseptic t does n coagulate album91 irritate ! tissues1 or attack metals4 ,m]cury cyanid1 gr4 viiss 7#j4e gm472 ,sodium borate1 gr4 xv 7#a gm474 ,^! tablets are made to correspond to bi*lorid tablets4 ,compress$ tablets1 ea* conta9+ #g gra9s 7#j4dh gm47 ( corrosive sublimate ) t>t>ic acid1 are also 9 common use4 ,"o ( ^! add$ to #a p9t ( wat] makes a solution ( #a3 #ajjj4 ,,saturat$ ,,boric ,,or ,,boracic-,,acid ,,solution4 ,boric acid cry/als1 jss 7#dg gm472 ,hot /]ile wat]1 ,oij 7#a ,l474 ,?is solution may also be made by putt+ an excess ( ! cry/als into ! wat]1 !n /]iliz+ by boil+ tw5ty m9utes & /ra9+ ?r\gh /]ile cotton4 ,,solution ,,( ,,potassium ,,p]manganate4 ,?is sub/ance is us$ 9 a solution ( royal blue or purple color1 :i* %\ld be fre%ly made4 ,place a few cry/als 9 a piece ( /]ile gauze1 & susp5d 9 /]ile wat] ( ! requir$ quantity & temp]ature until ! "r color is obta9$4 ,,iod9 ,,solution4 ,?is solution is made by add+ to /]ile wat] ( ! requir$ temp]ature suffici5t t9cture ( iod9 to make ! color ( %]ry w9e4 ,add ! iod9 a few drops at a "t1 /irr+ until ! %]ry color is produc$4 ,,solutions ,,( ,,=maldehyd4 ,all ! prep>ations on ! m>ket 7=mal91 =mol1 =molose1 etc47 conta9 #dj p] c5t4 ( =maldehyd gas4 ,z ! gas is ! true g]micidal pr9ciple1 x is mu* ! bett] plan1 9 /at+ ! /r5g? ( dilute solutions ( ^! prep>ations1 to give ! proportion ( ! gas pres5t1 & ?is is done 9 ! =mul bel[4 #a 3 #ajj or #a p] c5t4 ( ,true ,=maldehyd ,gas4 ,solution ( =maldehyd1 fvj 7#bc c4c472 ,cold /]ile wat]1 ,oij 7#ajjj c4c474 ,?is solution is approximately equival5t to #a 3 #ejj or p] c5t4 ,solution ( ,=maldehyd4 ,solution ( =maldehyd1 xxxviij 7#b4c c4c472 ,cold /]ile wat]1 ,oj 7#ejj c4c47 ,,?i]s*',s ,,antiseptic ,,solution4 ,saturat$ boric acid solution1 ,oj 7#ejj c4c472 ,/]ile wat]1 ,oj 7#ejj c4c472 ,salicylic acid1 gr4 lxxv 7#e gm474 ,mix ! salicylic acid ) suffici5t alcohol to dissolve x4 ,p\r mixture into solution1 & %ake ?or\ghly4 ,,h>r+ton',s ,,solution4 ,bi*lorid ( m]cury1 gr4 xxxij2 ,hydro*loric acid1 #bdjj c4c42 ,di/ill$ wat]1 #ab1jjj c4c42 ,alcohol 7#ie p] c5t471 #be1fjj c4c4 ,,picric ,,acid ,,solution ,,= ,,burns4 ,picric acid cry/als1 gr4 xx 7#a4c gm472 ,alcohol 7#ie p] c5t471 fij 7#h c4c472 ,cold /]ile wat]1 fviij 7#bej c4c474 ,,*lorid ,,( ,,lime ,,solution4 ,*lorid ( lime1 v 7#afj gm472 ,wat]1 ,oviij 7#d ,l474 ,,solution ,,= ,,sore ,,nipples4 #a4 ,glyc]91 fss 7#ae c4c472 ,boric solution1 fss 7#ae c4c472 ,alcohol 7#ie p] c5t471 fss 7#ae c4c472 ,tannic acid1 gr4 xx 7#a4c gm474 #b4 ,comp\nd t9cture ( b5zo91 fj 7#cj c4c474 ,apply ) a cotton swab or camel's hair bru%4 ,,nipple ,,o9tm5t4 ,sulphur sub41 gr4 x2 ,acid tannic1 j2 ,borax pulv41 j2 ,syrup simp41 j2 ,glyc]9i1 ss4 ,wa% (f be=e nurs+4 ,,ari/ol ,,o9tm5t ,,= ,,crack$ ,,nipples4 ,ari/ol1 gr4 xxv 7#a4f gm472 ,vasel91 j 7#cj gm474 ,,soo?+ ,,lotions ,,= ,,! ,,h&s4 #a4 ,spirits camphor1 ,glyc]91 fj 7#cj c4c472 ,tr4 b5zo91 ,alcohol 7#ie p] c5t471 fv 7#aej c4c474 #b4 ,alcohol 7#ie p] c5t47 ,glyc]91 fj 7#cj c4c472 ,tr4 b5zo91 ,di/ill$ extract ( hamamelis 7wit*-hazel71 fij 7#fj c4c474 #c4 ,alcohol1 fij 7#fj c4c472 ,glyc]91 fij 7#fj c4c472 ,lemon juice1 fss 7#ae c4c472 ,tr4 myrrh1 fss 7#ae c4c474 #d4 ,wat]1 ,oj 7#ejj c4c472 ,boric acid cry/als1 iij 7#ab gr472 ,gum tragacan?1 ij 7#h gr474 ,all[ mixture to /& #h h\rs1 !n dissolve by boil+2 /ra9 ?r\gh cotton4 ,:ile /irr+ briskly add3 ,alcohol 7#ie p] c5t471 ,oss 7#bej c4c472 ,glyc]91 ,oss 7#bej c4c472 ,att> ( roses1 ij 7ad lib474 ,color ) *lorophyl if desir$4 #e4 ,glyc]91 ,:isky1 ,p]oxid1 ,,an ,,inunction ,,= ,,! ,,h&s ,,:5 ,,! ,,sk9 ,,is ,,dry ,,& ,,h>%4 ,lanol91 iij 7#ij c4c472 ,olive oil1 j 7#cj c4c474 ,,lass>',s ,,pa/e ,,= ,,eczemat\s ,,sores ,,& ,,ulc]s4 ,salicylic acid1 gr4 x 7#j4fe gm472 ,pulv]iz$ />*1 ij 7#h gm472 ,z9c oxid1 ij 7#h gm472 ,vasel91 ss 7#af gm474 ,,unna',s ,,pa/e4 ,z9c oxid p[d41 p\nd2 ,%eet gelat91 p\nd2 ,glyc]91 xiv2 ,wat]1 xx2 ,salicylic acid p[d41 gr4 xvj4 ,dissolve gelat9 9 wat] & glyc]94 ,heat 9 a d\ble boil] & /ir 9 z9c oxid4 ,,c>ron ,,oil ,,= ,,burns4 ,lime-wat]1 ,raw l9se$ oil1 ,( ea*1 equal p>ts4 ,,borat$ ,,vasel94 ,boric acid1 gr4 xx 7#a4c gm472 ,/]ile vasel91 j 7#cj gm474 ,mix ?or\ghly2 d n heat4 ,,c>bolat$ ,,vasel94 ,c>bolic acid 7#ie p] c5t471 v 7#j4c c4c472 ,/]ile vasel91 j 7#cj gm474 ,,borat$ ,,glyc]94 ,boric acid1 iss 7#f gm472 ,/]ile glyc]91 fij 7#fj c4c474 ,,=tifi$ ,,oil4 ,croton oil1 j2 ,ca/or oil1 j-xiv4 ,,sanitas ,,jelly4 ,vasel91 j 7#cj gm472 ,sanitas1 gtt4 iv4 ,,salol ,,vasel9 ,,= ,,burns4 ,salol1 gr4 xx 7#a4c gm472 ,/]ile vasel91 j 7#cj gm474 ,,sweat+ ,,( ,,! ,,feet ,,& ,,axilla4 ,solution ( =maldehyd1 fss 7#b c4c472 ,wat]1 fvij 7#baj c4c474 ,"o application is usually suffici5t4 ,fur!r applications %\ld be made ) great caution4 ,,enemas ,,= ,,flatul5ce4 #a4 ,:ite ( #a egg 7beat571 ,oil ( turp5t9e 7add drop by drop71 fj 7#d c4c472 ,olive oil1 fj 7#cj c4c472 ,w>m wat]1 ,oj 7#ejj c4c474 #b4 ,:ite ( #a egg 7beat571 ,glyc]91 fij 7#fj c4c472 ,oil ( turp5t9e 7add drop by drop71 fij 7#h c4c472 ,w>m wat]1 ,oj 7#ejj c4c474 #c4 ,w>m wat]1 qt4 j2 ,yea/1 cake4 ,mix ?or\ghly4 #d4 ,hot wat]1 qt4 j2 ,pulv4 alum1 j 7by measure74 #e4 ,molasses1 viij2 ,milk1 viij4 ,foll[ by #a p9t ( w>m wat] )9 five m9utes to secure bett] result & to relieve f]m5tation t foll[s ! injection4 #f4 ,milk ( asafetida1 j2 ,w>m wat]1 ,oj4 ,,glyc]9 ,,enema4 ,glyc]91 j-iv 7#cj-abj c4c472 ,w>m soapy wat]1 j-iv 7#cj-abj c4c474 ,,ox-,,gall ,,enema4 ,ox-gall1 ss 7#ae gm472 ,w>m wat]1 ,oij 7#a ,l474 ,,comp\nd ,,ox-,,gall ,,enema4 ,ox-gall1 j 7#d gm472 ,ca/or oil1 fiv 7#aah c4c472 ,:ite ( #b eggs1 ,w>m wat]1 ,oj 7#ejj c4c474 ,,sal9e ,,enema4 ,magnesium sulphate 7,epsom salt71 j 7#cj gm472 ,hot wat]1 suffici5t to dissolve4 #a-b-c ,,enema4 ,magnesium sulphate1 j 7#cj gm472 ,glyc]91 fij 7#fj c4c472 ,hot wat]1 fiij 7#ij c4c474 ,,comb9ation ,,enema4 ,turp5t9e1 j2 ,olive oil1 j2 ,:ite ( "o egg2 ,tr4 asafetida1 j2 or ,milk ( asafetida1 j4 ,beat egg well & ) olive oil make an emulsion ( ! turp5t9e4 ,,/>*-,,wat] ,,enema4 ,/>*1 j 7#cj gm474 ,mix ) suffici5t cold wat] to make a ?ick pa/e2 p\r on boil+ wat] until x becomes ( ! consi/5ce ( mucilage4 ,f #aj to #cj m9ims 7#j4f-b c4c47 ( laudanum are (t5 add$ to ?is enema4 ,,/imulat+ ,,enemas4 #a4 ,black c(fee1 viij2 ,:isky1 j4 #b4 ,hot ,n4 ,s4 ,s41 viij2 ,:isky1 j4 #c4 ,black c(fee1 viij2 or ,hot ,n4 ,s4 ,s41 xij2 ,)\t :isky4 ,,n\ri%+ ,,enemas4 #a4 ,malt$ milk1 ss 7#ae gm472 ,somatose1 j 7#d gm472 ,wat]1 fiv 7#aah c4c472 ,sodium *lorid1 gr4 xx 7#a4c gm472 ,:ite ( #a egg1 ,add peptoniz$ milk or br&y1 p4 r4 n4 #b4 ,peptoniz$ milk1 fx 7#cjj c4c472 ,:ite ( #b eggs1 ,alcohol 7#ie p] c5t471 fij 7#h c4c472 ,p9* ( salt4 ,,! ,,me?od ,,( ,,adm9i/]+ ,,nutritive ,,or ,,/imulat+ ,,enemas4 ,prep>e ! fluid & heat to betwe5 #ajj-aaj ,f4 ,p\r ! mixture into an enema pail or d\*e bag4 ,to ! tub+ atta* a l>ge rubb] ca!t] or small rectal tube by means ( a glass nozzle4 ,place ! pati5t on ! left side ) ! knees flex$4 ,p]mit ! fluid to fl[ ?r\gh ! tube to expel ! air & !n make pressure close to ! po9t until ready to introduce x4 ,lubricate ! ca!t] ) vasel9 or oil & ins]t g5tly eight or n9e in*es4 ,d n slip ! ca!t] =w>d or backw>d unless absolutely necess>y to enc\rage ! fluid to fl[1 = x only increases ! p]i/alsis & induces ! pati5t to expel ! cont5ts :i* %\ld be reta9$4 ,press ! tube suffici5tly to all[ ! solution to run v sl[ly1 & occasionally make int]mitt5t /oppage until x has all be5 giv54 ,^u )draw+ ! tube make digital pressure ) a s(t clo? aga9/ ! anus = a m9ute or two4 ,! use ( an enema pail 9 place ( a funnel insures m favorable results4 ,moreov]1 x is an easi] & clean] me?od & gives ! advantage ( hav+ only ! tube to take c>e (4 ,,am\nts ,,to ,,be ,,giv5 ,,9 ,,cleans+ ,,enemas4 ,adults1 ,oj-iv2 ,*ildr51 viij-xvj2 ,infants1 ij4 ,,temp]ature ,,( ,,enema ,,fluids4 ,nutritive enema1 #ajj ,f4 ,/imulat+ enema1 #aaf ,f4 ,cleans+ enema1 #ajj ,f4 ,,mu/>d ,,pla/]4 ,mu/>d1 #a tablespoonful2 ,fl\r1 #c tablespoonfuls2 ,glyc]91 #a tablespoonful2 ,bak+ soda 7dissolv$ 9 hot wat]71 #a teaspoonful4 ,beat well & spread betwe5 two lay]s ( musl9 or s(t l954 ,apply f #ae to #cj m9utes4 ,,mu/>d ,,p\ltice4 ,mu/>d1 #b p>ts2 ,gr\nd flaxse$1 #d 8 ,hot wat]1 a suffici5t quantity4 ,,flaxse$ ,,p\ltice4 ,gr\nd flaxse$1 cupful2 ,olive oil1 #b teaspoonfuls4 ,add en\gh boil+ wat] to make a ?ick pa/e4 ,cook = a few m9utes1 & beat ?or\ghly4 ,,onion ,,p\ltice4 ,slice a l>ge onion & fry 9 l>d or olive oil4 ,place betwe5 lay]s ( s(t clo?4 ,x %\ld n be w>m$ ov]4 ,,turp5t9e ,,/upes4 #a4 ,add #c teaspoonfuls ( oil ( turp5t9e to #a p9t ( boil+ wat]4 ,imm]se ! flannel & /ir4 ,remove ! flannel1 wr+ x out 9 a twi/$ t[el until x no long] drips4 ,ano9t ! sk9 ) olive oil1 & !n apply fom5tation until x causes "s discom=t or r$ness4 ,if all[$ to rema9 too long1 x w bli/] ! sk94 #b4 ,oil ( turp5t9e1 #a "p2 ,olive oil1 #g p>ts4 ,apply ) applicator or s(t clo? e #d or #f h\rs1 & fom5tations p4 r4 n4 ,,spice ,,p\ltice4 ,p[d]$ cloves2 p[d]$ g+]2 p[d]$ c9namon1 ( ea* f #a to #b teaspoonfuls2 fl\r1 a tablespoonful2 :isky1 en\gh to make a pa/e suffici5tly s(t to spread on flannel4 ,,can?>ides ,,bli/]4 ,can?>ides is us$ = ?is purpose1 ei!r z a pla/] or 9 liquid =m2 t is1 9 ! =m ( vesicat+ collodion4 ,its mo/ frequ5t use is z a pla/]1 r>ely ov] "o & a half in*es squ>e4 ,scrub ! p>ts well ) soap & wat]1 & dry & rub ) a s(t clo? until ! sk9 is r$1 !n apply ! pla/] & b&age lightly1 s !re may be pl5ty ( room = ! =mation ( ! bli/]4 ,vesication is produc$ g5]ally )9 f\r to eight h\rs2 if x is n1 ! pla/] %\ld be remov$ & ! op]ation complet$ by apply+ a p\ltice4 ,great c>e %\ld be ex]cis$ :5 bli/]+ pati5ts suff]+ f kidney affections4 ,can?>ides is an acute irritant1 & n infrequ5tly causes /rangury or acute nephritis4 ,:5 ! can?>idal collodion is us$ ! space to be cov]$ is outl9$ ) oil to prev5t spread+2 ! collodion is appli$ ) a camel's hair bru% or o!r applicator1 & cov]$ ) a lay] ( s(t l9t & oil silk4 ,dress+ ! ,bli/]4--,puncture ! l[] "p ( ! bleb2 absorb ! fluid ) a piece ( s(t cotton2 ano9t ) pure vasel91 & apply a s(t dress+4 ,b&age lightly4 ,sometimes x is desirable to h ! fluid reabsorb$ into ! sy/em1 9 :i* case precautions mu/ be tak5 to prev5t ! bli/] f ruptur+4 ,,applications ,,= ,,p$iculosis 7,,lice74 #a4 ,pulv]iz$ l>kspur se$1 j 7#cj gm472 #b4 ,pulv]iz$ sabadilla se$1 j 7#cj gm472 ,boil+ wat]1 ,oj 7#ejj c4c474 ,"o application ( ^! infusions is usually suffici5t4 #c4 ,k]os5e oil is a *eap & excell5t application2 x also removes d&ruff3 ,rub lightly ^u ! scalp = "o or two nights & foll[ 9 ! morn+ by a %ampoo ( soap & wat]4 ,to de/roy ! nits apply hot v9eg> e o!r day4 #d4 ,wa% hair & scalp ?or\ghly ) a good soap1 !n saturate hair ) hot v9eg> & tie up securely4 ,repeat = a few days4 ,,hair ,,tonics4 #a4 ,resorc91 gr4 xlviij 7#c gm472 ,glyc]91 fij 7#h c4c472 ,alcohol 7#ej p] c5t471 fij 7#fj c4c474 ,rub into ! scalp ea* night4 #b4 ,t9cture ( can?>ides1 fij 7#h c4c472 ,t9cture ( nux vomica1 fss 7#ae c4c472 ,t9cture ( capsicum1 fj 7#d c4c472 ,bay rum1 fij 7#fj c4c474 ,rub into ! scalp at night4 #c4 ,t9cture ( can?>ides1 fij 7#h c4c472 ,qu99 bisulphate1 gr4 xx 7#a4c gm472 ,bay rum1 fiv 7#abj c4c472 ,ra9-wat] or di/ill$ wat]1 fiv 7#abj c4c474 ,rub into ! scalp ea* night4 ,,= ,,matt$ ,,hair4 ,use :ite vasel9 freely ea* day4 ,untangle ! ends & "w gradually t[>d ! scalp4 ,,!rmometry4 ,9 ! ,fahr5heit scale !re are #ahj degrees betwe5 ! melt+-po9t ( ice & ! boil+-po9t ( wat]4 ,9 ! ,c5tigrade scale !re are #ajj degrees betwe5 ! freez+ & boil+ po9t ( wat]4 ,,rules ,,= ,,conv]t+ ,,"o ,,scale ,,into ,,! ,,o!r4 ,to conv]t ,fahr5heit degrees into ^? ( ,c5tigrade3 ,subtract #cb1 multiply by #e1 & divide by #i4 ,= example3 #ajd ,f4 - #cb #gb2 #gb _/ #dj ,c4 ,to r$uce ,c5tigrade degrees into ^? ( ,fahr5heit3 ,multiply by #i1 divide by #e1 & add #cb4 ,= in/ance3 #dj ,c4 _/ #gb #cb #ajd ,f4 ,,table ,,( ,,!rmometric ,,equival5ts4 #cf ,c5tigrade #if4h ,fahr5heit4 #cg 8 #ih4f 8 #ch 8 #ajj4b 8 #ci 8 #ajb4b 8 #dj 8 #ajd4j 8 #da 8 #aje4h 8 #db 8 #ajg4f 8 ,,to ,,conv]t ,,!rmomet] ,,read+s4 ,a correspond5t ( ! 8,lancet0 7,london7 (f]s a new alt]native me?od ( conv]t+ degrees ,c5tigrade into degrees ,fahr5heit1 :i* may be f\nd easi] to p]=m m5tally ?an ! usual me?od1 because ! factors c be m easily reta9$ 9 ! memory4 ,?is me?od consi/s ( multiply+ ! c5tigrade figures by #b1 d$uct+ "o-t5? ( ! product1 & add+ #cb4 ,example 7a71 #cj ,c4 #hf ,f4 ,me?od3 #cj #b #fj4 #fj - #f #ed4 #ed #cb #hf4 ,example 7b71 #cg ,c4 #ih4f ,f4 ,me?od3 #cg #b #gd4 #gd - #g4d #ff4f4 #ff4f #cb #ih4f4 ,example 7c71 #dj ,c4 #ajd ,f4 ,me?od3 #dj #b #hj4 #hj - #h #gb4 #gb #cb #ajd4 ,,rules ,,( ,,tak+ ,,temp]ature4 ,p] m\?4--,reta9 !rmomet] f #a to #c m9utes4 8 rectum 8 8 8 #c 8 #e 8 8 axilla 8 8 8 #aj 8 #ae 8 ,temp]ature p] rectum is ,f4 high] ?an p] m\?4 8 8 axilla is _/ to _/ ,f4 l[] ?an p] m\?4 ,,temp]ature ,,( ,,wat]4 ,cold signifies a temp]ature bel[ #fe ,f4 ,cool 8 8 betwe5 #fe ,f4 & #hj ,f4 ,tepid 8 8 8 #hj 8 #ij 8 ,w>m or neutral 8 8 #ij 8 #ajj 8 ,hot #ajj 8 above4 ,v hot or v cold indicates extremes ( temp]ature4 ,,pulse ,,rate4 ,six to twelve mon?s #aje-aae4 ,two to six ye>s #ij-aje4 ,sev5 to t5 ye>s #hj- #ij4 ,elev5 to f\rte5 ye>s #ge- #he4 ,adults #fj- #gh4 ,,respirations4 ,two mon?s to two ye>s #ce p] m9ute4 ,two mon?s to six ye>s #bc 8 8 ,six mon?s to twelve ye>s #bj 8 8 ,twelve mon?s to fifte5 ye>s #ah 8 8 ,fifte5 mon?s to tw5ty-"o ye>s #af-ah 8 8 ,,ur9e ,,analysis4 ,normal ur9e is a cle>1 wat]y fluid1 ) an acid reaction & a specific gravity ( f #ajah to #ajbj4 ,x is compos$ ( inorganic salts1 organic con/itu5ts1 toge!r ) "s color+ & a small am\nt ( mucus4 ,! mo/ important ( ^! inorganic salts are *lorid ( sodium1 phosphate ( potassium1 & ! sulphates ( calcium & magnesium4 ,! inorganic con/itu5ts are *iefly urea1 uric acid1 & poison\s inorganic sub/ances f\nd 9 ! body4 ,! normal am\nt ( ur9e void$ by an adult weigh+ #afj p\nds is f #dj to #gj ounces 9 tw5ty-f\r h\rs4 ,! am\nt may be increas$ by dr9k+ l>ge quantities ( fluid1 especially wat]1 & dim9i%$ by p]spiration1 emotion1 & copi\s b[el movem5ts4 ,normal ur9e is aromatic4 ,9 heal? x may be fa9tly alkal9e at c]ta9 times ( ! day4 ,ur9e pass$ 9 ! morn+ has an acid reaction1 a high specific gravity1 & a d>k color4 ,aft] a he>ty meal x may be turbid--p]haps alkal9e1 & ( l[ specific gravity4 ,l>ge quantities are pale1 & v>y ) conc5tration4 ,:5 j pass$ x is cle>2 !n x collects a cl\dy mat]ial made up ( muc\s corpuscles1 :i* c be easily %ak5 up4 ,conc5trat$ ur9e1 :5 x cools1 deposits a p9ki% 7brick-du/7 precipitate4 ,g5tle heat cle>s x up4 ,:5 highly conc5trat$ ! cry/als are r$4 ,:5 !y collect & adh]e toge!r !y become /ones2 if all precipitate on heat+ x is normal ur9e4 ,alkal9e ur9e ?r[s d[n phosphates t are held 9 solution & cle>s up on addition ( any acid2 if ur9e is cold & acid 9 reaction1 s$im5t1 if pres5t1 may be urates1 b is n phosphates2 if ur9e is alkal9e1 !y are normal phosphates4 ,,to ,,te/ ,,reaction4 ,litmus-pap] is us$4 ,acid *anges ! blue to r$4 ,alkal9e *anges r$ to blue4 ,:5 ur9e does n affect litmus-pap] x is said to be neutral4 ,pus 9 ur9e is turbid or milky 9 appe>ance2 aft] /&+ a :ile x settles d[n4 ,album9 9 ur9e is held 9 solution1 & !re=e _c be se54 ,a ,,simple ,,& ,,rapid ,,te/ ,,= ,,album94 ,fill an ord9>y te/-tube half full ( ur9e1 & add a half dram or m ( potassium f]rocyanid solution 7#a to #bj74 ,aft] ?or\ghly m+l+ ! ur9e & ! reag5t1 add a few drops ( acetic acid 7#ej p] c5t472 !n pause = a half m9ute & note ! *ange4 ,if album9 be pres5t x w come pla9ly into view )9 half a m9ute to a m9ute1 9 ! =m ( :ite1 milk-l opacity1 diffus$ ?r\gh\t ! :ole cont5ts ( ! tube4 ,! above me?od precipitates all modifications ( album94 ,on ! o!r h&1 x gives no reaction ) phosphates1 peptones1 muc91 ! alkaloids1 urates1 or ! pure acids4 ,! reaction t sometimes occurs on long /&+ betwe5 ! acid & potassium f]rocyanid %\ld n be mi/ak5 = album94 ,! album9\s reaction appe>s )9 half a m9ute or s1 :ile ! o!r occurs only aft] t5 m9utes to half an h\r1 & is m+l$ ) m or less blue coloration4 ,,to ,,obta9 ,a #bd-;,,h\r ,,specim5 ,,( ,,ur9e4 ,beg9 e>ly 9 ! morn+4 ,?r[ away ! fir/ ur9ation4 ,save all fur!r ur9ations = ! next tw5ty-f\r h\rs4 ,= in/ance3 ,pati5t ur9ates at #f ,a4,m4 ,?is fir/ ur9ation is ?r[n away1 or sav$ = an ,a4,m4 specim5 if requir$ & pati5t's bladd] is empty4 ,save all succe$+ ur9ations = ! next tw5ty-f\r h\rs1 at ! end ( :i* "t 7#f ,a4,m47 reque/ ! pati5t to ur9ate1 & save ! la/ ur9ation also1 to complete ! specim54 ,?is gives u tw5ty-f\r h\rs' secretion4 ,! addition ( solution ( =maldehyd 7fij7 to a tw5ty-f\r h\r specim5 ( ur9e w pres]ve x1 & prev5t f]m5tation be=e ! analysis is made4 ,,infant ,,fe$+4 #a4 ,if ! b[el movem5ts are curdy1 we may take x z an indication ( an excess ( proteids4 #b4 ,s\r vomit+ (t5 indicates too mu* fat4 #c4 ,/ools t are v wat]y b )\t curds may result f too mu* sug> or too mu* fat4 #d4 ,vomit+ ( h>d1 curdy masses may indicate too mu* proteids4 #e4 ,%\ld ! *ild seem to d well on its food 9 e way except t x does n ga9 9 weight1 x may be t ! sug> is too l[4 #f4 ,vomit+ may mean t ! *ild has eat5 too mu*4 #g4 ,brea/ milk is ! be/ infant food4 #h4 ,no artificial food c or %\ld be tru/$ :i* does n conta9 ! ess5tials ( brea/-milk--viz41 fat1 proteids1 & sug>4 #i4 ,! elem5ts nam$ are to be f\nd only 9 milk1 c[s' milk be+ ! only "o available = g5]al use4 #aj4 ,c[s' milk mu/ be modifi$1 because x does n conta9 ! same proportions ( ! elem5ts nam$4 ,,con/itu5ts ,,( ,,good ,,"m',s ,,milk4 ,reaction ,alkal9e4 ,conta9s #c to #d p] c5t4 ( fat ,sp4 gravity 8 #f to #g 8 8 ( sug> #ajcj4 8 #a to #b 8 8 ( proteids ,inorganic mat]ials _/ to _/ ( #a p] c5t4 ,av]age p]c5tage1 #ab p] c5t4 ( solids to #hh p] c5t4 ( wat]4 ,,regulat+ ,,! ,,composition ,,( ,,"m',s ,,milk4 ,! p]c5tage ( proteids ,increas$ frequ5cy ( nurs+2 is increas$ by ,increas$ lib]ality ( nurs+ & insuffici5t ex]cise4 ,! p]c5tage ( fat is ,defici5cy ( proteid food2 increas$ by ,excess ( fatty foods & fa/+4 ,! p]c5tage ( wat] ,increas$ fluid diets4 is increas$ by ,! p]c5tage ( wat] ,sal9e ca?>tics & dim9i%$ is dim9i%$ by fluid diets4 ,p]c5tage ( sug> & a% v>y little4--,,dr4 ,,cotton4 ,,=mul ,,= ,,artificial ,,fe$+ ,,= ,,babies4 ,age4 #a4 ,sug> ( milk j ,/]ile wat] xij ,lime-wat] ss ,f #c;d to #ad? day4 ,cream ss ,milk ss #b4 ,sug> ( milk j ,/]ile wat] xij ,lime-wat] j ,f #b;d week to #f? week4 ,cream j ,milk j #c4 ,sug> ( milk j ,/]ile wat] x ,lime-wat] j ,f #f? week to #aa? week4 ,cream j ,milk j #d4 ,sug> ( milk j ,/]ile wat] viij ,lime-wat] ss ,f #aa? week to #e mon?s4 ,cream j ,milk j #e4 ,sug> ( milk j ,/]ile wat] vij ,lime-wat] ss ,f #e mon?s to #i mon?s4 ,cream j ,milk ijss #f4 ,granulat$ sug> ss ,/]ile wat] v ,f #i mon?s to #ab mon?s4 ,cream j ,milk,a jv ,a ,x is sometimes desirable to sub/itute :ey = milk & wat]4 ,,am\nt ,,( ,,fe$+s ,,= ,,infants4 ,tw5ty-f\r-h\r ,numb] ( fe$+s1 ,age4 am\nt4 am\nt & int]vals4 #aj fe$+s ( #a ounce at #b h\r int]vals4 #a week #aj to #ab ounces #h fe$+s ( #a ounces at #b h\r int]vals4 #h fe$+s ( #b ounces at #b h\r int]vals4 #d weeks #bj ounces #g fe$+s ( #c ounces at #c h\r int]vals4 #g fe$+s ( #d ounces at #d mon?s #cb ounces #c h\r int]vals4 #f fe$+s ( #f to #f ounces #f mon?s #cf to #dj ounces at #c h\r int]vals4 #f fe$+s ( #h ounces at #c h\r int]vals4 #i mon?s #dh ounces #e fe$+s ( #i ounces at #c to #d h\r int]vals4 ,fir/ tw5ty-f\r h\rs--,infant %\ld receive only wat]1 & aft] t wat] to be giv5 only betwe5 fe$+s1 #a to #b ounces e f\r h\rs4 ,wat] may be sweet5$ ) sac*>94 ,normal infant may fe$ e ?ree or f\r h\rs & only "o fe$+ dur+ night4 ,aft] eight mon?s old1 no fe$+ aft] #aj ,p4 ,m4 ,?ree mon?s' *ild may take #e ounces at "o fe$+4 ,six mon?s' *ild may take #g ounces at "o fe$+4 ,n9e mon?s' *ild may take #i ounces at "o fe$+4 ,! *ild %\ld consume ! cont5ts ( a bottle 9 tw5ty m9utes4 ,orange juice is n a necess>y food unless milk is pa/euriz$ or /]iliz$ 7boil$7 & 9 case ( con/ipation4 ,give #a or #b teaspoonfuls "o h\r be=e fe$+4 ,aft] n9e mon?s r$uce am\nt ( milk & increase am\nt ( c>bohydrates1 su* z />* gruels1 fl\r ball1 b>ley fl\r1 oatmeal1 & vegetable s\p4 ,zwieback or dry toa/ may be plac$ 9 infant's h& to tea* x h[ to fe$ itself4 ,milk all[$ 9 second ye>1 #a qu>t 9 tw5ty-f\r h\rs4 ,fruit juices may n[ be giv5 & %\ld =m a "p ( ! food aft] fifte5 mon?s ( age4 ,vegetables1 su* z beets1 sp9a* & c>rots *opp$ f9e & squeez$ ?r\gh col&]1 may be a "p ( ! regul> diet 9 f\r meals a day4 ,a *ild two ye>s old may h small quantities ( fre% fi%1 t5d] *ick51 or beef/eak4 ,no gre5 fruits %\ld be giv5 "u f\r ye>s ( age4 ,eggs %\ld be s(t-boil$ = two m9utes or coddl$ f\r m9utes1 & !n only "o a day if x agrees ) ! *ild4 ,,rules ,,= ,,/]iliz+ ,,bottles4 ,boil bottles & nipples 9 #b p] c5t4 soda solution = five m9utes1 !n 9 cle> wat] = five m9utes4 ,keep empty bottles & nipples n 9 use 9 /]ile wat] or weak boric solution4 ,plug ) raw cotton4 ,,to ,,pa/eurize ,,milk4 #a4 ,place bottles 9 vessel ( w>m wat]4 ,heat to #adg ,f4 ,keep at t temp]ature ?irty m9utes4 ,take vessel (f /ove & cov] ) a heavy blanket4 ,!n p\r (f hot wat] & fill vessel ) cold wat] to cool ! milk quickly4 #b4 ,put milk 9 d\ble boil] & raise to a temp]ature ( #aej to #aee ,f4 ,let /& at ?is temp]ature = tw5ty to ?irty m9utes4 ,pa/euriz+ milk does n kill ! f]m5ts 9 ! milk1 b x kills almo/ all bact]ia except ! spore-be>+ bact]ia1 ( :i* ! gas bacillus is ! mo/ important4 ,,to ,,/]ilize ,,milk4 ,boil milk = five m9utes & !n prep>e z = pa/euriz+1 keep+ x at temp]ature ( #adg ,f4 = ?irty m9utes & cool+ x by ! same process z giv5 = pa/eurization4 ,boil+ milk kills all bact]ia4 ,x is said t heat+ ( milk to ?is degree impairs its nutritive value4 ,note4--,spores develop quickly 9 lukew>m milk1 !re=e ! necessity ( cool+ x quickly & plac+ x 9 refrig]ator4 ,,modifi$ ,,milk4 ,add wat] or o!r sub/ances to c['s milk to *ange x to agree ) ! dige/ion ( ! infant4 ,malt$ foods :5 mix$ ) wat] are defici5t1 & by add+ milk or cream x becomes modifi$ milk4 ,all mixtures %\ld be cold :5 add+ milk1 & wat] /]iliz$ :5 us$ z a dilu5t4 ,note4--,! natural food = ! infant is human milk4 ,! brea/-f$ babies are heal?i]1 m vigor\s1 & m resi/ant to disease4 7,see ,rickets & ,scurvy47 ,,sug>s4 ,lactose or milk-sug> is be/ = normal babies4 ,x may split up 9 ! inte/9es into acids & :5 x f]m5ts is likely to be a laxative4 ,sucrose 7cane-sug>7 has no advantage ov] lactose1 except t x is *eap]4 ,d n give sucrose if o!r sug>s are on h&4 ,maltose 7malt-sug>7 is exp5sive & is nev] giv5 pure4 ,dissolve all sug>s 9 w>m /]iliz$ wat]4 ,malt extract is m laxative ?an o!r milk-sug> prep>ations4 ,malt extract %\ld be br\ght to boil+-po9t only4 ,,propriet>y ,,foods4 ,cond5s$ & evaporat$ milks4 ,malt$ foods1 conta9+ />*4 ,/>*y foods & v>i\s dry p[d]s4 ,k9dolac1 a dri$ milk4 ,imp]ial ,granum4 ,us$ 9 ! same way z b>ley fl\r is prep>$4 ,eskay's ,food1 :i* is valueless unless mix$ ) c[s' milk4 ,mell9's ,food & ,horlick's ,malt$ ,milk4 ,! diff]5ce betwe5 ,mell9's & ,horlick's food is t ,horlick's ,milk has z its basis a dri$ milk prep>ation conta9+ maltose & dextr9s4 ,use propriet>y p[d]s 9 ! same way z oatmeal or fl\r b>ley4 ,note4--,propriet>y foods are only giv5 to tide ov] a delay$ fe$+ ( "m's milk4 ,,c>bohydrate ,,=mul4 ,horlick's food1 #aa teaspoonfuls ,dextrimaltose1 #aj 8 ,mell9's ,food1 #aa 8 ,milk-sug>1 #i 8 ,b>ley fl\r1 #ae 8 ,fl\r ball1 #ab 8 ,dissolve c>bohydrates 9 /]iliz$ wat] be=e add+ milk4 ,all mixtures %\ld be cold :5 add+ milk4 ,,fl\r ,,ball4 ,f\r cups ( :eat fl\r2 place 9 musl9 bag2 place 9 w>m wat] & boil six h\rs4 ,aft] tak+ out ( bag1 remove out] "p2 !n break up 9 *unks1 place 9 radiator or sl[ ov5 to dry out4 ,pulv]ize by gr9d+4 ,may use x in/ead ( sug>4 ,,b>ley ,,gruel4 ,"o tablespoonful b>ley fl\r2 #a qu>t ( wat]4 ,boil tw5ty to ?irty m9utes1 !n /ra94 ,,rice ,,gruel ,,& ,,oatmeal ,,gruel4 ,prep>e ! same z b>ley gruel4 ,note4--,! fl\rs ?us made are v good c>bohydrate foods4 ,gruels f ?is k9d ( fl\r settle on /&+4 ,to prev5t ?is1 add b>ley1 oat1 or :eat gruel fl\r be=e cook+4 ,9 us+ />*1 boil solution "o h\r4 ,,skimm$ ,,milk is prep>$ by remov+ ! gravity cream or by a c5trifuge4 ,,homog5iz$ ,,milk is prep>$ by mix+ olive oil & skimm$ milk "u great valvul> pressure4 ,,:ey4 #a4--;,boil #a qu>t ( milk2 add #b teaspoonfuls ( r5net4 ,keep at temp]ature ( #ajc ,f4 = ?irty m9utes4 ,/ra9 ?r\gh /]ile clo?4 ,to secure a f9e s(t curd add teaspoonful ( *ymog52 all[ to dra9 "o h\r4 ,sodium citrate s(t5s case9 curd4 ,,:ey ,,= ,,special ,,infant ,,fe$+4 ,add sodium bic>bonate1 gr4 x1 to p9t ( :ey to r5d] x alkal9e1 & sug> ( milk1 j1 to raise sug> to #f p] c5t4 ,,:ey3 ,,ess5ce ,,( ,,peps9 ,,=mul4 #b4--a p9t skimm$ milk2 #b teaspoonfuls ess5ce ( peps9 or r5net4 ,let milk 9 d\ble boil] heat to a temp]ature ( #aje ,f42 add peps92 /ir = a mom5t & let /& at same temp]ature = ?irty-five m9utes4 ,cut into cubes & raise temp]ature to #aee or #afj ,f4 to /op action ( ! r5net or peps94 ,!n /ra9 ?r\gh sev]al ?icknesses ( gauze & put on ice4 ,d n use pressure :ile /ra9+4 ,,r5net ,,tablet ,,=mula4 ,milk1 #a p9t2 ,r5net or junket tablet ,no4 #a1 gr4 j4 ,measure milk 9 d\ble boil] & raise to temp]ature ( #ih or #ajj ,f4 ,dissolve tablet 9 cold wat]1 ss to "o tablet4 ,/ir r5net ?r\gh milk & let /& at same temp]ature = ?irty or =ty m9utes4 ,cut into cubes & raise to temp]ature ( #aee or #afj ,f4 to /op ! action ( ! r5net4 ,/ra9 ?r\gh gauze & put on ice4 ,d n use pressure 9 /ra9+4 ,,milk ,,album54 ,milk1 #a qu>t2 ,*ymog51 #a dram2 ,butt]milk1 #a p9t4 ,i4 ,boil milk = five m9utes4 ,,ii4 ,cool to temp]ature ( #ajj to #aje ,f4 ,,iii4 ,add *ymog5 7dissolv$ 9 j ( cold wat]7 & let /& = "o h\r at temp]ature ( #ajj to #aje ,f4 ,,iv4 ,let dra9 ?r\gh *eese-clo? = "o & a half h\rs1 & !n ?r[ out ! :ey4 ,v4 ,press ! curd ?r\gh ! col&] twice1 add+ ! butt]milk z ! curd is press$ ?r\gh4 ,,vi4 ,make up ! qu>t by add+ /]ile wat]4 ,:5 ! food is to be giv5 to ! baby1 heat only en\gh to take (f ! *ill1 z m vigor\s heat+ w cause ! curd to clump at ! bottom ( ! bottle 9 l>ge curds4 ,if !re is any clump+1 %ake ! bottle well be=e giv+ to ! baby4 ,nev] put ! baby directly f a milk diet to a milk-album5 diet1 b give "o int]v5+ fe$+ ( b>ley wat] be=e giv+ milk-album5 diet4 ,,*ymog5 ,,us$ ,,in/ead ,,( ,,r5net4 ,boil milk two m9utes4 ,cool to temp]ature #ajj ,f4 ,add #fj gra9s ( *ymog5 to ! qu>t4 ,let /& until clabb] =ms4 ,!n dra9 curds4 ,,album5-,,wat]4 ,:ite ( "o egg2 ,wat]1 viij2 ,p9* ( salt4 ,add :ite ( egg to cold boil$ wat] & p9* ( salt4 ,%ake ?or\ghly or break ) =k & /ra9 ?r\gh "o ?ickness ( gauze to remove fro?4 ,,lactose ,,solution4 ,to ea* ounce ( milk-sug> add #a ounces ( wat] 7boil$74 ,heat until all ! sug> is dissolv$4 ,filt]1 put 9 a /]ile bottle1 plug ) /]ile absorb5t cotton1 & put on ice4 ,use iss = e ounce ( sug> ord]$4 ,subtract ?is am\nt f ! total am\nt ( wat] ord]$4 ,,p>tially ,,peptoniz$ ,,milk4 ,milk1 ,oj2 ,wat]1 ij2 ,peptoniz+ p[d]1 #a tube4 ,put milk & wat] into a bottle & add ! peptoniz+ p[d]4 ,%ake well & place bottle 9 w>m wat] f #aje to #aae ,f41 & leave ab\t t5 m9utes at t temp]ature4 ,%ake f "t to "t4 ,,completely ,,peptoniz$ ,,milk4 ,! process is exactly ! same z ! p>tially peptoniz$ milk1 except t x is cont9u$ = two h\rs1 :i* is requir$ = ! conv]sion ( all ! prote9s into peptones4 ,= old] *ildr5 ! bitt] ta/e may be cov]$ by lemon-juice & cane-sug>1 "o ev5 teaspoonful ( cane-sug> & two teaspoonfuls ( lemon-juice be+ add$ to iv ( milk4 ,,butt]milk4 ,to #a qu>t ( fat-free milk add #h ounces ( /]ile wat]4 ,cru% tablet ( lactic acid bacilli into ! mixture2 all[ to /& = tw5ty-f\r h\rs at room temp]ature1 !n place on ice4 ,,directions ,,= ,,mak+ ,,butt]milk ,,f ,,lactone ,,tablets4 ,fre% skimm$ milk1 #a qu>t2 ,hot wat]1 #a to #b cupsful2 ,salt1 teaspoonful2 ,lactone tablet1 #a4 ,add hot wat] to milk2 !n salt2 !n ! lactone tablet1 well cru%$4 ,/ir well1 cov] ) clean t[el1 & leave at ord9>y room temp]ature4 ,:5 ! milk becomes ?ick & f]m5t$ set 9 ice-box = use4 ,be=e us+ heat ! butt]milk until p]fectly smoo?4 ,,b>ley ,,jelly4 ,?ree tablespoonfuls ( b>ley to #a p9t ( wat]4 ,cook two h\rs4 ,,oat-,,jelly4 ,oat fl\r1 #b tablespoonfuls to #a p9t ( wat]4 ,cook f\r h\rs & /ra94 ,oatmeal1 prep>e same z oat fl\r4 ,= a fe$+1 dilute ) baby's milk2 season ) a little salt4 ,d n use sug>1 !n ! *ild w n acquire ! ta/e = sweet5$ c]eals4 ,note4--,to cook c]eals use a fireless cook]4 ,,beef ,,juice4 ,i4 ,cut meat into "o-in* cubes2 broil slightly & press out juice ) meat-press or lemon-squeez]4 ,"o p\nd ( meat w make #b or #c ounces ( juice4 ,s]ve w>m or cold ) a little salt4 ,d n heat en\gh to coagulate album5 9 juice4 ,,ii4 ,cold me?od3 ,f9ely *opp$ beef1 #a lb42 ,wat]1 viij4 ,put 9 cov]$ j>2 all[ to /& on ice f six to twelve h\rs2 !n squeeze out by twi/+ 9 co>se musl94 ,season ) salt & s]ve z above4 ,?is conta9s a small] am\nt ( extractives4 ,x may be s]v$ ) %]ry w9e or cel]y salt4 ,if add$ to milk 9 ! proportion ( #b or #c tablespoonfuls to ! fe$+1 ! ta/e w n be notic$4 ,! milk %\ld n be heat$ ov] #ajj ,f41 z ! album5 w coagulate4 ,no4 ,i4 conta9s twice ! am\nt ( extractives z ,no4 ,,ii4 ,if ! /rong] juice is desir$1 ,no4 ,,ii4 may be made by add+ only iv ( wat] in/ead ( viij4 ,,vegetable ,,s\p ,,= ,,babies4 #a h&ful ( sp9a*2 #a beet2 #b c>rots4 ,*op f9e & boil two h\rs 9 #a qu>t ( wat]4 ,/ra9 ?r\gh gauze & add /]ile wat] to make up defici5cy to #a qu>t4 ,,too?a*e3 ,its ,=ms1 ,diagnosis1 & ,treatm5t = ,relief4 ,! %>p1 p>oxysmal1 %oot+ pa9 :i* is caus$ by ! application ( cold1 heat1 sweets or s\rs1 or by bit+ "s sub/ances into a cavity1 is due to a live pulp1 & ! treatm5t is q simple4 ,clean out ! cavity z well z possible1 !n saturate a small pellet ( cotton ) oil ( cloves1 or "o drop ( c>bolic acid1 or a solution ( coca9e hydro*lorate & clove oil4 ,place ?is 9 ! cavity & add ano!r pellet ( cotton to prev5t ! solution f be+ wa%$ out by saliva4 ,relief %\ld be imm$iate1 b if n1 reapply )9 a few m9utes4 ,! dull1 ?robb+ pa91 ) swell+ ( ! face & a s5sation ( elongation ( ! too?1 is caus$ by ei!r a putresc5t pulp or an imp]fect root canal fill+4 ,!re is infection2 !re=e1 ! fir/ ?+ to d is to remove ! pus4 ,d5tal ,treatm5t4--,if !re is a l>ge cavity 9 ! too?1 try to ent] ! root canals & remove ! putresc5t matt]4 ,if ! face is badly swoll51 make a digital exam9ation1 & ov] ! root ( ! affect$ too? y w f9d a spot ab\t ! c5t] ( ! swell+ :]e x seems to be spongy1 appe>+ to hold ! impress ( ! f+]4 ,take a clean1 %>p1 cycle-%ap$ lancet1 place on ! spot1 hold+ ! pati5t's head firm ) y\r o!r arm = fe> ( 8 mov+4 ,press ! lancet firmly & directly ?r\gh to ! bone1 !n draw x out ) a pull+ motion s z to make a cut ab\t an eigh? ( an in* or m4 ,if ?is has be5 done prop]ly1 a creamy fl[ ( pus %\ld foll[ ! lancet4 ,place ! f+]s on ei!r side ( ! incision & massage t[>d incision4 ,to relieve ! pa91 give hot foot-ba?s1 cold applications to face 7nev] hot71 & "s o!r s$ative int]nally1 su* z rem$ies giv5 = a heada*e4 ,:5 a too? is sore to p]cussion1 s t ! food _c be ma/icat$1 b is )\t pa9 :5 left at re/1 if !re is no pa9 ov] ! root ( ! too?1 x is be/ to give ! too? a re/1 & apply c\nt]irritants ov] ! roots ( ! adjac5t tee?4 ,?is condition is call$ apical p]icem5titis1 an inflammation ( ! lay] ( bone ab\t ! fangs ( tee?4 ,= relief1 give hot foot-ba?s & pa9 rem$ies1 z 9 abscess$ too?4 ,a dead pulp 9 a too? w =m gas & cause ! s5sation ( elongation & sor5ess4 ,if ! putrefaction is n remov$1 an abscess w result4 ,at fir/ !re w be no sor5ess to pressure ov] ! root1 b on application ( heat1 su* z dr9k+ hot c(fee1 !re w be pa91 :ile cold wat] w tempor>ily remove x4 ,d5tal ,treatm5t4--,op5 ! *amb] & remove ! putresc5t pulp1 be+ c>eful n to g beyond ! apical =am54 ,use a b>b$ broa*1 !n wa% out ) p]oxide ( hydrog5 on a ?read ( absorb5t cotton wrapp$ smoo?ly ab\t ! broa*4 ,d n pu% ! in/rum5t up into ! canal v f> = fe> ( s5d+ "s putresc5t matt] beyond ! too?4 ,!n )draw ! broa* & apply oil ( cloves or c>bolic acid1 leav+ ! canal op5 & clean = ! gas to escape4 ,hot foot-ba?s & heada*e rem$ies w relieve ! pa94 ,gum-boils are abscess$ tee?1 & may be deep-root$ or v sup]ficial4 ,! treatm5t is ! same z giv5 above4 ,hot applications are v (t5 prescrib$1 b z an infection w always foll[ ! l9e ( lea/ resi/ance1 x c be readily und]/ood :y su* a treatm5t %\ld n be giv54 ,! abscess may ga!r 9 ! *eek1 necessitat+ lanc+1 :i* w leave a sc>4 ,cold clo?s w allay ! infection & simplify ! treatm5t to ! gums alone4 ,tee? are )drawn1 leav+ unsightly cavities1 :i* c\ld be avoid$ by a m delib]ate treatm5t4 ,treat ! abscess ( ! too? ! same z an abscess 9 any o!r "p ( ! body1 !reby sav+ ! root ( ! too?1 if n ! entire portion1 :i* c be cr[n$ & give a p]man5t good too?4 ,ma/ication is ! mo/ important "p ( ! dige/ive sy/em1 & ma/ication _c be done )\t good tee?4 ,!re=e1 x behooves ev]yone to pres]ve 8 own tee? & to give ?is b5efit to o!rs :o may n h _h d5tal treatm5t4 ,!re are d5ti/s :o w extract a too? ^u ! pati5t's reque/1 & x is be/ to seek ! mo/ progressive & mod]n d5tal doctors = ! pres]vation ( ! tee? to prev5t ! untimely loss ( a too?1 :i* means also _m times a prev5tive aga9/ o!r ailm5ts affect+ ! dige/ive tract4 ,a good d5ti/ %\ld be consult$ at lea/ once a ye>1 al?\gh ! tee? may appe> s\nd & 9 good condition4 ,,eruption ,,( ,,! ,,decidu\s ,,or ,,milk-,,tee?4 ,l[] c5tral incisors1 #f to #i mon?s4 ,upp] 8 #h 8 #aj 8 ,l[] lat]al 8 #ae 8 #ba 8 also fir/ mol>s4 ,can9es1 #af 8 #bj 8 ,second mol>s1 #bj 8 #bd 8 ,illu/ration3 ,eruption ( ! decidu\s tee? 7,frhwald & ,we/cott74 ,tw5ty tee? 9 all3 eight incisors1 f\r on ea* jaw2 f\r can9es1 two on ea* jaw2 eight mol>s1 f\r on ea* jaw4 ,p]man5t tee?3 ,fir/ mol>s com+ back ( baby mol>s1 #f ye>s4 ,c5trals1 #g 8 ,lat]als1 #h 8 ,fir/ bicuspid1 #i 8 ,second 8 #aj 8 ,can9es1 #aa-ab 8 ,second mol>s1 #ab-ac 8 ,?ird 8 or wisdom tee?1 #ag-ba 8 ,,nurs+ ,,9 ,,acute ,,fev]s4 ,,typhoid ,,or ,,ent]ic ,,fev]4 ,typhoid fev] is an acute infecti\s disease1 excit$ by ! typhoid bacillus4 ,x is mo/ preval5t 9 ! autumn1 al?\gh x occurs at all seasons4 ,! disease is n directly contagi\s1 & c only be acquir$ by tak+ ! special bacillus into ! alim5t>y canal4 ,?is is usually accompli%$ ?r\gh ! m$ium ( pollut$ wat]1 milk contam9at$ ) infect$ wat]1 raw vegetables 7cel]y1 lettuce1 wat]-cress7 :i* h gr[n 9 infect$ soil1 or raw %ell-fi% 7oy/]s7 tak5 f ! b$s ( pollut$ /reams4 ,occasionally physicians & nurses are infect$ directly 9 h&l+ ! pati5t or 8 clo?+ :i* has become soil$ ) 8 dis*>ges4 ,! bacilli are conta9$ 9 ne>ly all ! secretions ( ! pati5ts1 especially 9 ! /ools & ur9e4 ,:ile ! bacilli are widely di/ribut$ ?r\gh tissues1 ! only *>act]i/ic lesions ( ! disease are 9 ! gl&s ( ! inte/9es 7,pey]'s pat*es71 :i* 9 ! fir/ few days become r$ & swoll51 ab\t ! beg9n+ ( ! second week s(t & pale1 & 9 ! ?ird week ulc]at$4 ,if ! pati5t survive1 cicatrization usually beg9s 9 ! f\r? week4 ,dea? may result f exhau/ion1 ! result ( ! sy/emic poison+1 f p]=ation ( ! b[el by an ulc]1 f inte/9al hemorrhage1 ! result ( erosion ( a blood-vessel1 or f "s complication1 l pneumonia4 ,symptoms4--,! initial symptoms1 :i* may la/ a week or two be=e !re is any fev]1 are heada*e1 weakness1 loss ( appetite1 nose-ble$1 & p]haps slight di>rhea4 ,! fev] rises gradually1 rea*+ its maximum 7#ajd-aje ,f47 9 ab\t a week2 x rema9s /ation>y = "o1 two1 or ?ree weeks1 & !n falls1 rea*+ ! normal 9 ano!r week1 ?us mak+ ! febrile p]iod ( ! disease ( f\r or five weeks' duration4 ,?r\gh\t its c\rse ! ev5+ temp]ature is apt to be two or ?ree degrees high] ?an ! morn+ temp]ature4 ,! abdom9al symptoms consi/ ( di/5tion ( ! abdom5 7tympanitis71 pa9 & t5d]ness 9 ! "r iliac region1 & (t5 di>rhea4 ,betwe5 ! sev5? & n9? days a ra% usually appe>s on ! abdom51 consi/+ ( small rose-r$ spots4 ,^! come out 9 crops & disappe> on pressure4 ,! pulse becomes rapid & feeble1 & ! he>t s\nds become weak & dull4 ,! respiratory symptoms include c\gh1 hurri$ brea?+1 & slight expectoration4 ,n]v\s symptoms are n always m>k$4 ,9 sev]e cases !re may be delirium1 /upor1 twit*+ ( ! muscles1 pick+ at ! b$-clo!s1 & coma4 ,! face is dull & li/less4 ,! tongue is coat$ & tremul\s4 ,9 sev]e cases x becomes dry1 br[n1 & fissur$1 & sordes t5d to collect ^u ! tee?4 ,relapses are common4 ,9 "s cases !y are due to ! too e>ly use ( solid food1 to excitem5t1 or to ov]ex]tion4 ,:5 typhoid fev] is preval5t1 ! mo/ reliable prev5tive measures consi/ 9 ?or\gh boil+ ( all wat] & milk us$ = dr9k+ purposes & ! avoidance ( uncook$ vegetables1 oy/]s1 & %ell-fi%4 ,managem5t4--,unless o!rwise direct$ take temp]ature1 respiration1 & pulse e ?ree h\rs1 9 m\? or axilla1 z desir$4 ,if = any reason a *ange is made 9 tak+ temp]ature1 x %\ld be not$ on ! *>t4 ,note ! effect ( spong+ or ( ba?+ ^u temp]ature & pulse4 ,note ! "* ( pulse1 & effect1 if any1 :i* /imulants h _h ^u x4 ,note ! am\nt ( c\gh1 & ! "* & quantity ( ! expectoration2 also any pa9 t may occur 9 ! *e/4 ,note ! am\nt ( flatul5ce & ! numb] & "* ( ! /ools2 especially be on ! look\t = blood or undige/$ food 9 ! dis*>ges4 ,note c>efully any abdom9al pa91 any increase 9 ! di/5tion1 z ^! symptoms1 ) or )\t a r abrupt fall 9 temp]ature1 *ills1 & p9*$ features1 are sugge/ive ( p]=ation4 ,treatm5t = ,hemorrhage4--,/op all ord]s imm$iately1 includ+ diet4 ,elevate ! foot ( ! b$4 ,give morph9 sulphate1 gr4 7gm4 #j4jae71 hypod]mically1 & apply an ice coil or ic$ compresses to ! abdom5 until ! physician arrives4 ,note ! occurr5ce ( vomit+ & ! "* ( vomit4 ,be on ! look\t = ret5tion ( ur9e1 :i* is q common4 ,note ! am\nt ( ur9e pass$ 9 a day & any abnormalities connect$ ) its appe>ance4 ,note ! condition ( ! sk9 & tongue4 ,note ! am\nt ( sleep1 its "*1 :e!r quiet or re/less & :e!r or n !re h be5 delirium1 /upor1 or twit*+ ( ! muscles4 ,note ! exact am\nt & "* ( n\ri%m5t tak51 & ! "t x 0 giv52 also ! am\nt1 "t ( adm9i/ration1 & effect ( m$ic9es & /imulants4 ,cleanse ! m\? & tee? frequ5tly ) "s antiseptic wa%1 su* z li/]9e1 #a "p2 wat]1 #c p>ts4 ,b$-sores c ne>ly always be prev5t$ by keep+ ! pati5t & b$d+ p]fectly clean1 ! sk9 absolutely dry1 & ! b$-l95 smoo?4 ,*anges ( position are also important4 ,p>ts subject$ to pressure & soil+ %\ld be wa%$ at lea/ twice daily ) soap & wat]1 ?or\ghly dri$1 g5tly rubb$ ) alcohol1 & !n du/$ ) a p[d] l ! foll[+3 ,boric acid1 #a "p2 ,/>*1 #a 8 ,z9c oxid1 #a 8 ,if ! sk9 be r$d5$ & t5d] x may be pa9t$ ) collodion & !n du/$4 ,:5 ! "p _c be kept dry1 x %\ld be sme>$ ) z9c o9tm5t & p[d]$4 ,9 v prolong$ cases x usually becomes necess>y to use wat]- or air-pill[s or wat]- or air-b$s4 ,to dis9fect ! feces & ur9e1 use a solution ( *lor9at$ soda 7,lab>raque's solution74 ,cov] ! ur9e & feces ) ! solution & leave ! cont5ts /& = an h\r4 ,cleanse pan ?or\ghly & p\r into x ! ,lab>raque solution4 ,,pneumonia4 ,pneumonia is a g5]al infection1 excit$ by a special organism--! pneumococcus--& manife/$ by a local inflammatory process 9 ! lung & sev]e sy/emic di/urbances4 ,exposure to cold & l[]$ vitality f ov]work1 alcoholism1 or "s previ\s disease r5d] p]sons liable to infection4 ,symptoms4--,^! consi/ 9 a decid$ *ill1 pa9 9 ! side1 fev] ris+ rapidly to #ajd-aje ,f41 & la/+ = five1 sev51 n9e1 or elev5 days1 & !n rapidly fall+2 c\gh2 t5aci\s bloody expectoration1 %ortness ( brea?1 delirium & /upor1 & physical signs indicat+ a solid condition ( ! affect$ lung4 ,9 fatal cases dea? usually results f exhau/ion1 ! result ( ! sy/emic poison+1 b occasionally x is due to a failure ( ! he>t to propel ! blood ?r\gh ! solid lung1 to suffocation1 or a complication1 su* z inflammation ( ! cov]+ ( ! he>t 7p]ic>ditis7 or l9+ ( ! he>t 7endoc>ditis74 ,managem5t4--,! room %\ld be well v5tilat$1 b free f drafts4 ,! temp]ature %\ld be ma9ta9$ betwe5 #fe & #gj ,f4 ,cool wat] %\ld be giv5 freely4 ,! po9ts m5tion$ 9 connection ) temp]ature1 respiration1 & pulse 9 deal+ ) typhoid fev] are applicable "h4 ,note ! frequ5cy ( c\gh1 ! am\nt & "* ( expectoration1 & :e!r ! latt] is rais$ readily or ) difficulty4 ,note ! occurr5ce ( pa9 & its location2 also am\nt ( sleep1 am\nt ( n\ri%m5t1 am\nt ( ur9e1 numb] ( /ools1 etc41 & ! effect ( spong+1 ( m$ic9es1 & ( local applications4 ,clean ! m\? & tee? at int]vals1 be+ extremely c>eful1 h[ev]1 9 all manipulations n to tire or exhau/ ! pati5t4 ,,sc>let ,,fev]4 ,sc>let fev] is an acute1 highly contagi\s disease *>act]iz$ by a sudd5 onset ) *ill1 vomit+1 or convulsions2 a high fev] ( f a week to t5 days' duration2 a v rapid pulse2 sev]e sore ?roat2 a bright r$ ra%1 appe>+ on ! second day1 la/+ ab\t a week1 & foll[$ by desquamation & a m>k$ t5d5cy to nephritis4 ,! mo/ s]i\s complications are nephritis1 suppurative inflammation ( ! middle e> 7otitis m$ia71 inflammation ( ! endoc>dium or p]ic>dium1 & pneumonia4 ,sc>let fev]1 :ile contagi\s at all p]iods1 is probably mo/ s dur+ ! p]iod ( desquamation4 ,! organism may cl+ to furniture1 clo?+1 etc41 & reproduce ! disease aft] v long p]iods4 ,! contagion may be c>ri$ by p]sons com+ 9 contact ) ! sick1 or ! disease may be transmitt$ ?r\gh ! air ( ! sick-room or ?r\gh clo?+1 ut5sils1 etc41 :i* h be5 us$ by ! sick4 ,prev5tion ( contagion consi/s 9 isolat+ ! pati5t2 9 dis9fect+ ev]y?+ t has be5 9 contact ) him2 9 ano9t+ ! pati5t's body ) an antiseptic oil until desquamation is complete2 & 9 ?or\ghly dis9fect+ ! room aft] ! pati5t's removal4 ,managem5t4--,h ! pati5t1 if possible1 9 a l>ge1 airy room1 pref]ably at ! top ( ! h\se4 ,keep ! temp]ature uni=m & ! room well v5tilat$4 ,we> a loose wrapp] & cap1 & leave ^! inside ! room :5 oblig$ to leave x4 ,) clo?s moi/5$ ) a #c p] c5t4 solution ( c>bolic acid wipe ! floor1 furniture1 sills1 door-knobs1 mantelpiece1 etc41 once a day1 b nev] du/ or sweep4 ,?or\ghly dis9fect ! secretions ( ! pati5t & all articles us$ by him be=e !y leave ! room4 ,all[ ! pati5t no food except :at has be5 ord]$1 :i* w usually be milk1 k\miss1 junket1 fruit-juices1 & gruels4 ,enc\rage ! pati5t to dr9k wat] freely4 ,apply to ! body1 at lea/ once a day1 a bl& o9tm5t4 ,note temp]ature1 respiration1 pulse1 /ools1 quantity ( n\ri%m5t1 sleep1 & effect ( ba?s & m$ic9e z 9 typhoid fev]4 ,note especially ! quantity & appe>ance ( ! ur9e1 & h a sample 9 a clean bottle ready ea* day = ! physician's exam9ation4 ,keep ! nose & ?roat clean ) mild antiseptic sprays or wa%es4 ,relieve pa9 9 ! ?roat1 unless o!rwise direct$1 ) ice-p\ltices or hot-wat] compresses4 ,,measles4 ,measles is an acute contagi\s disease *>act]iz$ by mod]ate fev] ( ab\t a week's duration2 by an eruption on ! sk91 appe>+ on ! ?ird or f\r? day z small r$ spots t soon coalesce into cresc5tic blot*es1 rema9 ?ree or f\r days1 & !n disappe> ) a branny desquamation2 & by cat>rhal symptoms involv+ ! eyes1 nose1 & bron*ial tubes 7conjunctivitis1 coryza1 & bron*itis74 ,! mo/ common complications ( ! disease are cat>rhal pneumonia1 inflammation ( ! ga/ro-inte/9al tract1 & inflammation ( ! middle e>4 ,managem5t4--,! prev5tive measures describ$ 9 connection ) sc>let fev] are applicable 9 measles4 ,! room %\ld be ma9ta9$ at a temp]ature ( #gj ,f41 & %\ld be mod]ately d>k5$4 ,! b$ %\ld be s arrang$ t ! face w be direct$ away f ! light4 ,milk1 bro?s1 & gruels are suitable =ms ( n\ri%m5t4 ,! temp]ature1 pulse1 respiration1 h\rs ( sleep1 quantity ( n\ri%m5t1 am\nt ( ur9e1 & ! effects ( !rapeutic measures %\ld be c>efully not$ z 9 o!r fev]s4 ,daily inunctions ( ! body ) cold cream or olive oil are useful4 ,spray+ ! nose & ?roat ) a mild antiseptic solution1 & wa%+ ! eyes ) boric acid solution 7#ae gra9s to ! ounce ( wat]7 are usually ord]$4 ,hot ba?s & hot dr9ks are indicat$ :5 ! ra% is delay$4 ,fev] is g5]ally controll$ by spong+4 ,great c>e is necess>y dur+ convalesc5ce to av]t complications4 ,,diph!ria4 ,diph!ria is an acute contagi\s disease *>act]iz$ by mod]ate fev] ( an irregul> type1 & ( f "o to two weeks' duration2 by consid]able weakness & pro/ration2 & by ! =mation ( a grayi% or :iti% false membrane ^u ! ?roat1 nose1 l>ynx1 & adjac5t p>ts4 ,! excit+ cause ( disease is ! bacillus ( diph!ria1 :i* is f\nd *iefly 9 secretions ( ! affect$ muc\s membrane4 ,! con/itutional symptoms are due to ! absorption ( a tox9 produc$ by ?is bacillus4 ,diph!ria involv+ ! l>ynx is sometimes t]m$ true cr\p or pseudomembran\s cr\p4 ,?is =m is *>act]iz$ by irregul> fev]1 ho>s5ess ( ! voice1 cr\py c\gh1 & progressive difficulty 9 brea?+4 ,dea? frequ5tly results f suffocation1 unless tra*eotomy or intubation ( ! l>ynx be p]=m$4 ,! *ief complications ( diph!ria are pneumonia1 deg5]ation ( ! he>t-muscle1 inflammation ( ! middle e>1 & p>alysis ! result ( an inflammation ( ! n]ves4 ,prev5tive measures consi/ 9 isolation ( ! sick1 ! ?or\gh dis9fection ( ! b$room1 b$d+1 clo?+1 & all articles us$ by ! sick1 & ! adm9i/ration ( an immuniz+ dose 7#ejj units7 ( antitox9 7see page #be7 to ^? :o h already come 9 contact ) ! pati5t or :o h o!rwise be5 expos$ to ! contagion4 ,! sick-room %\ld be well v5tilat$ & ma9ta9$ at a temp]ature ( #gj ,f4 ,! atmosph]e %\ld be made moi/ by slak+ lime 9 ! room or by g5]at+ /eam 9 a kettle4 ,9 membran\s l>yngitis treatm5t 9 a /eam-moi/5$ t5t is desirable4 ,on acc\nt ( ! t5d5cy to sudd5 he>t failure absolute quiet & re/ are to be enjo9$4 ,! diet %\ld consi/ ( milk1 unseason$ bro?s1 k\miss1 junket1 & eggs4 ,! pati5t's temp]ature1 pulse1 respiration1 n\ri%m5t1 ur9e1 sleep1 & b[el movem5ts %\ld be not$ z 9 o!r fev]s4 ,local applications ( boric acid solution1 hydrog5 p]oxid 7#a3 #c71 or normal salt solution are usually ord]$2 !y %\ld be made ) utmo/ g5tl5ess4 ,ext]nally1 ice-p\ltices or hot fom5tations are useful 9 reliev+ sor5ess4 ,! utmo/ c>e %\ld be ex]cis$ dur+ convalesc5ce to gu>d ! pati5t aga9/ undue ef=t1 z at ?is "t sudd5 he>t failure is especially liable to occur4 ,,poliomyelitis4 ,poliomyelitis--,infantile ,p>alysis4--,?is disease occurs 9 all c\ntries & 0 recogniz$ m ?an a hundr$ ye>s ago4 ,! fir/ ( ! great epidemics appe>$ 9 #aije1 & x 0 !n prov$ t ! malady is a contagi\s disease4 ,peculi> facts connect$ ) previ\s epidemics ( poliomyelitis h made x appe> possible t ! disease :5 n spread directly f "o p]son to ano!r1 l ! mo/ acute infecti\s diseases1 may be dep5d5t ^u "s int]m$iate ag5t1 or p]haps ^u "s o!r ho/1 or a liv+ res]voir1 or ^u ! comb9ation ( ! two4 ,if ! disease is communicat$ by human contact1 mild cases1 abortive cases1 & convalesc5ts may c>ry ! g]ms = ye>s4 ,a normal c>ri] is an individual :o is n suff]+ f ! disease & may c>ry ! g]ms & transmit !m to ano!r )\t be+ ! lea/ suspect$4 ,laboratory exp]im5ts w\ld seem to %[ t ! disease is pass$ directly f "o affect$ human individual to ano!r ?r\gh imm$iate contact involv+ ! transf] ( ! virus f ! fir/ p]son to ! nasal passages ( ! second1 & spread ?r\gh ! ag5cy ( du/ or by v>i\s o!r means1 a population o!r ?an human1 "o act+ z an und]curr5t & influ5c+ ! progress ( ! epidemic4 ,!re seems to be no relation betwe5 ! sanit>y conditions & ! incid5ce ( cases4 ,poliomyelitis is mo/ preval5t dur+ ! w>m mon?s1 ev5 :5 x is n epidemic4 ,"u ! same conditions ( temp]ature1 ra9fall1 humidity1 cl\d9ess1 sun%9e1 w9d1 du/1 etc41 ! outbreak w progress 9 "o "p ( ! city & subside 9 ano!r4 ,! c\rse ( ! epidemic is n mat]ially modifi$ by wea!r conditions4 ,no age1 no sex1 or race is exempt2 ! incid5ce is great] "u five ye>s ( age1 & ! blonde *ildr5 appe> to be especially susceptible1 :ile ! color$ race are r>ely attack$1 & ! /ronge/ *ildr5 seem to be ! greate/ suff]]s4 ,t ?is disease c & (t5 does end fatally has be5 cle>ly %[n by ! hi/ory ( ! pa/ epidemics1 & x has be5 frequ5tly demon/rat$ by cl9icians 9 v>i\s p>ts ( ! _w t complete recov]y f p>alysis is n only possible b x is by no means uncommon4 ,summ>y ,results f ,public ,s*ool ,reports4--#a4 ,a l>ge numb] ( *ildr5 ) poliomyelitis %[ pa?ologic conditions ( ! nose & ?roat1 ei!r diseas$ & hyp]trophi$ tonsils & ad5oids1 or bo?4 #b4 ,a l>ge numb] %[ m>k$ hyp]emia ( ! nasoph>ynx & ?roat1 (t5 resembl+ a sc>let or /reptococcus ?roat4 #c4 ,only a small p]c5tage ( cases previ\sly op]at$ = tonsils & ad5oids 7 f\nd to be affect$ ) ! disease1 & 9 ?is gr\p ( cases ! p]c5tage ( recov]y 0 v mu* high] ?an 9 unop]at$ cases4 ,! numb] ( cases 9 ?is gr\p is1 ( c\rse1 r small to draw f x any def9ite conclusion1 b x is at lea/ sugge/ive4 ,9 ano!r inve/igation ( #adjd *ildr5 9 ! public s*ools1 made to det]m9e :e!r any ( !m ^: tonsils _h be5 remov$ _h be5 ill ) poliomyelitis dur+ ! rec5t epidemic1 a simil> result 0 obta9$4 ,( ! #adjd *ildr5 ^: tonsils _h be5 op]at$ ^u n "o develop$ poliomyelitis dur+ ?is epidemic1 al?\gh 9 #ah in/ances cases develop$ 9 ! family1 & 9 #ic in/ances cases develop$ 9 ! same h\se4 ,poliomyelitis def9$3 ,polio 7gray71 myel 7m>r[71 itis 7inflammation71 mean+ inflammation ( ! gray matt] ( ! sp9al cord4 ,pa?ology ( ! disease3 ,infantile p>alysis is a g5]al infection1 ) lesions mo/ m>k$ 9 ! c5tral n]v\s sy/em4 ,cl9ical manife/ations exhibit a wide-spread & scatt]$ motor p>alysis or weak5+4 ,! l>ge majority ( all cases are ( ! c5tral n]v\s sy/em1 b !re are v>iations 9 :i* ! symptoms are n ( ! usual k9d4 ,classification4--#a4 ,non-p>alytic or ,abortive ,type4--,^! are cases 9 :i* ! n]ve-cells are n suffici5tly injur$ to produce p>alysis2 & ^? class$ z m5+itis cases1 tub]cul\s m5+itis )\t motor di/urbances1 (t5 call$ encephalitic2 9 ^! cases ! motor cortical areas are n involv$1 b !re is evid5ce ( di/urbance ( ! s5sorium4 #b4 ,ataxic ,type4--,"h ! motor cells are evid5tly n involv$1 b !re is a lack ( co-ord9ation--ataxia1 ny/agmus4 #c4 ,cortical ,type4--,! upp] motor neuron is "h affect$1 ) result+ spa/ic p>alysis4 #d4 ,ord9>y ,sp9al or ,subcortical ,type4--,"h ! l[] motor neuron is affect$1 ) result+ flaccid p>alysis2 a manife/ation ( poliomyelitis difficult to classify is bl9dness4 ,! mo/ important symptoms ( ! disease may be describ$ "u ! non-p>alytic or abortive cases & ^? ( ord9>y sp9al =m4 ,symptoms ( ,onset4--,!re is no typical onset = ?is disease4 ,x is believ$ t !re is an int]val ( f a few days to two weeks betwe5 ! "t ( exposure & ! appe>ance ( symptoms4 ,no "o symptom or gr\p ( symptoms w always be f\nd to id5tify x be=e ! p>alysis is app>5t4 ,fev] is ! mo/ con/ant ( all symptoms2 x v>ies a great deal2 !re may be mu* or !re may be little4 ,vomit+ occurs q frequ5tly1 & 9 a *ild old en\gh to talk heada*e may be compla9$ (4 ,sometimes !re is consid]able pa9 9 ! back4 ,! *ild is (t5 v dr[sy & desires to be alone4 ,movem5ts ( any k9d seem to cause pa91 & muscle t5d]ness is pla9ly evid5t4 ,m>k$ irritability & sweat+ are also (t5 prom95t features4 ,su* symptoms may all appe> sudd5ly foll[+ a day ( great activity & good heal?4 ,^! symptoms may cont9ue = f two to f\r days1 :5 x is notic$ t ! *ild is unable to move a h&1 an arm1 a foot1 or a leg4 ,!re may m]ely be a p>alysis ( "o side ( ! face or only weakness 9 an arm or leg4 ,9 "s mild cases x is occasionally h>d to conv9ce p>5ts ( ! true nature ( ! disease4 ,9 "s in/ances ! fir/ k ( a *ild's indisposition is ! discov]y t x _c walk or has difficulty 9 us+ an arm4 ,cases ( ?is "* are (t5 attribut$ to 8cat*+ cold10 to go+ 9 ba?+ = too long1 or p]haps a fall4 ,9 ! majority ( cases temp]ature is d[n to normal )9 a week & !re is seldom an ext5sion ( ! p>alysis aft] t "t4 ,9 mo/ in/ances all ! p>alysis :i* is go+ to occur is pres5t at ! "t x is fir/ notic$4 ,)9 two weeks all ! t5d]ness has usually left ! muscles1 :i* are n[ f\nd to be s(t & flabby f lack ( use4 ,no matt] :at extremity may be affect$ by ! p>alysis1 !re is "o condition :i* is ne>ly always pres5t 9 ^! cases4 ,if ! *ild's %\ld]s are rais$ up f ! b$1 ! head drops back almo/ z if on a /r+4 ,! *ild is unable to keep its head 9 a l9e ) ! body1 & if ! head is rais$ & =cibly b5t =w>d s z to cause ! *9 to t\* ! *e/1 m>k$ pa9 results4 ,treatm5t4--,by ! end ( ?ree weeks 9 favorable cases !re may be "s motion obta9$ by ! pati5t 9 ! limb :i* 0 p>alyz$1 or !re may be evid5ce ( ?reat5$ de=mity4 ,x is at ?is "t & 9 ! weeks & mon?s to foll[ t s mu* dep5ds ^u treatm5t4 ,! muscles ( a leg or arm may wa/e away s z to make !m useless if n promptly c>$ =4 ,if contractions ( muscles are n prev5t$1 a club-foot1 toe-drop1 or "s simil> de=mity may develop4 ,su* de=mities may be ha/5$ by ! pressure ( ! b$-clo!s4 ,at times x is well to put a wire cradle ov] ! affect$ limbs4 ,well-padd$ spl9ts seem to take ! /ra9 f unaffect$ muscles4 ,by "s wond]ful adaptation ( nature !re is a great ef=t to make o!r n]ve *annels take up ! "w ( ! de/roy$ cells1 & h5ce ! value ( keep+ ! muscles artificially active by ! use ( massage & mild electric treatm5t4 ,?is treatm5t %\ld be us$ e>ly 9 ! case1 & !n only ) ! advice & sup]vision ( a compet5t physician4 ,! de/ruction ( n]ve-cells 9 ! segm5t ( ! sp9al cord is sometimes s extreme t a total p>alysis ( "o or m extremities foll[s4 ,?is is a grave %ock to ! gr[+ *ild1 & x may be t all gr[? ( t memb] w /op4 ,! long bones w n l5g!n4 ,if "o gr\p ( muscles rema9 active & unoppos$ 9 _! action1 de=mity w foll[4 ,^! de=mities c be correct$ by ! or?op$ic surgeon1 & c usually be *eck$ if ! physician's advice is s\ght4 ,s]um ,treatm5t4--,! s]um injections 7 giv5 ev5 z long z ?irty ye>s ago4 ,intrasp9al injection ( an immune s]um is effective :5 introduc$ 9 ! prep>alytic /age4 ,prophylaxis4--,! virus or g]m ( poliomyelitis is f\nd 9 ! nose1 ! m\?1 & inte/9al tract 7x is also f\nd 9 v>i\s o!r p>ts ( ! body74 ,z h\se-flies may c>ry ! virus aft] crawl+ ov] ! p]son suff]+ f ! disease1 all insects are a dang]\s asset to any h\sehold4 ,dis9fection ( secreta & excreta %\ld be c>ri$ out4 ,! m\? & nose %\ld be dis9fect$4 ,qu>ant9e %\ld be rigidly en=c$1 & all ! necess>y precautions tak5 to prev5t ! spread ( a contagi\s1 infecti\s disease4 ,,dis9fection ,,( ,,feces ,,& ,,ur9e4 ,dis9fect ! feces & ur9e by mix+ ) ea* evacuation d\ble its volume ( #a p] c5t4 *lorid ( lime solution or d\ble its volume ( #e p] c5t4 c>bolic acid solution4 ,cov] ! vessel & all[ x to /& = f "o to two h\rs be=e empty+ its cont5ts into ! closet4 ,put all typhoid l95s 9 cans us$ = t purpose only4 ,spr9kle ) =mal9 & keep cov]$ until s5t to laundry4 ,n4 ,b4--,:ile p]=m+ "w 9 :i* ! h&s come 9 contact ) soil$ l95 & b$-pans1 fill f+]-nails ) soap to keep !m clean & to prev5t !m f act+ z c>ri]s ( disease4 ,a ,,wa%+ ,,fluid ,,= ,,soil$ ,,clo!s4 ,"o c ( lye1 #aj c5ts2 ,lump ( ammonia1 #e 8 ,salts ( t>t>1 #e 8 ,put 9 a /one j> & set x 9 ! op5 air4 ,p\r ov] x #a gallon ( boil+ wat]4 ,use cupful to a boil] ( clo!s & add b> ( soap4 ,soak clo!s ov] night 9 cold wat]2 !n place clo!s into ! boil] & boil = tw5ty m9utes4 ,pla9 pieces ne$ v little rubb+4 ,r9se two or ?ree times 9 cle> wat] be=e hang+ clo!s out to dry4 ,,incubation ,,p]iod ,,& ,,qu>ant9e4 ,a con/ant p]iod ( incubation is n to be expect$4 ,9 mo/ in/ances1 z w be se5 f ! foll[+ table1 ! diff]5ce betwe5 ! maximum & ! m9imum p]iod is n v great4 ,x seems rem>kable1 h[ev]1 t a disease %\ld %[ su* extremes z typhoid fev]3 ,normal4 ,maximum4 ,m9imum4 ,v>iola #ab days4 #ad days4 #i days4 ,v>icella #ad 8 #ai 8 #ac 8 ,measles #aj 8 #ad 8 #d 8 ,rubella #ah 8 #ba 8 #h 8 ,sc>lat9a #b 8 #g 8 #a day4 ,influ5za #c 8 #e 8 #a 8 ,diph!ria #b 8 #g 8 #b days4 ,typhoid fev] #ab 8 #bc 8 #e 8 ,mumps #ai 8 #be 8 #ab 8 ,x is a peculi> fact t ! diseases 9 :i* ! p]iod ( incubation is %orte/ are ^? 9 :i* ! infection p]si/s ! longe/4 ,! p]iod ( qu>ant9e mu/ be guid$ l>gely by ! p]iod ( incubation1 h5ce ! subject is an important "o = a v>iety ( reasons4 ,! 8,m$ical ,magaz9e0 7,london7 /ates t ! p]iod ( qu>ant9e %\ld be at lea/ a day long] ?an ! maximum p]iod ( incubation = ea* disease4 ,?is is a v unc]ta9 rule1 h[ev]1 = ! pati5t %\ld be free f all signs ( illness1 & especially f fev]4 ,! p]iod ( infection is v d\btful4 ,x may be greatly prolong$ by complications4 ,?is is especially true ( small-pox1 diph!ria1 typhoid & sc>let fev]s4 ,! p]iod dur+ :i* a disease may be infecti\s _c be /at$ def9itely4 ,x v>ies ) diff]5t diseases1 & mu/ be det]m9$ accord+ to ! symptoms & "* ( ! case4 ,measles1 *ick5-pox1 & mumps lose ! direct p[] ( infection v e>ly1 & ! infective pr9ciple does n rema9 active = a long p]iod 9 ! room 9 :i* ! pati5t has be5 ill4 ,measles1 mumps1 & *ick5-pox may be infecti\s 9 ! e>li] /ages be=e becom+ def9ite 9 "*4 ,smallpox is n actually dang]\s until ! eruption appe>s4 ,,! ,,c>e ,,( ,,! ,,sk9 ,,& ,,m\? ,,9 ,,fev]s4 ,,by ,,h>riet ,,higbee1 ,graduate ,ill9ois ,tra9+ ,s*ool = ,nurses4 ,f ! ,am]ican ,j\rnal ( ,nurs+4 ,! prev5tion & treatm5t ( b$-sores h be5 & are frequ5tly discuss$ 9 m$ical books & j\rnals4 ,b z x is a subject t (t5 taxes ! nurse's +5uity to ! extreme1 x c n be dwelt ^u too frequ5tly4 ,_m prev5tive measures are famili> to u1 z ! soap & wat] ba? = cleanl9ess1 foll[$ by rubb+ ) alcohol & du/+ ) boric-acid p[d]1 or boric-acid p[d] & bismu? subnitrate 9 equal p>ts = dryness4 ,! relief ( pressure is mo/ important4 ,make use ( air-cu%ions1 cotton-pads1 pill[s1 wat]-b$ & frequ5t *ange ( position :]e t is possible4 ,9 addition to ^!1 !re are a few measures n g5]ally us$ :i* aft] a ?or\gh te/ h prov$ satisfactory4 ,"o is a simple inexp5sive contrivance us$ to relieve pressure ( heel1 elb[1 & e>4 ,x is a pig's bladd] fill$ two-?irds full ( ei!r w>m or cold wat]1 z ! case requires1 ti$ securely1 & plac$ "u a cotton r+4 ,! weight ( ! head or elb[ re/s on ! r+ & ! t5d] po9t re/s on ! s(t fluctuat+ mass4 ,if ! sk9 is inactive1 z 9 p>alysis1 or !re is frequ5t or con/ant moi/ure f p]spiration or involunt>y evacuations ( ur9e or feces1 ! alcohol & boric acid1 etc41 are ( v little value4 ,!y d n prev5t ! absorption ( ! moi/ure by ! sk9 & its subsequ5t s(tness or excoriation1 :i* is commonly foll[$ by infection4 ,9 su* cases ! back %\ld be wa%$ ) soap & wat] e six or eight h\rs1 or aft] e involunt>y evacuation1 & ?or\ghly rubb$ ) a small am\nt ( oil-sub/ance1 z camphorat$ oil or a mixture l ! foll[+3 ,mutton tall[1 j2 ,olive oil1 fj2 ,c>bolic acid1 #ie p] c5t41 j4 ,r5d] out mutton tall[ on ! back "p ( ! /ove2 d n br[n x4 ,/ra9 ?r\gh a piece ( musl92 add ! olive oil & c>bolic acid2 set di% into cold wat] & beat its cont5ts until set4 ,?is w make an o9tm5t ! consi/5ce ( vasel9e1 & x w keep indef9itely4 ,if ! sk9 ne$s a great deal ( /imulation1 camphorat$ oil or1 bett] /ill1 ca/or oil may be sub/itut$ = ! olive oil 9 ! above recipe4 ,:5 ! sk9 becomes excoriat$ ! "p %\ld be cleans$ z m5tion$ be=e1 n ) soap & wat]1 b ) boric-acid solution1 normal salt solution1 or /]ile wat]2 !n g5tly pa9t$ ) oxide ( z9c o9tm5t made into liquid =m by ! addition ( olive oil1 ca/or oil1 & balsam ( ,p]u 9 equal p>ts1 or ca/or oil alone1 & cov]$ ) a clean clo? fa/5$ on ) a b9d]4 ,g5tle massage may be us$ ar\nd ! excoriat$ surface ) excell5t results4 ,! treatm5t ( b$-sores is usually direct$ by ! physician2 b if x is left to ! nurse1 %e w f9d ! foll[+ me?od helpful4 ,if !re is necrotic tissue or suppuration pres5t1 %e may irrigate ! cavity once daily ) p]oxid ( hydrog51 "o glass syr+eful1 foll[$ by normal salt solution1 boric-acid solution1 or /]ile wat]4 ,!n apply a hot boric-acid dress+1 "o in* ?ick1 e f\r h\rs until w\nd is clean4 ,if ! /imulation ( ! tissues is ne$$1 fill ! cavity ) a /]ile dress+ saturat$ ) balsam ( ,p]u & ca/or oil1 equal p>ts bov99e1 ca/or oil1 or camphorat$ oil alone4 ,:5 ! depression is fill$ ) granulation tissue1 x c be treat$ z an excoriation4 ,,! ,,m\?4 ,! subject ( ! c>e ( ! m\? 9 fev] nurs+ is equally z important z t ( prev5tion ( b$-sores4 ,an unclean m\? is n only v unpleasant & (t5 pa9ful to ! pati5t1 b is a s\rce ( infection4 ,! accumulation ( food & mucus is a f]tile field = ! lodgem5t ( bact]ia4 ,if ?is infect$ mat]ial is all[$ to rema91 x c easily spread to ! middle e> & ! ma/oid cells1 & cause abscesses or be c>ri$ by ! food to ! already ov]burd5$ alim5t>y tract to add to its infection4 ,:5 ! accumulation ( sordes is pr(use & p]si/5t ! pati5t's m\? ought to be cleans$ aft] e fe$+4 ,?is may be done by wrapp+ a two-in* squ>e piece ( l95 or gauze1 saturat$ ) ! m\?-wa%1 ar\nd ! little f+] & wip+ e portion ( ! cavity--n f> en\gh on back ( ! tongue to provoke nausea4 ,if x is necess>y to clean ! ?roat1 a small swab may be employ$4 ,= ?or\gh clean+ ( ! m\? sev]al sponges are necess>y4 ,^! may be receiv$ 9 a piece ( pap] & at once burn$4 ,:ile clean+ ! m\? ( a deliri\s pati5t ! nurse = h] own protection mu/ place "s h>d sub/ance betwe5 ! pati5t's tee?4 ,a rubb] cork is ! be/1 b if t is n available1 a =k-h&le may be us$4 ,its prongs mu/ be c>efully wrapp$ to avoid an accid5t4 ,if ! cork is us$1 ! nurse mu/ hold x 9 place to prev5t its fall+ d[n ! pati5t's ?roat4 ,!re are num]\s prep>ations us$ = clean+ ! m\?1 z3 #a4 ,li/]91 fj2 ,wat]1 fij4 ,dobell's ,solution4 #b4 ,borax1 ss2 ,sodium bic>bonate1 iv2 ,li/]91 fj2 ,c>bolic acid1 #ie p] c5t41 viij2 ,w>m wat]1 fx4 #c4 ,boric-acid solution1 fj2 ,alcohol1 fss2 ,glyc]91 fj2 ,t9cture ( myrrh1 fj4 #d4 ,glyc]91 ,wat]1 ( ea*1 fss4 ,! foll[+ ?ree =mul h be5 f\nd excell5t = special cases3 ,= ,mucus-coat$ ,m\?4 #a4 ,sodium bic>bonate1 gr4 x2 ,glyc]91 fij2 ,wat]1 en\gh to make1 fij4 ,if ! coat+ be ( long /&+1 ?ick & dry1 ?is solution may be appli$ ) an applicator e five or t5 m9utes = "o h\r1 & !n ! cleans+ may be done ) sponges4 ,9 ^! cases x is necess>y to use a too?pick to g5tly loos5 ! sordes betwe5 ! tee?4 ,= dry or fissur$ lips & tongue1 & = ano9t+ ! baby's nose1 ! foll[+ w be f\nd useful3 #b4 ,lanol91 ,vasel91 ( ea*1 j2 ,oil ( gaul!ria1 xxx4 ,apply small quantity sev]al times daily4 ,9 r>e cases !re is a p]si/5t ble$+ f ! gums4 ,! application1 sev]al times daily1 ( ! foll[+ solution is effectual3 #c4 ,t9cture ( myrrh1 xxx2 ,wat]1 fj4 ,m\?-,wa%4 ,a solution ( potassium *lorate & c9namon wat]4 ,,dis9fection ,,( ,,rooms4 ,seal all crevices ab\t doors & w9d[s4 ,keep ! room clos$ = tw5ty-f\r h\rs to all[ du/ to settle4 ,at ! end ( ?is "t vaporize 9 a lamp f fifty to sixty p>a=m tablets to ea* #ajjj cubic feet ( space or vaporize #a p\nd ( =maldehyd solution 9 a special app>atus design$ = ! purpose4 ,if no special app>atus is obta9able1 spr9kle %eets ) ! foll[+ solution1 us+ a gallon ( ! mixture = a m$ium-siz$ room1 & fill ! room ) /eam3 ,=maldehyd sol41 #d p>ts2 ,glyc]91 #a "p2 ,wat]1 #b p>ts4 ,! /eam & glyc]9 prev5t to "s ext5t ! conv]sion ( ! =maldehyd gas into p>a=m1 :i* 9 itself is useless4 ,ano!r & m mod]n me?od is to p\r #ab ounces ( =maldehyd into a vessel & !n add #d ounces ( cry/als ( potassium p]manganate4 ,place ! vessel 9 ! room & leave ! room clos$ = f f\r to six h\rs4 ,to get rid ( ! fumes quickly aft] ! dis9fection is complet$1 spr9kle #d ounces ( ammonia on a %eet & leave ! %eet 9 ! room until ! ammonia is evaporat$4 ,sulphate ( copp] solution is a v *eap dis9fectant1 & may be us$ to advantage 9 typhoid fev]4 ,aft] ?is treatm5t aga9 keep ! room clos$ = f\r or five h\rs4 ,!n wipe floor1 walls1 & woodwork ) corrosive sublimate solution 7#a3 #bjjj7 or c>bolic acid solution 7#c p] c5t474 ,,dis9fection ,,9 ,,private ,,nurs+4 ,9 a private home 7,m4 ,d4 ,p41 ,am]ican ,j\rnal ( ,nurs+7 if contagion has tak5 ! family by surprise & a room has n be5 especially prep>$1 leave 9 ! room all ! furniture & fitt+s 9 ord] t ev]y?+ may be dis9fect$ f9ally4 ,dur+ ! progress ( ! disease no blankets1 cov]+s1 etc41 mu/ ev] be %ak5 f ! w9d[s4 ,!y c only be air$ )9 ! room1 or rooms1 occupi$ by ! pati5t4 ,moi/ %eets hung outside ! door lead+ to ! re/ ( ! h\se prev5t ! passage ( du/ f ! sick-room4 ,x is suffici5t to keep !m spr9kl$ ) pla9 wat]1 z ! important ?+ is ! moi/ure4 ,h[ev]1 a solution ( c>bolic acid may be us$4 ,!y %\ld be kept wet by "s "o on ! clean side ( ! h\se4 ,soil$ l95 f ! sick-room %\ld be plac$ 9 a wa%-boil] or metal c full ( wat]1 nev] tak5 to ! laundry 9 a dry condition4 ,"h also a weak solution ( c>bolic acid maybe us$1 or a v weak solution ( soda4 ,h[ev]1 pla9 wat] w be suffici5t4 ,!y %\ld be boil$ = at lea/ half an h\r4 ,pati5ts' di%es & silv] %\ld be kept 9 ! room1 & be=e return+ to ! h\se %\ld be boil$4 ,all clean+ )9 ! pati5t's room dur+ illness %\ld be done ) moi/ clo?s1 :i* %\ld be put into pap] bags & burnt4 ,^u leav+ ! room ! pati5t %\ld receive an unusually ?or\gh ba?1 hair & all1 ) t9cture ( gre5 soap1 a dilute alcohol rub1 & f9ally a sponge-ba? ( bi*lorid ( m]cury1 #a3 #bjjj to #a3 #djjj1 accord+ to age4 ,! mode ( dis9fect+ rooms is1 g5]ally1 to use =maldehyd4 ,be=e sett+ free =maldehyd 9 any =m ! nurse %\ld put on rubb] gloves1 glasses1 & a ?ick m\? & nose protector1 z ! fumes are v irritat+4 ,aft] leav+ ! room %e %\ld seal up ! door & leave all ov] night1 & !n ?or\ghly air & h\se-clean on ! morr[4 ,mattresses & pill[s _h bett] be /eam-/]iliz$ if !re is any /]iliz+ plant 9 ! t[n1 or1 9 ! c\ntry1 made ov] & sunn$ ?or\ghly4 ,,surgical ,,supplies4 ,,to ,,/]ilize ,,in/rum5ts4 #a4 ,all in/rum5ts %\ld be boil$ = at lea/ fifte5 m9utes 9 a #a p] c5t soda solution4 ,wrap ! blades ( knives & scissors 9 cotton1 put !m 9 a sep>ate t[el1 & 9 "o corn] /ick ! ne$les be=e fold+ x4 ,"s surgeons pref] to h ! latt] simply wa%$ & plac$ 9 absolute c>bolic acid & !n 9 alcohol = a few m9utes4 ,wat] mu/ boil be=e in/rum5ts are put 9 & ! boil] mu/ be kept closely cov]$4 #b4 ,9 a ,g]man m$ical j\rnal1 publi%$ at ,leipsic1 ,g]son corroborates 8 =m] ass]tions z to ! efficacy ( dis9fection ( in/rum5ts ) t9cture ( soap1 cit+ ext5sive bact]iologic te/s 9 evid5ce4 ,he wraps ! blades 9 ,brun's cotton1 impregnat$ ) t9cture ( soap4 ,! cotton protects !m f ! air & ! t9cture is an effici5t dis9fectant4 ,! in/rum5ts are !n ready = use at any mom5t4 ,aft] us+ !m he rubs !m clean ) cotton moi/5$ ) ! same t9cture1 !n wraps !m 9 a fre% piece & lays !m aside4 ,no boil+ or /eam+ is requir$1 & ! in/rum5ts are n h>m$ by ! process4 ,he recomm5ds ?is me?od especially = milit>y & o!r practice :]e /eam dis9fect+ appliances are n available4 ,he has f\nd t in/rum5ts infect$ ) pus1 etc41 & n ev5 wip$ (f aft] hav+ be5 us$1 prov$ p]fectly /]ile aft] a few days 9 ! wet cotton wrapp]4 ,no colonies develop$ :5 !y 7 rubb$ on ag> plates or soak$ 9 b\illon4 ,to ,arrange ,in/rum5ts = ! ,conv5i5ce ( ! ,op]ator4--,in/rum5ts = imm$iate use are laid 9 trays on a small movable table on ! op]ator's "r h&4 ,in/rum5ts t may n be ne$$ are kept 9 ano!r tray4 ,a sep>ate tray is us$ = sutur+ mat]ial1 ne$les1 a pair ( %>p-po9t$ scissors1 & long =ceps4 ,be=e plac+ in/rum5ts 9 ! tray1 dry ) /]ile t[els4 ,,to ,,clean ,,in/rum5ts4 ,fir/ ( all1 ! knives1 scissors1 & ne$les %\ld be laid c>efully aside & clean$ at once4 ,scrub all in/rum5ts 9 cold wat] to remove blood & pus1 !n 9 hot wat] ) pl5ty ( soap4 ,r9se ?or\ghly 9 hot wat]1 !n place 9 boil+ wat]1 take !m out s+ly & dry2 d n dra94 ,foll[+ pus cases all in/rum5ts mu/ be boil$ = at lea/ fifte5 m9utes 9 #a p] c5t4 soda solution4 ,,to ,,/]ilize ,,gloves4 ,exam9e c>efully to see t !y are 9 p]fect condition4 ,select a pair1 !n wrap ea* "o 9 a sep>ate piece ( gauze1 fa/5 toge!r1 & boil at lea/ #ae m9utes 9 salt solution4 ,,to ,,dry ,,/]ile ,,gloves4 ,cov] a table ) a /]ile %eet4 ,prep>e h&s & p]son z = an op]ation1 & draw on a pair ( /]ile gloves4 ,!n dry gloves ) /]ile t[el1 & p[d] !m inside ) /]ile p[d]$ talcum4 ,,to ,,clean ,,gloves4 ,soak 9 cold wat]1 !n wa% ) gre5 soap & hot wat]4 ,r9se & dry4 ,if us$ 9 pus cases1 boil #ae m9utes be=e lay+ away4 ,,to ,,/]ilize ,,silk-,,worm ,,gut ,,or ,,silk ,,?read4 ,boil 9 /]ile wat] #bj m9utes & pres]ve 9 alcohol1 #ie p] c5t41 or fir/ /]ilize 9 /eam /]iliz] = #bj m9utes1 !n boil 9 /]ile wat] = #bj m9utes & pres]ve 9 alcohol1 #ie p] c5t4 ,,to ,,/]ilize ,,horse-,,hair4 #a4 ,wa% ?or\ghly 9 gre5 soap & wat]4 ,r9se sev]al times4 ,soak 9 e!r #bd h\rs4 ,boil 9 /]ile wat] #bj m9utes4 ,pres]ve 9 alcohol1 #ie p] c5t4 #b4 ,soak 9 bi*lorid solution #a3 #ajjj = #f h\rs4 ,!n boil #c m9utes 9 /]ile wat]4 ,place 9 alcohol1 #ej p] c5t4 ,,to ,,/]ilize ,,catgut 7,,=maldehyd ,,me?od74 ,imm]se 9 =maldehyd sol41 #e p] c5t41 = #bd h\rs4 ,wa% by soak+ 9 /]ile wat] = #bd h\rs1 :i* mu/ be *ang$ e h\r4 ,!n boil 9 /]ile wat] & bas9s ab\t #aj m9utes1 accord+ to size ( ! catgut4 ,lift out c>efully1 & place on a /]ile t[el until all moi/ure is absorb$4 ,prep>e table1 h&s1 & p]son z = an op]ation4 ,cut 9 requir$ l5g?s1 f #ad to #be in*es4 ,coil smoo?ly1 & pres]ve 9 glass j>s 7:i* h be5 previ\sly boil$ = #bj m9utes7 conta9+ ! foll[+ solution3 ,corrosive sublimate1 #a "p2 ,boil$ glyc]91 #bjj p>ts2 ,alcohol1 #ie p] c5t41 #ajjj 8 4 ,,*romic ,,catgut4 #a4 ,soak 9 e!r #a to #b weeks1 accord+ to size4 #b4 ,w9d on glass spools4 #c4 ,soak 9 *romic acid solution1 #e gr4 to #a p9t wat]1 #c to #f h\rs1 accord+ to size4 #d4 ,dry 9 sun #c days4 #e4 ,boil 9 #ie p] c5t4 alcohol #a h\r1 "u #ae p\nds pressure1 9 autoclave4 ,use ,mason fruit j>s4 ,d n screw ! top d[n :5 9 /]iliz]4 ,,to ,,/]ilize ,,l95 ,,?read4 ,w9d sev]al y>ds ( ?read into coils4 ,boil = #cj m9utes 9 a #a p] c5t4 solution ( bic>bonate ( soda4 ,wa% 9 fre% cold wat]1 & all[ to /& 9 cold di/ill$ wat] = #f h\rs4 ,!n boil 9 fre% wat] = #cj m9utes4 ,place 9 absolute alcohol = #dh h\rs1 !n 9 a solution ( ,s*]+'s celloid9 ) equal p>ts ( alcohol & e!r4 ,! mixture mu/ /& = #ab h\rs1 or until dissolv$2 keep tightly cork$4 ,:5 ready = use add #a p] c5t4 ( /]ile oleum ric9i1 & imm]se ?read = #dh h\rs4 ,!n w9d ^u a frame to dry4 ,?is w require f #a to #c days4 ,:5 dry1 cut into l5g?s & coil or w9d on glass slides4 ,boil = #a h\r 9 normal salt solution4 ,pres]ve 9 ,*9esol solution1 #a3 #ejj4 ,to ,/]ilize ,glyc]9 or ,any ,k9d ( ,oil4--,place bottle uncork$ 9 a vessel ( boil+ wat] = #b h\rs4 ,,to ,,prep>e ,,rubb] ,,tub+4 ,place diff]5t sizes 9 a deep di% ( wat]4 ,add bic>bonate ( soda to make a #aj p] c5t4 solution4 ,let come to a boil ov] a sl[ fire1 !n ) a /iff bru% or clo? rub ea* piece well4 ,?is removes all sulphur1 leav+ a black surface4 ,r9se sev]al times1 !n boil 9 clean wat] #ae m9utes4 ,boil #ae m9utes be=e imm$iate use4 ,,to ,,prep>e ,,six ,,y>ds ,,( ,,iod(orm ,,gauze4 ,prep>e ! foll[+ solution3 ,/]ile iod(orm1 iij2 ,/]ile glyc]91 iij4 ,mix ?or\ghly1 gradually add alcohol 7#ie p] c5t471 fiij1 !n v quickly1 e!r1 fvij4 ,h gauze ready 9 desir$ l5g?s1 & drop into solution4 ,press gauze uni=mly to pres]ve ev5ness ( color4 ,"w rapidly4 ,prep>e table1 h&s1 & p]son z = an op]ation4 ,roll /rips1 & place 9 /]ile glass j>s4 ,,to ,,prep>e ,,iod(orm ,,gauze 7,,gre5-,,soap ,,me?od74 ,to saturat$ boric-acid solution ,oj1 add gre5 soap to make a good suds4 ,boil half an h\r4 ,to ?is add iod(orm j1 !n boil #ae m9utes4 ,:5 cool add c>bolic acid 7#ie p] c5t47 j1 /ir solution1 dip gauze1 & roll 9 /rips4 ,keep 9 /]ile glass j>s4 ,ca/ile soap is a good sub/itute = gre5 soap4 ,,iod(orm ,,emulsion4 ,i4 ,n9e p>ts /]ile glyc]9 9 #a "p ( iod(orm4 ,dissolve p[d] = eight h\rs 9 bi*lorid solution 7#a3 #ejj74 ,p\r (f solution & break up ! iod(orm aft] hav+ r9s$ x ?or\ghly 9 /]ile wat]4 ,!n mix ) glyc]94 ,,ii4 ,iod(orm1 j2 /]ile glyc]91 ix4 ,put ! iod(orm 9 a /]ile bas94 ,) a /]ile spoon /ir 9 glyc]91 a few drops at a "t1 until a smoo? pa/e has be5 made4 ,!n add rema9d] ( glyc]94 ,,to ,,prep>e ,,protective ,,/rips4 ,scrub ) gre5 soap & r9se well 9 /]ile wat]4 ,cut into /rips4 ,dis9fect 9 bi*lorid 7#a3 #ejj7 = tw5ty-f\r h\rs4 ,keep 9 /]ile wat] ?ree h\rs4 ,!n place 9 boric-acid solution4 ,put 9 normal salt solution :5 prep>+ = imm$iate use4 ,,to ,,prep>e ,,t9cture ,,( ,,gre5 ,,soap4 ,gre5 soap1 #c p>ts2 ,alcohol1 #ie p] c5t41 #b 8 2 ,e!r1 #a "p4 ,to prep>e by cold process3 ,mix +r$i5ts 9 a pit*] & /ir briskly = a few m9utes e h\r until a solution is =m$4 ,to prep>e by w>m process3 ,melt ! soap ov] a sl[ fire2 !n remove x to a cool place & /ir occasionally4 ,be=e x h>d5s add solutions & mix ?or\ghly4 ,caution3 ,prep>e :]e !re is no dang] ( ! e!r ignit+4 ,,/]iliz+ ,,h&-,,bru%es4 #a4 ,clean ) gre5 soap & wat]2 r9se ?or\ghly4 #b4 ,place 9 saturat$ oxalic solution = #cj m9utes4 #c4 ,place 9 /]ile wat] #cj m9utes4 #d4 ,*ange wat] twice4 #e4 ,keep dry4 ,,to ,,prep>e ,a ,,pati5t ,,= ,a ,,surgical ,,op]ation4 ,! prelim9>y prep>ations are ( ! greate/ importance4 ,! usual /&+ ord]s %\ld be foll[$ only :5 no directions h be5 giv5 by ! surgeon4 ,:5 express directions = prep>ation are giv5 by ! surgeon1 ! usual /&+ ord]s mu/ be disreg>d$4 ,caution 9 ! use ( ca?>tics c n be too /rongly emphasiz$1 = ev5 a simple laxative at su* a "t may co/ ! pati5t's life4 ,! usual /&+ ord]s are3 ,= ! previ\s day1 liquid diet only4 ,give a ca?>tic1 a ba?1 & a hair-wa% dur+ ! aft]noon1 & flu% ! b[els ?or\ghly a few h\rs lat]4 ,surgical prep>ations %\ld be complet$ be=e retir+ "t = ! night4 ,h room & all prep>ations ready be=e di/urb+ pati5t4 ,keep pati5t cov]$ z mu* z possible4 ,protect table ) a ,kelly pad or a good sub/itute = same4 ,h at h& a dra9age-pan & a bucket4 ,%ave field ( op]ation4 ,scrub ) t9cture ( gre5 soap & r9se ) /]ile wat]2 !n cleanse ) e!r1 foll[$ by alcohol1 #gj p] c5t4 ,put on dry /]ile dress+ 7a t[el71 apply a suitable b&age & fa/5 securely4 ,d\*es are giv5 only by direction ( ! surgeon--/]ile wat] pref]r$4 ,! f9al prep>ation is giv5 9 ! op]at+-room a few m9utes be=e ! op]ation is begun1 consi/+ ( a heavy coat+ ( t9cture ( iod91 appli$ by ! surgeon 9 att5dance4 ,morn+ ( ,op]ation4--,h a specim5 ( ur9e ready = analysis4 ,no food six h\rs be=e op]ation4 ,if pati5t _c ur9ate a few m9utes be=e go+ to ! op]at+-room1 ca!t]ize1 ) doctor's p]mission4 ,remove false tee?1 jewelry1 & protect pati5t f ! cold4 ,,to ,,prep>e ,a ,,room ,,= ,a ,,major ,,op]ation4 ,,by ,,evele5 ,,h>rison1 ,graduate ( ! ,po/-,graduate ,hospital1 ,new ,york4 ,f ! ,am]ican ,j\rnal ( ,nurs+4 ,( necessity ?is is f> m ext5sive ?an ! requirem5t ( a m9or op]ation1 & %\ld be comm5c$ ! day be=e if possible4 ,! selection ( ! room comes fir/1 & z an abundance ( cle> light is m ess5tial ?an any?+ else 9 an op]at+-room1 let ! *oice ( ! room dep5d on t4 ,:5 possible avoid us+ a room into :i* ! sun w %9e directly dur+ ! "t ( ! op]ation2 b 9 any case1 take ! room t gives ! mo/ light4 ,:5 ! h\se is l>ge en\gh to all[ x1 & y\r *oice is n limit$1 use a room adjo9+1 or at lea/ on ! same floor z ! "o to be occupi$ aft]w>d by ! pati5t1 & z ne> ! ba?-room z possible4 ,sometimes x is necess>y to use y\r pati5t's b$room1 9 :i* case ! b$1 aft] be+ prep>$1 %\ld be pu%$ up 9 a corn] out ( ! way4 ,all ! furniture t x is possible to remove is tak5 out ( ! room2 any l>ge piece t has to rema9 %\ld be cov]$ completely ) %eets fre% f ! laundry4 ,c>pets & curta9s mu/ be remov$1 unless ! surgeon pref]s to h !m cov]$ ) moi/ %eets1 & ! room ?or\ghly clean$1 floor scrubb$1 w9d[s wa%$1 etc4 ,z ! surgeon w ne$ all ! light y c give him1 cov] only ! l[] panes ( ! w9d[ ) ?9 musl9 curta9s1 *eese-clo?1 or--:at w answ] ! purpose equally z well & is ready at h&--a ?ick la!r ( soap rubb$ all ov] ! panes & all[$ to dry1 ?us %utt+ (f ! gaze ( outsid]s )\t exclud+ valuable light4 ,! temp]ature %\ld be ab\t #ge ,f4 & ! room well air$ be=eh&1 z no w9d[ w be op5$ dur+ ! op]ation4 ,a li/ ( articles usually requir$ = a major op]ation is z foll[s3 ,b&ages4 ,"o /rong kit*5 table4 ,f\r small tables4 ,?ree common *airs4 ,"o f\nta9 syr+e4 ,?ree l>ge bas9s & pit*]s4 ,"o small bas9 & pit*]4 ,"o piece ( rubb] %eet+ = table4 ,two slop-j>s or foot-tubs4 ,"o gallon ( hot boil$ wat]4 ,"o gallon ( cold boil$ wat]1 & always keep a kettle ( wat] boil+ on ! /ove4 ,antiseptic solutions z ord]$4 ,alcohol4 ,safety-p9s4 ,gre5 or synol soap4 ,absorb5t cotton4 ,/]iliz$ gauze4 ,new wood5 nail-bru%4 ,two doz5 t[els1 & pl5ty ( clean s(t clo?s4 ,?is li/ is an outl9e ( ! articles usually requir$2 ! surgeon w supplem5t :at is necess>y = ea* p>ticul> op]ation1 b :5 a nurse is call$ ^u to prep>e = an op]ation 9 a private h\se1 :]e ! conv5i5ces ( ! hospital are n at h&1 %e w be ?ankful to h ready a li/ ( ! ?+s t are indisp5sable4 ,i well rememb] my fir/ op]ation outside ! hospital1 & h[ difficult ,i f\nd x to con/ruct a mod]n op]at+-room f ! limitations ( a small c\ntry h\se4 ,all supplies1 :5 possible1 %\ld be on h& ! night be=e ! op]ation1 & ! room clean$ ready = "w4 ,fac+ ! be/ light1 & ab\t five or six feet f ! w9d[1 place ! kit*5 table1 & cov] x ) a d\ble blanket or com=table1 rubb] %eet+1 & a %eet fre% f ! laundry1 ! :ole p9n$ firmly at ! f\r corn]s ) safety-p9s4 ,lay on ! top a small s+le %eet1 a blanket1 & v small1 firm pill[4 ,! little tables are to be arrang$ ar\nd ! l>ge "o1 leav+ pl5ty ( room to walk betwe54 ,cov] !m ) /]iliz$ %eets2 if !y h poli%$ tops1 fir/ put on a piece ( oilclo? or rubb] %eet+ to prev5t damage4 ,^! tables are = ! in/rum5ts1 gauze1 sponges1 /]iliz$ t[els1 & bas9 ( solution = ! surgeon's h&s4 ,a /rong screw mu/ be fa/5$ 9 ! wall ne> ! w9d[ at ! height ( ab\t sev5 feet to support ! f\nta9 syr+e1 :i* w be fill$ ) :atev] solution ! surgeon requires = irrigat+ ! w\nd4 ,"o slop-j> /&s at ! side or end ( ! l>ge table1 ! o!r beside ! table t holds ! bas9 ( sponges4 ,! bureau 7cov]$ ) a %eet7 or ! mantle-%elf w s]ve to hold ! dress+s & rubb] gloves4 ,a small /& or table w be ne$$ by ! doctor :o gives ! ane/hetic = 8 hypod]mic1 clean t[els1 & e!r or *lor(orm4 ,all ! bas9s1 t[els1 & pit*]s to be us$ dur+ ! op]ation mu/ be ?or\ghly wa%$ 9 w>m soap suds & !n boil$ = an h\r1 or--:5 t is n possible--all[$ to /& all morn+ 9 a #a3 #ajjj bi*lorid solution1 & !n r9s$ (f ) /]iliz$ wat] be=e us+4 ,two ( ! bas9s are fill$ ) /]iliz$ wat] or salt solution = wa%+ ! sponges1 ano!r bas9 holds ! wet /]iliz$ t[els1 & ! f\r? ! solution = ! surgeon's h&s4 ,a small b[l is ne$$ = ! s(t soap to wa% (f ! "p ( ! body to be op]at$ on1 also a small pit*] ( #a3 #bjjj bi*lorid & "s alcohol4 ,9 ! ba?-room arrange pl5ty ( clean t[els1 a b[l ( #a3 #bjjj bi*lorid1 & "o conta9+ alcohol1 synol1 or gre5 soap1 & a /]iliz$ nail-bru% = ! surgeon's h&s4 ,! surgeon w s5d in/rum5ts1 sutures1 & ane/hetic4 ,y _c err 9 hav+ ready a good supply ( /]iliz$ wat]1 z an em]g5cy may arise 9 :i* a d\ble quantity w\ld be requir$4 ,clean ! wa%-boil] ?or\ghly1 fill x almo/ to ! top1 & boil = half an h\r4 ,"o boil]ful mu/ be prep>$ 9 "t = ! wat] to gr[ cold be=e ! op]ation2 x is !n p\r$ into pit*]s t h be5 wa%$ 9 w>m soap suds1 & r9s$ (f ) ! /]iliz$ wat]4 ,cov] ! pit*]s ) /]iliz$ t[els or napk9s4 ,x is ( ! utmo/ importance t ev]y?+ %\ld be 9 p]fect read9ess :5 ! surgeon arrives4 ,! nurse w d well to g ov] ! li/ c>efully1 s t no?+ may be miss+4 ,,to ,,prep>e ,a ,,room ,,= ,,an ,,op]ation4 ,,by ,,jessie ,,mccallum1 ,graduate ,johns ,hopk9s ,s*ool = ,nurses4 ,f ! ,am]ican ,j\rnal ( ,nurs+4 #a4 ,! room select$ = ! op]ation %\ld be ne> ! ba?-room1 z a porcela9 tub fill$ ) bi*lorid solution ( ! /r5g? ( #a3 #ajjj makes an excell5t arrangem5t = dis9fect+ ! wa%b[ls1 pit*]s1 platt]s1 plates1 etc41 :i* are to be us$ dur+ ! op]ation = ! solutions1 in/rum5ts1 ne$les1 & ligatures4 #b4 ,if ! c>pet _c be remov$1 x may be protect$ ) oilclo?1 rubb] %eet+1 or newspap]s1 ov] :i* %eets c be p9n$4 #c4 ,! w9d[s c be fro/$ by rubb+ sapolio on ! inn] surface1 ?us prev5t+ any possible obs]vation f ! outside4 #d4 ,two small tables plac$ toge!r to =m "o ( ! requir$ size1 old blankets be+ us$ to make ! tables ( uni=m height & also to furni% a com=table surface = ! pati5t1 c be us$ = an op]at+-table1 c>e be+ tak5 to cov] ! blankets ) a b$-rubb] or table oilclo? & a %eet1 securely fold$ "u1 & ti$ to ! table ) musl9 b&ages4 #e4 ,a ,kelly pad c be improvis$ by tightly roll+ a blanket & cov]+ x ) a rubb] %eet1 two ends ( :i* are to be p9n$ toge!r & us$ to conduct ! solutions into ! foot-tub bel[4 #f4 ,an iron+-bo>d or ! leaf ( an ext5sion table1 support$ by two *airs1 makes a good table = in/rum5ts or solution bas9s4 #g4 ,an ord9>y clo!s-boil]1 "o-?ird fill$ ) wat]1 c be us$ z a /]iliz]1 ! in/rum5ts roll$ 9 gauze1 & ! bru%es & orange /icks 7= ! doctor's h&s7 be+ imm]s$ !re94 ,! necess>y dress+s1 t[els1 %eets1 f\nta9 syr+e1 etc41 are /]iliz$ by hang+ !m 9 a hammock or sl+ hung f ! h&les ( ! boil]4 ,a kit*5 =k1 l5g!n$ by securely fa/5+ to x an iron spoon1 makes a conv5i5t ut5sil ) :i* to remove ! articles f ! boil]4 #h4 ,an ord9>y %eet fold$ ov] at ! top makes an excell5t g[n = ! op]ator1 if ! ends be c>efully tak5 up "u ! arms1 cross$ 9 ! back1 & us$ z sleeves = ! %\ld]s & upp] "p ( ! arm1 ! middle ( ! upp] hem ( ! %eet be+ p9n$ to ! coll> 9 front4 #i4 ,wat] boil$ 9 ! clo!s-boil] or tea-kettles c be quickly cool$ by plac+ pit*]s ( x1 cov]$ ) /]ile t[els or clo?s1 9 a di%-pan or foot-tub ( crack$ ice4 #aj4 ,a kettle ( wat] kept boil+ dur+ ! op]ation is a great conv5i5ce4 #aa4 ,salt solution filt]$ into h\sehold pres]v+ j>s c be /]iliz$ 9 ! wa%-boil] ) ! o!r articles4 #ab4 ,a /ret*] c be improvis$ by slipp+ two w9d[-poles or broom-h&les into ! folds ( a %eet fold$ ! prop] size & securely fa/5$ ) safety-p9s4 #ac4 ,! ,tr5del5burg position c be secur$ by us+ an ord9>y kit*5 *air com=tably padd$ ) a rubb]-cov]$ pill[ & %eet1 ! back ( ! *air be+ plac$ "u ! pati5t4 #ad4 ,! pati5t c be put 9 ! li?otomy position by plac+ "u ! knees a padd$ walk+-/ick1 to ! ends ( :i* is fa/5$ a %eet fold$ diagonally1 & pass$ "u ! %\ld]s4 ,,an ,,em]g5cy ,,/eam ,,/]iliz]4 ,take an ord9>y wa%-boil]4 ,make a crate ( ?ree light bo>ds & a few slats to fit ! int]ior4 ,bo>ds %\ld be ab\t six in*es high1 to escape ! wat]4 ,! slats laid across w support all goods necess>y = an op]ation4 ,pack p>cels l5g?wise to p]mit ! full circulation ( /eam4 ,/]ilize "u full pressure ( /eam = "o h\r4 ,!n take out & place on a table to dry4 ,,to ,,/]ilize ,,an ,,ob/etric ,,set ,,or ,,small ,,packages4 ,use a boil] or small kettle :i* has two h&les4 ,make a hammock ( /rong musl91 tie corn]s to ! h&les & place packages 9 ! sl+ susp5d$ an in* or two above ! boil+ wat]4 ,cutt+ ! musl9 9 a squ>e & fold+ x on ! bias gives m room1 z ! goods w /ret*4 ,,in/rum5ts ,,to ,,use ,,= ,,op]ative ,,cases4 ,,curetm5t ,,set4 #a pair scissors4 #a ut]9e probe1 long4 #b =ceps1 #h-;in*4 #d 8 curets1 %>p & dull4 #b tissue =ceps1 long4 #f hemo/ats1 #f-;in*4 #a plac5ta =ceps1 ,b>rett's4 #b t5acula4 #a ut]9e dress+ =ceps4 #b volsella4 #c 8 s\nds4 #a ,sims' speculum4 #a 8 dilator4 #a retractor1 deep & broad4 #a 8 d\*e po9t4 ,,h]nia ,,set4 #b pairs scissors4 #f hemo/ats1 #d-;in*4 #b scalpels4 #ah 8 #f- 8 #b pairs tissue =ceps4 #c 8 #h- 8 #a groov$ director4 #a ne$le-hold]4 #a ,ko*] 8 #b p]9eum ne$les4 #a ,f5g] 8 ,sutur+ mat]ial & ne$les4 #a probe4 #b pairs retractors1 %>p & dull4 ,,amputation ,,set4 #b pairs scissors4 #f hemo/ats1 #d-;in*4 #a scalpel4 #ah 8 #f- 8 #b pairs tissue =ceps4 #b 8 #h- 8 #a bone saw4 #b curets4 #a cutt+ =ceps4 #b p]io/eotomes1 long & %ort4 #a hold+ 8 #a bone elevator4 #b bone-hold+ =ceps4 #b probes4 #a lion jaw4 #a hamm]4 #a rongeur4 #b *isels4 #a groov$ director4 #a ne$le-hold]4 #a ,ko*] 8 ,ne$les & sutur+ mat]ial4 #b pairs retractors1 %>p & dull4 ,,lap>otomy ,,set4 #a pair scissors1 curv$4 #b pairs retractors1 broad4 #a 8 8 /raight4 #b 8 8 n>r[4 #b scalpels4 #f hemo/ats1 #d-;in*4 #b pairs tissue =ceps4 #ah 8 #f- 8 #a groov$ director4 #c 8 #h- 8 #a ,ko*] 8 #b 8 curv$1 #h-;94 #a ,f5g] 8 #b t5acula4 #a probe4 #b volsella4 #b pairs retractors1 sup]ficial4 #b p]9eum ne$les4 #b 8 8 %>p4 #a ne$le-hold]4 #b 8 8 dull4 ,ne$les & sutur+ mat]ial4 #b 8 8 deep4 ,,gall-,,/one ,,set4 #a lap>otomy set4 #b gall-/one scoops4 #a li?otomy =ceps4 ,aspirat+ syr+e & ne$le4 #a long probe4 #b bone curets4 ,,sk9-,,graft ,,set4 #a scalpel4 #b curets4 #a pair scissors4 #c hemo/ats1 #h-;in*4 #a tissue =ceps1 pla94 #f 8 #f- 8 #a 8 8 rat-too?4 #b razors4 #a ,f5g] director4 ,,skull ,,fracture ,,set4 #a pair scissors1 /raight4 #ah hemo/ats1 #f-;in*4 #a 8 8 curv$4 #f 8 #d- 8 #b scalpels4 #d 8 #h- 8 #a bone-hold+ =ceps4 #c bone curets4 #a bone-cutt+ 8 #b g\ges4 #a probe1 long4 #b p]io/eotomes4 #a 8 %ort4 #a rongeur4 #a ,f5g] groov$ director4 #a lion jaw4 #a ,ko*] groov$ director4 #b treph9es4 #b retractors1 sup]ficial1 %>p4 #a de,vilbiss4 #b retractors1 sup]ficial1 dull4 #a hamm]4 #b *isels4 #b aneurism ne$les4 #a aspirat+ syr+e4 #a bone elevator4 #a 8 ne$le4 #b pair tissue =ceps4 ,ne$le-hold] & ne$les4 #a e!r mask4 ,,hemorrhoid ,,set4 #b pair scissors4 #a groov$ director4 #b knives4 #f hemo/ats1 #f-;in*4 #a clamp4 #b 8 #h- 8 #b retractors4 #b 8 8,t48 #b too? tissue =ceps4 #a bone curet4 #a pla9 8 8 #a rectal dilator4 #a probe4 ,caut]y4 ,,pro/atectomy ,,set4 #a lap>otomy set1 suprapubic4 #a h]nia set1 p]9eal4 ,add to ei!r set3 #f s\nds1 graduat$ sizes4 #f fili=m b\gies4 #b metal ca!t]s4 #a rubb] ca!t]1 size #af4 #b groov$ /aves4 #a 8 8 8 #ah4 ,,surgical ,,sets ,,= ,,/rangulat$ ,,h]nia1 ,,ga/ro-,,ent]o/omy1 ,,gun%ots1 ,,etc4 #a lap>otomy set4 #d inte/9al clamps4 #b ,murphy buttons4 ,,tub]cul\s ,,gl& ,,& ,,goit] ,,sets4 #a h]nia set #b aneurism ne$les44 #f hemo/ats1 #f-;in*4 #a e!r mask4 ,,wir+ ,,( ,,bone4 #a amputation set4 #d drills4 #b drill-hold]s4 ,wire or plates & screws4 ,,surgical ,,sets ,,= ,,v>icose ,,ve9s1 ,,v>icocele1 ,,hydrocele4 #a h]nia set4 ,,surgical ,,po/ures4 ,illu/ration3 ,sims's po/ure1 ant]ior view4 ,illu/ration3 ,sims's po/ure1 po/]ior view4 ,illu/ration3 ,dorsal recumb5t po/ure4 ,illu/ration3 ,dorsosacral po/ure1 ) leg-hold] appli$4 ,illu/ration3 ,knee-*e/1 or g5upectoral1 po/ure4 ,illu/ration3 ,wal*] po/ure4 ,illu/ration3 ,tr5del5burg po/ure4 ,illu/ration3 ,edebohls's dorsal po/ure4 ,,oph?almia4 ,,purul5t ,,oph?almia 7,,suppurative ,,inflammation ,,( ,,! ,,conjunctiva74 ,,by ,,cassius ,d4 ,,wescott1 ,m4 ,d41 ,assi/ant ,pr(essor ( ,oph?almology at ,ru% ,m$ical ,college1 ,*icago1 ,ill4 ,purul5t oph?almia is caus$ by a specific g]m1 & is v contagi\s4 ,local ,treatm5t4--,irrigate ) w>m boric-acid solution or normal salt solution e h\r4 ,ano9t ! edges ( ! lids ) /]ile vasel9 to p]mit free dra9age4 ,ca/or oil & glyc]91 ( ea*1 equal p>ts2 or borat$ vasel9 may be us$ = ! same purpose4 ,a/r+5ts & cau/ics1 silv] nitrate1 etc41 are usually appli$ by ! doctor4 ,= an anodyne1 atrop9 is pr9cipally employ$1 also cold or hot compresses2 9 ! use ( ! latt] c>e mu/ be tak5 to prev5t irritation ( ! sk9 t w %[ itself 9 a p]man5t livid hue4 ,9 case ( excessive swell+ a lee* may be appli$1 or ! doctor may resort to sc>ification4 ,m$ic9es consi/ ( ca?>tics1 diuretics1 diaphoretics1 opiates1 tonics4 ,g5]al ,treatm5t4--,frequ5t ba?s1 pl5ty ( fre% air4 ,temp]ature ( ! room %\ld be uni=m4 ,mod]ate & subdu$ light4 ,diet %\ld consi/ ( nutriti\s food1 liquid or s(t1 accord+ to ! condition ( ! pati5t4 ,! gravity ( ea* case dep5ds l>gely ^u ! ext5t to :i* ! cornea is involv$4 ,treatm5t mu/1 ( c\rse1 be modifi$ accord+ to ! virul5ce ( ! inflammation4 ,to ,apply a ,lee*4--,lee*es are appli$ to relieve conge/ion4 ,put "o 9 a small vial ) a m\? l>ge en\gh = ! lee* to crawl ?r\gh4 ,cleanse ! pati5t's temple1 & ) a /]ile ne$le scrat* ! sk9 until ! blood %[s4 ,directly ov] ?is place ! m\? ( ! vial4 ,! lee* w bite almo/ in/antly1 & w drop (f :5 x is gorg$4 ,if ! occasion requires ! lee* to be tak5 (f be=e x is gorg$1 spr9kle a little salt on its head4 ,hemorrhage %\ld n be *eck$ unless pr(use1 9 :i* case a piece ( ice or alum appli$ to ! spot w arre/ ! fl[4 ,if possible1 ! pati5t %\ld be kept 9 ignorance ( ! application4 ,,oph?almia ,,neonatorum4 ,:5 ! disease develops x w be manife/$1 z a rule1 f ?ree to five days aft] bir? by r$ness ( ! eye & a slight dis*>ge4 ,x is ! duty ( ! nurse1 z well z ( ! acc\*eur1 to exam9e ! eyes ( ! new-born babe ea* day dur+ ! ly+-9 p]iod1 & at ! fir/ sign ( tr\ble1 if discov]$ by ! nurse1 ! att5tion ( ! physician %\ld be direct$ to ! matt]4 ,dur+ ! fir/ two or ?ree days aft] ! disease beg9s !re is usually little or no pus pres5t1 & comp>atively little swell+ ( ! lids1 except 9 ! mo/ viol5t cases4 ,dur+ ?is s-call$ fir/ /age ! treatm5t %\ld be t ( an ord9>y acute cat>rhal conjunctivitis--viz43 ic$ compresses appli$ = an h\r twice a day if ! baby is well & /rong2 g5tle flu%+ ( ! conjunctival sac ) a w>m saturat$ solution ( boric acid4 ,z soon z pus beg9s to =m1 ! eyes mu/ be cleans$ m frequ5tly--e h\r dur+ ! day & e two h\rs dur+ ! night--& ! edges ( ! lids %\ld be kept con/antly ano9t$ ) /]ile vasel9 to prev5t _! agglut9ation & ! ret5tion ( ! dis*>ge4 ,dra9age is indicat$ :5ev] !re is suppuration1 & if we c prev5t ! /ick+ toge!r ( ! lids 9 ?is way1 we all[ free dra9age & r$uce ! irritation :i* inv>iably results f ret5tion ( ! dis*>ges 9 ^! cases4 ,9 all cases x w be notic$ t aft] ! dis*>ge has be5 wa%$ away f ! ev]t$ lids !re are /r+s or %r$s ( mucus 9 ! folds ( ! conjunctiva4 ,! nurse %\ld endeavor at ea* cleans+ to wa% !m out by cont9u\s flu%+ & g5tle manipulation ( ! lids4 ,if %e does n succe$ 9 keep+ ! eyes free f ^! %r$s ! physician w remove !m at lea/ once a day4 ,if ! conjunctiva ( ! globe becomes swoll5 & edemat\s & rolls up ov] ! edge ( ! cornea1 ! nutrition ( ?is preci\s membrane becomes ?reat5$1 & inflammation ( ! cornea1 ) ulc]ation or sl\gh+1 is ! cause ( ! bl9dness :i* foll[s ?is disease4 ,at ! slighte/ indication ( haz9ess ( its surface ! ic$ compresses %\ld be discont9u$ & hot fom5tations resort$ to4 ,!y may be appli$ e ?ree h\rs = fifte5 m9utes ea* "t4 ,great c>e & judgm5t are necess>y 9 ord] t ! heat be suffici5t to be effective )\t burn+ ! delicate sk9 ( ! lids & t x be cont9u\s4 ,! compresses %\ld be *ang$ at lea/ e sixty seconds dur+ _! application4 ,:5 ! cornea becomes ulc]at$ great c>e mu/ be us$ 9 ! manipulation ( ! lids n to make pressure ^u ! eye-ball = fe> ( caus+ p]=ation4 ,if ! lids are slipp]y f ! pres5ce ( vasel9 or dis*>ge1 a s+le ?ickness ( gauze or a little cotton held betwe5 ! f+] & ! lid w be f\nd a great help 9 op5+ ! eye4 ,z ! dis*>ge ( pus beg9s to dim9i%1 :i* may n be = sev]al weeks 9 bad cases1 we may some:at modify our treatm5t2 ! /rong applications ne$ n be q s /rong1 & ! cleans+ ne$ n be q s frequ5t2 b ! mo/ important item 9 ! treatm5t ( all ^! cases is ! frequ5t ?or\gh cleans+ ( ! eyes1 & if ! cleans+ is ?or\ghly done z above describ$ ea* h\r & ! lids kept con/antly ano9t$1 9 ord] to prev5t accumulation ( ! irritat+ dis*>ge1 m frequ5t cleans+ w n be necess>y4 ,great c>e mu/ also be ex]cis$ to prev5t mu* cry+ by ^! little pati5ts4 ,!y mu/ be kept w>m1 regul>ly nurs$ or f$1 & ! slighte/ d]angem5t ( ! alim5t>y canal mu/ be att5d$ to4 ,if ! cause ( ! cry+ _c be asc]ta9$ & remov$1 x is wis] to soo! ! baby ) a simple anodyne ?an to p]mit ! cry+ to g on4 ,x %\ld n be necess>y to po9t out ! dang] :i* lies 9 all ?+s :i* come 9 contact ) ! dis*>ge f ^! eyes4 ,bl5norrhea neonatorum is responsible = at lea/ #be p] c5t4 ( all ! bl9dness 9 ! _w1 & yet n "o case 9 a hundr$ %\ld result disa/r\sly if skilfully & pati5tly manag$4 ,,em]g5cies4 ,,hemorrhages4 ,hemorrhage f ! art]ies may be recogniz$ by its bright r$ color & by ! spurt+ jets by :i* ! blood leaves ! w\nd4 ,v5\s 7f ! ve9s7 hemorrhages fl[ 9 a /eady /ream & are d>k] 9 color4 ,art]ial hemorrhage may be *eck$ by firm pressure ov] ! side ne>e/ ! he>t or above ! w\nd4 ,v5\s hemorrhages may be *eck$ by firm pressure on ! side di/ant f ! he>t or bel[ ! w\nd4 ,l>ge ve9s l ! jugul> %\ld be compress$ bo? above & bel[ ! w\nd because ! ve9 may ble$ f bo? ends4 ,if possible1 digital pressure %\ld be made directly ov] ! ble$+ po9t4 ,hemorrhage f ! leg may be *eck$ by firm pressure ^u ! femoral art]y1 9 ! middle ( ! gro9 at ! top ( ! ?igh4 ,hemorrhage f ! =e>m by compression "u ! inn] edge ( ! biceps aga9/ ! hum]us4 ,hemorrhage f ! upp] arm by compression ( ! axill>y art]y aga9/ ! hum]us 9 ! axilla4 ,hemorrhage f ! *eek by compression on ! facial art]y aga9/ ! l[] jaw j 9 front ( ! masset] muscle4 ,flex+ ! limbs at ! jo9ts ) a pad betwe5 !m to make ! compression secure & !n b9d+ ! "p may prove a successful me?od ( arre/+ ! fl[ ( blood4 ,a con/rictor ( rubb] tub+ twi/$ firmly ar\nd ! limb is a ready appliance & a mo/ successful way ( *eck+ a fl[ ( blood f an injur$ limb4 ,b x %\ld n rema9 on long] ?an absolutely necess>y or gangr5e may result f complete /oppage ( ! circulation4 ,w\nds %\ld be pack$ fully & ev5ly ) "s absorb5t mat]ial4 ,applications ( heat & cold are common me?ods ( *eck+ hemorrhages1 heat be+ at all times pref]able4 ,hot wat] p\r$ on op5 w\nds w enc\rage coagulation4 ,ble$+ f an ulc] ( ! leg1 :i* (t5 results f v>icose ve9s1 %\ld be /opp$ by firm pressure ov] ! w\nd4 ,hemorrhage f ! ,lungs4--,a teaspoonful ( salt tak5 int]nally may /op x4 ,place an ice-bag ov] ! *e/4 ,morph91 gr4 -1 may be giv5 "u ! in/ructions ( a physician4 ,9 all cases put pati5t 9 b$ & enjo9 complete re/ until m$ical aid arrives4 ,nose-ble$ 7,epi/axis74--,fir/ ( all1 position & re/ %\ld be att5d$ to4 ,! pati5t %\ld n lie d[n unless v weak4 ,! high] ! head ! bett]4 ,loos5 clo?+ ab\t ! neck & ?orax4 ,caution pati5t aga9/ c\gh+ or sneez+4 ,hold+ ! no/ril tightly clos$1 ) cold applications to ! back ( ! neck1 is sometimes successful4 ,insufflation ( ice- or alum-wat]1 or ( tannic acid solution may induce coagulation4 ,pr(use ble$+ w require pack+ ( ! no/rils4 ,,fractures4 ,comp\nd ,op5 ,fracture4--,! bone is brok5 & ! w\nd ext5ds f ! seat ( ! fracture to ! outside4 ,su* w\nd may be caus$ by ! injury itself1 or may occur second>ily f ! protrusion ( pieces ( bone ?r\gh ! sk94 ,a comm9ut$ fracture is "o 9 :i* ! bone is brok5 into a numb] ( fragm5ts4 ,an ,impact$ ,fracture4--,! brok5 ends h be5 =cibly driv5 into "o ano!r1 & are ?us fix$4 ,multiple ,fracture4--,! bone is fractur$ at diff]5t po9ts1 or :5 diff]5t adjo9+ bones are brok54 ,a complicat$ fracture is "o associat$ ) a s]i\s injury to "s important adjac5t "p--e4g41 a l>ge vessel4 ,a gre5 /ick or incomplete fracture occurs :]e ! bone is s(t & b5ds1 & is only p>tially fractur$2 x is mo/ frequ5t 9 *ildr54 ,symptoms ( fractures are usually pa91 loss ( function1 de=mity 7se5 or felt by pass+ ! f+]s ov] ! seat ( pa971 crepitus or ! grat+ s\nd produc$ & felt on rubb+ ! brok5 ends aga9/ ea* o!r1 abnormal mobility 9 ! c\rse ( ! bone1 swell+1 & discoloration4 ,! pr9cipal po9t is to keep ! "p immovable & 9 a position to give z little pa9 z possible4 ,support ! limb ) some?+ /iff & padd$ ) cotton or remnants ( yield+ mat]ial4 ,b&ages c be made ( h&k]*iefs1 /rips ( l951 ribbon1 etc41 to keep ! spl9t firm4 ,= ! =e>m padd$ spl9ts long en\gh to take 9 ! h& f above ! elb[ %\ld be appli$4 ,tie firmly ) b&ages & susp5d 9 a sl+4 ,if ! upp] arm be fractur$1 b9d x tightly to ! side4 ,= ! ?igh1 ! spl9ts %\ld ext5d f "u ! arm to ! ankle & %\ld be b\nd to ! body & leg ) long t[els or %eets torn into /rips4 ,a spl9t made ( blankets1 roll$ up tightly f bo? sides on broom/icks1 all[+ space = ! limb to re/ betwe5 ! supports1 is a good & ready appliance4 ,always make ext5sion to prev5t contractions ( ! muscles1 z ?is w\ld result 9 %ort5+ ! leg4 ,= a brok5 clavicle 7coll>-bone7 b9d ! arm to ! *e/4 ,put ! pati5t on ! flat ( 8 back ) a small pad betwe5 ! %\ld]-blades4 ,?is w keep ! brok5 ends 9 a normal position4 ,n4 ,b4--,9 e case elevate & support ! injur$ memb] on a pill[1 keep 9 position & give complete re/ until m$ical aid arrives4 ,,dislocations4 ,dislocation is a displacem5t ( ! jo9t4 ,x may occur ) a break ( ! limb1 b usually results f a fall or /ra94 ,!re may be de=mity & inability to move ! injur$ "p4 ,sometimes an abnormal projection is ! fir/ sign4 ,if inflammation arises1 apply cold applications4 ,! only treatm5t a nurse may give is to keep ! pati5t quiet & await skill$ help4 ,,spra9s4 ,!re may be extreme pa91 swell+1 inflammation1 discoloration1 & inability to use ! jo9t4 ,support & elevation ( ! limb is ( ! greate/ importance4 ,use hot or cold applications to allay ! inflammation & pa94 ,cov] ) a ?9 s(t pad1 & b&age ev5ly & firmly4 ,a spra9 %\ld n be neglect$1 z x may cause future disease ( ! injur$ "p4 ,= rec5t bruises cold applications are be/4 ,give ! pati5t complete re/1 support & elevate ! injur$ limb1 apply cold or hot applications1 & await skill$ help4 ,,burns ,,& ,,scalds4 ,9 sev]e cases ! con/itutional treatm5t is ( m importance ?an ! application ( local rem$ies4 ,if ! pati5t is 9 %ock wrap him 9 w>m blankets1 & give him /imulants4 ,9 sup]ficial cases :]e ! sk9 is n brok5 p[d] ) bic>bonate ( soda 7bak+ soda74 ,a ready dome/ic application is sweet oil4 ,exclude ! air at all times4 ,:5 vesicles h be5 produc$ !y %\ld be punctur$ ) a %>p in/rum5t1 & ! s]um g5tly evacuat$ ) absorb5t cotton4 ,apply soo?+ o9tm5ts or wet dress+s4 ,,9 ,,case ,,( ,,sev]e ,,burns ,,( ,,! ,,body imm]se ! pati5t 9 a w>m ba?1 keep+ x at ev5 temp]ature4 ,sep>at+ a lay] ( common :ite cotton wadd+1 & wrapp+ x ab\t ! injur$ "p w allay ! pa91 & ! cotton has ! advantage ( n adh]+ to ! raw surface4 ,spl9ts & b&ages %\ld be employ$ to prev5t contractions4 ,,burns ,,( ,,! ,,eye4 ,= burns result+ f molt5 lead1 /rong alkalies1 lime1 or acids1 flu% freely ) w>m wat] or boric-acid solution1 & ano9t ) pure vasel9 or a few drops ( ca/or oil4 ,d n rub ! injur$ tissues4 ,! applications %\ld be made quickly & v g5tly4 ,put on cold compresses until m$ical aid arrives4 ,,injuries ,,to ,,! ,,eye4 ,= surface injuries a drop ( ca/or oil may be appli$1 & ! eye kept clos$ = ! day ) a pad ( wadd+ & a b&age4 ,,syncope 7,,fa9t+ ,,or ,,swoon+74 ,place ! pati5t 9 a recumb5t position4 ,loos5 all clo?+1 & da% cold wat] on ! face & *e/4 ,spirits ( ammonia or smell+ salts %\ld be us$ ) caution1 & n br\ght too ne> ! no/rils4 ,! pulse & g5]al appe>ance w indicate if condition is s]i\s4 ,give :isky & /ry*n9 sulphate 7_/ gr47 hypod]mically if necess>y4 ,,hy/]ia4 ,9 hy/]ia ! pati5t may be app>5tly unconsci\s2 ! body is normal to ! t\*1 ! pulse is full & regul>1 ! color is natural1 & if an attempt is made to raise ! eyelid x w be met ) resi/ance4 ,d n leave ! pati5t alone1 b d n di/urb h] until %e recov]s4 ,,epilepsy4 ,! attack comes on v sudd5ly4 ,! pati5t utt]s a %>p cry1 & falls to ! gr\nd4 ,! muscles are rigid1 ! eyes />+1 & !re may be fro?+ at ! m\?4 ,! muscles soon relax1 & !re are twit*+s ( ! :ole body4 ,! attack may la/ only a few m9utes4 ,place ! pati5t on 8 back ) ! head slightly elevat$1 & loos5 all clo?+4 ,put a w$ge betwe5 ! tee?1 give him pl5ty ( fre% air1 & d n attempt to /op ! movem5ts4 ,,dr[n+4 ,beg9 artificial respiration at once1 !n soon z possible remove or loos5 all clo?+ ab\t ! back1 *e/1 & abdom54 ,free ! ?roat & m\? f mucus & =eign sub/ances4 ,secure ! tongue ) a dry clo? or h&k]*ief2 keep x drawn =w>d & to "o side1 z ?is op5s ! w9dpipe4 ,!n turn ! pati5t face d[nw>d1 all[+ ! abdom5 to re/ on a roll ( goods4 ,make firm pressure on ! back & on bo? sides ( ! ?orax to evacuate ! lungs4 ,envelop ! body 9 w>m blankets1 apply heat to ! feet1 & /imulate ) hypod]mic ( /ry*n91 :isky1 & c(fee4 ,,susp5d$ ,,animation ,,f ,,noxi\s ,,gases4 ,remove pati5t at once into ! fre% air4 ,employ artificial respiration1 apply heat1 & /imulate hypod]mically4 ,,me?ods ,,( ,,artificial ,,respiration4 ,sylve/]'s ,me?od4--,lay ! pati5t ^u 8 back2 kneel above ! head1 take firm hold ( ! arms above ! elb[1 & move !m horizontally--fir/ away f ! body1 !n ov] ! head until ! h&s t\* beh9d2 pull !m backw>d = a few seconds4 ,?is process exp&s ! *e/ cavity1 & ! lungs are fill$ ) air1 induc+ inspiration4 ,return ! arms to ! fir/ position1 & make /rong pressure on ! sides ( ! *e/ & epiga/rium to expel ! air & effect expiration4 ,movem5ts %\ld n be too rapid2 !y %\ld be repeat$ ab\t sixte5 times a m9ute4 ,9 case ( app>5t want ( success1 p]si/ 9 ! treatm5t until x has be5 asc]ta9$ t ! he>t has ceas$ to beat4 ,m>%all ,hall's ,me?od4--,roll ! pati5t ov] on 8 brea/1 make g5tle pressure on ! back1 !n turn ! body g5tly b completely on ! side1 & aga9 make g5tle pressure on ! back4 ,repeat ^! movem5ts fifte5 times e m9ute4 ,artificial respiration may be kept up = h\rs be=e ! fa9te/ symptoms ( life are %[n4 ,,sun/roke4 ,two conditions result f exposure to excessive heat3 !rmic fev] & heat exhau/ion4 ,9 !rmic fev]1 aft] prodromal symptoms consi/+ ( heada*e1 nausea1 & vomit+1 !re are /upor or coma1 fev] rang+ f #aje to #aaj ,f41 flu%+ ( ! face1 contraction ( ! pupils1 a rapid1 full pulse1 & noisy respirations4 ,managem5t4--,pack ! pati5t 9 ice1 & rub ) ice4 ,ice-wat] enemas may also be giv54 ,ble$+ & ! subcutane\s adm9i/ration ( normal salt solution are sometimes efficaci\s4 ,9 heat exhau/ion consci\sness is n lo/2 ! sk9 is cold & moi/2 ! respirations are %all[ & rapid1 b n noisy2 & ! pulse is feeble4 ,managem5t4--,! pati5t %\ld be cov]$ ) blankets & surr\nd$ ) hot bottles4 ,aromatic _s ( ammonia 7#cj m9ims71 :isky1 & black c(fee are useful /imulants4 ,,ba?s ,,& ,,packs4 ,,w>m ,,pack ,,= ,,pneumonia ,,pati5ts4 ,articles ne$$3 #d blankets4 ,foot-tub = hot wat]4 #a rubb] & t[el = head4 ,bas9 & ice4 #a long rubb] %eet4 #b compresses = head4 ,place "u pati5t3 ,fir/1 blanket1 !n rubb] %eet1 cov]$ ) second blanket4 ,place small rubb] piece1 cov]$ ) ! t[el1 "u pati5t's head4 ,?ird blanket put ov] pati5t4 ,leave pati5t on side :ile wool5 blanket is wrung out ( hot wat]4 ,place ?is blanket quickly "u & ab\t ! pati5t1 remov+ l[] dry "o at ! same "t4 ,leave feet out ( wet blanket1 wrapp+ !m up dry1 & use hot-wat] bottle if necess>y4 ,cold compresses to head4 ,leave 9 pack #de m9utes4 ,wipe dry2 give alcohol rub4 ,take temp]ature & pulse e half-h\r aft] remov+ f pack4 ,,cold ,,pack ,,to ,,r$uce ,,temp]ature4 ,articles ne$$3 #a long rubb] %eet4 ,foot-tub4 #c blankets4 ,pit*] or spr9kl]4 ,bas9 ( ice4 ,rubb] & t[el = head4 #b compresses = head4 ,place "u pati5t3 ,fir/1 blanket1 !n rubb] %eet1 cov]$ ) second blanket4 ,h blanket ov] pati5t ) pati5t on side4 ,wr+ a cotton blanket or %eet out ( w>m wat] to wrap ab\t pati5t1 leav+ feet out1 cov]+ !m ) a dry blanket1 us+ hot-wat] bottle if necess>y4 ,compress on head4 ,spr9kle ) tepid wat]4 ,use friction4 ,turn pati5t once 9 mid/ ( pack & iron back ) ice1 & aga9 j be=e he is remov$4 ,leave 9 #cj m9utes4 ,*ange compresses frequ5tly4 ,give pl5ty ( wat] to dr9k4 ,h sea sponge to take up wat]4 ,leave pati5t betwe5 blankets2 give alcohol rub4 ,take temp]ature & pulse half an h\r aft] remov+ ! pack4 ,,spong+ ,,to ,,r$uce ,,temp]ature4 ,articles ne$$3 #b blankets4 ,bas9 ( ice4 #c t[els4 ,bas9 ( w>m wat]4 ,rubb] & t[el = head4 ,compresses or ice-cap = head4 ,place pati5t betwe5 blankets4 ,rubb] & t[el "u head4 ,t[el across lo9s4 ,wa% face & apply cold compress to head4 ,sponge *e/1 arms1 legs1 & back ) w>m wat]4 ,cool wat] & sponge *e/4 ,apply cold compress across *e/4 ,turn pati5t on side4 ,sponge arms1 leav+ upp] "p ( body expos$4 ,fold blanket up & sponge back4 ,*ange compresses frequ5tly4 ,give pl5ty ( wat] to dr9k4 ,cont9ue spong+ f #bj to #cj m9utes4 ,rub ) alcohol & put pati5t to b$4 ,take pulse & temp]ature half-h\r aft] spong+4 ,,hot ,,packs ,,to ,,induce ,,p]spiration4 ,articles ne$$3 #d blankets4 #a %eet4 #b long rubb] %eets4 ,bas9 ( ice4 #a %ort 8 %eet4 ,foot-tub ( hot wat]4 ,rubb] piece = head4 ,old wool5 blanket4 #b t[els4 #b compresses4 ,place "u pati5t3 ,fir/1 blanket1 !n rubb] %eet1 cov]$ ) ! second blanket4 ,?ird blanket place ov] pati5t4 ,wrap feet up dry4 ,h pati5t on side4 ,wr+ f\r? blanket out ( hot wat] & place quickly ab\t pati5t1 br++ well up ar\nd neck & 9 betwe5 ! arms4 ,wrap well ab\t ! legs4 ,br+ "u rubb] %eet up ab\t ! neck well & place a long rubb] %eet snugly ov] t4 ,wrap feet1 !n br+ "u blanket up ov] rubb] %eet1 & top blanket tuck$ ov] all1 see+ t all folds ( blankets are snug ar\nd ! neck4 ,rubb] & t[el "u head4 ,compress to head4 ,place %eet ov] pati5t n tuck$ 94 ,give hot dr9ks freely unless liquids are re/rict$4 ,take pulse be=e plac+ pati5t 9 pack & e #ae m9utes :ile 94 ,leave pati5t 9 #de m9utes & !n 9 dry blankets half an h\r1 ,take out ( pack1 rub dry1 & give alcohol rub4 ,,tubb+4 ,articles ne$$3 #a long rubb] %eet4 #a sea sponge4 #b blankets4 #b pails4 #a tubb+ %eet4 ,bas9 ( ice4 #a t[el4 ,siphon4 #b compresses or ice-cap4 ,piece ( rubb] tub+4 #a ba? t[el4 ,place "u pati5t3 ,"o blanket cov]$ ) long rubb] %eet1 !n ) tubb+ %eet1 ov] :i* place musl9 %eet wid?wise4 ,place t[el ov] lo9s4 ,br+ %eet up ar\nd pati5t1 tubb+ %eet roll$ 9 f sides & ti$ to ! f\r corn]s ( ! b$4 ,use f\r pails ( tepid wat]1 gradually cool to #fj or #gj ,f4 ,apply friction mo/ ( ! "t4 ,compresses to head4 ,give wat] freely4 ,leave feet out ( wat]4 ,turn pati5t & use friction on back once :ile 9 & be=e tak+ out4 ,take pulse frequ5tly4 ,leave pati5t 9 pack #bj m9utes4 ,turn pati5t & remove wat] ) siphon & sea sponge4 ,l[] pati5t1 remov+ tubb+ & wet %eet1 leav+ pati5t betwe5 blankets ) hot-wat] c at feet4 ,take temp]ature half-h\r aft] removal4 ,give alcohol rub & make b$4 ,,alcohol ,,sweat4 ,articles ne$$3 #f old blankets4 #h hot bricks 9 bags #a piece ( old blanket4 7wool5 pref]r$71 #b long rubb] %eets4 #ab #ab in*es4 #a %ort 8 %eet4 ,bas9 ( ice4 #a piece 8 = head4 #b compresses4 #a t[el4 ,alcohol4 #a %eet4 ,hot dr9k4 ,place "u pati5t blanket cov]$ ) a long rubb] %eet & !n second blanket4 ,wrap %\ld]s 9 a blanket4 ,place fold$ blanket & small rubb] %eet ar\nd ! feet4 ,cov] pati5t ) blanket1 & ov] t place long rubb] %eet4 ,fold back upp] rubb] %eet blanket ov] pati5t & !n "o "u pati5t4 ,place cov]$ bricks on folds ( l[] blanket4 ,p\r "o tablespoonful ( alcohol on hot bricks cov]$ ) out] edge ( blanket1 on :i* bricks re/1 !n ) blanket ov] pati5t1 fold+ x 9 betwe5 bricks & pati5t4 ,br+ "u rubb] %eet up & upp] "o d[n4 ,tuck ea* rubb] %eet & blanket well 9 ab\t ! neck4 ,br+ fold$ blanket & %ort rubb] %eet ov] feet1 "u ! long rubb] %eet4 ,arrange opposite side 9 l mann]4 ,place ov] all #b blankets & tuck 94 ,cov] ^! ) clean %eet1 n tuck$ 94 ,rubb] & t[el "u head4 ,apply ! cold compress to head & *ange frequ5tly4 ,give a hot dr9k unless contra9dicat$4 ,take pati5t's pulse be=e plac+ 9 sweat & e #aj m9utes :ile 94 ,m (t5 z condition ( pati5t indicates4 ,leave 9 "o h\r4 ,d n expose pati5t :ile remov+ bricks & blankets4 ,leave "o blanket "u & two ov] pati5t = half an h\r4 ,tuck blanket ab\t pati5t1 %eet ov] all4 ,:5 remov+ ^! blankets dry pati5t & give alcohol rub4 ,,massage--,,me*ano-,,!rapy4 ,massage 7mean+ to knead or manipulate7 is "o ( ! olde/ !rapeutic measures employ$ = ! relief ( disease4 ,x is probable t ! ,*9ese us$ ?is me?od ( treatm5t sev]al ?\s& ye>s ago4 ,! ,japanese & ! ,greeks & ,romans also 7 anci5t us]s ( massage4 ,to-day x is recogniz$ z "o ( our mo/ useful adjuvants 9 ! treatm5t ( a great _m disord]s4 ,un=tunately1 l "s o!r !rapeutic measures1 x has be5 misus$ = p]sonal ga9 by unscrupul\s p>ties to ! great detrim5t ( ?is =m ( treatm5t2 because ( ?is _m physicians h hesitat$ to adopt its use ext5sively = fe> ( be+ class$ ) ! army ( quacks & *>latans :o endeavor to guile ! public ) a pret5d$ k ( massage4 ,x n be+ possible = all nurses to become pr(ici5t 9 ! art ( massage :ile do+ g5]al nurs+ 7z x requires "t1 pati5ce1 & a great deal ( exp]i5ce to succe$71 massage has become some:at specializ$1 & we f9d _m nurses :o devote _! "t & att5tion exclusively to ?is "w4 ,yet all nurses %\ld h a g5]al k ( ! physiologic effects ( massage & h[ to give x4 ,! be/ results are obta9$ only :5 massage is giv5 "u ! direct sup]vision ( a physician1 z massage may influ5ce ! function ( almo/ e organ & tissue ( ! body4 ,"s g5]al rules may be giv5 z to ! h\r & duration ( ea* treatm5t4 ,a great deal dep5ds ^u ! nature ( ! disord] 9 ea* individual case4 ,9 ! treatm5t ( neura/h5ic pati5ts :]e insomnia is (t5 a tr\blesome symptom1 massage giv5 "o or two h\rs be=e ! pati5t quiets d[n = ! night frequ5tly results 9 improv$ sleep4 ,aga91 o!r pati5ts w d bett] to h ! treatm5t "o or two h\rs aft] ! morn+ meal4 ,individual peculi>ities mu/ be consid]$ always 9 giv+ massage4 ,! room %\ld be ( su* temp]ature t ! pati5t :5 expos$ w n feel *illy4 ,absolute quiet %\ld be ma9ta9$ dur+ ! treatm5t1 & aft] ! treatm5t ! pati5t %\ld rema9 quiet 9 a recumb5t po/ure = an h\r or two z ! condition may require4 ,! (t-us$ expression 8t a masseur or masseuse possesses a great deal ( electricity :i* is transf]r$ dur+ ! treatm5t to ! pati5t10 %\ld f9d no place 9 ! intellig5t m9d 9 consid]+ ! effects ( massage4 ,x is true t "o op]ator by 8 me?od ( adm9i/]+ massage may please a pati5t & accompli% m ?an ano!r1 b ?is is due only to ! fact t "o und]/&s h[ x %\ld be giv51 & ! o!r does n4 ,all ! diff]5t movem5ts 9 massage may be class$ "u ! foll[+3 ,fir/1 /rok+2 second1 friction2 ?ird1 knead+2 f\r?1 vibration2 fif?1 p]cussion2 six?1 jo9t movem5ts4 ,/rok+4--,?is proc$ure may be giv5 ) two or ?ree f+]s or ! palm> surface ( "o or bo? h&s4 ,! movem5t %\ld be g5tle1 & ! contact made z lightly z possible4 ,/rok+ %\ld be done always 9 "o direction1 &1 z a rule1 9 ! direction ( ! blood curr5ts 9 ! art]ies4 ,! physiologic effects :5 prop]ly appli$ %\ld be s$ative1 z ! purpose %\ld be to dim9i% ! blood-supply to ! "p4 ,x produces a c]ta9 effect ^u ! cutane\s n]ves :i* is v quiet+4 ,x is (t5 f\nd useful :5 appli$ ab\t ! =ehead = sleeplessness4 ,n]v\s heada*e may be reliev$ by ! same proc$ure4 ,neuralgic pa9s & ! vague1 b nev]!less uncom=table1 s5sations compla9$ ( by neura/h5ic pati5ts are (t5 reliev$ by ?is measure4 ,friction4--,9 ?is proc$ure ! :ole or "p ( ! palm> surface ( ! h& is mov$ ov] ! surface ( ! body ) consid]able pressure4 ,! pr9cipal effect ( friction is ^u ! sup]ficial blood-vessels & ! lymphatics4 ,9 ! l[] extremities ! movem5t %\ld be f bel[ upw>d 9 ! direction ( ! v5\s fl[4 ,! same may be said ( ! upp] extremities4 ,! ?umb may be made to foll[ ! c\rse ( ! l>g] ve9s1 9 ?is mann] /imulat+ ! v5\s circulation4 ,"s pati5ts object to friction appli$ by ! dry h&1 9 :i* case "s lubricant may be us$2 pure vasel91 cocoa-butt]1 & talcum p[d] are among ! be/ = ?is purpose4 ,friction %\ld always be us$ 9 ! beg9n+ ( massage1 especially if ! surface ( ! body is cold4 ,x is n ! int5tion "h to give m9ute in/ruction z to ! me?ods ( proc$ure ) all ! diff]5t p>ts ( ! body2 only g5]al in/ructions c be "h giv51 & ^? requir+ fur!r in=mation %\ld consult text-books ^u ?is subject4 ,physiologic ,effects ( ,friction4--,fir/1 reflex effects ^u ! vasomotor n]ves produc+ dilatation ( ! p]iph]al blood-vessels ) increas$ circulation1 aid+ ! v5\s & lymphatic circulation4 ,x is useful 9 all conditions accompani$ by poor p]iph]al circulation4 ,x n only /imulates ! circulation1 b aids mat]ially 9 elim9ation & increas$ nutrition4 ,x aids 9 ! relief ( g5]al dropsy & ha/5s ! absorption ( inflammatory exudates result+ f spra9s & v>i\s jo9t affections1 etc4 ,knead+4--,knead+ is "o ( ! mo/ important proc$ures 9 massage4 ,x consi/s 9 ! alt]nate compression & relaxation ( ! tissues1 ! h& n be+ all[$ to slip ov] ! surface z 9 friction4 ,x may be adm9i/]$ 9 v>i\s ways1 su* z roll+1 wr++1 & ! use ( ! palm or f+]s4 ,fur!rmore1 x may be deep or sup]ficial4 ,sup]ficial knead+ /imulates all ! functions ( ! sk91 increases sup]ficial circulation 9 ! blood-vessels & lymphatics4 ,9 deep knead+ ! object is to influ5ce ! deep-ly+ muscles1 & c>e %\ld be ex]cis$ 9 ?is proc$ure n to injure ! l>ge blood-vessels & n]ves4 ,"h a k ( anatomy is ess5tial4 ,9 ! beg9n+ ( deep knead+ little pressure %\ld be ex]cis$ until tol]ance is e/abli%$2 !n great] pressure may be ex]cis$ )\t discom=t to ! pati5t4 ,x is q ess5tial t ea* muscle gr\p be gone ov] c>efully & ?or\ghly1 s t e muscle s f> z possible %all be includ$ 9 ! treatm5t4 ,! physiologic effect ( deep knead+ is a /imulation ( ! functions ( ! n]ves1 blood-vessels1 lymphatics1 & cellul> metabolism ( ! muscles4 ,x is ( especial b5efit to pati5ts :o are unable to take a suffici5t am\nt ( active ex]cise1 su* z ^? suff]+ f neura/h5ia1 rheumatism1 *ronic neuritis1 locomotor ataxia1 & f localiz$ di/urbances1 su* z fractures1 spra9s1 etc4 ,vibration4--,?is proc$ure consi/s ( vibratory movem5ts to ! body ( ! pati5t ?r\gh ! h& ( ! op]ator4 ,x may be giv5 by us+ ! palm> surfaces ( ! h& or ! f+]-tips4 ,?is proc$ure /imulates ! sup]ficial circulation & acts z a mild g5]al /imulant4 ,x may be us$ 9 conditions ( poor circulation f any cause1 b is contra9dicat$ 9 conditions ( hyp]s5sitiv5ess4 ,p]cussion4--,?is proc$ure consi/s ( bl[s or taps ) v>y+ degrees ( =ce4 ,! tips ( ! f+]s may be us$1 ! two h&s alt]nat+1 or ! palm> or ! uln> surface ( ! h&s may be us$ = ! same purpose4 ,9 any case1 ! =ce %\ld n be suffici5t to bruise ! tissues4 ,! physiologic results ( p]cussion are /imulation = functions ( ! sk9 & a m>k$ effect ^u ! und]ly+ /ructures1 muscles1 n]ves1 & blood-vessels4 ,x is useful 9 su* conditions z sciatica1 inactivity ( ! liv]1 *ronic con/ipation1 poor circulation f v>i\s causes1 & to produce reaction aft] a cold ba?1 etc4 ,jo9t ,movem5ts4--,"u ?is proc$ure we may m5tion flexion1 ext5sion1 abduction1 adduction1 pronation1 sup9ation1 circumduction1 & /ret*+4 ,! movem5ts may be passive or resi/ive4 ,9 passive movem5ts ! ex]cise is almo/ entirely conf9$ to ! jo9t1 ! pati5t (f]+ no muscul> resi/ance4 ,) ! resi/ive movem5ts a c]ta9 degree ( muscul> activity is en=c$ by ! pati5t1 ?us n only ex]cis+ ! jo9ts1 b ! muscles connect$ ) ! jo9ts4 ,! physiologic effect ( jo9t movem5ts is to m>k$ly /imulate all ! p>ts ab\t ! jo9t1 & is indicat$ 9 v>i\s jo9t disord]s :i* may h result$ 9 ! less5+ ( ! normal movem5ts ( ! "p1 z 9 rheumatism1 g\t1 *ronic synovitis1 & ! /iffness t foll[s immobilization ( ! jo9t 9 ! treatm5t ( spra9s1 fractures1 etc4 ,c>e %\ld be ex]cis$ 9 ! beg9n+ n to use too mu* =ce 9 ! manipulation1 o!rwise ! exi/+ condition may be aggravat$1 & m h>m result ?an good4 ,increas$ =ce may be ex]cis$ ) ea* treatm5t1 always be>+ 9 m9d ! necessities ( ea* case4 ,,electricity4 ,,by ,,dr4 ,,james ,c4 ,,gill1 ,ru% ,m$ical ,college1 ,*icago1 ,ill4 ,electricity is a useful & important !rapeutic ag5t1 & an und]/&+ ( its effect :5 appli$ to ! human body is z ess5tial z a k ( any o!r !rapeutic measure4 ,too (t5 ! !rapeutic use ( electricity is committ$ to ^? hav+ v little k ( x1 & consequ5tly good results are n obta9$4 ,x is a great mi/ake to all[ or advise pati5ts to use electricity !mselves2 no great] mi/ake w\ld be made or m h>mful results foll[ if !y 7 advis$ to g to ! drug /ore1 & help !mselves to any drugs !y might *oose4 ,electricity %\ld be adm9i/]$ by a physician1 or "u ! directions ( a physician by a nurse :o has be5 ?or\ghly taught its use4 ,9 m$ic9e we h usually consid]$ ?ree diff]5t =ms ( electricity3 ,fir/1 ,galvanism or ,*emical ,electricity2 ,second1 ,f>adism or ,induc$ ,electricity2 ,?ird1 ,frankl9ic or ,/atic ,electricity4 ,n[1 we add a f\r? & a v important "o--namely1 ,x-ray4 ,a nurse %\ld h a g5]al k ( ^! diff]5t manife/ations ( electricity & _! effect :5 appli$ to ! body4 ,9 electricity we h units ( measurem5ts z we d 9 weights & measures4 ,= in/ance1 ! =ce t drives ! curr5t ( electricity along1 z we might express x1 is call$ ! electromotive =ce1 & its unit ( measurem5t is a volt4 ,! resi/ance :i* ! curr5t mu/ ov]come is measur$ 9 ohms1 & ! /r5g? ( ! curr5t is measur$ 9 amp]es1 or1 z we measure x 9 m$ical electricity1 ! ?\s&? "p ( an amp]e1 a milliamp]e4 ,galvanic or *emic electricity has c]ta9 prop]ties n obta9able 9 ! o!r =ms4 ,comp>atively speak+1 x is a curr5t ( consid]able quantity1 b l[ electromotive =ce4 ,! galvanic curr5t passes always f ! positive to ! negative pole4 ,x possesses ! p[] to decompose v>i\s comp\nds1 su* z wat]1 ! tissues ( ! body1 etc4 ,?is is call$ ! electrolytic action1 & may be us$ to de/roy c]ta9 tumors1 = ! removal ( sup]flu\s hair1 etc4 ,aga9 ?is curr5t has ! p[] to convey c]ta9 sub/ances 9 solution into ! tissues4 ,?is is call$ cataphoresis1 & is us$ to produce local ane/hesia by ! use ( coca9 appli$ to ! positive pole4 ,?is is "o ( ! be/ me?ods we possess ( obta9+ local ane/hesia4 ,! effect ( iod9 may be obta9$ by ! use ( a solution ( potassium iodid1 & ! negative pole may be us$ to affect local swell+s1 etc4 ,muscul> tissue may be made to contract by ! application ( ! curr5t1 ei!r :5 appli$ to ! motor n]ve supply+ ! muscle or :5 appli$ directly to ! muscle4 ,^u s5sory n]ves ! positive pole is s$ative1 & may be us$ to relieve pa9 9 cases ( neuralgias1 etc4 ,! negative pole is /imulat+1 & may be us$ 9 conditions requir+ increas$ nutrition1 etc4 ,9 us+ galvanism a good batt]y & outfit are ess5tial4 ,fir/1 x is necess>y to h a milliamp]e met]1 an in/rum5t to measure ! /r5g? ( curr5t us$4 ,! quantity ( electricity us$ %\ld be measur$ ! same z ! quantity or dosage ( drugs prescrib$4 ,ano!r ess5tial in/rum5t is ! rheo/at1 by :i* ! curr5t /r5g? may be gradually increas$ or decreas$ )\t int]rupt+ ! curr5t4 ,! electrodes :i* are atta*$ to ! poles ( ! batt]y may be metal1 metal cov]$ ) sponge1 cotton1 etc41 pref]ably cotton1 :i* may be r5ew$ ) ea* application1 ?us avoid+ ! possibility ( infection1 always pres5t 9 ! use ( a sponge-cov]$ electrode1 :i* _c be *ang$ ) ea* application4 ,9 ! use ( galvanism we may speak ( two diff]5t me?ods4 ,fir/1 :at is call$ c]ebral galvanism1 second g5]al4 ,by exp]im5tation x has be5 cle>ly demon/rat$ t all ! deep] tissues & organs ( ! body1 su* z ! bra91 sp9al cord1 liv]1 etc41 may be influ5c$ by galvanism4 ,9 c]ebral galvanism ! object is to influ5ce ! bra9 & sp9al cord4 ,9 apply+ x to ! head1 a sponge or cotton-cov]$ electrode #d-e0 9 diamet] may be us$4 ,! positive electrode is appli$ to =ehead1 ! negative at nape ( neck1 us+ a curr5t ( #e-aj milliamp]es = f five to fifte5 m9utes1 c>e be+ tak5 n to sudd5ly make or break ! curr5t1 z ?is w\ld produce a disagreeable %ock to ! pati5t4 ,! circulation ( ! bra9 may be affect$ also by plac+ an electrode at ! nape ( ! neck1 & a small] electrode 7#a-b0 9 diamet]7 pass$ up & d[n along ! bord] ( ! /]nocleidoma/oideus muscle1 us+ a curr5t ( #c-e milliamp]es4 ,galvanism us$ 9 ?is way is b5eficial 9 su* conditions z c]ebral anemia1 neura/h5ia1 insomnia1 etc4 ,9 apply+ to ! sp9e1 "o electrode may be us$ at ! upp] & ! o!r at ! l[] "p ( ! sp9e2 or a l>ge-siz$ electrode may be plac$ ov] ! abdom51 & ! o!r electrode mov$ up & d[n ! sp9e )\t break+ or int]rupt+ ! curr5t1 ! /r5g? ( :i* may be f #aj-bj milliamp]es1 & ! duration ( ea* application v>i$ to suit ! condition ( ! pati5t4 ,?is treatm5t is indicat$ 9 su* disord]s z neura/h5ia1 infantile sp9al p>alysis1 locomotor ataxia1 etc4 ,g5]al galvanization may be giv5 by plac+ a l>ge-siz$ electrode at ! sp9e1 ov] ! abdom51 or at ! soles ( ! feet1 ! o!r electrode1 small] 9 size1 be+ pass$ ov] ! entire surface ( ! body )\t int]rupt+ ! curr5t1 :i* may be f #e-h milliamp]es4 ,?is proc$ure w /imulate ! p]iph]al circulation1 elim9ation1 & nutrition4 ,! muscles may be ex]cis$ by us+ an int]rupt$ curr5t ( suffici5t /r5g? only to cause contraction4 ,g5]al galvanization is v b5eficial 9 su* conditions z neura/h5ia requir+ ! re/ treatm5t1 convalesc5ce f v>i\s diseases1 p>alysis1 multiple neuritis1 etc4 ,9 ! use ( electricity x %\ld be rememb]$ t pati5ts %[ idiosyncrasies z 9 ! use ( drugs1 s t ea* case %\ld be giv5 ! am\nt ( electricity be/ suit$ to individual peculi>ities4 ,unless ?is po9t be kept 9 m9d1 we w be surpris$ to f9d at times t ! use ( electricity aggravates ! pati5t's condition4 ,f>adism1 or ! induc$ curr5t1 is *>act]iz$ by a high electromotive =ce & a l[ amp]age or quantity4 ,x is an int]rupt$ curr5t1 & f ! second>y coil x is an alt]nat+ curr5t4 ,x _c be us$ l ! galvanic = electrolytic-cataphoric purposes4 ,its effect ^u ! body is almo/ entirely me*anical2 also unlike ! galvanic1 !re is practically no pol>ity4 ,x _c be us$ to affect ! deep-ly+ /ructures1 su* z ! bra91 sp9al cord1 etc4 ,! curr5t-/r5g? is n measur$ by a milliamp]e met]4 ,x w produce muscul> contraction only ?r\gh ! motor n]ve supply+ ! muscle4 ,?is is a po9t to be rememb]$4 ,its use is conf9$ l>gely to ex]cis+ muscles & /imulat+ p]iph]al circulation1 & is useful 9 su* conditions z p>alysis :]e ! cause ( ! p>alysis is 9 ! bra9 7because :]e ! lesion produc+ ! p>alysis is 9 ! sp9al cord or p]iph]al n]ves ! muscle w n contract :5 f>adism is appli$71 & 9 convalesc5ce & all conditions requir+ ex]cise :i* _c be obta9$ actively4 ,9 apply+ ?is =m ( electricity 7if ! object be to /imulate circulation71 ! /r5g? ( ! curr5t %\ld be regulat$ to suit ! feel+s ( ! pati5t4 ,! te*nic is practically ! same z describ$ above = g5]al galvanization4 ,if we wi% to ex]cise ! muscle1 !n t curr5t %\ld be us$ :i* is j /rong en\gh to produce muscul> contraction & no /rong]1 c>e be+ necess>y n to ov]-/imulate & exhau/ ! muscle4 ,z a means ( muscul> ex]cise only ?is curr5t is pref]able to galvanism1 be+ easi] ( application & less likely to produce h>m4 ,frankl9ic1 or /atic electricity1 is seldom adm9i/]$ by a nurse unless 9 a hospital or 9 a physician's (fice4 ,! curr5t is produc$ by ma*9es ( v>i\s makes1 su* z glass & mica4 ,! plates v>y 9 diamet] f tw5ty in*es to ?ree feet or m1 & 9 numb] f two to sixte5 or m4 ,its curr5t !n g5]at$ is *>act]iz$ by an enorm\sly high electromotive =ce1 b a v m9ute quantity or amp]age4 ,unlike ! o!r two =ms ( curr5t describ$1 its use does n necessitate ! removal ( clo?+4 ,x may be us$ by plac+ ! pati5t on an insulat$ plat=m & *>g+ him ) ?is curr5t ( high electromotive =ce1 :i* v m>k$ly /imulates circulation2 or x may be us$ by apply+ or draw+ sp>ks directly f ! pati5t's body1 9 ?is mann] produc+ c\nt]irritation1 /imulat+ circulation1 reliev+ localiz$ pa9s1 etc4 ,x has be5 f\nd useful 9 su* conditions z *orea1 neura/h5ia1 muscul> rheumatism1 lumbago1 *ronic inflammation ( n]ves1 etc4 ,nurses probably w nev] be call$ ^u to use ! x-ray1 b ?is mo/ wond]ful manife/ation ( electro-=ce has rec5tly tak5 a prom95t position z a diagno/ic & !rapeutic ag5t4 ,p>ts ( ! human body h]et(ore only reveal$ by ! use ( ! knife or po/ mortem are n[ pla9ly disc]nible dur+ life ?r\gh ! use ( ?is =ce4 ,! field ( its !rapeutic application is a l>ge "o1 & disord]s :i* h be5 consid]$ incurable or difficult ( cure by o!r means n[ yield readily to ! x-ray4 ,,food ,,con/itu5ts4 ,! ,wise ,comb9ation ( ,food4--,9 ord] t ea* meal may be plann$ to meet ! ne$s ( ! body x is necess>y t x conta9 prote91 fat1 c>bohydrate1 m9]al matt]1 & wat]4 ,"s flavor foods %\ld ent] into ea* meal4 ,flavor is important because x /imulates ! appetite & because x /imulates ! fl[ ( dige/ive fluids & ?us aids dige/ion4 ,su* foods are only injuri\s :5 !y are us$ to excess4 ,9 t case ! n]ves :i* control ! fl[ ( dige/ive fluids are ov]/imulat$ & at la/ become weak5$4 ,avoid ! use ( too _m flavors at "o meal4 ,,s\rce ,,& ,,use ,,( ,,*ief ,,food ,,con/itu5ts4 ,*ief functions 9 ! body4 ,meats ,fi% ,build tissues4 ,eggs ,i4 ,milk ,prote9 ,*eese ,repair daily wa/e ,peas ( tissue4 ,beans ,give heat en]gy4 ,glut5 9 fl\r ,butt] ,cream ,give heat en]gy4 ,fat ( meats ,,ii4 ,*eese ,fats ,oil 9 nuts ,olive oil ,egg yolk ,corn oil ,produce fat4 ,se$ oils ,cane ,beet ,give heat en]gy4 ,maple ,sug>s ,malt ,sug> ( milk ,sug> ( fruit ,,iii4 ,c]eals ,c>bohydrates ,fl\rs ,peas1 ,beans ,/>*es ,corn ,potatoes ,"s o!r ,produce fat4 vegetables ,celluloses ,vegetables ,give bulk4 ,fruits ,aid 9 =mation ( ,fruit acids bone4 ,ent] into composition ( e liv+ cell & body liquids4 ,useful 9 ! blood 7c>ri] ( body's oxyg574 ,necess>y to ma9ta9 osmotic pressure4 ,,iv4 ,gov]n contraction ,m9]al ( muscles1 salts includ+ ^? ( ! he>t4 ,help to ma9ta9 neutrality ( ! blood 7increase alkal9ity74 ,assi/ 9 dige/ion4 ,assi/ 9 ! removal ( wa/e4 ,unite ) h>mful products f\nd 9 ,vegetables body & r5d] !m h>mless4 ,solv5t = food4 ,9 all vegetables ,c>ries food to blood4 ,v4 ,c>ries (f wa/e4 ,wat] ,helps to regulate temp]ature4 ,9 all animal foods ,aids dige/ion4 ,aids tissue build+4 ,ov]use ( ,c>bohydrates4--,if too mu* sug> & />* are eat51 f]m5tation may take place & int]f]e ) dige/ion4 ,too mu* sug> & />* ov]works ! liv]4 ,because sweet foods h ! quality ( satisfy+ ! appetite v readily !y %\ld n be tak5 to satisfy hung]1 b %\ld r be eat5 aft] suffici5t body build+ & body regulat+ foods h be5 tak5 to meet ! body's ne$ = su* foods4 ,! cu/om ( s]v+ ! sweet food at ! la/ ( ! meal is 9 h>mony ) ?is dietetic pr9ciple4 ,x is important t *ildr5 %\ld =m sane habits ( eat+ sweet foods4 ,! practice ( us+ l>ge am\nts ( sug> on c]eals1 cook$ fruits1 & 9 bev]ages %\ld be disc\rag$4 ,! ov]use ( sug> irritates ! l9+ ( ! dige/ive tract4 ,?is is caus$ by ! ab/raction ( wat] f ! muc\s l9+4 ,sug> is "o-sid$ 9 its value1 consequ5tly x is mu* wis] to obta9 a high p]c5tage ( heat f foods :i* s]ve o!r purposes z well4 ,prote9 ,foods4--,! fir/ class ( foods1 ! prote9s1 includes ^? :i* h tissue build+ = _! *ief purpose4 ,!y are ess5tial = ma9t5ance & = body gr[?1 z !y are ! only s\rce ( nitrog54 ,!re=e !y are necess>y = ! gr[+ *ild & = ! a?lete 9 ! developm5t ( /rong1 vigor\s muscles4 ,! m easily dige/$ prote9 foods are advis$ = ! tub]cul> pati5t ^: muscles & tissues h become debilitat$ by disease4 ,prote9s are requir$ by ea* individual1 b 9 v>y+ am\nts1 to suit age1 occupation1 condition ( sy/em1 & climate4 ,! value ( a mix$ prote9 diet is urg$ by ! be/ au?orities r ?an ! diet :i* conta9s b "o prote9 food4 ,ov]use ( ,prote9 ,foods4--,x is true t a high p]c5tage ( illness is caus$ by an accumulation ( wa/es 9 ! body4 ,x is also true t prote9 foods leave a high] p]c5tage ( wa/e mat]ial 9 ! body ?an any o!r class ( foods4 ,x foll[s1 !n1 t an ov]use ( prote9 foods ov]works ! excretory organs & t5ds to weak5 !m4 ,! weak5$ excretory organs are unable to take c>e ( ! wa/e products1 & z a result ! sy/em is affect$ by poison\s wa/es :i* are produc$ by putrefaction 9 ! inte/9es4 ,a p]son 9 ?is condition is m liable to h rheumatism1 g\t1 kidney & liv] diseases ?an "o 9 normal condition4 ,a ,,%ort ,,/udy ,,( ,,prote9 ,,foods ,"s common =ms4 ,"s s\rces4 ,album5 ,eggs ,case9 ,milk ,myos91 fibr91 & ela/9 ,meat ,glut5 ,:eat ,tub]9 ,potato ,legum9 ,peas & beans ,excels9 ,brazil nuts ,ze9 ,corn ,milk conta9s a small am\nt ( prote94 ,9 a glass ( ab\t #ab tablespoons ( milk !re is less ?an #a tablespoon ( prote94 ,egg conta9s ne>ly z mu* prote9 z lean meat4 ,value ( ,fruit & ,vegetables4--,vegetables conta9 prote91 />*1 sug>1 cellulose1 m9]al matt]1 wat]1 & undet]m9$ sub/ances4 ,fruits conta9 7*iefly7 sug>1 cellulose1 m9]al matt]1 & wat]4 ,wat] removes wa/es1 lubricates tissues1 aids 9 =m+ secretions1 helps to equalize ! temp]ature4 ,acids help to ma9ta9 ! alkal9ity ( ! blood--/imulate ! appetite4 ,m9]al salts-- ,build bone4 ,help to make blood alkal9e4 ,aid 9 dige/ion4 ,aid 9 excretion4 ,build r$ blood-cells4 ,build n]ve tissue4 ,build cells4 ,cellulose ex]cises muscul> l9+ ( dige/ive tract4 ,note4--,good au?ority makes ! /atem5t t ! h\sekeep] is wise :o pays z mu* = milk1 vegetables1 & fruit z = meat1 eggs1 & fi%4 ,use ( ,eggs4--,eggs s]ve z a meat sub/itute4 ,eggs require ! addition ( c>bohydrates & "s fruit or vegetables to =m a well-plann$ meal4 ,dige/ibility ( ,eggs4--,raw eggs are m easily dige/$ :5 beat54 ,!y are (t5 prescrib$ :5 a nutriti\s1 highly conc5trat$ diet is desir$1 & 9 cases ( tub]culosis1 "s =ms ( anemia1 & v>i\s wa/+ diseases4 ,effect ( ,heat4--,egg album5 beg9s to coagulate at #acd ,f4 & becomes jelly-l at #afj ,f4 ,pres]vation ( ,eggs4--#a4 ,wat]-glass 7,sodium ,silicate74--,n9e qu>ts ( boil$ wat] 7cool$7 to #a qu>t ( wat]-glass4 ,eggs w keep 9 ?is solution ?ree & a half mon?s4 ,note4--,a good grade ( wat]-glass %\ld be ( ! consi/5cy ( molasses4 ,if heavi] ?an ?is ! wat]-glass %\ld be dilut$ to ! "r consi/5cy1 z ! eggs %\ld s9k4 ,eggs may be add$ to ! solution f day to day z ga!r$4 ,d n wa%4 ,if ! ne/s are clean ! eggs w n ne$ wa%+4 ,keep 9 a /one j> 9 a cool place j above ! freez+-po9t4 ,d n use ! solution ! second ye>4 ,! wat]-glass may be obta9$ 9 ! dry or liquid =m1 & dissolv$ 9 ei!r h>d or s(t wat]4 #b4 ,lime ,solution4--,piece ( lime size ( lemon4 ,p\r #a gallon ( boil+ wat] ov] x4 ,let /& until cold4 ,add #a cups ( salt4 #c4 ,pap] ,wrapp+4--,wrap p]fectly fre% eggs 9 pap] & keep 9 cool place4 ,?is is n z effective z ,me?ods #a & #b1 b keeps eggs = a %ort "t4 ,,! ,,prep>ation ,,( ,,foods ,,= ,,! ,,sick4 ,,to ,,peptonize ,,milk4 #a4 ,peps91 grs4 xx2 ,cold wat]1 iv2 ,milk1 ,oj4 #b4 ,pancreat91 grs4 v2 ,soda bic>bonate1 grs4 xv4 #c4 ,peptoniz+ p[d]1 grs4 xx2 ,w>m wat]1 j2 ,milk1 ,oj4 ,directions4--,place ! cont5ts ( "o ( ! vials into a well-clean$ qu>t bottle4 ,p\r ^u x a gill ( cool wat] & %ake ! mixture ?or\ghly4 ,!n add to ! mixture a p9t ( fre% milk & place ! bottle 9 a vessel conta9+ wat] z hot z c be borne by ! h& )\t discom=t4 ,let x /&1 ) occasional %ak+1 = t5 to tw5ty m9utes1 or until x has acquir$ a slightly bitt] ta/e1 :5 x %\ld be remov$ f ! hot wat] & plac$ ^u ! ice or 9 a cool place1 to *eck dige/ion & keep f spoil+4 ,if x is n quickly cool$ ! dige/ion w cont9ue & ! milk become too bitt] to be palatable4 ,milk ?us peptoniz$ may be sweet5$ if ! pati5t desires x4 ,x may also be flavor$ ) w9e or rum z desirable4 ,cold ,process4--,?is consi/s 9 add+ to ! milk ! peptoniz+ p[d] z above1 us+ cool wat] & milk1 & !n plac+ ! mixture ^u ice )\t w>m+ x at all4 ,n4 ,b4--,if x be f\nd t ! milk f]m5ts aft] foll[+ ! above directions1 boil ! milk fir/1 let cool1 & !n peptonize4 8,! bact]ia 9 uncook$ milk cause f]m5tation :5 peps9 is add$40 ,,peptoniz$ ,,beef4 ,to a qu>t]-p\nd ( f9ely m9c$1 raw lean beef add a half-p9t ( cold wat]2 cook ov] a sl[ fire to boil+ & boil = a few m9utes1 /irr+ con/antly f ! beg9n+4 ,p\r (f ! liquor & set x aside2 rub ! meat to a pa/e & put x into a clean glass j> or bottle ) ! liquor & a half-p9t ( cold wat]2 add ,extractum pancreatis1 #bj grs42 ,soda bic>bonate1 #ae grs4 ,mix$ ?or\ghly into "o p[d]4 ,%ake all well toge!r & /& 9 a w>m place1 ab\t #aaj to #aae ,f41 = ?ree h\rs1 /irr+ or %ak+ occasionally1 !n boil quickly1 /ra91 or cl>ify ) :ite ( egg 9 ! usual mann]2 season to ta/e4 ,?is f9al boil+ is ess5tial2 if omitt$1 dige/ion w progress until ! food is spoil$4 ,= ! great majority ( cases x is n necess>y to /ra9 ! peptoniz$ beef1 = ! portions rema9+ undissolv$ are s s(t5$ "u ! action ( ! extractum pancreatis t !y are diffus$ 9 an almo/ impalpable condition--9 a =m readily susceptible to dige/ion 9 ! body4 ,*ick5 meat1 alone or mix$ ) an equal portion ( beef1 may be prep>$ 9 ! same way4 ,a c]eal gruel ( :eat1 arr[root1 etc41 may be incorporat$ ) ! beef1 ?us giv+ a food comb9ation t is (t5 highly desirable4 ,! gruel is prep>$ 9 ! usual mann]1 ! dry c]eal mix$ p]fectly smoo? ) cold wat] & cook$ sl[ly 9 a d\ble boil] until gelat9iz$4 ,f\r ounces ( ?is gruel may be add$ to ! meat pa/e1 liquor1 wat] & peptoniz+ p[d] z direct$ above1 & ! fur!r details ( ! process c>ri$ out j z ) ! beef alone4 ,! extractum pancreatis w at ! same "t dige/ bo? ! meat & />* 7( ! gruel74 ,! bro? ) ! c]eal is m agreeable ?an :5 made ( meat alone4 ,! peptoniz$ beef or peptoniz$ beef & c]eal may also be made into a jelly4 ,,peptoniz$ ,,oy/]s4 ,to a half-doz5 l>ge oy/]s ) _! juice add a half-p9t ( cold wat]2 heat 9 a saucepan to boil+1 & boil briskly = a few m9utes2 p\r (f ! bro? & set x aside4 ,m9ce ! oy/]s f9ely & r$uce to a pa/e ) a potato-ma%] 9 a wood5 b[l2 put 9 a glass j> ) ! bro? & add3 ,extractum pancreatis1 #ae grs42 ,soda bic>bonate1 #ae grs4 ,mix$ ?or\ghly into "o p[d]4 ,let ! j> /& 9 hot wat] or 9 a w>m place1 :]e ! temp]ature is n above #aae ,f41 = an h\r & a half4 ,!n p\r into a saucepan1 /ir 9 a half-p9t ( milk & heat sl[ly to boil+-po9t4 ,season to ta/e & s]ve hot4 ,! boil+ is ess5tial--to prev5t fur!r dige/ion & keep ! bro? f spoil+4 ,if heat$ gradually ! milk w be suffici5tly dige/$ be=e ! mixture boils4 ,! v small bits ( oy/] t rema9 undissolv$ may be /ra9$ out1 or reject$ 9 eat+ ! s\p1 b are r>ely unacceptable to ! /oma*4 ,,gum ,,arabic ,,wat] 7,,acacia74 ,dissolve #a ounce ( gum arabic 9 #a p9t ( boil+ wat]2 add #b teaspoonfuls ( sug>1 a w9e-glass ( %]ry or juice ( #a lemon4 ,good = poison cases4 ,,lime ,,wat]4 ,into #b qu>ts ( wat] place a lump ( unslak$ lime ! size ( an egg4 ,aft] /&+ a:ile1 /ir ?or\ghly & p\r (f ! solution2 add fre% wat] & keep cov]$4 ,,arr[root ,,wat]4 ,moi/5 #a teaspoonful ( arr[root ) cold wat]2 smoo? into a pa/e2 add #a p9t ( boil+ wat] & boil five m9utes1 /irr+ cont9u\sly4 ,,album9 ,,wat]4 ,beat lightly ! :ite ( #a egg2 /ir into a glass ( wat]2 sweet5 if p]missible4 ,,oatmeal ,,wat]4 ,teaspoonful ( oatmeal to a qu>t ( wat]4 ,boil d[n to a p9t2 !n /ra94 ,,b>ley ,,wat]4 ,wa% 9 cold wat] #b ounces ( pe>l b>ley4 ,boil five m9utes2 !n dra94 ,p\r on #b qu>ts ( boil+ wat] & boil d[n to a qu>t4 ,flavor ) ?9ly cut lemon r9d2 add sug> to ta/e4 ,/ra9 only at pati5t's reque/4 ,,rice ,,wat]4 ,wa% #b tablespoonfuls ( clean$ rice2 put 9 a granite saucepan ) a qu>t ( boil+ wat]2 simm] until ! rice is s(t5$ & p>tially dissolv$2 /ra92 add salt4 ,may be s]v$ ei!r w>m or cold4 ,,toa/ ,,wat]4 ,put into a pit*] #c slices ( d>k br[n toa/2 p\r 9 a qu>t ( boil+ wat] & cov] closely4 ,:5 cold /ra94 ,w9e & sug> may be add$4 ,,c(fee4 #a4 ,be/ mixture1 #b p>ts ,java to #a "p ,mo*a4 ,gr9d roa/$ beans j be=e us+4 ,fair /r5g?1 #a tablespoonful ( c(fee to #a p9t ( wat]4 ,) ! gr\nd c(fee1 mix :ite ( #a egg & a little cold wat]4 ,p\r ov] x boil+ wat]2 simm] five m9utes & /eep = t5 m9utes4 #b4 ,scald a granite c(fee-pot4 ,mix cup ( c(fee1 #a egg1 half-cup ( cold wat]2 add #f cups ( boil+ wat] & boil ?ree m9utes4 ,remove to ! back ( ! /ove & add a half-cup ( cold wat]4 ,let settle = t5 m9utes4 ,,:ite-,,(-,,egg ,,lemonade4 ,! ,new ,york ,m$ical ,j\rnal gives ! foll[+ directions 7by ,r4 ,f4 ,leftwi*7 = ! prep>ation ( ?is bev]age z a nutritive dr9k = febrile disord]s3 8,two lemons1 ! :ites ( #b eggs1 #a p9t ( boil+ wat]1 loaf sug> to ta/e4 ,! lemons mu/ be peel$ twice1 ! yell[ r9d alone be+ us$1 :ile ! :ite lay] is reject$4 ,place ! slic$ lemon & ! yell[ peel 9 a qu>t jug ) #b lumps ( sug>2 p\r on !m ! boil+ wat] & /ir occasionally4 ,:5 cool$ to ab\t ! ord9>y temp]ature ( tea1 /ra9 (f ! lemons4 ,n[ ins]t an egg :isk1 & :5 ! lemonade is 9 full agitation add sl[ly ! :ite ( ! egg & cont9ue ! :isk+4 ,:ile /ill hot /ra9 ?r\gh musl91 & s]ve :5 cold4 ,! :ite ( ! egg w be f\nd to imp>t a bl&ness :i* makes ! addition ( sug> almo/ unnecess>y4 ,?is abs5ce ( sweetness is greatly appreciat$ 9 pyrexial cases1 & has its obvi\s value = diabetics4 ,= non-febrile cases ) clean tongues m ?an #b eggs may be us$ to ! p9t if desir$4 ,?is dr9k is contra9dicat$ only 9 cases ( true ,bright's disease4 ,x is v useful 9 ! febrile diseases ( *ildhood4 ,x also possesses antiscorbutic prop]ties :i* replace ^? lo/ f milk by boil+ & /]ilization4 ,x is recomm5d$ z "p ( ! diet 9 typhoid fev]1 =m+ a relief f ! monotony ( milk1 & does n h ! con/ipat+ & flatus-produc+ effects t lie 9 beat5-up eggs t include ! yolk4 ,! au?or /ates t ! pati5t :o takes pl5ty ( ?is lemonade 9 addition to #d p9ts ( milk p] day w em]ge f ! pyrexial p]iod ( typhoid fev] 9 a mu* /rong] condition ?an )\t its use40 ,,cream ,,lemonade4 ,fill bottom ( glass ) crack$ ice4 ,beat :ite ( #a egg to /iff fro?1 & sug> to ta/e4 ,to ?is add juice ( #a lemon1 /irr+ all ! "t1 & !n add "o half-cup ( cream4 ,?is w make #b glassfuls4 ,,flaxse$ ,,lemonade4 ,tablespoonful ( flaxse$1 p9t ( wat]4 ,boil "o h\r1 !n add juice ( #a lemon4 ,/ra91 & sweet5 to ta/e4 ,,milk ,,lemonade4 ,tablespoonful ( sug>1 juice ( #a lemon1 #b tablespoonfuls ( %]ry1 half-cup ( milk1 half-cup ( wat]4 ,,milk ,,pun*4 ,cup ( milk1 #b tablespoonfuls ( br&y4 ,sweet5 to ta/e4 ,grat$ nutmeg may be add$4 ,,kumiss4 ,kumiss is an acid eff]vesc+ dr9k2 conta9s a v small proportion ( alcohol4 ,x is mu* m easily dige/$ ?an milk4 ,! case9 is s f9ely divid$ t lumps _c be =m$ 9 ! /oma* & x is easily act$ ^u by ! ga/ric secretion4 ,9 ! ,unit$ ,/ates x has be5 prep>$ f c[s' milk to :i* ! f]m5t is add$4 ,"o tablespoonful ( sug> 9 a qu>t ( fre% milk4 ,dissolve "o-fif? ( a small cake ( yea/ 9 a little cold wat]1 !n /ir x into ! milk4 ,put ! mixture into /rong pat5t-/opp]$ bottles4 ,%ake ! bottles = "o m9ute1 !n /& !m on end 9 a refrig]ator or o!r cool place4 ,aft] ?ree days place ! bottles on _! sides1 & turn !m occasionally4 ,five days w be requir$ to p]fect ! f]m5tation4 ,,bonnyclabb]4 ,?is is s\r milk 9 :i* ! curd & :ey are s]v$ 9 ! same di%4 ,curd1 :ey1 & junket is milk :]e coagulation has be5 br\ght ab\t by ! action ( r5net4 ,,w9e ,,:ey4 ,put #b p9ts ( milk into a saucepan1 & place on fire4 ,:5 ab\t to boil add #b w9eglasses ( %]ry4 ,simm] fifte5 m9utes1 skimm+ (f ! curds z !y rise4 ,add a tablespoonful ( %]ry4 ,skim aga91 & /ra9 ?r\gh clean l954 ,if pref]r$1 #b tablespoonfuls ( lemon juice may be us$ in/ead ( w9e4 ,,junket4 ,heat half-p9t ( fre% milk4 ,add teaspoonful ( ess5ce ( peps94 ,/ir en\gh to mix4 ,p\r into cu/>d cups1 & let /& until firm4 ,s]ve pla9 or p[d] ) sug> or nutmeg4 ,,beef ,,tea4 ,free a p\nd ( lean beef f fat1 sk91 etc4 ,*op up f9e4 ,put into a p9t ( cold wat] to dige/ two h\rs4 ,simm] = ?ree h\rs1 b d n let boil4 ,make up = wat] lo/ by add+ cold wat]4 ,press & /ra94 ,! be/ meats = beef-tea are ! r\nd & rump4 ,cold wat] draws out ! album92 boil+ wat] coagulates x4 ,,beef ,,juice4 ,cut ?91 juicy meat into pieces "o & "o-half in*es squ>e2 broil "o & "o-half m9utes ov] a hot fire4 ,squeeze ) a hot lemon squeez]2 season ) salt & pepp]4 ,may be add$ to milk or p\r$ ov] toa/4 ,,beef ,,extract4 ,heat a select piece ( r\nd /eak s t ! juice may be freely press$4 ,cut /eak into pieces t w fit into a lemon squeez]1 & squeeze juice into a cup4 ,set cup 9 a di% ( w>m wat]1 :i* mu/ n be all[$ to boil4 ,season to ta/e4 ,may be s]v$ on toa/4 ,,*ick5 ,,& ,,veal ,,extract4 ,make *ick5 bro? f an old h5 & cook d[n until x jellies4 ,cook a neck ( veal until bro? jellies2 cool1 & skim (f fat4 ,z ne$$1 use equal p>ts ( ea*4 ,! n\ri%m5t is 9 ! veal & ! *ick5 gives x flavor4 ,n4 ,b4--,! mo/ delicate /oma* c dige/ ?is4 ,,scrap$ ,,beef ,,s&wi*4 ,f a piece ( /eak scrape all ! fib] f ! connective tissue ) a knife4 ,season ) salt & pepp]4 ,s]ve spread betwe5 slices ( butt]$ toa/4 ,,cornmeal ,,gruel4 ,mix #b tablespoonfuls ( cornmeal1 tablespoonful ( fl\r1 teaspoonful ( salt1 teaspoonful ( sug>1 into a ?9 pa/e ) a little cold wat]4 ,add qu>t ( boil+ wat]1 & cook ?ree h\rs4 ,add cup ( milk1 & s]ve4 ,,crack] ,,gruel4 ,two tablespoonfuls ( crack] crumbs roll$ f9e1 teaspoonful ( salt1 teaspoonful ( sug>1 cup ( boil+ wat]1 cup ( boil+ milk4 ,mix salt1 sug>1 & crumbs2 add boil+ wat]1 !n milk2 simm] two m9utes4 ,,oatmeal ,,gruel4 ,two tablespoonfuls ( roll$ oats2 teaspoonful ( salt1 teaspoonful ( sug>1 cup ( boil+ milk4 ,mix oatmeal1 sug>1 & salt2 add boil+ wat]2 cook 9 a saucepan ?irty m9utes1 or 9 a d\ble boil] = two h\rs4 ,/ra91 & add hot milk4 ,br+ to a boil1 & s]ve hot4 ,,oy/] ,,bro?4 ,*op a doz5 oy/]s f9e2 put into a saucepan ) a cup ( cold wat]4 ,br+ to boil+-po9t2 simm] five m9utes1 !n /ra9 & season4 ,by add+ milk ?ree m9utes be=e bro? is tak5 f ! fire x is made m palatable4 ,,scallop$ ,,oy/]s4 ,clean oy/]s2 roll crack]s1 & mix ) melt$ butt]4 ,spr9kle di% ) crumbs1 !n place a lay] ( oy/]s1 a lay] ( crumbs1 ano!r lay] ( oy/]s1 & s on until all are us$4 ,bake 9 a hot ov54 ,,oy/]s ,,on ,,! ,,half%ell4 ,wa% ! %ells1 & put !m on hot coals or ^u ! top ( a hot /ove1 or bake 9 a hot ov54 ,op5 ! %ells1 tak+ c>e n to lose any ( ! liquor4 ,s]ve at once on hot plates ) toa/4 ,oy/]s may be /eam$ 9 ! %ells4 ,,to ,,boil ,,clams4 ,wa% ! %ells clean1 & put ! clams 7! edges d[nw>d7 9 a kettle2 p\r ab\t a qu>t ( boil+ wat] ov] !m4 ,cov] ! pot1 & set x ov] a brisk fire = =ty-five m9utes4 ,! boil+ wat] w op5 ! %ells quickly1 & let out ! s&4 ,:5 done remove ! black sk9 :i* cov]s ! h>d "p1 trim clean1 & put into a /ewpan4 ,add "s ( ! liquor 9 :i* !y 7 boil$1 & a l>ge piece ( butt]2 pepp] & salt to ta/e4 ,s]ve hot4 ,,clam ,,bro?4 ,take sev]al l>ge clams2 scrub !m clean1 & boil 9 a cup ( wat]4 ,! bro? is simply ! juice ( ! clams ) ! wat]1 boil$ = a m9ute or two4 ,z soon z ! %ells op5 ! bro? is done4 ,,mayonnaise ,,dress+4 ,yolks ( #b eggs1 half-teaspoonful ( salt1 p9* ( ,cay5ne pepp]1 #b teaspoonfuls ( mu/>d1 & half-teaspoonful ( p[d]$ sug>4 ,mix ! +r$i5ts ?or\ghly1 !n drip 9 half-cup ( olive oil1 drop by drop1 /irr+ all ! "t "o way4 ,:5 ?ick add a teaspoonful ( lemon juice4 ,:5 ! dress+ is ?ick & smoo? add a tablespoonful ( cream4 ,/ir ) a wood5 spoon or paddle4 ,,cocoa4 ,cup ( boil+ wat]1 cup ( boil+ milk1 a teaspoonful ( cocoa2 sug> to ta/e4 ,,*ocolate4 ,put "o-?ird ( a squ>e ( ,bak]'s *ocolate ) #a cup ( boil+ wat] & a tablespoonful ( sug> into a saucepan4 ,set ! pan ov] ! fire & /ir1 mov+ piece ( *ocolate ?r\gh wat] until x is melt$4 ,ready to s]ve :5 boil+-po9t is rea*$4 ,if *ocolate is all[$ to boil1 sep>ation ( ! fat f ! o!r +r$i5ts takes place1 r5d]+ x indige/ible4 ,if sweet *ocolate is us$1 disp5se ) sug>4 ,,*ocolate ,,s\ffle4 ,half-p9t ( milk1 #d tablespoonfuls ( boil$ *ocolate1 #b tablespoonfuls ( sug>1 #b tablespoonfuls ( fl\r1 #d eggs4 ,put milk 9 a d\ble boil]2 :5 hot1 sieve ! fl\r into x1 gradually /irr+ all ! "t1 & let x cook six m9utes4 ,put ! *ocolate1 sug>1 & #b tablespoonfuls ( wat] on ! fire until smoo? & glossy1 !n /ir into ! boil]4 ,take f ! fire1 & add beat5 yolks4 ,:5 cool add ! :ites beat5 to a /iff fro?4 ,p\r ! batt] into a butt]$ di% t w hold a qu>t4 ,set di% 9 hot wat]1 & place 9 ! ov5 = a few m9utes4 ,s]ve ) vanilla cream sauce4 ,,vanilla ,,cream ,,sauce4 ,beat toge!r #b tablespoonfuls ( butt]1 two-?irds cup ( granulat$ sug>1 #a tablespoonful ( vanilla2 !n gradually beat 9 #b cups ( :ipp$ cream4 ,place b[l 9 a pan ( hot wat]1 & /ir c>efully = ?ree m9utes4 ,,bak$ ,,cu/>d4 ,milk #a cup1 #a egg1 p9* ( salt1 #a tablespoonful ( sug>4 ,heat milk 9 a d\ble boil]1 break into x a /ick ( c9namon4 ,beat toge!r egg1 sug>1 & salt2 !n p\r hot milk ov] ! mixture1 /irr+ all ! "t4 ,p\r into a b[l1 set di% into a pan ( hot wat]2 bake until set4 ,a g5]al rule = ?ick5+3 #c eggs to ! p9t or #e eggs to ! qu>t4 ,,w9e ,,jelly4 ,gelat9 "o-f\r? ( a box1 "o-f\r? cup ( boil+ wat]1 "o-f\r? cup ( cold wat]1 half-cup ( sug>1 half-squ>e in* ( c9namon1 a few cloves1 & half-cup ( %]ry4 ,put gelat9 & cold wat] 9 a di% = half an h\r1 !n add boil+ wat] ) cloves & c9namon2 la/ly1 sug> & w9e4 ,/ir until sug> & gelat9 are dissolv$4 ,/ra91 & p\r into a m\ld4 ,set on ice or 9 cold wat]4 ,,lemon ,,jelly4 ,prep>e ! same z w9e jelly1 & sub/itute lemons = ! spices4 ,,pla9 ,,milk ,,s\ps ,,) ,,vegetables4 ,"o cup ( vegetable pulp1 #b cups ( hot milk1 #a teaspoonful ( salt1 teaspoonful ( pepp]1 #a tablespoonful ( butt]1 #a tablespoonful ( *opp$ p>sley4 ,wa% vegetables & put ?r\gh meat gr9d]4 ,cook 9 z little wat] z possible4 ,add ! cook$ vegetable pulp & season+s to hot milk4 ,heat & s]ve4 ,note4--,/r+ beans1 cel]y1 or c>rots may be us$4 ,a beef cube may be add$ if desir$4 ,?is s\p may be v>i$ by us+ a comb9ation ( vegetables & its nutritive value may be increas$ by ! addition ( a beat5 egg yolk4 ,%r$d$ fi% or clams may be sub/itut$ = ! vegetables4 ,,to ,,bone ,a ,,bird4 ,select & dress a plump squab2 cut (f ! head & feet & ! w+s at ! fir/ jo9t2 s+e1 & ) a %>p knife make an incision d[n ! back & w+s4 ,scrape away ! bones )\t te>+ ! meat4 ,put into %ape & broil betwe5 butt]$ pap]4 ,,/uff$ ,,bak$ ,,potato4 ,select a smoo? potato2 scrub well1 & bake 9 a hot ov5 ab\t fifty m9utes4 ,cut "o end p>tly (f l5g?wise2 scrape out ! potato into a di%2 add pepp]1 salt1 & butt]4 ,refill ! sk91 place a bit ( butt] 9 ! top1 & br[n 9 an ov54 ,,fri$ ,,calf',s ,,bra9s4 ,soak ! bra9s = a few m9utes 9 cold wat]1 dra91 cov] ) boil+ salt$ wat]1 & cook = ?ree m9utes4 ,dra9 aga91 lay 9 ic$ wat] until cold1 & set 9 ! ice to get firm4 ,cut into pieces ! size ( an oy/]1 dip 9 egg & slightly salt$ crack] crumbs1 & fry to a gold5 br[n4 ,s]ve v hot4 ,,boil$ ,,mutton4 ,wipe a leg ( mutton ) a damp clo? & put x into a l>ge kettle ) en\gh boil+ wat] to cov] x & br+ to a boil1 !n cook sl[ly until done4 ,aft] ! boil is rea*$ all[ fifte5 m9utes = ea* p\nd ( ! meat4 ,:5 ne>ly done add salt & pepp] to ta/e & a small onion1 a m9c$ c>rot1 & a /alk ( cel]y4 ,lift f liquor & lay on a heat$ platt]4 ,s]ve ) drawn butt] or cap] sauce4 ,,s(t-,,boil$ ,,egg4 ,place egg 9 a vessel ( boil+ wat]1 !n )draw at once to ! back ( ! /ove4 ,remove egg 9 n9e m9utes4 ,,h>d-,,boil$ ,,egg4 ,boil sl[ly = "o half-h\r4 ,,poa*$ ,,egg4 ,p\r hot wat] 7or milk7 into a saucepan1 us+ salt-spoonful ( salt to ea* cup ( wat]4 ,br+ to boil+-po9t4 ,break egg into a sauc] & slip into ! pan4 ,)draw ! pan to a cool] "p ( ! /ove & cook till :ite ( egg is set4 ,,omelet4 ,sep>ate #c eggs4 ,beat :ites to a /iff fro?2 beat yolks4 ,heat half-cup ( milk2 to x add #a teaspoonful ( corn/>* or fl\r2 !n /ir 9 ! yolks & add lightly ! :ites ( ! eggs4 ,put a good-siz$ piece ( butt] into ! fry+-pan4 ,:5 hot p\r 9 ! mixture1 cov]1 & cook f five to sev5 m9utes4 ,:5 set1 remove ! cov]1 & place pan into ! ov5 to br[n ! omelet4 ,s]ve on a hot platt]4 ,,bak$-,,fl\r ,,porridge4 ,p\nd ( fl\r1 pack$ lightly 9 a musl9 clo?2 place 9 boil+ wat]2 boil f six to eight h\rs4 ,cut (f ! out] portion & grate ! h>d "o4 ,bl5d ) a little milk2 /ir into boil+ milk to desir$ ?ickness4 ,,wat] ,,waf]s4 ,qu>t ( sift$ fl\r2 half-p9t ( cold wat]2 teaspoonful ( salt2 mix ?or\ghly4 ,roll out ?91 & cut into small cakes ) a biscuit cutt]4 ,put into a pan to bake 9 a hot ov54 ,,rice4 ,take desir$ quantity ( rice & wa% ?ree times 9 cold wat]1 rubb+ rice c>efully betwe5 ! h&s2 !n dra94 ,boil fre% wat] sl[ly4 ,put 9 ! rice & cov] vessel closely4 ,cook ov] a sl[ fire ab\t twelve m9utes1 :5 gra9 %\ld be p]fect & sep>at$2 dra9 9 a col&]4 ,:5 dry1 put rice into ! ov5 to heat4 ,,rice ,,cream4 ,take #b tablespoonfuls ( clean$ rice1 #b cups ( milk1 salt-spoonful ( salt1 #b tablespoonfuls ( sug>1 & cook 9 a d\ble boil] until ! gra9s ( rice are s(t2 !n press ?r\gh a co>se /ra9] into a saucepan & return to ! fire4 ,take #b eggs1 beat ! :ites & yolks sep>ately1 & add to ! rice :5 x rea*es ! boil+-po9t1 /irr+ mixture lightly = a few m9utes2 add+ only ! :ites produces a :ite cream4 ,,cream ,,toa/4 ,"o p9t ( milk1 #b tablespoonfuls ( butt]1 #b tablespoonfuls ( fl\r1 half-teaspoonful ( salt1 half-teaspoonful ( pepp]4 ,put milk into a d\ble boil] to heat4 ,put butt] into a granite saucepan1 & :5 x beg9s to bubble1 sl[ly %ake 9 ! fl\r2 !n add hot milk1 a small quantity at a "t1 & season ) salt & pepp]4 ,toa/ bread a ri* br[n & dip into salt wat]4 ,lay on a di% & p\r sauce ov] x4 ,grat$ egg may be add$4 ,,fr5* ,,or ,,egg ,,toa/4 ,cup ( milk or cream1 #a egg1 #a salt-spoonful ( salt1 #c slices ( bread4 ,beat ! egg a few m9utes & add milk & salt4 ,9 ?is mixture soak ! bread until x is s(t4 ,place 9 a butt]$ omelet-pan & fry sl[ly till gold5 br[n4 ,put a piece ( butt] on ea* slice2 turn & br[n ! o!r side4 ,p[d] ea* slice ) c9namon & sug> & place 9 a cov]$ di%4 ,s]ve v hot4 ,,/ew$ ,,prunes4 ,p\nd ( prunes1 half-p9t ( wat]1 qu>t]-cup ( sug>1 juice ( #a lemon4 ,soak prunes 9 w>m wat] = fifte5 m9utes2 !n wa% & /ew 9 a cov]$ pan = two h\rs2 add wat] z ne$$4 ,:5 done1 add ! lemon juice4 ,,egg ,,cream4 ,juice ( half a lemon1 #b eggs1 #b tablespoonfuls ( sug>4 ,sep>ate yolks & :ites2 beat yolks ) sug> until well mix$2 add lemon juice & place b[l 9 a di% ( hot wat] ov] ! fire4 ,/ir sl[ly until mixture beg9s to ?ick52 !n add beat5 :ites & /ir until ! :ole =ms a ?ick cream4 ,remove f ! fire1 p\r into di%es1 & set aside to cool4 ,,sponge ,,pudd+4 ,half-p9t ( milk1 half-cup ( fl\r1 half-cup ( sug>4 ,boil toge!r1 /irr+ all ! "t4 ,aft] tak+ f ! /ove1 /ir 9 #b tablespoonfuls ( butt]4 ,beat #f eggs sep>ately4 ,put yolks into mixture2 !n add :ites lightly4 ,p\r into an e>!n pudd+-di%1 set 9 a pan ( hot wat]1 & bake =ty-five m9utes4 ,,sauce ,,= ,,! ,,pudd+4 ,beat to a cream #b tablespoonfuls ( butt]1 #c tablespoonfuls ( sug>4 ,:5 ready = ! table1 add a half-cup ( boil+-wat] into :i* has be5 add$ #a teaspoonful ( corn/>*4 ,flavor z desir$4 ,,ice ,,cream ,,royal4 ,tablespoonful ( fl\r1 #a cups ( sug>1 salt-spoonful ( salt1 p9t ( milk1 #b eggs1 p9t ( sweet cream1 tablespoonful ( vanilla1 half-teaspoonful ( almond1 half-cup ( %]ry1 or qu>t]-cup ( br&y4 ,mix ! sug>1 fl\r1 & salt4 ,p\r milk into a saucepan2 :5 x rea*es ! boil+-po9t put 9 ! mixture1 /irr+ = a full m9ute4 ,beat ! eggs v lightly1 & sl[ly add ! milk1 /irr+ rapidly = a few m9utes4 ,/ra9 into a di% & set aside to cool4 ,add ! cream & flavor be=e freez+4 ,,ice ,,cream4 ,cup ( sug>1 teaspoonful ( vanilla1 tablespoonful ( br&y1 & #a p9t ( scald$ sweet cream4 ,! :ites ( #b eggs may be add$4 ,,froz5 ,,cu/>d4 ,p9t ( milk1 cup ( sug>1 #b p9*es ( salt1 yolks ( #c eggs1 p9t ( milk or cream1 & #a ounce ( w9e or br&y4 ,,%]bet4 ,9 prep>+ gelat9 %]bet1 soak gelat9 9 cold wat] ab\t ?irty m9utes2 !n p\r ov] x boil+ wat] & add ! o!r +r$i5ts4 ,:5 sug> is dissolv$1 /ra9 mixture & freeze4 ,,milk ,,%]bet4 ,two cups ( milk1 #a cup ( sug>1 #d tablespoonfuls ( lemon juice4 ,dissolve ! sug> 9 ! lemon juice1 add gradually to ! milk1 & freeze4 ,,lemon ,,%]bet4 ,p9t ( boil+ wat]1 cup ( sug>1 & juice ( #b lemons4 ,d n add ! lemon juice until ready to freeze4 ,may add gelat94 ,,orange ,,%]bet4 ,tablespoonful ( gelat91 cup ( boil+ wat]1 cup ( sug>1 juice ( #d oranges1 juice ( #a lemon1 & #a ounce ( br&y4 ,may omit gelat94 ,,/rawb]ry ,,%]bet4 ,pick & clean a p9t ( fre% /rawb]ries2 cru%1 add a qu>t ( wat]1 a slic$ lemon1 & a teaspoonful ( orange-fl[] wat]4 ,let /& = a few h\rs4 ,put a p\nd ( sug> 9 ano!r di%4 ,/ra9 ! mixture ?r\gh a co>se clo? into ! sug>1 & :5 x is all dissolv$ freeze or place on ice4 ,,taffy4 ,p9t ( wat]1 #c cups ( sug>1 half-cup ( v9eg>1 & a piece ( butt]4 ,boil2 d n /ir4 ,:5 x w ?read (f1 cool4 ,,bran ,,bread ,,= ,,con/ipation4 ,bran fl\r1 #a qu>t2 :ite fl\r1 #a p9t2 #a teaspoonful ( salt4 ,mix ?or\ghly4 ,dissolve #a teaspoonful ( bak+ soda 9 wat]1 put 9 cup ( molasses1 & /ir ! mixture into ! fl\r4 ,add #a p9t ( butt]milk4 ,bake 9 a mod]ate heat$ ov54 ,,bran ,,biscuits ,,= ,,con/ipation4 ,f\r cups :ole :eat bran1 #b cups graham fl\r1 #a teaspoonful ( soda1 #a teaspoonful ( salt1 #a cup molasses1 #a cup s\r milk or wat]1 cupful l>d or butt]1 #a cupful *opp$ figs4 ,spices to ta/e4 ,,vegetable ,,s\p ,,= ,,babies4 ,"o h&ful ( sp9a*1 #a beet1 #b c>rots4 ,*op f9e & boil two h\rs 9 "o qu>t ( wat]4 ,/ra9 ?r\gh gauze & add /]ile wat] to make "o qu>t ( s\p4 ,,b>ley ,,s\p ,,= ,,babies4 ,"o tablespoon ( b>ley fl\r to "o qu>t ( wat]4 ,boil tw5ty m9utes4 ,,froz5 ,,cocoa ,,cream4 7,a hospital recipe74 ,"o-half p\nd box cocoa1 #d cups ( wat]1 #c cups ( sug>4 ,boil ?ree m9utes until x /iff5s4 ,put on ice4 ,a4 ,to ,prep>e ! ,cocoa ,syrup4--,"o-half p\nd ( cocoa1 #d cups ( wat]1 #c cups ( sug>4 ,boil ab\t ?ree m9utes until x /iff5s4 ,put on ice4 ,b4 ,beat :ite & yolk ( eggs sep>ately & ?or\ghly4 ,sweet5 :ites to ta/e4 ,c4 ,= ! ,bev]age4--,p\r ounce ( pure cream into a glass & #a ounce ( cocoa syrup4 ,add yolk & :ite ( "o egg1 ,beat ?or\ghly & cov] ) a da% ( :ite4 ,drop a clot ( cocoa syrup on ! :ite & s]ve ) a spoon4 ,ice cream may be s]v$ 9 x4 ,,g+] ,,snaps4 ,"o p9t ( honey1 #a teaspoonful ( g+]1 & #a teaspoonful ( soda dissolv$ 9 a little wat] & two eggs4 ,mix all1 !n "w 9 all ! fl\r possible1 roll v ?91 & bake 9 a mod]ately hot ov54 ,,corn ,,griddle ,,cakes4 ,"o cup ( corn fl\r1 cup ( b>ley fl\r1 teaspoonful soda1 teaspoonful ( bak+ p[d]1 teaspoonful ( salt1 #a cup ( ?ick s\r milk1 #a egg4 ,mix & sift dry +r$i5ts4 ,add egg to s\r milk4 ,comb9e mixtures4 ,beat well4 ,%\ld be q ?9 batt]4 ,may use cup ( corn meal & cup ( b>ley fl\r4 ,,b>ley ,,& ,,corn ,,muff9s4 #a cups ( corn meal or corn fl\r1 cup ( b>ley1 #b tablespoonfuls ( syrup1 #d teaspoonfuls ( bak+ p[d]1 teaspoonful ( salt1 #a egg1 #a tablespoonful ( fat 7melt$71 #a cup ( milk4 ,mix & sift dry +r$i5ts1 add fat & well-beat5 egg to milk4 ,comb9e mixtures1 beat well1 & p\r into greas$ muff9 pans4 ,bake 9 hot ov5 tw5ty to tw5ty-five m9utes4 ,am\nts ( corn & b>ley may be rev]s$ if desir$4 ,,johnny ,,cake4 ,two cups ( corn meal1 #b tablespoonfuls ( syrup1 #b tablespoonfuls ( fat 7melt$71 #a teaspoonful ( salt1 teaspoonful ( soda1 #a egg1 #a cup ( s\r milk4 ,mix dry +r$i5ts1 add ! fat1 syrup1 & well-beat5 egg to s\r milk4 ,comb9e & bake 9 %all[ pan4 ,,buck:eat ,,gems4 ,two cups ( buck:eat fl\r1 #a teaspoonful ( salt1 teaspoonful ( soda1 #b teaspoonfuls ( bak+ p[d]1 #a tablespoonful ( fat 7melt$71 #a egg1 #a cup ( s\r milk4 ,mix & sift dry +r$i5ts4 ,add ! fat1 syrup1 & well-beat5 egg to s\r milk4 ,comb9e mixtures & beat well4 ,bake 9 well-greas$ muff9 pans tw5ty to tw5ty-five m9utes4 ,b>ley fl\r or meal may be sub/itut$ = "p ( ! buck:eat4 ,,potato ,,biscuits4 ,sub/itute ma%$ potatoes = "o-?ird ! fl\r 9 any biscuit recipe4 ,sift dry +r$i5ts toge!r1 mix 9 fat & potatoes1 !n add liquid cauti\sly4 ,on acc\nt ( ! moi/ure 9 ! potatoes less liquid is ne$$ to make a s(t d\gh4 ,,nut ,,bread4 ,"o egg1 #a cups ( sweet milk1 cup ( corn syrup1 #b teaspoonfuls ( bak+ p[d]1 cup ( nut meats1 teaspoonful ( salt1 #a cups ( corn fl\r1 cup ( b>ley fl\r4 ,beat egg1 add syrup1 !n milk & sift$ dry +r$i5ts & nuts4 ,p\r 9 pan4 ,let rise tw5ty m9utes4 ,bake 9 a mod]ate ov5 ab\t ?irty m9utes4 ,equal am\nts ( corn fl\r & b>ley give good results4 ,,corn ,,meal ,,g+]bread4 ,"o cup ( corn meal1 #a cup ( b>ley fl\r1 #a teaspoonful ( soda1 teaspoonful ( salt1 #b teaspoonfuls ( g+]1 #a teaspoonful ( c9namon1 teaspoonful ( cloves1 #a cup ( molasses or syrup1 #b tablespoonfuls ( fat1 #a cup ( s\r milk1 #a egg4 ,sift toge!r dry +r$i5ts4 ,comb9e molasses1 fat1 egg1 & milk4 ,add to dry mixture4 ,beat well4 ,bake 9 ?9 loaf or 9 muff9 pans4 ,corn fl\r may be sub/itut$ = corn meal4 ,,rice ,,& ,,oat ,,muff9s4 ,"o egg1 #b tablespoonfuls ( fat1 #a cup ( liquid1 #a teaspoonful ( salt1 #a cup ( rice fl\r1 #e teaspoonfuls ( bak+ p[d]1 #a cup ( gr\nd roll$ oats4 ,beat eggs1 add fat & liquid4 ,sift toge!r dry +r$i5ts4 ,comb9e mixtures & bake 9 mod]ate ov54 ,,pap] ,,indicates ,,ov5',s ,,heat4 ,to judge ( an ov5's heat1 try ! ov5 e t5 m9utes ) a piece ( :ite pap]4 ,if too hot1 ! pap] w blaze up or black54 ,:5 ! pap] becomes d>k br[n1 d>k] ?an ord9>y meat1 pie cru/1 ! ov5 is fit = small pa/ry4 ,:5 light br[n1 ! color ( nice pa/ry1 x is ready = t>ts4 ,:5 ! pap] turns d>k yell[ y c bake bread1 l>ge meat pies1 or p\nd cakes4 ,if x is j t+$1 ! ov5 is fit = sponge cake & m]+ue4 ,,v9eg> ,,prev5ts ,,cook+ ,,smell4 ,:5 cook+ by gas always place a t9 ( wat] 9 ! ov54 ,a b[l ( v9eg> & wat] plac$ beside ! /ove w prev5t ! smell ( cook+ f spread+ ?r\gh ! h\se4 ,,sauces ,,= ,,meat4 ,) roa/ beef1 grat$ hors]adi%4 ,) roa/ veal1 tomato or hors]adi% sauce4 ,roa/ mutton1 currant jelly4 ,roa/ pork1 apple sauce4 ,roa/ lamb1 m9t sauce4 ,roa/ turkey1 *e/nut dress+1 cranb]ry jelly4 ,roa/ v5ison1 black currant jelly or grape jelly4 ,roa/ goose1 t>t apple sauce4 ,roa/ quail1 currant jelly1 cel]y sauce4 ,roa/ canvasback duck1 apple bread1 black currant jelly4 ,roa/ *ick51 bread sauce4 ,fri$ *ick51 cream gravy1 corn fritt]s4 ,roa/ duck1 orange salad4 ,roa/ pt>migan1 bread sauce4 ,cold boil$ tongue1 sauce t>t>e or olives /uff$ ) pepp]s4 ,veal sausage1 tomato sauce1 grat$ p>mesan *eese4 ,pork sausage1 t>t apple sauce or fri$ apples4 ,frizzl$ beef1 hors]adi%4 ,pork croquettes1 tomato sauce4 ,corn$ beef1 mu/>d4 ,lob/] cutlet1 sauce t>t>e4 ,sweetbread cutlet1 sauce be*amel4 ,re$ birds1 fri$ hom9y1 :ite cel]y4 ,cold boil$ fi%1 sauce piquant4 ,broil$ /eak1 maitre d'hotel butt] or mu%rooms4 ,tripe1 fri$ bacon & apple r+s4 ,broil$ fre% mack]el1 /ew$ gooseb]ries4 ,fre% salmon1 cream sauce & gre5 peas4 ,cream sauce ) sweetbreads4 ,orange salad ) roa/ *ick54 ,cel]y sauce ) quail4 ,/uff$ olives ) fi% balls4 ,hors]adi% sauce ) boil$ beef4 ,hors]adi% & fri$ onions ) liv]4 ,fr5* dress+ ) s>d9es4 ,m9t sauce ) lamb4 ,york%ire pudd+ ) roa/ beef4 ,h>d-boil$ eggs & p>sley ) boil$ salmon4 ,cream gravy1 /rawb]ry pres]ves ) fri$ *ick54 ,oy/] dress+ = turkey4 ,cel]y & onion dress+ ) roa/ duck4 ,t>t grape jelly ) canvasback duck4 ,currant jelly ) roa/ goose4 ,cucumb] catsup ) corn$ beef4 ,,food ,,& ,,nutrition ,,9 ,,disease4 ,a physician1 writ+ to ! ,new ,york ,m$ical ,j\rnal1 says ! *emical composition ( ! body is q simil> to ! composition ( ! foods :i* n\ri% x4 ,prote91 fats1 c>bohydrates1 m9]al salts1 & wat] are ! comp\nds we ne$ 9 our foods1 & !y are f\nd 9 fle% foods & vegetables4 ,prote91 ! mo/ important elem5t1 is d]iv$ pr9cipally f meat1 eggs1 & milk4 ,x is also furni%$ by "s vegetables1 z beans1 peas1 & ! glut5 ( :eat2 b 9 ^! x is mix$ ) too mu* extrane\s matt]1 z husks1 bulbs1 woody fib]1 etc41 to be useful 9 ! diet ( ! sick4 ,extractives1 z beef-tea1 are includ$ 9 ! nitrog5 comp\nds1 b !y nei!r build tissue nor furni% en]gy2 !y are appetiz]s & /imulants4 ,animal & vegetable fats are useful2 ^! are f\nd 9 meat1 fi%1 milk1 eggs1 "s c]eals1 olives1 & nuts4 ,! c>bohydrates include sug>s1 />*es1 cellulose1 & ! fib]s ( plants4 ,potatoes1 sago1 f>9a1 & arr[root are ri* 9 !m4 ,fats %\ld be us$ ) caution 9 disease1 because !y ret>d ! =mation ( hydro*loric acid1 :i* excites ! pancreatic secretion1 an important factor 9 dige/ion4 ,man c live bett] )\t a /oma* ?an )\t a pancreas4 ,physicians realize t !y mu/ rely on diet r ?an drugs to cure indige/ion1 z ! food v>ies 9 its proportion ( fat1 prote91 & c>bohydrates2 ! dige/ive juices are p\r$ out or repress$ & alt]$ 9 /r5g? & quantity4 ,milk is n an ideal food = ! sick1 too l>ge a quantity be+ requir$1 & ! l>ge curds x =ms 9 ! /oma* (t5 r5d]+ dige/ion difficult4 ,boil$ ) rice x =ms an excell5t diet4 ,9 acute diseases la/+ f f\r to six weeks no great ef=t %\ld be made at =c$ fe$+4 ,?9 s\ps1 flood+ ! /oma* ) unnutriti\s fluids1 %\ld be avoid$4 ,x is unnatural to take food dur+ physical or m5tal suff]+4 ,appetite is want+1 & imp]fect assimilation adds to ! physician's worries & ! pati5t's discom=ts4 ,:5 !re is no appetite ! dige/ive juices are abs5t4 ,fe$ a convalesc5t :51 ?r\gh conv]sation ab\t "s da9ty di%1 int]e/ is ar\s$ & saliva is secret$4 ,,diet-,,li/4 ,liquid diet consi/s (3 ,wat] ( all k9ds4 ,cocoa4 ,g+] ale4 ,kumiss4 ,lemonade4 ,butt]milk4 ,orangeade4 ,milk pun*4 ,album9 wat]4 ,malt$ milk4 ,bro?s4 ,milk4 ,tea4 ,cream4 ,c(fee4 ,egg-nog4 ,s(t diet consi/s (3 ,liquids ( all k9ds4 ,s\ps 7vegetable & /ra9$74 ,milk toa/4 ,s(t-boil$ eggs4 ,gravy 8 ,oy/]s4 ,bread )\t cru/s4 ,bak$ apple4 ,c]eals4 ,apple sauce4 ,cu/>d4 ,/ew$ fruits 7no se$s74 ,rice4 ,ma%$ potato4 ,ice cream4 ,bak$ 8 ,milk pudd+s4 ,pures & milk4 ,pla9 8 ,toa/4 ,s(t-poa*$ eggs4 ,light diet consi/s ( s(t diet1 includ+3 ,:itefi%4 ,quail4 ,codfi%4 ,sweetbreads4 ,f9nan haddock4 ,*ick54 ,bacon4 ,*ops4 ,scrap$-beef4 ,/eak4 ,squab4 ,vegetables only :5 ord]$4 ,typhoid diet1 z soon z food is ord]$1 is z foll[s3 ,fir/ week-- ,c(fee = breakfa/4 ,tea = d9n]4 ,c]eals 7well cook$ & /ra9$74 ,eggs lightly boil$4 ,poa*$ eggs & s(t toa/4 ,bro?s 7*ick51 oy/]1 & meat74 ,scrap$-beef4 ,cu/>ds4 ,bread )\t cru/4 ,ice cream4 ,milk toa/4 ,orange-juice4 ,a glass ( milk1 t4 i4 d4 ,to ! =ego+ may be add$ = ,second week-- ,dry toa/4 ,*ick54 ,bak$ potato4 ,:itefi%4 ,bak$ apples4 ,rice4 ,asp>agus4 ,f>9ace\s pudd+s4 ,*ops4 ,milk s\p4 ,/eak4 ,pures4 ,no vegetables1 pa/ry1 or raw fruits are all[$4 ,liquid-- #a4 ,milk1 #c p>ts2 ,lime-wat]1 #a "p4 #b4 ,album5-wat]4 #c4 ,cle> *ick5 or beef bro? may be giv5 ?ree times 9 #bd h\rs4 ,,diabetic ,,diet4 ,:ite ( eight eggs2 ,dry oatmeal1 xij 7by weight72 ,butt]1 viij-x4 ,proc$ure4--,cook oatmeal #b h\rs4 ,:5 done1 beat into x ! melt$ butt]4 ,!n fold 9 ! beat5 :ites ( eggs4 ,,motor ,,te/-,,meal4 ,a4 ,:ite meat ( *ick5 or fi%4 ,b4 ,co>se vegetables4 ,c4 ,jam se$s 7rais9s or currants74 ,d4 ,potatoes4 ,e4 ,tea4 ,f4 ,two slices ( bread4 ,,ewald',s ,,te/-,,breakfa/4 ,a4 #b %r$d$ :eat biscuits1 or #b slices ( bread4 ,b4 #a glasses ( wat]4 ,,ob/etrics4 ,pub]ty4--,?is is ! p]iod ( trans=mation f *ildhood to adolesc5ce4 ,!re is a m>k$ developm5t ( ! ?roat & *e/1 ! brea/s become full]1 m r\nd$1 & !re is also an enl>gem5t ( ! pelvis4 ,^! outw>d signs are comb9$ ) c]ta9 int]nal *anges1 affect+ especially ! ov>ies & ! ut]us1 t are describ$ "u ! t]ms ( ovulation & m5/ruation4 ,ovulation4--,! ov>ies produce ova t are reta9$ 9 cavities t]m$ ovisacs 7,graafian follicles71 :i* are scatt]$ ?r\gh\t ! ov>y4 ,sometimes an ovisac conta9s m ?an "o ovum1 b usually ea* ovisac conta9s b "o4 ,:5 ! ov>y becomes functionally active1 "s ( ! ovisacs 9 ! deep] "p ( ! organ increase 9 size & develop t[>d ! surface4 ,f "t to "t "o ( ^! ovisacs1 hav+ cont9u$ to increase 9 size s z to =m a projection on ! surface ( ! ov>y1 actually bur/s & sets free an ovum4 ,?is frequ5tly occurs 9 association ) m5/ruation1 b may take place at o!r p]iods4 ,:ile ?is developm5t ( ! ovisac has be5 tak+ place !re is a special fl[ ( blood to ! pelvic cont5ts1 & ! fr+e-l processes ( ! ,fallopian tube become m closely appli$1 s t a cup is =m$ by ! fimbriat$ extremity ( ! ,fallopian tube1 into :i* ! ovum drops4 ,ev5tually ! ovum rea*es ! cavity ( ! ut]us1 &1 unless x becomes f]tiliz$ or impregnat$1 x is 9 due c\rse ca/ (f f ! ut]us 9 ! m5/rual dis*>ge & p]i%es4 ,:5 ! ut]us has become ! seat ( a f]tiliz$ ovum !re is no fur!r rip5+ ( ovisacs4 ,aft] ! escape ( an ovum f ! ovisac ! follicle is fill$ ) blood1 & ?is takes "p 9 ! =mation ( a /ructure kn[n z ! corpus luteum1 :i* is =m$ )9 ! bur/ ovisac4 ,! corpus luteum v>ies 9 its developm5t accord+ z ! ovum becomes f]tiliz$ or n4 ,if pregnancy takes place x rema9s to its close1 b if ! ovum is n f]tiliz$ x disappe>s 9 ab\t ?ree mon?s4 ,! ruptur$ ovisac always conta9s ! elem5ts ( a corpus luteum1 b its developm5t dep5ds on ! fate ( ! ovum4 ,ovulation has be5 said to comm5ce be=e m5/ruation2 ovisacs may sometimes rip5 & bur/ 9 *ildhood4 ,conception may take place be=e m5/ruation has set 94 ,m5/ruation4--,! blood is d]iv$ f ! muc\s membrane ( ! ut]us 7endometrium7 & n f t ( ! c]vix4 ,! endometrium becomes swoll5 & ?ick5$ prior to ! comm5cem5t ( ! fl[1 & ! blood-vessels are di/5d$4 ,) ! beg9n+ ( ! fl[ ?is swell+ gradually dim9i%es4 ,a few sup]ficial cells ( ! endometrium are usually ca/ (f dur+ m5/ruation1 & ?is is reg5]at$ dur+ ! int]val betwe5 ! p]iods4 ,! muc\s membrane ( ! ut]us is ?us nev] at re/ until m5/ruation ceases = good4 ,conception4--,f]tilization ( ! ovum may occur any:]e 9 its c\rse f ! ovisac to ! ut]us1 b ord9>ily x takes place 9 ! ut]us4 ,c]ta9 *anges take place 9 ! ut]us prep>atory to ! arrival ( ! f]tiliz$ ovum4 ,! :ole organ enl>ges1 x conta9s m blood ?an be=e2 ! muc\s membrane becomes s(t1 spongy1 ?ick5s greatly1 & is ?r[n into folds :i* are call$ ! decidua v]a4 ,decidua ,v]a4--,! "p ( ! decidua v]a to :i* ! ovum becomes atta*$ & :]e ! plac5ta aft]w>d =ms is call$ ! decidua s]ot9a4 ,! pres5ce ( ! ovum acts z an irritant to ! spot :]e x lodges1 & active gr[? takes place4 ,at ! same "t ! ovum burr[s into ! mucosa & gradually becomes emb$d$4 ,! v]a closes ov] ! ovum4 ,! decidua v]a is a mold ( ! int]ior ( ! ut]us4 ,! ext]nal surface is r\gh :]e x has be5 torn f ! und]ly+ tissues ( ! ut]us1 & ! int]nal aspect :i* is 9 contact ) ! ovum is smoo?4 ,x is ?icke/ at ! ?ird mon?2 aft] ?is "t ! membrane becomes ?9n] & ?9n]1 until by ! end ( pregnancy x is v ?94 ,x is to a consid]able ext5t expell$ at labor & =ms "p ( ! membranes4 ,ovum4--,z ! ovum develops ! decidua reflexa exp&s until x fills ! decidua v]a at ! end ( ! second mon?1 & by ! end ( ! ?ird mon? x has intimately unit$ ) ! decidua v]a to =m "o membrane4 ,until ^! two membranes h coalesc$ ! ovum is n free 9 ! ut]9e cavity1 b is enclos$ 9 ! decidua reflexa4 ,pregnant ,ut]us4--,z pregnancy proce$s ! ut]us ceases to be a pelvic organ2 x becomes r\nd$1 & aft] ! six? mon? gradually assumes an ovoid %ape4 ,at ! end ( ! ?ird mon? x has rea*$ to ! brim ( ! pelvis4 ,by ! six? mon? x is level ) ! umbilicus1 & by ! n9? x has rea*$ to ! tip ( ! /]num4 ,dur+ ! la/ =tnight ! organ s9ks a little1 & ?is relieves to "s ext5t ! %ortness ( brea? :i* has be5 caus$ by ! pressure on ! diaphragm4 ,fetal ,membranes4--,inside ( ! decidual membranes we f9d ! *orion & amnion4 ,:]eas ! decidu are mat]nal /ructures1 ! *orion & ! amnion are d]iv$ f ! ovum4 ,! *orion is ! m ext]nal ( ! two fetal membranes2 x e>ly surr\nds ! ovum & ?r[s out processes 7villi7 t[>d ! decidua reflexa & s]ot9a4 ,^! processes are at fir/ =m$ equally all ov] ! *orion1 b ^? :i* lie 9 connection ) ! decidua s]ot9a gr[ m rapidly 9 size & complexity1 & rema9 to =m ! ma9 "p ( ! plac5ta4 ,! membrane 9 :i* ! fetus lies is ! amnion4 ,conta9$ )9 ! amnion is m or less fluid1 ! liquor amnii1 9 :i* ! fetus re/s z 9 a wat]-b$4 ,x p]mits free movem5ts on ! "p ( ! fetus & protects x f viol5ce f ! outside2 x equalizes ! pressure on ! ut]9e walls1 prev5t+ pressure on ! cord & plac5ta2 & dur+ labor x assi/s 9 ! dilation ( ! os ut]i & lubricates ! mat]nal passages4 ,f x also ! fetus d]ives its supply ( wat]4 ,occasionally wat] may =m betwe5 ! ?ree membranes1 & dur+ labor ! *orion may rupture & n ! amnion1 & ! wat]s betwe5 !m be dis*>g$4 ,9 l mann]1 wat] :i* has =m$ betwe5 ! decidua & ! *orion may come away4 ,^!1 !n1 are two s\rces ( fluid :i* may be dis*>g$ f ! vag9a 9 labor :5 ! amnion is intact4 ,umbilical ,cord4--,! organ by :i* ! fetus is atta*$ to ! ut]us is a :iti%1 gli/5+ /ructure :i* spr+s f ! fetus at ! c5t] ( ! abdom51 & passes to ! int]nal aspect ( ! plac5ta4 ,x conta9s two art]ies & "o ve9 surr\nd$ by a gelat9\s mat]ial 7,:>ton's jelly71 ! :ole be+ cov]$ ) a lay] d]iv$ f ! amnion4 ,! vessels usually run tortu\sly 9 ! cord1 ?us less5+ ! dang] ( compression1 :i* might o!rwise occur4 ,?is arrangem5t also t5ds to regulate & equalize ! circulation ( ! blood ?r\gh its vessels4 ,plac5ta4--,! 8aft]-bir?0 is a spongy cav]n\s organ & has a circumf]5ce ( f #bj to #bd in*es4 ,x is made up ( two elem5ts1 fetal & mat]nal1 *iefly ! =m]4 ,! fetal surface1 to :i* ! umbilical cord is atta*$1 is =m$ by ! amnion4 ,ext]nal to ! latt] is ! *orionic tissue1 consi/+ ma9ly ( f+]-l processes ( villi1 _m ( :i* ext5d to ! decidua4 ,^! villi are mo/ly vascul>iz$4 ,! vascul> villus is made ( a capill>y loop1 ly+ emb$d$ 9 a connective tissue1 ! blood-vessels be+ d]iv$ f ! umbilical vessels4 ,! villi are surr\nd$ by mat]nal blood1 :i* circulates 9 ! int]vill\s spaces4 ,! mat]nal "p is repres5t$ by ! decidua s]ot9a4 ,its surface is r\gh & irregul>1 be+ brok5 up into segm5ts or cotyl$ons4 ,x is made ( two lay]s3 7a7 ,! deep or spongy lay]1 & 7b7 ! compact1 or lay] to :i* ! villi are atta*$4 ,! decidua s]ot9a conta9s l>ge cavities or s9uses1 :i* are =m$ by a dilation ( ! blood-vessels 9 ! wall ( ! ut]us4 ,!y communicate ) ! int]vill\s spaces ( ! plac5ta1 & x is ?r\gh ! mat]nal blood circulat+ 9 !m t nutrim5t is convey$ to ! fetus ?r\gh ! m$ium ( ! villi4 ,an int]*ange takes place betwe5 ! fetal & mat]nal blood/reams1 ?\gh1 ( c\rse1 !re is no direct cont9uity betwe5 !m4 ,! plac5ta ?us has a two-fold function 9 act+ bo? z an organ ( circulation & ( respiration4 ,x is ?r\gh ! walls ( ! villi t ?is int]*ange ( gases & fluids takes place2 n\ri%m5t & oxyg5 pass+ ?r\gh !m to ! fetus1 & c>bonic-acid gas & wa/e mat]ials pass+ ?r\gh !m to ! "m4 ,!re is no direct communication betwe5 ! fetal & ! mat]nal blood4 ,! plac5ta1 normally1 is atta*$ to ! contractile "p ( ! ut]us1 & on its sep>ation ! blood-vessels are clos$ by ! contractions ( ! ut]9e wall4 ,! plac5ta may be divid$ into two or m portions1 or "o or m ( its cotyl$ons may be deta*$ f ! re/ ( ! organ & h _! own vascul> supply4 ,! importance ( ?is lies 9 ! fact t aft] ! plac5ta is expell$ ^! isolat$ masses may be left & give rise to hemorrhage or blood-poison+4 ,,symptoms ,,( ,,pregnancy4 ,suppression ( ! ,m5ses4--,! cessation ( ! p]iods may be due to o!r causes1 b x is usually ! fir/ indication ( pregnancy4 ,conception may take place & m5/ruation yet cont9ue4 ,x usually occurs b once or twice1 & !n only :]e conception took place imm$iately be=e an expect$ p]iod4 ,morn+ ,sickness4--,nausea & vomit+ cont9u$ = any l5g? ( "t is almo/ a c]ta9 sign ( pregnancy4 ,x may beg9 z soon z conception takes place & la/ = _m mon?s2 sometimes x may occur t[>d ! end ( pregnancy1 or occasionally n at all4 ,salivation4--,! excessive secretion ( saliva (t5 accompanies ! morn+ sickness4 ,! secretion is t5aci\s & difficult ( expectoration4 ,he>tburn1 abnormal appetite1 long+ or loa?+ = p>ticul> articles ( food1 too?a*e & ! l may be pres5t4 ,quick5+4--,! fir/ feel+ ( fetal life felt by ! "m is usually betwe5 ! f\r? & fif? mon?s1 b may be exp]i5c$ occasionally z e>ly z ! ?ird mon?1 or be def]r$ until ! six?4 ,quick5+ occurs z soon z ! ut]us comes 9 contact ) ! abdom9al wall4 ,improp] elim9ation ( ! b[els1 caus+ ga/ro-inte/9al tr\ble1 may produce movem5ts n unlike ?is indication2 !re=e1 ?is symptom is n reliable4 ,enl>gem5t ( ! ,brea/s4--,! brea/s gr[ l>g] t[>d ! end ( ! second mon?4 ,9 "s cases ! enl>gem5t is v m>k$1 b 9 o!rs !re is sc>cely any increase 9 size dur+ ! :ole t]m ( pregnancy4 ,pigm5tation4--,color+ ( ! sk9 takes place 9 diff]5t p>ts ( ! body4 ,! face may %[ br[ni% spots4 ,! sk9 d>k5s 9 ! axilla & 9 ! areola ( ! brea/s4 ,a d>k l9e pres5ts itself d[n ! middle ( ! abdom54 ,! vag9a takes on a violet t9t1 ! c]vix becomes purple1 ! v>i\s colors becom+ m m>k$ ) ! progress ( pregnancy4 ,*anges 9 ! ,abdom54--,! abdom5 gr[s l>g] gradually1 & ) x ! gait & c>riage ( ! woman *ange1 to c\nt]balance ! weight ( ! abdom54 ,x enl>ges symmetrically unless ! ut]us is displac$ by adhesions1 or by a tumor 9 ! ut]us or ext]nal to x4 ,! te>+ ( ! "u lay] ( ! sk9 ( ! abdom5 :ile di/5d$ produces /reaks 7/ria71 fir/ p9k & !n :ite1 :i* rema9 aft] ! =m resumes its natural %ape2 any o!r enl>gem5t ( ! abdom51 especially :5 caus$ by a tumor1 may produce ! same result4 ,! v>i\s conditions mi/ak5 = pregnancy1 due to *anges 9 ! abdom51 are fibroid 9 ut]us2 metritis2 swell+ ( ! tubes & ov>ies1 di/5d$ bladd]1 a p5dul\s belly2 excessive fat2 extra-ut]9e pregnancy2 & inflammatory conditions1 su* z p]itonitis4 ,pregnancy & any ( ! conditions nam$ may coexi/1 & ! =m] may be ov]look$1 :ile ! latt] is recogniz$4 ,fetal ,he>tbeat4--,! he>t s\nds are g5]ally audible betwe5 ! f\r? & fif? mon?s4 ,! rate is f #abj-adj a m9ute1 be+ d\ble t ( ! "m's pulse4 ,ab\t midt]m is he>d ! ut]9e s\ffle1 a bl[+ s\nd1 q unlike ! fetal he>t1 & its orig9 is ! ru%+ ( ! blood ?r\gh ! enl>g$ & twi/$ art]ies4 ,ballottem5t4--,9 normal cases !re is no pa9 on palpation4 ,! ut]9e wall v>ies 9 consi/5ce1 be+ alt]nately s(t & firm4 ,! fetal p>ts may be felt ?r\gh ! abdom9al wall 9 ! late mon?s4 ,light5+4--,9 ! la/ two weeks1 especially 9 primip>1 ! *ild's head s9ks into ! pelvis1 & its body falls a little =w>d4 ,! ut]us s9ks d[n & =w>d ) ! *ild4 ,! wai/-l9e l[]s1 ! /oma* region is flatt]1 ! navel m prom95t4 ,! pati5t brea!s easi]1 b does n walk z well4 ,duration ( ,pregnancy4--,av]age "t is #bhj days2 protract$1 #cad2 a %ort t]m ab\t #bde days4 ,!re is no positive p]iod4 ,pr$iction ( ! ,date ( ,labor4--,c\nt #i cal5d> mon?s f ! beg9n+ ( ! la/ m5/ruation & add #g days4 ,an error ( #b or #c weeks1 h[ev]1 is possible4 7,see ,table on page #agh47 ,premonitory ,symptoms ( ,labor4--7#a7 ,light5+4--,dropp+ may be att5d$ ) slight pa9s simil> to labor pa9s4 7#b7 ,false ,pa9s4--,^! v>y 9 nature & quality4 ,!y may be %ort & %>p1 or long & cont9u\s1 or irregul>4 ,z a rule1 !y are m>k$ by irregul>ity4 ,!y are mo/ly abdom9al1 r>ely l true pa9s beg9n+ 9 ! sacral region & mov+ ar\nd to ! region ( ! pubes4 ,!y may be caus$ by cramps 9 ! abdom9al wall1 inte/9es1 or 9 ! di/5d$ bladd]4 ,!y may be due to old inflammatory areas )9 ! abdom9al & pelvic cavities4 ,!y are frequ5t 9 cases 9 :i* !re is m>k$ b[el irregul>ity1 & 9 conditions ( ov]-fatigue4 ,"s au?ors believe t !y may be produc$ by irregul> contractions ( portions ( ! ut]9e wall4 ,"o important te/ is ! condition ( ! ut]9e body dur+ ! pa94 ,if !re is no g5u9e contraction1 ! ut]us w n become h>d :5 pa9 is felt4 ,?is indication is n always reliable1 h[ev]1 s9ce palpation may be unsatisfactory on acc\nt ( ! woman's n]v\sness1 h] s5sitiv5ess1 or ! ?ickness ( ! abdom9al wall4 ,if ! cause be contractions ( ! ut]us1 p>tial h>d5+ may be felt4 ,,table ,,= ,,calculat+ ,,! ,,p]iod ,,( ,,ut]o-,,ge/ation4 ---------------------------------------- ---------------------------------------- ----------------------------- ,janu>y #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca ,,octob] #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca #a #b #c #d #e #f #g,,nov4 ---------------------------------------- ---------------------------------------- ----------------------------- ,febru>y #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh ,,novemb] #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #a #b #c #d #e ,,dec4 ---------------------------------------- ---------------------------------------- ----------------------------- ,m>* #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca ,,decemb] #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca #a #b #c #d #e;,,jan4 ---------------------------------------- ---------------------------------------- ----------------------------- ,april #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj ,,janu>y #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca #a #b #c #d ,,feb4 ---------------------------------------- ---------------------------------------- ----------------------------- ,may #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca ,,febru>y #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #a #b #c #d #e #f #g,,m>4 ---------------------------------------- ---------------------------------------- ----------------------------- ,june #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj ,,m>* #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca #a #b #c #d #e #f ,,april4 ---------------------------------------- ---------------------------------------- ----------------------------- ,july #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca ,,april #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #a #b #c #d #e #f #g,,may4 ---------------------------------------- ---------------------------------------- ----------------------------- ,augu/ #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca ,,may #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca #a #b #c #d #e #f #g;,,june4 ---------------------------------------- ---------------------------------------- ----------------------------- ,septemb] #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj ,,june #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #a #b #c #d #e #f #g ,,july4 ---------------------------------------- ---------------------------------------- ----------------------------- ,octob] #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca ,,july #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca #a #b #c #d #e #f #g;,,aug4 ---------------------------------------- ---------------------------------------- ----------------------------- ,novemb] #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj ,,augu/ #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca #a #b #c #d #e #f ,,sept4 ---------------------------------------- ---------------------------------------- ----------------------------- ,decemb] #a #b #c #d #e #f #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #ca ,,septemb] #g #h #i #aj #aa #ab #ac #ad #ae #af #ag #ah #ai #bj #ba #bb #bc #bd #be #bf #bg #bh #bi #cj #a #b #c #d #e #f #g,,oct4 ---------------------------------------- ---------------------------------------- ----------------------------- ,,explanation4--,f9d 9 top l9e ! date ( m5/ruation1 ! figure bel[ w indicate ! date :5 conf9em5t may be expect$1 i4e41 if date ( m5/ruation is ,june #a/1 conf9em5t may be expect$ on ,m>* #h?1 or "o day e>li] if leap ye>4 7,dr4 ,,ely47 7#c7 ,true ,pa9s4--,! contractions ( ! ut]us z !y become /rong]1 9 ! great majority ( cases1 cause ! woman pa94 ,= ?is reason 8true pa9s0 is us$ synonym\sly ) 8ut]9e contractions40 ,) _! appe>ance ! woman becomes re/less1 likes to sit d[n1 to b5d =w>d & to press on ! sacrum4 8,true pa9s0 are felt 9 ! sacral region1 gradually mov+ ar\nd t[>d ! pubes4 ,!y beg9 sl[ly1 increase 9 int5sity1 & sl[ly pass away4 ,! pa9s are involunt>y1 & ! woman tries to compla9 or cry out4 ,diff]5ces 9 ?is l>gely dep5d ^u ! n]v\s temp]am5t ( ! pati5t1 ?\gh !y are also relat$ to v>iations 9 ! physical factors4 8,true pa9s0 mu/ be di/+ui%$ f 8false pa9s40 7#d7 ,! ,%[4--,)9 tw5ty-f\r h\rs be=e labor really beg9s !re is a dis*>ge f ! vag9a ( ?ick mucus1 m or less /a9$ ) blood4 ,?is is call$ ! 8%[10 & is ! plug ( mucus :i* fills ! c]vical canal dur+ pregnancy4 ,sometimes ! %[ is abs5t or appe>s aft] labor has be5 9 progress = a:ile4 ,if !re is mu* pure blood ) ! dis*>ge x is unusual1 & ! physician %\ld be notifi$4 ,,labor4 ,fir/ ,/age4--,! fir/ /age ext5ds f ! "t ( ! labor pa9s to ! complete dilatation ( ! os ut]i4 ,x may come on v sl[ly or act quickly4 ,sl[ dilatation occurs normally 9 a woman ov] ?irty ye>s ( age2 & x may be due to inflammatory conditions or appe> 9 cases :]e ! membranes l9+ ! ut]us are adh]5t4 ,on exam9+ ! vag9a !re is f\nd a bulg+ 7:i* is a ma9 factor 9 dilatation ( ! c]vix7 & a dis*>ge ( mucus t+$ ) blood4 ,! dilatation increases until x is #d 94 across1 & ! bag ( membranes bulges l a sauc]4 ,9 abnormal cases x comes d[n into ! vag9a 9 ! %ape ( a tube4 ,:5 ! os is fully dilat$ ! membranes rupture1 a ru% ( wat] escapes d[n ! vag9a1 & ! fir/ /age ( labor is end$4 ,n all ( ! wat] comes away1 = ! head comes d[n & acts z a plug4 ,x is v important = ! nurse to recognize ! true rupture & n mi/ake x = incont95ce ( ur9e4 ,second ,/age4--,?is comprises ! p]iod f ! "t ( complete dilatation ( ! c]vix to ! end ( ! expulsion ( ! *ild4 ,! pati5t has "s relief aft] ! fir/ /age1 & :5 ! second /age comes on %e holds h] brea? & contracts ! abdom9al muscles z mu* z %e c 9 mak+ expulsive ef=ts4 ,! pa9s become ( long] duration & m frequ5t2 & ^u exam9+ ! vag9a ! head is f\nd d[n1 ! tissues bulge1 ! rectum becomes /ret*$1 ! majora & m9ora sep>ate1 & !n1 :ile ! pa9 is on1 !re is "s *ange 9 ! position ( ! head z x rec$es & advances aga94 ,nature br+s x sl[ly1 = if ! head plung$ d[n x might produce complete lac]ation ( ! p]9eum4 ,if ! head is delay$ too long !re is swell+ ( ! scalp4 ,! mo/ pa9ful p]iod is :5 ! head passes ! p]9eum4 ,!n !re comes a m>k$ *ange 9 ! position ( ! fetus1 & x lies 9 t position = "s "t2 foll[+1 comes a rotation to "o side1 ! %\ld]s turn1 & bir? occurs4 ,! cord is /ill 9 ! vag9a1 & ! ?ird /age beg9s ) a flu%+ ( amnii fluid4 ,! plac5ta is /ill 9 place 9 ! ut]us4 ,! *ild may cry1 & ! pulsation may cont9ue 9 ! cord = z long z fifte5 m9utes1 b ord9>ily = ab\t five m9utes1 :ile a new circulation is e/abli%$ 9 ! infant & m blood is drawn f ! plac5ta4 ,?ird ,/age4--,! pati5t has a re/ = "s m9utes4 ,!n ! contractions ( ! ut]us cont9ue until ! membranes & plac5ta are expell$4 ,! pa9s beg9 aga92 ! ut]us is small]1 firm1 yet w recoil2 x is r\nd$1 & ! fundus lies ev5 ) ! umbilicus4 ,if ! fundus is above ! umbilicus some?+ is wrong4 ,pa9ful contractions ( ! ut]us foll[ & cause a squeez+ (f ( ! plac5ta4 ,!re is a fl[ ( blood1 ! plac5ta foll[s1 passes out ( ! vag9a1 dragg+ ! membranes aft] x4 ,! fundus s9ks1 & ! ut]us1 h>d1 contract$ & firm1 lies 9 ! pelvis4 ,9 "s cases x becomes s(t1 rises up & !n relaxes4 ,if x becomes too s(t1 ! relaxation :i* foll[s may induce hemorrhage4 ,! ut]us %\ld be c>efully massag$ until x h>d5s4 ,p]iod ( ,labor4--,f\rte5 h\rs is a normal range4 ,fir/ /age usually la/s ab\t twelve h\rs2 second /age ab\t "o h\r1 & ! ?ird /age f fifte5 to ?irty m9utes4 ,complications ( ,labor4--,labor may be br\ght on by extreme m5tal anxiety4 ,! *ild may be born )\t any actual pa94 ,x may be expell$ :ile ! pati5t has an evacuation ( ! b[els1 especially if ! b[el movem5t has be5 induc$ by enemata or a purgative4 ,*ildr5 may be born )\t ! usual progression ( labor1 yet ) all normal conditions pres5t4 ,9 cases :]e ! "m dies dur+ labor ! ut]us cont9ues to contract until ! *ild is born ab\t fifte5 m9utes lat]4 ,! *ild 9 su* cases is sometimes sav$ by a ,ces>ean section4 ,,c>e ,,( ,,! ,,ob/etric ,,pati5t4 ,diet4--,diet %\ld be regulat$ & consi/ ( light1 nutriti\s & pr$ige/$ foods4 ,milk %\ld be prep>$ 9 v>i\s ways palatable to ! pati5t4 ,w9e & fruits & vegetables 9 season may be includ$4 ,= malnutriti\s pati5ts1 malt & beef extracts may be add$4 ,/>*es prep>$ 9 fat1 & ri* pa/ries %\ld be avoid$4 ,elim9ation4--,! b[els mu/ move regul>ly1 & laxatives may be giv5 if necess>y4 ,alkalies %\ld be giv5 be=e b$time1 & eff]vesc5t p[d]s 9 ! morn+4 ,enemata %\ld n be resort$ to unless absolutely necess>y1 z ! sudd5 expulsion ( ! cont5ts may produce abortion4 ,! kidneys may be regulat$ by giv+ simple diuretics2 pl5ty ( pure wat] is ! be/4 ,! condition ( ! kidneys is a mo/ important factor 9 pregnancy4 ,! ur9e %\ld be cle> & ( suffici5t quantity4 ,meats %\ld be eat5 b sp>+ly1 z !y ov]-produce album94 ,ba?s4--,daily ba?+ 9 tepid wat] is v ess5tial to enc\rage ! elim9ation ?r\gh ! sk9 & to promote cleanl9ess4 ,a cold sponge is /imulat+ & v agreeable to "s pati5ts4 ,ex]cise4--,ex]cise %\ld be mod]ate4 ,light "w ab\t ! home may be enc\rag$1 c>e be+ _h to avoid ov]-lift+1 ov]-rea*+1 etc4 ,walk+ %\ld be insi/$ ^u1 to ma9ta9 correct c>riage & po/ure ( ! body4 ,outdoor enjoym5ts may be _h if indulg$ 9 ) discretion4 ,tir$ness may be ov]come by ! pati5t ly+ d[n on an incl9e1 ! head l[] ?an ! body1 !reby reliev+ all t5sion ( ! muscles & n]ves4 ,any recumb5t position = com=t is b5eficial4 ,brea/s & ,nipples4--,pl5ty ( room %\ld be giv5 to p]mit full gr[? & to enc\rage ! nipples to prom95ce4 ,_! inv]sion or depression may be rem$i$ by massage & manipulation4 ,no alcohol or o!r /rongly a/r+5t wa%es %\ld be us$4 ,! nipples mu/ n be h>d5$1 b %\ld be kept s(t & pliable2 cocoa-butt] or o!r heal+ o9tm5ts may be appli$4 ,cracks & fissures n only r5d] nurs+ difficult or impossible1 b may lead to ma/itis & subsequ5t abscess =mations4 ,!re %\ld be p]fect cleanl9ess1 to promote pure secretion & prev5t sepsis4 ,pelvic ,organs4--,pelvic organs d n1 "u normal conditions1 require d\*es4 ,! normal vag9a cleanses itself1 & a hot d\*e may induce abortion4 ,,ly+-,,9 ,,p]iod4 ,conf9em5t ,room4--,a quiet room %\ld be select$1 9 :i* !re has be5 no rec5t sickness & :i* is n 9 proximity to any sew]age4 ,! room %\ld be well v5tilat$1 ) no draughts1 & at a temp]ature f #fe-ge ,f4 ,! furni%+s %\ld be pla9 & few z possible4 ,!y %\ld consi/ ( a table or two1 a few *airs1 & a n>r[ iron b$ ( m$ium height4 ,if ! b$spr+ is s(t1 a few bo>ds may be plac$ "u x to make x firm4 ,if ! pati5t is to be deliv]$ 9 b$1 x %\ld be made up z foll[s3 7#a7 ,long rubb] %eet2 7#b7 long musl9 %eet2 7#c7 rubb] draw-%eet2 7#d7 musl9 draw-%eet2 7#e7 a l>ge pad1 #c ft4 squ>e & #c 94 ?ick4 ,all %eets %\ld be fa/5$ ) l>ge safety-p9s1 & ! pad left free to draw ! pati5t to ei!r side1 if ! b$ is ( ! l[-&-wide v>iety commonly us$ 9 _m homes4 ,! ideal way is to deliv] ! pati5t on a settee1 or on two tables1 cov]$ ) a small mattress2 ! physicians & nurses h less "w to d & !y "w to a bett] advantage4 ,moreov]1 :5 ! pati5t is c>ri$ f ! table to h] clean1 w>m b$ %e gets imm$iate com=t & avoids ! usual di/urbance & uncleanl9ess att5d+ ! cle>+ away ( soil$ l951 etc4 ,prep>atory ,treatm5t = ,pati5t4--,! pati5t %\ld h a w>m ba?1 & ! g5itals %\ld be scrubb$ ?or\ghly ) soap & wat]4 ,%av+ ! p>ts is mu* to be desir$ if ! pati5t has no objection1 !n an antiseptic pad %\ld be appli$4 ,! nurse mu/ be sure ! bladd] is empty2 x is v important t a dribbl+ f an ov]-di/5d$ bladd] %\ld n be mi/ak5 = frequ5t ur9ations2 ?is is to prev5t ! dang] ( ruptur$ bladd] f ! con/ant pressure ( a contract+ ut]us2 also a di/5d$ bladd] makes labor h>d by int]f]+ ) ! passage ( ! head4 ,dur+ ! ,fir/ ,/age4--,! pati5t may be out ( b$ & enc\rag$ to take ex]cise4 ,%e %\ld n walk ab\t too freely be=e ! head is engag$1 le/ ?is induce a malpres5tation or malposition4 ,! pati5t's cry+ %\ld n be prev5t$1 & %e %\ld be told n to press d[n4 ,%e may h a cup ( hot wat] or tea1 b no /imulant1 z an ane/hetic may become necess>y4 ,dur+ ! ,second ,/age4--,all clo?+ %\ld be remov$ b ! night-dress4 ,p9 ! g[n up "u ! arm1 put on p]9eal draw]s1 & a %eet ar\nd ! body1 !n place ! pati5t 9 b$4 ,! pa9 9 ! back may be reliev$ by pressure ov] ! sacrum1 & ! pati5t %\ld be enc\rag$ to hold h] brea?4 ,! nurse %\ld n[ use tact to quiet ! pati5t1 hav+ hi!rto manag$1 if possible1 to enc\rage calmness4 ,= cramps 9 ! limbs1 ! muscles may be mov$ & firm pressure appli$4 ,a h&k]*ief b\nd tightly ar\nd ! affect$ "p may relieve x4 ,a %eet may be ti$ to ei!r side ( ! b$1 = ! pati5t to grasp1 & a block plac$ at ! foot ( ! b$ = a brace = h] feet4 ,pati5t ,aft] ,labor4--,! soil$ sk9 %\ld be g5tly & quickly ba!d ) w>m solution1 ! vulva & p]9eum c>efully cleans$ & an antiseptic pad appli$4 ,! b9d] %\ld be p9n$ firmly ab\t & bel[ ! hips1 all[+ fre$om ov] ! upp] "p ( ! abdom54 ,if !re is any anxiety t ! ut]us may relax aft] knead+ x1 a tightly fold$ t[el may be plac$ ov] ! fundus1 & kept 9 position by ! b9d]4 ,a vag9al d\*e is nev] giv5 )\t ord]s f ! physician4 ,ext]nal d\*es ( lysol1 #a or #b p] c5t41 are giv5 ?ree or f\r times daily until ! lo*ia becomes scant4 ,! pati5t %\ld be wat*$ dur+ ! fir/ few h\rs = symptoms ( hemorrhage4 ,! room %\ld be kept quiet & d>k1 & light1 w>m cov]+ be us$ on ! b$4 ,! pati5t may h a cup ( hot wat] or milk to induce sleep & relieve ?ir/4 ,diet4--,dur+ ! fir/ twelve h\rs ! pati5t %\ld be kept on liquid diet4 ,on ! second day1 butt] toa/1 milk toa/1 oy/] /ew1 & *ocolate may be add$4 ,on ! ?ird day1 if ! b[els move freely1 s\ps1 ) rice or b>ley1 & c]eal foods may be giv54 ,/ew$ fruits 7omitt+ ^? /rongly acid7 may be includ$4 ,aft] ! f\r? day1 fre% fi%1 a *op1 *ick51 & pigeon may be giv54 ,ev5 aft] ord9>y diet is ord]$1 heavy meats & ri* pa/ry %\ld be avoid$ = a :ile4 ,b[els4--,! b[els are usually con/ipat$ = ! fir/ few days4 ,a dose ( ca/or oil may be giv51 to be foll[$ 9 six h\rs by a sal9e enema4 ,! pati5t %\ld be enc\rag$ to dr9k freely ( pure wat]1 to secure prop] elim9ation ( ! kidneys4 ,if ! pati5t c n ur9ate1 aft] ! diff]5t me?ods to produce ur9ation h be5 tri$1 %e may be ca!t]iz$4 ,! ur9e %\ld be measur$ = "s days to asc]ta9 if ! quantity is suffici5t4 ,colo/rum4--,! fir/ secretion 9 ! brea/s conta9s no n\ri%m5t1 b is a laxative = ! *ild4 ,! baby %\ld be put to ! nipple z soon z ! "m has _h "s sleep & feels re/$4 ,nurs+ assi/s ! ut]9e contractions1 prev5t+ hemorrhage f ! torn plac5tal vessels & cleans+ ! organs f secretions /ill be+ dis*>g$ at int]vals4 ,brea/ & ,nipples4--,! nipples %\ld be cleans$ aft] ea* nurs+ ) w>m boric solution4 ,if !y are crack$ & sore a lubricat+ o9tm5t %\ld be appli$ & a nipple %ield %\ld be us$4 ,if ! brea/s become di/5d$ !y %\ld be massag$ g5tly e two or ?ree h\rs1 & !y may be pump$ if necess>y4 ,9 ?is /ate ! pati5t mu/ n h regul> liquid diet1 & ! b[els mu/ be kept freely op5 ) sal9e laxatives4 ,a compress$ b9d] is com=t+ & b5eficial4 ,if ! *ild1 = "s reason1 does n nurse1 ! secretion may be dri$ by an application ( belladonna 9 ! =m ( a pla/]1 p]mitt+ ! nipples to protrude ?r\gh an op5+ cut into ! c5t] ( x4 ,! belladonna o9tm5t is good b v unclean4 ,atrop9 may be giv5 int]nally4 ,conditions ,dur+ :i* ! ,*ild ,%\ld ,n ,nurse4--,depress$ or crack$ nipples2 inflammation ( ! brea/s2 poor heal? ( ! "m2 m>k$ anemia2 kidney or he>t disease2 n]v\s or g5]al febrile afflictions2 tub]culosis2 syphilis4 ,m5/ruation4--,if ! return fl[ ( ! m5ses occur dur+ ! nurs+ p]iod ! milk becomes impure1 & ! *ild may suff] f ! effects ( x4 ,if m5/ruation takes place normally & ! *ild does n become ill1 x is because ! "m is /rong & c endure ! dra9 ^u h] sy/em ) no o!r bad result ?an los+ fle%4 ,9 su* a case x is be/ to wean ! baby1 especially aft] x is n9e mon?s old4 ,,c>e ,,( ,,! ,,baby4 ,^u ,bir?4--,z soon z ! eyes are c>$ =1 by flu%+ !m ) w>m boric solution 7! physician may use ,cr$'s me?od--#a to #b p] c5t4 nitrate ( silv] solution1 foll[$ by weak salt solution71 ! baby %\ld be wrapp$ 9 a w>m1 s(t1 /]ile clo? 7cotton flannel71 & plac$ 9 a w>m crib until ! "m has be5 att5d$ to4 ,aft] t ! baby %\ld be ano9t$ ) w>m olive oil1 especially 9 ! gro91 axilla1 9 ! folds ( ! neck & beh9d ! e>s4 ,! nurse %\ld !n wa% & /]ilize h] h&s to dress ! cord4 ,apply alcohol1 #ie p] c5t41 & !n boric acid p[d] or any o!r antiseptic dress+ ! physician may ord]2 x may be kept 9 place by a ?9 flannel b9d]1 go+ ar\nd ! abdom5 b once & be fa/5$ 9 ! back 7n too tightly7 by sew+ x toge!r4 ,p9s ( any k9d %\ld be us$ only :]e absolutely necess>y4 ,! baby %\ld be dress$ 9 z few g>m5ts z possible4 ,ba?+4--,until ! umbilicus is heal$ ! *ild %\ld n be put 9 ! full ba?4 ,! face1 h&s1 & head may be spong$ daily ) tepid wat]4 ,g5tly massag+ ! body e day ) w>m olive oil1 & rubb+ ) a s(t t[el1 w n only keep ! baby clean1 b prove b5eficial4 ,! g5itals %\ld be wa%$ well once daily & spong$ aft] ea* evacuation ( ! b[els4 ,dur+ ! fir/ few weeks a little oil rubb$ into ! p>ts is bett] ?an p[d]2 9 mo/ cases p[d] w dry ! sk9 too quickly & rub (f ! delicate epi!lium4 ,g5]al ,c>e ( ! ,baby4--,! eyes1 ! m\?1 & navel %\ld be giv5 ! usual daily att5tion4 ,! b[els1 if con/ipat$1 %\ld be enc\rag$ by small doses ( ca/or oil giv5 ) a m$ic9e dropp]4 ,if ! ur9ations are n cle> & ( suffici5t quantity ! baby may h w>m wat]1 ab\t #a oz4 at a "t1 ?ree or f\r times daily4 ,leave ! infant ) ! "m only dur+ ! nurs+ p]iod4 ,nurs+ ! ,baby4--,practical exp]i5ce is daily upsett+ ! !ory t a set ( rules & regulations c be laid d[n & foll[$ = ! nurs+ ( all babies2 t nurs+ mu/ be done at c]ta9 h\rs & aft] c]ta9 int]vals4 ,:ile babies are alike 9 ne>ly e respect1 speak+ physiologically1 !re are only a few :o c be awak5$ at regul> int]vals to be nurs$ by ! "m or f$ by ! bottle4 ,"s babies c n be awak5$ suffici5tly = nurs+1 ev5 aft] f\r or five h\rs' sleep4 ,o!rs w nurse = tw5ty m9utes 7! rules say x %\ld n be long] ?an t5 m9utes7 at two- or ?ree-h\r int]vals dur+ ! day & !n sleep all night4 ,( c\rse1 :]e ! *ild c be f$ regul>ly1 ?is helps ! "m to regulate h] own habits1 & is com=t+ to all conc]n$4 ,!re=e1 nurses %\ld n lack 9 det]m9ation to enc\rage su* a sy/em4 ,b no su* regul>ity %\ld be insi/$ ^u :]e bo? baby & "m suff] dur+ ! int]val :5 nurs+ is d5i$2 ! =m]1 hungry & cry+ lu/ily1 & ! "m "u a n]v\s /ra9 t is h>mful to bo?4 ,let !re be no h>d-&-fa/ rules4 ,babies :o fe$ z (t5 z !y feel l x 7be+ all[$ prop]1 ?\gh n necess>ily long1 int]vals = dige/ion7 g5]ally suff] no ill effects & are heal?y & /rong4 ,"m's milk1 ! natural fe$+1 %\ld always be giv51 r ?an any artificial food1 :5 ! supply is suffici5t & good4 ,,ob/etric ,,supplies4 ,solutions3 ,antiseptic solutions4 ,normal salt solution4 ,spiritus frum5ti4 ,fluid extract ( ergot4 ,pl5ty ( /]ile wat] 7hot & cold74 ,articles3 ,rubb] %eet+4 ,pla9 roll ( absorb5t cotton4 ,abdom9al b9d]s4 ,vessel to receive plac5ta4 ,l>ge dra9age-pan4 ,l>ge- & m$ium-siz$ safety-p9s4 ,/]iliz$ ,accessories3 ,"o half-doz5 %eets4 ,"o doz5 t[els4 ,"o night g[n4 ,"o doctor's g[n4 ,acc\*em5t pad4 ,two doz5 vulva pads4 ,receiv+ pad = baby4 ,mat]nity legg+s4 ,gauze sponges4 ,cotton pl$gets4 ,applicators4 ,tape = ! cord4 ,rubb] & glass ca!t]s4 ,d\*e po9ts4 ,d\*e bag4 ,vasel94 ,,supplies ,,= ,,baby ,,basket4 ,blunt-po9t$ scissors4 ,ne$le1 ?read & ?imble4 ,m$ium-siz$ & small safety-p9s4 ,rectal & ba? !rmomet]4 ,b> ( pure mild soap4 ,j> ( pure olive oil4 ,wide-m\!d bottle ( alcohol1 #ie p] c5t4 ,wide-m\!d bottle ( boric solution4 ,/]ile gauze to dress ! navel4 ,/]ile applicators4 ,two slips4 ,two %irts4 ,abdom9al b9d]s4 ,diap]s & old s(t clo?s4 ,,baby ,,sleep4 ,a "y baby sleeps eighte5 h\rs out ( tw5ty-f\r4 ,at six mon?s ( age a baby sleeps ab\t sixte5 h\rs4 ,a "o-ye>-old *ild sleeps ab\t f\rte5 h\rs1 & at two ye>s ( age at lea/ twelve h\rs4 ,daytime naps %\ld be cont9u$ z long z possible4 ,,fetal ,,circulation4 ,f ,kimb]'s ,anatomy4 ,! peculi>ities ( ! fetal circulation1 leav+ details aside1 are3 ! direct communication betwe5 ! two auricles ( ! he>t1 ?r\gh an op5+ call$ ! =am5 ovale2 ! communication betwe5 ! pulmon>y art]y & desc5d+ portion ( ! ar* ( ! aorta1 by means ( a tube call$ ! ductus art]iosus2 & ! communication betwe5 ! plac5ta & ! fetus1 by means ( ! umbilical cord4 ,! art]ial blood = ! nutrition ( ! fetus is c>ri$ f ! plac5ta along ! umbilical cord by ! umbilical ve94 ,ent]+ ! fetus at ! umbilicus1 ! blood passes upw>d to ! liv] & is convey$ into ! inf]ior v5a cava 9 two diff]5t ways4 ,! l>g] quantity fir/ ent]s ! liv]1 &1 alone or 9 conjunction ) ! blood f ! portal ve91 ramifies ?r\gh ! liv] be=e ent]+ ! inf]ior v5a cava1 by means ( ! hepatic ve9s4 ,! small] quantity ( blood passes directly f ! umbilical ve9 into ! inf]ior v5a cava1 by a tube call$ ! ductus v5osus4 ,9 ! inf]ior v5a cava ! blood f ! plac5ta becomes mix$ ) ! blood return+ f ! l[] extremities ( ! fetus4 ,x ent]s ! "r auricle &1 guid$ by a valve--! ,eu/a*ian valve1 passes ?r\gh ! =am5 ovale into ! left auricle4 ,9 ! left auricle x unites ) a small quantity ( blood return$ f ! lungs by ! pulmon>y ve9s4 ,f ! left auricle ! blood passes into ! left v5tricle & is di/ribut$ by ! aorta almo/ entirely to ! upp] extremities by ! sup]ior v5a cava1 ! blood ent]s ! "r auricle1 &1 pass+ ov] ! ,eu/a*ian valve1 desc5ds into ! "r v5tricle1 & f ! "r v5tricle into ! pulmon>y art]y4 ,z ! lungs 9 ! fetus are solid1 !y require v little blood1 & ! great] "p ( ! blood passes ?r\gh ! ductus art]iosus into ! desc5d+ aorta1 :]e1 mix+ ) ! blood deliv]$ to ! aorta by ! left v5tricle1 x desc5ds to supply ! l[] extremities ( ! fetus1 ! *ief portions ( ?is blood1 h[ev]1 be+ c>ri$ back to ! plac5ta by ! two umbilical art]ies4 ,illu/ration3 ,diagrammatic view ( ! fetal circulation 7,dorl&74 ,f ?is description ( ! fetal circulation x w be se53 #a4 ,t ! plac5ta s]ves ! d\ble purpose ( a respiratory & nutritive organ1 receiv+ ! v5\s blood f ! fetus1 & return+ x aga9 *>g$ ) oxyg5 & additional nutritive mat]ial4 #b4 ,t ! great] "p ( ! blood trav]ses ! liv] be=e ent]+ ! inf]ior v5a cava2 h5ce ! l>ge size ( ?is organ at bir?4 #c4 ,t ! blood f ! plac5ta passes almo/ directly into ! ar* ( ! aorta & is di/ribut$ by its bran*es to ! head & upp] extremities2 h5ce ! l>ge size & p]fect developm5t ( ^? p>ts at bir?4 #d4 ,t ! blood 9 ! desc5d+ aorta is *iefly d]iv$ f t :i* has already circulat$ 9 ! upp] extremities &1 mix$ ) only a small quantity f ! left v5tricle1 is di/ribut$ to ! l[] extremities2 h5ce ! small size & imp]fect developm5t ( ^! p>ts at bir?4 ,,nurs+ ,,9 ,,diseases ,,( ,,*ildr54 ,spasmodic ,cr\p4--,spasmodic cr\p is due to a sudd5 closure ( ! glottis4 ,causes4--,exposure to a cold1 damp atmosph]e1 indige/ion1 or irritation ( ! ?roat4 ,!re may be "s ho>s5ess a few h\rs prec$+ ! attack & ! *ild awak5s sudd5ly 9 ! p>oxysm ( ! %>p cr\p c\gh1 exp]i5ces difficulty 9 brea?+ & has ! cyanotic appe>ance s t]rify+ to ! "m1 b :i* ne$ give no cause = s]i\s al>m4 ,treatm5t4--,apply hot compresses ab\t ! ?roat4 ,if ! attack is sev]e give an emetic--"o dram ( salt or mu/>d 9 "o-half cup ( w>m wat]1 & repeat 9 tw5ty m9utes if necess>y2 an enema ( w>m wat] %\ld be giv5 & /eam inhalation resort$ to4 ,keep ! *ild 9 an ev5 temp]ature1 re/rict diet = a few days1 & keep b[els active4 ,p>otitis 7,mumps74--,an infecti\s disease *>act]iz$ by inflammation ( ! p>otid gl&s4 ,incubation is f two to ?ree weeks4 ,symptoms4--,! disease comes on ) a mild *ill1 pa9 bel[ ! e> & swell+ ( ! gl&s4 ,!re is great discom=t & ! t5sion is v disagreeable4 ,treatm5t4--,keep pati5t 9 b$ dur+ ! height ( ! disease4 ,give liquid & s(t diet4 ,b[els %\ld be op5$ freely4 ,no m$ic9e is requir$ unless fev] is high4 ,apply cold compresses to ! affect$ "p1 ?\gh1 if pref]r$1 hot ones may be us$4 ,a pad ( cotton ) oil$ silk is ! be/ application4 ,9 cases ( extreme r$ness or t5d]ness ( ! gl&s1 lee*es may be appli$4 ,9 cases ( delirium use ! ice-cap4 ,= or*itis1 lubricate ! p>ts ) camphorat$ oil & support ) a s(t cotton pad4 ,duration ( disease1 f sev5 to t5 days4 ,:oop+-,c\gh4--,an infecti\s disease1 beg9n+ ) cat>rh ( ! air-passages1 l an ord9>y cold4 ,! %ort expiratory c\ghs foll[+ ea* o!r 9 rapid succession & ! p]iod ( draw+ a long brea? give rise to ! :oop *>act]iz+ p]tussis4 ,incubation4--,a week to t5 days4 ,treatm5t4--,isolate pati5t & if attack is sev]e put him 9 b$4 ,fre% air is ! mo/ ess5tial elem5t4 ,if ! c\gh is di/ress+1 ipecacuanha w9e & p>egoric may be giv54 ,dur+ convalesc5ce ! *ild %\ld be wat*$ c>efully1 z at ?is p]iod bron*opneumonia & tub]culosis are apt to develop4 ,*ange ( air is advisable4 ,tonics & cod-liv] oil %\ld be employ$4 ,! diet %\ld be easily dige/ible1 n\ri%+ food4 ,aft] ea* p>oxysm & aft] ! *ild has recov]$ f ! exhau/ion x produces give n\ri%m5t4 ,!re w be a p>tial if n complete absorption ( ! food be=e ano!r attack4 ,duration ( ! disease f six to twelve weeks4 ,colic4--,causes4--,con/ipation1 indige/ible foods1 flatus1 ov]fe$+1 improp] foods & exposure to cold4 ,symptoms4--,*ild cries out v sudd5ly & %>ply4 ,!re is a convulsive movem5t ( ! extremities1 ! h&s are tightly clos$1 abdom5 is t5se4 ,treatm5t4--,g5tle pressure & massage ) w>m oil ov] ! abdom5 & a few doses ( hot or pepp]m9t wat] w expel ! gas4 ,burnt br&y is good4 ,! simple w>m enema is a common rem$y4 ,wrap w>m flannels ar\nd ! l[] p>ts ( ! body & keep ! h&s w>m4 ,di>rhea4--,frequ5t loose evacuations )\t t5esmus4 ,causes4--,impure wat] or food2 irritat+ secretions p\r$ into ! b[els2 bottl$ milk4 ,diet %\ld be re/rict$ to c]eal & album9 wat]4 ,flu% ! b[els v g5tly ) w>m wat]4 ,dys5t]y4--,symptoms4--,fev]1 t5esmus & frequ5t small muc\s1 bloody /ools4 ,treat z di>rhea4 ,keep *ild w>m1 especially ab\t ! abdom54 ,*ol]a ,infantum 7,summ] ,compla9t74--,symptoms4--,fev]1 int5se ?ir/1 cont9u\s vomit+1 & purg+ ( ! b[els4 ,/ools soon become wat]y & pale-gre5 9 color1 & ! *ild has all appe>ances ( complete pro/ration4 ,treatm5t4--,/oma* wa%+ & inte/9al irrigation c>efully giv54 ,re/rict diet to b>ley wat] conta9+ a few drops ( br&y & give h\rly = a few days4 ,rickets4--,a disease ( infants1 *>act]iz$ by impair$ nutrition ( ! entire body & alt]ation ( gr[+ bones4 ,causes4--,n positively kn[n4 ,h]$ity may be a pr$ispos+ factor4 ,ano!r !ory giv5 is want ( sunlight1 impure air1 prolong$ lactation1 & suckl+4 ,z x is a con/itutional disease x is almo/ c]ta9 to be due to a di/urbance ( nutrition4 ,x is mu* less f\nd 9 ! brea/-f$ ?an 9 ! artificially f$ & m common :5 ! artificial fe$+ is bad ?an :5 x is prop]ly giv54 ,scurvy is a con/itutional disease ( metabolism due to a faulty diet4 ,probably ! abs5ce ( "s con/itu5ts 9 ! nature ( vitam9s4 ,scurvy & rickets are two di/9ct diseases1 & yet bo? may be due to impure1 improp] infant fe$+s4 ,?ree ,g5]al ,symptoms ( ,great ,importance4--,fir/1 a diffuse sor5ess ( ! body1 s t ! *ild cries :5 an attempt is made to move x2 second1 slight fev]2 ?ird1 pr(use sweat+4 ,de=mities may (t5 be prev5t$ if1 9 ! e>ly /ages1 con/ant c>e is tak5 t ! *ild is prop]ly held4 ,?ru%4--,aph?4--,small :ite1 furry m\? ulc]s develop+ dur+ ! fir/ & second ye> ( infancy4 ,cause4--,lack ( cleanl9ess 9 ! c>e ( ! m\?1 especially aft] fe$+ ) bottl$ milk4 ,! pat*es are t5aci\s1 gr[ l>g]1 until sometimes !y involve ! entire ga/ro-inte/9al tract1 result+ 9 acute indige/ion & b[el disord]s4 ,! fir/ symptom is usually "s evid5ce ( pa9ful di/ress 9 ! infant's ef=ts to nurse2 fev]1 di>rhea & vomit+ occur & ! tr\ble may become acute4 ,treatm5t4--,absolute /]ile cleanl9ess 9 ! prep>ation & adm9i/]+ ( ! pati5t's food4 ,! m\? mu/ be cleans$ ) w>m boric acid solution aft] e fe$+4 ,! pat*es %\ld be t\*$ g5tly ) ! same solution1 & ! lips ano9t$ ) a soo?+ lotion4 ,convulsions4--,! pr9cipal pr$ispos+ causes are infancy conditions affect+ ! nutrition ( ! bra9 & h]$it>y influ5ces4 ,! bra9 gr[s m dur+ ! fir/ ye> ?an 9 lat] life1 & ?is rapidity ( gr[? is 9 itself an important pr$ispos+ cause ( functional d]angem5t4 ,aft] infancy attacks ( convulsions are mu* less frequ5t1 & aft] sev5 ye>s !y are relatively r>e4 ,dea? may take place f a s+le attack 9 v "y infants1 especially ^? :o are ra*itic4 ,convulsions may be ?\ght to indicate ! onset ( "s acute disease :5 !y occur 9 a *ild ov] two ye>s old1 & :5 !y come on sudd5ly or ) only slight premonition 9 a *ild previ\sly well2 b ! mo/ important po9t is t !y are accompani$ by a high temp]ature--#ajd-ajf ,f4 ,acute m5+itis is ! only o!r condition likely to produce ^! symptoms4 ,:e!r ! convulsions m>k ! onset ( lob> pneumonia1 sc>let fev]1 mal>ia1 or "s o!r disease c be det]m9$ only by c>efully wat*+ ! pati5t's symptoms = #bd or #cf h\rs4 ,9 convulsions dep5d+ ^u "s disord] ( ! alim5t>y tract1 we may get a hi/ory ( *ronic con/ipation or improp] fe$+1 & 9 nurs+ infants1 sometimes ( passion or intoxication 9 ! wet-nurse4 ,convulsions are s frequ5tly due to dige/ive d]angem5t t ! condition ( ^! organs %\ld be "o ( ! fir/ ?+s to be look$ into4 ,exam9ation ( ! ur9e %\ld nev] be omitt$ 9 any case ( convulsions ( d\btful orig91 ev5 :]e no dropsy is pres5t4 ,?is1 bo? 9 infants & old] *ildr51 is too (t5 ov]look$4 ,9 all cases ( convulsions ( d\btful or obscure orig9 occurr+ 9 infants1 rickets %\ld be suspect$ z ! und]ly+ cause1 & ! *ild c>efully exam9$ = o!r evid5ces ( t disease4 ,treatm5t4--,cold %\ld be appli$ to ! head1 be/ by means ( an ice-cap or cold clo?s1 & dry heat & c\nt]irritation to ! surface ( ! body & extremities4 ,! ,mu/>d ,pack4--,! *ild is /ripp$ & laid ^u a blanket1 & ! trunk is surr\nd$ by a l>ge t[el or %eet saturat$ ) mu/>d wat]4 ,?is is made z foll[s3 #a tablespoonful ( mu/>d1 #a qu>t ( wat]4 ,9 ?is ! t[el is dipp$ &1 :ile dripp+1 w\nd ar\nd ! entire body4 ,! pati5t %\ld !n be roll$ 9 ! blanket4 ,?is pack may be cont9u$ = #aj or #ae m9utes2 at ! end ( :i* "t !re w usually be a v decid$ r$ness ( ! :ole body4 ,x may be repeat$1 accord+ to indications4 ,:]e x is desir$ to produce g5]al c\nt]irritation1 ! mu/>d pack is n q z effici5t z ! mu/>d ba?1 b x has ! advantage 9 caus+ mu* less di/urbance to ! pati5t4 ,! mu/>d pack is useful 9 ! conditions ( collapse1 or ( great pro/ration f any cause :atev]1 9 convulsions1 & 9 c]ebral or pulmon>y conge/ion4 ,! degree to :i* ! c\nt]irritant ( ! sk9 %\ld be c>ri$ w dep5d ^u ! condition ( ! pulse & ! cyanosis4 ,! feet may be plac$ 9 mu/>d wat] :ile ! *ild lies 9 its crib 7,holt74 ,a ,,few ,,notes ,,on ,,m$ical ,,diseases4 ,,rheumatism4 ,a con/itutional disease1 *>act]iz$ by fev]1 inflammation 9 & ar\nd ! jo9ts1 occurr+ 9 succession1 & a great t5d5cy to induce ! condition ( endoc>ditis or p]ic>ditis4 ,cause4--,usually exposure to cold--*ill+ ( ! body--damp atmosph]e4 ,treatm5t4--,re/ 9 b$ is important4 ,! b$d+ %\ld be yield+1 & ! pati5t we> loose flannel night-clo!s4 ,sleep+ betwe5 blankets promotes p]spiration1 increases ! activity ( ! sk91 prev5ts exposure to cold & may r$uce ! liability to he>t tr\ble4 ,*ange b$-clo?+ frequ5tly4 ,diet4--,%\ld be easily dige/$ food4 ,milk is ! mo/ suitable4 ,dilute ) alkal9e or m9]al wat]4 ,b>ley- or oatmeal-wat] & lemonade may be giv54 ,bro?s & s\ps may be sub/itut$ = milk at times4 ,regul> fe$+s e two h\rs until pati5t convalesces4 ,,g\t4 ,g\t is *>act]iz$ by sudd5 attacks ( sev]e pa9 9 ! small] jo9ts1 especially t ( ! big toe4 ,!re is a gradual deposit ( urate ( sodium 9 & ab\t ! jo9ts1 & pres5ce ( uric acid 9 ! blood4 ,causes4--,intemp]ate liv+1 excess 9 dr9k+ w9es & liquors1 ov]9dulg5ce 9 ri* foods1 *ange ( climate4 ,treatm5t4--,prop] elim9ation4 ,free use ( all k9ds ( m9]al wat]s1 ab/5tion f alcoholic dr9ks & mod]ation 9 eat+4 ,ex]cise by walk+ & liv+ 9 ! op5 air may c\nt]act any h]$it>y t5d5cy to ! disease4 ,cold ba?s1 foll[$ by massage1 may be giv5 to ! /h5ic pati5t1 :ile ! w>m & tepid ba? %\ld be sub/itut$ = ! a/h5ic type4 ,protect ! body f exposure to cold4 ,flannel und]we> %\ld be worn4 ,diet4--,milk = liquid--no c(fee or tea4 ,vegetables & fruit1 except+ bananas1 /rawb]ries1 tomatoes1 oranges1 lemons2 fi%1 oy/]s & s\p 9 small quantities2 no fre% meat %\ld be all[$ = a "t4 ,avoid hot breads1 pa/ry ( all k9ds1 spices & eggs4 ,,diabetes ,,mellitus4 ,a disord] ( nutrition1 *>act]iz$ by an accumulation ( sug> 9 ! blood1 & excret$ 9 ! ur9e4 ,! am\nt ( ur9e is greatly increas$1 accompani$ by progressive loss ( fle% & /r5g?4 ,treatm5t4--,regulate diet1 ex]cise & mode ( liv+4 ,a w>m ba? e o!r day & a ,turki% ba? e two weeks are v b5eficial4 ,diet4--,avoid sug>1 />* & all liquors4 ,pati5t may eat s\ps )\t vegetables & fl\r2 fi% ( all k9ds2 meats & fats cook$ 9 any way except ) fl\r2 glut5 bread4 ,( vegetables--lettuce1 cucumb]s1 sp9a*1 tomatoes1 onions1 cel]y1 radi%es1 caulifl[]1 cabbage1 egg-plant4 ,( dess]ts--cu/>d1 nuts1 acid fruits1 ice cream )\t sug>4 ,( dr9ks--c(fee1 tea & butt]milk1 lemonade1 beef-tea1 *ick5 bro?1 & egg-nog4 ,fluid diet mu/ be mod]ate1 & sug> & fl\r mu/ n be us$ 9 any =m4 ,,bright',s ,,disease4 7,acute ,nephritis2 ,inflammation ( ! ,kidneys47 ,due to ! action ( cold or toxic ag5ts ^u ! kidneys4 ,causes4--,cold1 poisons ( specific fev]s1 toxic ag5ts1 pregnancy1 bl[s & injuries ( ! back1 lesions ( ! sk9 z 9 burns or 9 *ronic sk9 diseases4 ,symptoms4--,fev]1 pa9 9 ! back ov] ! kidneys1 nausea1 vomit+1 frequ5t desire to ur9ate1 puff9ess ( ! face1 swell+ ( ! ankles1 extreme pallor ( ! sk91 %ortness ( ! brea?1 ) ! g5]al appe>ance ( complete exhau/ion4 ,! ur9e is v scanty & highly color$4 ,treatm5t4--,re/ 9 b$ until all symptoms disappe>4 ,to promote activity ( ! sk9 & kidneys1 alcohol or /eam sweats %\ld be giv5 daily4 ,to elim9ate & purge ! b[els give sal9e ca?>tics2 & alkal9e m9]al wat]s may be us$ freely4 ,diet4--,butt]milk1 gruels made ( b>ley or arr[root1 or oatmeal wat]2 animal bro?s & oy/]s2 sub/itute cream-(-t>t> lemonade or pla9 lemonade = tea or c(fee4 ,pure milk %\ld be tak5 freely4 ,,uremia4 ,uremia occasionally develops dur+ ! c\rse ( acute or *ronic ,bright's disease & o!r maladies1 ! result ( ! ret5tion or accumulation 9 ! blood ( an excrem5titi\s mat]ial1 suppos$ to be urea1 ! fl[ ( ur9e be+ ei!r normal1 less5$1 or increas$4 ,,treatm5t ,,= ,,tub]culosis4 ,fre% air & sun%9e1 a re/ 9 b$ f "o to ?ree mon?s1 & prop] food are ! ?ree vital po9ts ( importance4 ,d n give too _m ba?s4 ,diet %\ld consi/ ( />* foods--#fj p] c5t4 ,/ale bread & crack]s may be prep>$ 9 v>iety4 ,give album9oids & t5d] meats4 ,milk & eggs %\ld be giv5 ab\t six times a day4 ,,= ,,pati5t ,,9 ,,sitt+ ,,position4 ,a contrivance easily made & v useful 9 nurs+ cases :]e ! pati5t is to be kept 9 ! semirecumb5t or sitt+ position1 z1 = in/ance1 9 pneumonia1 or 9 op]ations on ! upp] abdom51 is arrang$ by tak+ a broom/ick ) ! broom "p saw$ (f4 ,wrap ar\nd ?is /ick a blanket1 l>ge pill[1 or some?+ to make x resemble a knee bol/]4 ,place ?is "u ! knees ( ! pati5t1 & to ea* end ( ! broom/ick atta* a /\t cord1 :i* may be securely ti$ to ! b$-po/s at ! head ( ! b$4 ,?is w add to ! com=t ( ! pati5t 9 prev5t+ ! con/ant slid+ d[n :i* is s difficult to prev5t4 ,x w also save ! nurse a great deal ( tugg+ & lift+4 ,,miscellaneuos ,,notes ,,& ,,rem$ies4 ,,colds4 ,?is 0 "o ( ! subjects ( discussion at "o ( ! meet+s ( ! ,new ,york ,/ate ,m$ical ,association4 ,"o physician ?\ght t cold 0 only a pr$ispos+ factor 9 ^! cases1 microbes be+ ! *ief elem5t 9 ! affection4 ,at ! beg9n+ ( an ord9>y cold 9 ! head ! s]\s fl[ 0 an ef=t ( nature to relieve ! conge/ion & elim9ate ! infection1 h5ce x %\ld n be int]f]$ ) at ?is /age4 ,ano!r doctor said t :ile cold 0 a sep>ate disease 9 ! m9ds ( ! laity1 to physicians x always meant a condition second>y to some?+ else4 ,a p]son ) nasal polypi1 = example1 w\ld compla9 ( almo/ con/ant /uff9ess ( ! nose2 "o ) an enl>g$ l+ual tonsil became ho>se aft] v slight use ( ! voice 9 s++4 ,dr4 ---- ---- ----1 ( ,new ,york1 took up ! treatm5t ( colds4 ,he ?\ght "s colds 9 ! head are communicable1 & t isolation might sometimes be a useful protective measure4 ,cod-liv] oil 0 a good prev5tive = ^? :o 7 9 ! habit ( con/antly cat*+ cold4 ,if ! temp]ature 0 ov] #ajj ,f41 he insi/$ on ! pati5t /ay+ 9 b$1 or at lea/ 9 ! h\se4 ,a mod]ate dose ( qu99 & ,dov]'s p[d] at night1 foll[$ 9 ! morn+ by a laxative1 w\ld cut %ort "s colds4 ,a hot mu/>d foot-ba? increas$ ! com=t ( ! pati5t4 ,rh9itis tablets 7 effectual if tak5 e>ly1 b p]sons susceptible to belladonna %\ld be c>eful 9 us+ !m4 ,! alkal9e treatm5t 0 (t5 satisfactory--"o dram ( bic>bonate ( soda 9 half a glass ( wat]1 ) a few drops ( lemon juice4 ,camphor int]nally & by inhalation (t5 yield$ good results4 ,he 0 n a great believ] 9 local treatm5t1 ?\gh admitt+ t irrigation ) sal9e solution 0 (t5 useful4 ,x 01 h[ev]1 dang]\s except 9 skilful h&s4 ,:5 colds %[$ a t5d5cy to recur1 he advocat$ t9cture *lorid ( iron 9 l>ge doses = two or ?ree days1 also cod-liv] oil1 qu991 or ! vegetable bitt]s4 ,sometimes *ange ( climate 0 ! only cure4 ,cold a ,g]m ,disease4--,wal%1 9 ! ,m$ical ,news1 says a v /rik+ indication t cold is due to microbic invasion is to be f\nd 9 ! fact t ! process is ne>ly always accompani$ by fev]4 ,a di/9ct p]iod ( incubation c be trac$1 & ! effici5t cause ( ! illness is commonly f>!r (f ?an ! pati5t imag9es4 ,! treatm5t advis$ :5 fev] & *ill9ess occur is ! use ( calomel & hot dr9ks1 especially cream-(-t>t> lemonade1 :i* acts z a diuretic z well z a laxative4 ,a diaphoretic at ! beg9n+ ( ! affection w always give ! pati5t com=t & may unload ! sy/em ( en\gh depress$ toxic mat]ial to enable x to react & br+ ab\t ! abortion ( a cold4 ,o!r m$ical m5 object$ to call+ ev]y?+ an infection4 ,a common cold1 !y ?\ght1 0 no?+ else ?an ! effect ( ! l[]$ temp]ature on ! human sy/em4 ,! dry air ( h\ses caus$ a *ronic po/nasal cat>rh1 :i* at times increas$4 ,to ov]come susceptibility to cat*+ cold1 ov]dress+ %\ld be avoid$ & cold ba?s tak54 ,,treatm5t ,,( ,,hyp]idrosis4 ,9 sweat+ ( ! feet a s+le application ( dilut$ =maldehyd w br+ ab\t p]man5t relief4 ,= ! axilla1 use #aj drops ( =maldehyd to #b ounces ( wat]4 ,,treatm5t ,,( ,,erysipelas4 ,apply a ?ick lay] ( :ite vasel9 twice a day4 ,protect ) l95 & gauze b&ages4 ,,to ,,di/+ui% ,,*ick5 ,,f ,,smallpox4 ,if ! vesicle 9 *ick5-pox is prick$ ) a ne$le1 its cont5ts c be completely evacuat$ & ! cell w collapse2 :]eas1 9 small-pox ! vesicle c be prick$ tw5ty times & x w be impossible to empty x4 ,,treatm5t ,,( ,,felon4 ,a felon may sometimes be abort$ by ! application ( pure alcohol "u exclusion ( air4 ,cov] ! phalanx ) a ?9 lay] ( absorb5t cotton saturat$ ) alcohol2 ov] ?is put on a rubb] f+]-/all4 ,9 sev]e cases ! tissues %\ld be deeply incis$4 ,,treatm5t ,,( ,,boils4 ,apply hot dress+s2 incise if necess>y4 ,! application ( pure alcohol dress+s & a plug ( cotton saturat$ 9 ! same solution & ins]t$ 9 ! w\nd promotes rapid heal+4 ,,to ,,dislodge ,,an ,,insect ,,f ,,! ,,e>4 ,saturate a piece ( cotton-wool 9 salt & v9eg>4 ,fill ! e> ) x4 ,h pati5t lie on ! e> & give firm pressure ) ! h&4 ,! insect may be f\nd on ! cotton :5 ! plug is tak5 out4 ,oil may be us$ z a sub/itute4,b ,b ,=eign bodies 9 ! e> usually cause f> less tr\ble & h>m ?an does ! attempt to remove !m by anyone n exp]t4 ,,relief ,,= ,,e>a*e4 ,make a small funnel ( pap]1 & saturate a ball ( cotton ) *lor(orm2 drop x into ! funnel4 ,place ! funnel 9 ! e>1 draw a long brea? & !n bl[ ! brea? into ! l>ge end ( ! funnel2 ! fumes ( ! *lor(orm are ?us c>ri$ into ! e>1 & all pa9 ceases at once4 ,no d\bt1 heat is ! be/ rem$y ( all4 ,,relief ,,f ,,flies ,,& ,,mosquitoes4 ,p\r into an atomiz] half a teaspoonful ( lav5d] oil4 ,add to ?is z mu* alcohol z w make a saturat$ solution4 ,use z a spray4 ,sweet clov] hung ab\t ! room w bani% flies & mosquitoes4 ,! dri] ! clov] becomes ! m effectual x is4 ,a ,,bit ,,( ,,anatomy4 ,! entire adult skeleton consi/s ( #bjj di/9ct bones1 z foll[s3 ,! sp9e or v]tebral column 7sacrum & coccyx includ$7 #bf ,cranium #h ,face #ad ,os hyoids1 /]num & ribs #bf ,upp] extremities #fd ,l[] extremities #fb ------ #bjj ,! patell are includ$ z sep>ate bones2 ! small] sesamoid bones & ! ossicula auditus are n c\nt$4 ,! tee? belong to ! tegum5t>y sy/em4 ,,blood-,,corpuscles4 ,! av]age numb] ( r$ blood-corpuscles p] cubic millimet] is ab\t #e1jjj1jjj = m51 & some:at less = wom54 ,! numb] is mu* increas$ 9 p :o live 9 altitudes ( ab\t #hjjj feet or m4 ,! greate/ decrease occurs 9 anemia1 :5 !y may numb] less ?an #a1jjj1jjj1 & 9 leukemia1 :5 !re may be n m ?an #b1jjj1jjj4 ,! av]age numb] ( :ite blood-corpuscles p] cubic millimet] v>ies f #ejjj to #aj1jjj4 ,! numb] is usually decreas$ 9 anemia1 & mu* increas$ 9 leukemia1 :5 !y may numb] #ejj1jjj p] cubic millimet]4 ,blood %\ld conta9 #ajj p] c5t4 hemoglob94 ,hospital pati5ts seldom h ?is am\nt4 ,pati5ts are n consid]$ safe = op]ation :o h less ?an #ej p] c5t41 & c n live long if !y h #aj p] c5t4 or less4 ,illu/ration3 ,! skeleton4 ,illu/ration3 ,! pr9cipal art]ies & ve9s ( ! body 7,morr[74 ,illu/ration3 ,abdom9al regions4 ,illu/ration3 ,g5]al s*eme ( ! dige/ive tract1 ) ! *ief gl&s op5+ into x 7,raymond74 ,illu/ration3 ,position ( ! ?oracic & abdom9al organs1 front view 7,morr[7 ,illu/ration3 ,position ( ! ?oracic & abdom9al organs1 re> view 7,morr[74 ,illu/ration3 ,a1 ,recurr5t b&age ( ! head2 ,b1 ant]ior figure-(-eight b&age ( ! *e/4 ,illu/ration3 ,asc5d+ spica b&age ( gro94 ,illu/ration3 ,b&age ( ! knee4 ,illu/ration3 ,f+] b&age4 ,illu/ration3 ,d\ble spica ( gro94 ,illu/ration3 ,asc5d+ spica ( %\ld]4 ,illu/ration3 ,figure-(-eight b&age ( =e>m4 ,illu/ration3 ,spica b&age ( ?umb4 ,illu/ration3 ,spica b&age ( ankle4 ,,index4 ,a #a 3 #ejj solution1 #ba ,abbreviations1 #i ,abdom51 *anges 91 9 pregnancy1 #agf ,abdom9al organs1 view (1 #bjg1 #bjh regions1 #bjf ,accessories1 surgical1 #ajf ,acetanilid1 action1 uses1 & dose (1 #bc poison+1 #de ,acid1 c>bolic1 poison+ by1 #de hydrocyanic1 poison+ by1 #de oxalic1 poison+ by1 #de tannic1 action1 uses1 & dose (1 #dj z antidote1 #dh ,acids1 fruit & vegetable1 value (1 #ade m9]al1 dilut$1 z antidotes1 #dh "t to take1 #dc ,aconite1 action1 uses1 & dose (1 #bc poison+1 #de ,action1 uses1 & doses ( important drugs1 #bc ,acute fev]s1 nurs+ 91 #gi ,aft]-bir?1 #agd ,album9 z antidote1 #dh 9 ur9e1 te/ =1 #fc wat]1 h[ to make1 #ga1 #aej ,alcohol1 action1 uses1 & dose (1 #bc sweat1 #acj ,alkalies1 "t to take1 #dc ,alkal9e solution ( cyanid ( m]cury1 #ej ur9e1 #fb ,aloes1 action1 uses1 & dose (1 #bd ,ammonia1 action1 uses1 & dose (1 #bd poison+ by1 #de ,amputation1 in/rum5ts =1 #aaa ,analysis ( ur9e1 #fb ,anatomy1 a bit (1 #bjc ,anil9 dyes1 poison+ by1 #de ,antidotes1 #dh ,antimony poison+1 antidotes 91 #df ,antipyr91 action1 uses1 & dose (1 #be poison+1 antidotes =1 #df ,antitox9 ( diph!ria1 #be ,aph?1 nurs+ 91 #aid ,apical p]icem5titis1 #ge ,apomorph91 #cf1 #cg ,apo!c>ies' measure1 table ( p]c5tage solutions 91 #bj weight1 table (1 #ag ,argyrol1 #ci ,ari/ol o9tm5t1 #eb ,arm1 fracture (1 #abc hemorrhage f1 #aba ,arr[root wat]1 h[ to make1 #adi ,ars5ic1 action1 uses1 & dose (1 #bc poison+1 antidotes =1 #df ,ars5\s acid1 #bc ,art]ies ( body1 illu/ration (1 #bje ,artificial fe$+ ( infants1 =mul =1 #fe respiration1 #abf ,asphyxia f e!r1 #cj ,aspir91 action1 uses1 & dose (1 #be1 #ch ,atrop91 action1 uses1 & dose (1 #be poison+1 antidotes =1 #df ,avoirdupois weight1 table (1 #ag ,axilla1 sweat+ (1 =mula =1 #ed ,baby1 c>e (1 #ahf fe$+1 artificial1 #fe nurs+1 #ahf sleep1 #ahh ,baby basket1 supplies =1 #ahf ,bak$ cu/>d1 h[ to make1 #aef ,bak$-fl\r porridge1 h[ to make1 #aei ,ballottem5t1 #agg ,b&ages1 #bji1 #baj ,b>ley & corn muff9s1 #afc gruel1 #fi jelly1 #gb s\p1 #afb wat]1 #aej ,ba?+ ! baby1 #ahf ,ba?s1 #abh 9 pregnancy1 #ahb ,b$-sores1 treatm5t (1 #id ,beef extract1 h[ to make1 #aec juice1 h[ to make1 #aec peptoniz$1 #adh ,beef-tea1 h[ to make1 #aec ,belladonna1 action & uses (1 #bf poison+1 antidotes =1 #df ,bi*lorid ( m]cury1 #cd #a 3 #ajjj solution (1 #ej ,bird1 h[ to bone1 #aeg ,bismu?1 action & uses (1 #bf ,ble$+ f gums1 treatm5t (1 #if ,bli/]1 can?>ides1 #eg ,blood-corpuscles1 #bjc ,blue mass1 #cd o9tm5t1 #ce ,boils1 treatm5t (1 #bjb ,bones ( body1 classification (1 #bjc1 #bjd ,bon+ a bird1 #aeg ,bonnyclabb]1 #aeb ,borat$ glyc]91 =mula =1 #ec vasel91 =mula =1 #ec ,boric acid solution1 #ej ,bottles1 /]iliz+1 #fg ,b[els aft] labor1 #ahd c>e (1 9 pregnancy1 #aha ,bran biscuit1 recipe =1 #afb bread1 recipe =1 #afb ,br&y1 action & uses (1 #bd ,bread1 nut1 #afd ,brea/s1 c>e (1 aft] labor1 #ahe 9 pregnancy1 #ahb enl>gem5t (1 #agf ,bright's disease1 #aih ,bromids1 action & uses (1 #bf ,bro?1 clam1 h[ to make1 #aee oy/]1 h[ to make1 #aed ,buck:eat gems1 #afd ,burns1 c>ron oil =1 #ec ( ! eye1 #abd picric acid solution =1 #ea salol vasel9 =1 #ed treatm5t (1 #abd ,butt]milk1 #ga f lactone tablets1 #gb ,caffe91 action & uses (1 #bg ,calf's bra9s1 fri$1 #aeh ,calomel1 action & uses (1 #bg1 #cc ,camphor1 poison+ by1 #df ,can?>ides bli/]1 h[ to prep>e1 #eg poison+1 antidotes =1 #df ,c>bohydrate =mul = infant fe$+1 #fi ,c>bohydrates1 #adb ov]use (1 #adc ,c>bolat$ vasel91 #ec ,c>bolic acid1 action & uses (1 #bg poison+ by1 #de solution1 #di ,c>ron oil = burns1 #ec ,ca/ile soap z an antidote1 #dh ,ca/or oil1 action & uses (1 #bg ,catgut1 *romic1 #aja /]ilization (1 #aja ,cellulose1 value (1 #ade ,*ampagne1 use (1 #bd ,*eek1 hemorrhage f1 #aba ,*ick5 & veal extract1 #aec ,*ick5-pox1 h[ to di/+ui%1 f small-pox1 #bja ,*ildr51 diseases (1 nurs+ 91 #aib dosage =1 #db ,*loral1 action & uses (1 #bg ,*loralamid1 action & uses (1 #bg ,*lorid ( lime solution1 #ea ,*lor(orm1 action & uses (1 #bh poison+1 antidotes =1 #df ,*ocolate1 h[ to make1 #aee s\ffl1 h[ to make1 #aef ,*ol]a infantum1 nurs+ 91 #aid ,*romic catgut1 #aja ,*ymog51 use (1 #ga ,c9*ona1 action & uses (1 #bh ,circulation1 fetal1 #ahi ,clam bro?1 h[ to make1 #aee ,clams1 h[ to boil1 #aee ,clavicle1 fracture (1 #abc ,clo!s1 soil$1 wa%+ fluid =1 #ia ,coca91 action & uses (1 #bh poison+ by1 #df ,cocoa1 h[ to make1 #aee cream1 froz51 recipe =1 #afc ,code91 #cf ,cod-liv] oil1 action & uses (1 #bi ,c(fee z antidote1 #dh h[ to make1 #aej ,col*icum poison+1 #df ,cold pack1 #abh ,colds1 treatm5t (1 #bjj ,colic1 nurs+ 91 #aic ,coll>-bone1 fracture (1 #abc ,colo/rum1 #ahe ,comb9ation enema1 #ee ,comm9ut$ fracture1 #abb ,comp\nd fracture1 #abb ,conception1 #agb ,conf9em5t room1 c>e (1 #ahb table = calculat+ date (1 #agh ,convulsions1 nurs+ 91 #aie ,cook+ smells1 h[ to prev5t1 #afe ,copp] sulphate1 poison+ by1 #df ,cord1 umbilical1 #agd ,corn & b>ley muff9s1 #afc griddle cakes1 #afc ,cornmeal g+]bread1 #afe gruel1 h[ to make1 #aed ,corrosive sublimate1 #a 3 #ajjj solution (1 #ej action & uses (1 #cd poison+ by1 #df ,crack$ nipples1 ari/ol o9tm5t =1 #eb ,cream1 egg1 #afj ice1 h[ to make1 #afa lemonade1 h[ to make1 #aea rice1 #aei toa/1 h[ to make1 #aei ,creasote1 action & uses (1 #bi poison+ by1 #df ,cr$'s o9tm5t1 #ci ,croton oil1 action & uses (1 #bi poison+1 treatm5t (1 #df ,cr\p1 spasmodic1 nurs+ 91 #aib ,curetm5t1 in/rum5ts =1 #aaa ,cu/>d1 bak$1 h[ to make1 #aef froz51 h[ to make1 #afa ,cyanid ( m]cury1 alkal9e solution1 #ej ( potassium poison+1 antidotes1 = #df ,decidua v]a1 #agb ,d5tal treatm5t1 #gd ,diabetes mellitus1 #aih ,diabetic porridge1 #agj ,di>rhea1 nurs+ 91 #aic ,diet aft] labor1 #ahd = ob/etric pati5t1 #aha 9 disease1 #afh typhoid1 #agj ,dige/ibility ( eggs1 #ade ,dige/ive tract1 s*eme (1 #bjf ,digital91 #cj ,digitalis1 action & uses (1 #bi poison+1 antidotes =1 #df ,diph!ria antitox91 #be nurs+ 91 #he ,dis9fection 9 private nurs+1 #ig ( feces1 #hb1 #ij ( rooms1 #ig ( ur9e1 #hb1 #ij ,dislocations1 #abc ,dobell's solution1 #ie ,dosage = *ildr51 rule = asc]ta9+1 #db g5]al rules =1 #da hypod]mic1 #dc rectal1 #dc ,dosage1 subcutane\s #dc ,doses1 action1 & uses ( mo/ important drugs1 #bc ,dr[n+1 treatm5t 91 #abe ,drugs1 action1 uses1 & doses (1 #bc ,dry measure1 table (1 #ag ,dys5t]y1 nurs+ 91 #aic ,e>1 insect 91 removal (1 #bjb ,e>a*e1 relief (1 #bjb ,eczemat\s sores1 ,lass>'s pa/e =1 #ec ,edebohls' po/ure1 #aaf ,egg cream1 #afj toa/1 h[ to make1 #afj ,eggs1 dige/ibility (1 #ade poa*$1 #aeh pres]vation (1 #adf s(t-boil$1 #aeh uses (1 #ade ,egg-:ite z antidote1 #dh ,elat]ium poison+1 antidotes =1 #df ,electricity1 #acg ,em]g5cies1 #aba burns1 #abd dislocations1 #abc dr[n+1 #abe epilepsy1 #abe eye-injuries1 #abd1 #abe fa9t+1 #abe fractures1 #abb hemorrhages1 #aba hy/]ia1 #abe scalds1 #abd spra9s1 #abd sun/roke1 #abf ,em]g5cies1 susp5d$ animation f noxi\s gases1 #abf ,emetics z antidotes1 #dh ,emulsion1 iod(orm1 #ajb ,enema1 #a1 #b1 #c1 =mula =1 #ee comb9ation1 #ee = flatul5ce1 #ed glyc]91 =mula =1 #ed n\ri%+1 =mula =1 #ee ox-gall1 =mula =1 #ed sal9e1 =mula =1 #ee />*-wat]1 #ee /imulat+1 me?od ( adm9i/]+1 #ee turp5t9e1 =mula =1 #ed ,ent]ic fev]1 nurs+ 91 #gi ,epilepsy1 treatm5t (1 #abe ,epi/axis1 #abb ,epsom salt1 action & uses (1 #cc ,ergot1 action & uses (1 #cj poison+ by1 #df ,ergot91 #cj ,eruption ( tee?1 #gg ,erysipelas1 treatm5t (1 #bja ,es]91 #cg1 #ch ,e!r1 action & uses (1 #cj ,ewald's te/-breakfa/1 #agj ,ex]cise 9 pregnancy1 #ahb ,extract1 beef1 h[ to make1 #aec ,eye1 burns (1 #abd injuries (1 #abe ,fa9t+1 treatm5t (1 #abe ,false pa9s1 #agg ,f>adization1 #adj ,fats1 #adb ,fatty oils z antidote1 #dh ,feces1 dis9fection (1 #hb1 #ij ,fe$+1 infant1 #fd1 #fh ( infants1 am\nt (1 #ff artificial1 =mul =1 #fe ,feet1 sweat+1 =mula =1 #ed ,felon1 treatm5t (1 #bjb ,fetal circulation1 #ahi he>t-beat1 #agf membranes1 #agc ,fev]1 sc>let1 nurs+ 91 #hc typhoid1 nurs+ 91 #gi ,fev]s1 c>e ( sk9 & m\? 91 #ic incubation p]iod1 #ia nurs+ 91 #gi r$uction (1 by cold pack1 #abh by spong+1 #abi ,f+]-nails1 c>e (1 9 h&l+ infecti\s mat]ial1 #ia ,flatul5ce1 enema =1 #ed ,flaxse$ p\ltice1 =mula =1 #eg ,flies1 relief f1 #bjb ,fl\r ball1 =mula =1 #fi ,food & nutrition 9 disease1 #afh con/itu5ts1 s\rce & use (1 #adb 9 disease1 #afh wise comb9ations (1 #adb ,foods = sick1 prep>ation (1 #adg ,foods1 propriet>y1 = infant fe$+1 #fh ,=maldehyde1 action & uses (1 #ca dis9fection by1 #ig glyc]91 #di solutions (1 #ea ,=mal91 #ca ,=mul1 miscellane\s1 #di ,=tifi$ oil1 #ec ,f[l]'s solution1 #bc ,fractures1 #abb ,fr5* toa/1 h[ to make1 #afj ,friction 9 massage1 #acc ,froz5 cocoa cream1 #afc cu/>d1 h[ to make1 #afa ,fruit1 value (1 #ade ,gall-/one op]ation1 in/rum5ts =1 #aab ,galvanization1 #aci ,gas1 illum9at+1 poison+ by1 #dg ,gases1 noxi\s1 susp5d$ animation f1 #abf ,gauze1 iod(orm1 prep>ation (1 #ajb ,g5upectoral po/ure1 #aae ,g91 #bd ,g+]bread1 cornmeal1 #afe ,g+]-snaps1 recipe =1 #afc ,gloss>y ( mat]ia m$ica1 #ac ,gloves1 clean+ (1 #ajj /]ile1 dry+ (1 #ajj /]ilization (1 #ajj ,glyc]91 borat$1 =mula =1 #ec ,glyc]9 enema1 =mula =1 #ed =maldehyde1 #a 3 #bj solution1 #di /]ilization (1 #ajb ,goit] op]ation1 in/rum5ts =1 #aac ,g\t1 #aig ,gre5 soap1 t9cture (1 #ajc ,gre5/ick fracture1 #abb ,gum-arabic wat]1 h[ to make1 #adi ,gum-boils1 treatm5t (1 #ge ,gums1 ble$+ f1 treatm5t (1 #if ,gynecologic po/ures1 #aad-aaf ,hair1 matt$1 #ei tonics1 =mul =1 #eh ,h&-bru%es1 h[ to /]ilize1 #ajc ,h&s1 inunctions =1 #ec soo?+ lotions =1 #eb ,h>r+ton's solution1 #ea ,he>tbeat1 fetal1 #agf ,heat exhau/ion1 treatm5t (1 #abg ( ov51 h[ to e/imate1 #afc ,hemorrhage 9 typhoid fev]1 treatm5t (1 #ha ,hemorrhages1 treatm5t (1 #aba ,hemorrhoid op]ation1 in/rum5ts =1 #aac ,h]nia op]ation1 in/rum5ts =1 #aac ,h]o91 #cf1 #cg ,homog5iz$ milk1 #fi ,horse-hair1 /]ilization (1 #ajj ,hot pack1 #abi ,hydrocyanic acid1 poison+ by1 #de ,hyp]idrosis1 treatm5t (1 #bja ,hypod]mic dosage1 #dc ,hy/]ia1 treatm5t (1 #abe ,ice cream1 h[ to make1 #afa royal1 #afa ,impact$ fracture1 #abb ,incubation p]iod ( acute fev]s1 #ia ,infant fe$+1 #fd1 #fh am\nt1 #ff artificial1 =mul =1 #fe sug>s 91 #fh ,infantile p>alysis1 #hf classification1 #hh pa?ology1 #hh prophylaxis1 #ij qu>ant9e 91 #ij summ>y results f public s*ool reports1 #hg symptoms ( onset1 #hh treatm5t1 #hi s]um1 #ij ,infecti\s disease1 nurs+ 91 #gi qu>ant9e =1 #ia ,insect 9 e>1 h[ to dislodge1 #bjb ,in/rum5ts1 arrangem5t (1 = op]ator1 #ii clean+ (1 #ajj = op]ative cases1 #aaa /]ilization (1 #ii ,inunction = dry h&s1 #ec ,iodids1 action & uses (1 #ca ,iod9 poison+1 antidotes =1 #dg solution1 #ea ,iod(orm1 action & uses (1 #ca emulsion1 #ajb gauze1 #ajb prep>ation (1 #ajb ,ipecac1 action & uses (1 #cb ,iron1 action & uses (1 #cb ,jabor&i1 action & uses (1 #ch ,jelly1 lemon1 h[ to make1 #aeg ,sanitas1 #ec w9e1 h[ to make1 #aef ,johnny cake1 #afd ,jo9t movem5ts1 #ace ,juice1 beef1 h[ to make1 #aec ,junket1 h[ to make1 #aec ,kelly pad1 improvis$1 #ajj ,knead+ 9 massage1 #acd ,knee-*e/ po/ure1 #aae ,kumiss1 h[ to make1 #aee ,labor1 #agi aft]-treatm5t ( pati5t 91 #ahd complications (1 #aha ,labor1 diet aft]1 #ahd nurs+ 91 #ahb pr$iction ( date (1 #agg premonitory signs (1 #agg prep>atory treatm5t ( pati5t 91 #ahc ,lactose solution1 #ga tablets = mak+ butt]milk1 #gb ,lap>otomy1 in/rum5ts =1 #aab ,lass>'s pa/e1 =mula =1 #ec ,lead1 action & uses (1 #cb poison+1 #cc salts1 poison+ by1 #dg ,lee*1 to apply1 #aag ,leg1 fracture (1 #abc hemorrhage f1 #abb ,lemon jelly1 h[ to make1 #aeg %]bet1 h[ to make1 #afa ,lemonade1 cream1 h[ to make1 #aea :ite-(-egg1 h[ to make1 #aej ,lice1 applications =1 #eh ,light diet1 #afi ,light5+1 #agg ,lime-wat]1 h[ to make1 #adi ,l95 ?read1 /]ilization (1 #aja ,lips1 dry & fissur$1 treatm5t (1 #if ,liquid diet1 #afi measure1 #ag ,lobelia poison+1 antidotes =1 #dg ,lungs1 hemorrhage f1 #abb ,lye poison+1 antidotes =1 #dg ,ly+-9 p]iod1 #ahb ,magnesium citrate1 use (1 #cc oxid1 uses (1 #cc sulphate1 uses (1 #cc ,m>%all ,hall's me?od ( artificial respiration1 #abf ,massage1 #acb ,mat*es1 poison+ by1 #dg ,mat]ia m$ica1 gloss>y (1 #ac ,matt$ hair1 #ei ,mayonnaise dress+1 h[ to make1 #aee ,measles1 nurs+ 9 #hd ,measures1 #ag ,me*ano!rapy1 #acb ,m$ic9al prep>ations1 popul> & (ficial names (1 #af ,m$ic9es1 prop] "t to take1 #dc ,membranes1 fetal1 #agc ,m5ses1 suppression (1 #age ,m5/ruation1 #age ,m]cury1 action & uses (1 #cc poison+1 antidotes =1 #ce ,metric weights & measures1 table (1 #ah1 #ai1 #ba ,milk1 #ade album91 #gj z antidote1 #dh homog5iz$1 #fi ,milk1 h[ to peptonize1 #adg to /]ilize1 #fg modifi$1 #fh mo!rs'1 con/itu5ts (1 #fd regulat+ composition (1 #fd pa/euriz+ (1 #fg peptoniz$1 #ga pun*1 h[ to make1 #aeb %]bet1 #afa skimm$1 #fi s\p ) vegetables1 #aeg tee?1 eruption (1 #gg ,m9]al acids1 dilut$1 z antidotes1 #dh poison+ by1 antidotes =1 #de salts1 #adc value (1 #ade ,modifi$ milk1 #fh ,morn+ sickness1 #age ,morph9 poison+1 antidotes =1 #cf1 #dg ,mosquitoes1 relief f1 #bjb ,"m's milk1 con/itu5ts (1 #fd regulat+ ! composition (1 #fd ,m\? & sk9 9 fev]s1 c>e (1 #ic wa%1 #if ,mucilag9\s sub/ances z antidotes1 #dh ,mucus-coat$ m\?1 =mula =1 #if ,muff9s1 b>ley & corn1 #afc rice & oats1 #afe ,multiple fracture1 #abb ,mumps1 nurs+ 91 #aib ,mu%room poison+1 antidotes =1 #dg ,mu/>d pack1 #aif pla/]1 =mula =1 #ef p\ltice1 =mula =1 #eg ,mutton1 boil$1 #aeh ,nephritis1 #aih ,nipple o9tm5t1 #eb ,nipples1 c>e (1 aft] labor1 #ahe 9 pregnancy1 #ahb crack$1 ari/ol o9tm5t =1 #eb sore1 solution =1 #eb ,nitrate ( silv]1 poison+ by1 #dg /a9s1 #dg "t to take1 #dc ,nitroglyc]91 action & uses (1 #ce ,normal salt solution1 =mula =1 #di ur9e1 #fb ,nose-ble$1 #abb ,n\ri%+ enema1 =mula =1 #ee ,num]als1 ,roman1 #ae ,nurs+ *ild1 conditions "u :i* x %\ld n nurse1 #ahe 9 acute fev]s1 #gi 9 diph!ria1 #he 9 measles1 #hd 9 pneumonia1 #hb 9 sc>let fev]1 #hc ! baby1 #ahg ,nut bread1 #afd ,nutrition 9 disease1 #afh ,nutritive enema1 #ee me?od ( adm9i/]+1 #ef ,nux vomica1 action & uses (1 #cf poison+1 #dg ,oat & rice muff9s1 #afe jelly1 #gb ,oatmeal gruel1 #fi wat]1 h[ to make1 #aej ,ob/etric nurs+1 #aha pati5t1 c>e (1 #aha set1 /]ilization (1 #aaj supplies1 #ahg ,ob/etrics1 #aga ,oil1 =tifi$1 #ec ,o9tm5t1 ari/ol1 #eb nipple1 #eb ,omelet1 h[ to make1 #aeh ,onion p\ltice1 #eg ,op]ation1 h[ to prep>e pati5t =1 #ajd room =1 #ajh major1 prep>ation ( room =1 #aje ,oph?almia1 #aag neonatorum1 treatm5t (1 #aah ,opium1 action & uses (1 #cf poison+1 #cf antidotes =1 #dg ,orange %]bet1 h[ to make1 #afb ,ov51 heat (1 h[ to e/imate1 #afc ,ovulation1 #aga ,ovum1 #agc ,oxalic acid poison+1 antidotes =1 #de ,ox-gall enema1 =mula =1 #ed ,oy/] bro?1 h[ to make1 #aed ,oy/]s on half-%ell1 #aee peptoniz$1 #adi scallop$1 #aed ,pack1 cold1 #abh hot1 #abi w>m1 #abh ,p>aldehyd1 #cg ,p>alysis1 infantile1 #hf1 ,see ,poliomyelitis4 ,p>otitis1 nurs+ 91 #aib ,pa/e1 ,lass>'s1 =mula =1 #ec ,unna's1 #ec ,pa/euriz+ ( milk1 #fg ,pati5t1 h[ to prep>e1 = surgical op]ation1 #ajd ,p$iculosis1 applications =1 #eh ,peptonization ( milk1 #ga1 #adg ,peptoniz$ beef1 =mula =1 #adh oy/]s1 #adi ,p]c5tage solutions1 tables =1 #bj ,p]cussion 9 massage1 #ace ,p]icem5titis1 #ge ,p]spiration1 induction (1 by hot packs1 #abi ,p]uvian b>k1 action & uses (1 #bh ,ph5acet91 action & uses (1 #cg poison+1 antidotes =1 #dg ,phosphorus poison+1 antidotes =1 #dg ,physo/igma1 action & uses (1 #cg ,picric acid solution1 =mula =1 #ea ,pigm5tation 9 pregnancy1 #agf ,piloc>pus1 action & uses (1 #ch ,plac5ta1 #agd ,pla/]1 mu/>d1 =mula =1 #ef ,pneumonia1 nurs+ 91 #hb w>m pack =1 #abh ,poa*$ eggs1 #aeh ,poison+1 m]curial1 #ce ,poisons & antidotes1 #de ,poliomyelitis1 #hf classification1 #hh pa?ology1 #hh prophylaxis 91 #ij qu>ant9e 91 #ij summ>y results f public s*ool reports1 #hg symptoms ( onset1 #hh treatm5t1 #hi s]um1 #ij ,popul> & (ficial names ( m$ic9al prep>ations1 #af ,porridge1 bak$-fl\r1 #aei = diabetics1 #agj ,po/ures1 gynecologic1 #aad-aaf surgical1 #aad-aaf ,potassium p]manganate solution1 #ej poison+1 antidotes =1 #dg ,potato biscuits1 #afd /uff$ bak$1 h[ to make1 #aeg ,p\ltice1 flaxse$1 =mula =1 #eg mu/>d1 =mula =1 #eg onion1 =mula =1 #eg spice1 =mula =1 #eg ,pregnancy1 ba?s 91 #ahb c>e ( b[els 91 #aha diet 91 #aha duration (1 #agg ex]cise 91 #ahb symptoms (1 #age table = calculat+1 #agh ,pregnant ut]us1 #agc ,pres]vation ( eggs1 #adf ,private nurs+1 dis9fection 91 #ig ,propriet>y foods = infant fe$+1 #fh ,pro/atectomy1 in/rum5ts =1 #aac ,prot>gol1 #ci ,protective /rips1 h[ to prep>e1 #ajc ,prote9 foods1 #add1 #ade ov]use (1 #add ,prote9s1 #adb ,prunes1 /ew$1 #afj ,ptoma9 poison+1 #dg ,ptyalism1 #ce ,pub]ty1 #aga ,pudd+1 sauce =1 #afj sponge1 h[ to make1 #afj ,pulse-rate1 #fa ,pun*1 milk1 h[ to make1 #aeb ,pus 9 ur9e1 #fc ,qu>ant9e1 #ia ,quick5+1 #age ,qu991 #ch ,rat poison1 antidotes =1 #dg ,reaction ( ur9e1 te/+ (1 #fb ,rectal dosage1 #dc ,r5net tablet =mula1 #gj ,respiration1 artificial1 #abf rate (1 #fa ,rheumatism1 #aig ,rice & oat muff9s1 #afe cream1 h[ to prep>e1 #aei gruel1 #fi wat]1 h[ to make1 #aej ,rickets1 nurs+ 91 #aid ,roman num]als1 #ae ,room = major op]ation1 h[ to prep>e1 #aje = op]ation1 h[ to prep>e1 #ajh 9 conf9em5t cases1 #ahb ,rooms1 dis9fection (1 #ig ,rubb] tub+1 h[ to prep>e1 #ajb ,rum1 #bd ,salicylates1 action & uses (1 #ch ,sal9e enema1 =mula =1 #ee ,salivation1 #ce1 #age ,salol1 #ch ,salol vasel91 =mula =1 #ed ,saloph51 #ch ,salt solution1 normal1 =mula =1 #di /]ilization (1 #aji ,s&wi*1 scrap$-beef1 #aed ,sanitas jelly1 =mula =1 #ec ,sauce = pudd+1 h[ to make1 #afj ,sauces = meat1 li/ (1 #aff ,scalds1 treatm5t (1 #abd ,scallop$ oy/]s1 h[ to make1 #aed ,sc>let fev]1 nurs+ 91 #hc ,scrap$-beef s&wi*1 #aed ,scurvy1 nurs+ 91 #aid ,semmola's mixture1 =mula =1 #di ,s5na1 action1 uses1 & dose (1 #ci ,%]bet1 h[ to make1 #afa lemon1 h[ to make1 #afa milk1 #afa orange1 h[ to make1 #afb /rawb]ry1 h[ to make1 #afb ,%[1 #agi ,sick1 prep>ation ( foods =1 #adg ,sickness1 morn+1 #age ,silk ?read1 /]ilization (1 #ajj ,silk-worm gut1 /]ilization (1 #ajj ,silv]1 action & uses (1 #ci nitrate poison+1 antidotes =1 #dg /a9s1 removal (1 #dg "t to take1 #dc ,sims' po/ure1 #aad ,sitt+ position ( pati5t1 contrivance =1 #aii ,skeleton1 bones (1 #bjc1 #bjd ,skimm$ milk1 #fi ,sk9 & m\? 9 fev]s1 c>e (1 #ic ,sk9-graft+1 in/rum5ts =1 #aab ,sleep1 baby1 #ahh ,soda poison+1 antidotes =1 #dg ,s(t diet1 #afi ,s(t-boil$ eggs1 #aeh ,solution1 boric acid1 #ej c>bolic acid1 #di cyanid ( m]cury1 #ej ,dobell's1 #ie = sore nipples1 #eb ,h>r+ton's1 #ea iod91 #ea ( *lorid ( lime1 #ea ( potassium p]manganate1 #ej picric acid1 #ea ,?i]s*'s antiseptic1 #ea ,solutions1 h&y table (1 #ba ob/etric1 #ahg ( =maldehyd1 #ea ( v>i\s /r5g?s1 h[ to make1 #ba ,soo?+ lotions = ! h&s1 #eb ,sp>te91 action & uses (1 #ci ,spasmodic cr\p1 nurs+ 91 #aib ,spice p\ltice1 #eg ,spl9ts1 improvis$1 #abc ,sponge pudd+1 h[ to make1 #afj ,spong+ to r$uce temp]ature1 #abi ,spra9s1 c>e (1 #abd ,squab1 h[ to bone1 #aeg ,/>*-wat] enema1 =mula =1 #ee ,/atic electricity1 #adj ,/eam /]iliz]1 improvis$1 #aji ,/]ilization ( in/rum5ts1 #ii ,/]iliz]1 improvis$1 #ajh #aji ,/]iliz+ bottles1 #fg catgut1 #aja gloves1 #ajj glyc]91 #ajb h&-bru%es1 #ajc horse-hair1 #ajj l95 ?read1 #aja ( milk1 #fg ( ob/etric set1 #aaj ( silk ?read1 #ajj ( silk-worm gut1 #ajj ( small packages1 #aaj ,/ew$ prunes1 #afj ,/imulat+ enema1 me?od ( adm9i/]+1 #ef ,/ramonium poison+1 antidotes =1 #dh ,/rawb]ry %]bet1 h[ to make1 #afb ,/rok+ 9 massage1 #acc ,/rophan?us1 action & uses (1 #ci ,/ry*n91 action & uses (1 #cf ,/ry*n9 poison+1 antidotes =1 #dh ,/uff$ bak$ potato1 h[ to prep>e1 #aeg ,/upe1 turp5t9e1 #eg ,subcutane\s dosage1 #dc ,sug>s 9 infant fe$+1 #fh ,sulphonal1 action & uses (1 #ci ,summ] compla9t1 nurs+ 91 #aid ,sun/roke1 treatm5t (1 #abf ,supplies = major op]ation1 #ajf ob/etric1 #ahg surgical1 #ii ,suppression ( m5ses1 #age ,surgical op]ation1 h[ to prep>e pati5t =1 #ajd po/ures1 #aad-aaf supplies1 #ii ,susp5d$ animation f noxi\s gases1 #abf ,sweat1 alcohol1 #acj ,sweat+ ( feet & axilla1 =mula =1 #ed ,swoon+1 treatm5t (1 #abe ,sylve/]'s me?od ( artificial respiration1 #abf ,syncope1 treatm5t (1 #abe ,taffy1 h[ to make1 #afb ,tannic acid1 action1 uses & dose (1 #dj z antidote1 #dh ,tann91 action1 uses & dose (1 #dj ,tea z antidote1 #dh beef-1 h[ to make1 #aec ,tee?1 eruption (1 #gg pa9 91 treatm5t (1 #gd ,temp]ature ( wat]1 #fa r$uction (1 by cold pack1 #abh by spong+1 #abi rules = tak+1 #fa ,te/ meals1 #agj ,!rmic fev]1 treatm5t (1 #abf ,!rmometric equival5ts1 table (1 #fj ,!rmometry1 #fj ,?i]s*'s solution1 =mula =1 #ea ,?ru%1 nurs+ 91 #aid ,"t measure1 #ag ,t9cture ( digitalis1 #cj ( gre5 soap1 prep>ation (1 #ajc ,toad-/ool poison+1 antidotes =1 #dg ,toa/1 cream1 h[ to make1 #aei egg1 h[ to make1 #afj ,fr5*1 h[ to make1 #afj wat]1 h[ to make1 #aej ,tobacco poison+1 antidote =1 #dh ,too?a*e1 diagnosis & treatm5t (1 #gd ,tr5del5burg position1 #aaf improv$1 #aji ,trional1 action & uses (1 #dj ,true pa9s1 #agi ,tubb+1 #acj ,tub]culosis1 treatm5t =1 #aii ,tub+1 rubb]1 h[ to prep>e1 #ajb ,turp5t9e enema1 =mula =1 #ed /upes1 #eg ,typhoid diet1 #agj fev]1 hemorrhage 91 #ha managem5t (1 #hj nurs+ 91 #gi symptoms (1 #gi ,ulc]s1 ,lass>'s pa/e =1 #ec ,umbilical cord1 #agd ,unna's pa/e1 #ec ,uremia1 #aii ,ur9e1 album9 91 #fc analysis1 #fb dis9fection (1 #hb1 #ij pus 91 #fc reaction (1 te/+1 #fb tw5ty-f\r-h\r specim5s (1 #fc ,urotrop91 action & uses (1 #dj ,uses ( eggs1 #ade ,ut]us1 pregnant1 #agc ,value ( fruits & vegetables1 #ade ,vanilla cream sauce1 h[ to make1 #aef ,vasel91 borat$1 =mula =1 #ec c>bolat$1 #ec ,vasel91 salol1 =mula =1 #ed ,vegetable s\p = babies1 #gc ,vegetables1 value (1 #ade ) milk s\p1 #aeg ,ve9s ( body1 illu/ration (1 #bje ,v]atrum viride1 action & uses (1 #dj ,vibration 9 massage1 #ace ,v9eg> z antidote1 #dh ,wal*]'s po/ure1 #aae ,w>m pack1 #abh ,wa%+ fluid = soil$ clo!s1 #ia ,wat]1 #adc temp]ature (1 #fa value (1 #ade ,weights & measures1 #ag ,:ey = babies1 h[ to make1 #fi1 #gj w9e1 h[ to make1 #aeb ,:isky1 #bd ,:ite-(-egg lemonade1 h[ to make1 #aej1 ,:oop+-c\gh1 nurs+ 91 #aib ,w9e jelly1 h[ to make1 #aef :ey1 h[ to make1 #aeb ,w9es1 #bd ,w\nds1 c>e (1 #aba ,"y's rule = dosage ( *ildr51 #db ,books = ,nurses ,publi%$ by ,saund]s ,our books are revis$ frequ5tly1 s t ! editions y f9d "h may n be ! late/4 ,write u ab\t any books 9 :i* y are int]e/$4 ,,/oney',s ,,nurs+ ,?is "w gives y cle>1 def9ite in/ructions h[ be/ to meet all em]g5cies--m$ical & surgical2 h[ to improvise ?+s ne$$ 9 ! sick-room4 ,!re are *apt]s on ! nurse--h] responsibilities1 duties1 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,^? %[+ ! art]ies1 ve9s1 & n]ves are 9 colors4 ,?ird ,edition--,pub4 ,septemb]1 #aiac4 ,by ,,l]oy ,,lewis1 ,m4 ,d4 ,clo?1 #a4ge net4 ,,w>n%uis' ,,surgical ,,nurs+ ,"h y are giv5 ! ess5tial basic pr9ciples ( op]ative nurs+4 ,dr4 ,w>n%uis pres5ts facts glean$ f 8 own p]sonal exp]i5ce4 ,y are told ! def9ite1 specific ?+s y mu/ d ?r\gh\t ! entire surgical proc$ure4 ,dr4 ,w>n%uis' in/ruction is always cle> & def9ite1 &1 9 addition1 he takes y ?r\gh a typical op]ation & %[s y exactly h[ ea* little ?+ %\ld be done4 ,publi%$ ,m>*1 #aiah4 ,by ,,fr$]ick ,c4 ,,w>n%uis1 ,m4 ,d4 ,clo?1 #b4ej net4 ,,aik5s' ,,prim>y ,,/udies ,miss ,aik5s br+s toge!r 9 ?is book well-r\nd$ c\rses ( lessons 9 anatomy1 physiology1 hygi5e1 bact]iology1 !rapeutics1 mat]ia m$ica1 dietetics1 & invalid cook]y--subjects :i*1 ) practical nurs+ te*nic1 con/itute ! prim>y /udies 9 a nurs+ c\rse4 ,?r\gh\t ! book !re are _m practical sugge/ions & helps4 ,! *apt] on dietetics is really a monograph4 ,at ! end ( ! book !re are que/ions = self-exam9ation1 arrang$ by subjects4 ,?ird ,edition--,publi%$ ,june1 #aiae4 ,by ,,*>lotte ,a4 ,,aik5s4 ,clo?1 #a4ge net4 ,,aik5s' ,,cl9ical ,,/udies ,?is "w by ,miss ,aik5s is writt5 along ! same l9es z h] successful book = prim>y /ud5ts4 ,x takes up all ! /udies ! nurse mu/ pursue dur+ h] second & ?ird ye>s 9 ! tra9+-s*ool4 ,x ga!rs toge!r 9 "o volume matt] previ\sly scatt]$ 9 sev]al books & (t5 v unsy/ematically taught by lectures4 ,"h y get all ?is in=mation /at$ 9 su* a way t ! nurse w be able to grasp ! subject ) ease4 ,?ird ,edition--,augu/1 #aiaf4 ,by ,,*>lotte ,a4 ,,aik5s4 ,clo?1 #b4jj net4 ,,aik5s' ,,hospital ,,managem5t ,! keynote ( ?is "w is highe/ effici5cy4 ,x is a book on mod]n hospital con/ruction & managem5t4 ,e phase ( hospital managem5t is tak5 up & mo/ pr(usely illu/rat$4 ,"s ( ! m important *apt]s are3 ,! sup]9t5d5t1 ! m$ical s]vice ( a hospital1 ! furni%+ ( a #ajj-;b$ hospital1 hospital incomes & managem5t1 bookkeep+1 ! hospital /ore1 ! kit*51 ! laundry1 surgical supplies1 drug room1 ! tra9+-s*ool1 out-pati5t dep>tm5t1 & laboratory4 ,publi%$ ,april1 #aiaa4 ,edit$ by ,,*>lotte ,a4 ,,aik5s4 ,clo?1 #c4jj net4 ,,aik5s' ,,tra9+-,,s*ool ,,me?ods ,miss ,aik5s solves = y ^? _m problems t con/antly arise 9 ! managem5t ( a tra9+-s*ool4 ,%e tells h[ to tea*1 :at %\ld be taught ! nurse1 & h[ mu*4 ,! *apt] on hospital e?ics & discipl9e includes su* subjects z head nurse's relation to rules1 fir/ pr9ciples 9 tea*+ e?ics1 hone/y1 ob$i5ce1 p]sonality1 social relations1 discret5ess ( spee*1 c>riage1 quietness1 expression ( appreciation1 criticism1 ma9ta9+ discipl9e1 p]sonal responsibility1 etc4 ,by ,,*>lotte ,a4 ,,aik5s4 ,,aik5s' ,,e?ics ,,= ,,nurses ,?is book emphasizes ! importance ( e?ical tra9+ = nurses4 ,x is a mo/ excell5t text-book1 p>ticul>ly well adapt$ = classroom "w4 ,! plan ( ! book calls = a comb9ation ( ! recitation & discussion me?od ( class tea*+4 ,! book is inspirational 9 t x w ar\se desires to "w up to high] /&>ds ( life & conduct4 ,! illu/rations & practical problems us$ 9 ! book are drawn f life4 ,!re is no o!r "w j l ?is "o4 ,publi%$ ,april1 #aiaf4 ,by ,,*>lotte ,a4 ,,aik5s4 ,clo?1 #b4jj net4 ,,a%]',s ,,*emi/ry ,,& ,,toxicology ,x 0 ,dr4 ,a%]'s con/ant aim to make ?is "w unusually useful to ! /ud5t nurse & to ! nurse 9 po/graduate practice4 ,y get *apt]s on ! elem5ts1 nom5clature1 molecul> & atomic weights1 non-metallic elem5ts1 ! metallic elem5ts1 c>bon & its comp\nds1 ! acids1 physiologic *emi/ry 7prote9s1 milk1 ur9e71 giv+ ! te*nic = ! te/s1 ! =mulas1 *emical equations1 etc4 ,new 7#b;d7 ,edition--,publi%$ ,octob]1 #aiah4 ,by ,,philip ,,a%]1 ,,ph4 ,g41 ,m4 ,d4 ,clo?1 #a4ej net4 ,,wilson',s ,,ob/etric ,,nurs+ ,dr4 ,wilson's little book pres5ts 9 detail ev]y?+ connect$ ) pregnancy & labor & _! managem5t4 ,! entire subject is cov]$--f ! beg9n+ ( pregnancy1 its c\rse1 signs1 on to ! approa* ( labor1 its actual accompli%m5t1 ! pu]p]ium1 complications1 c>e ( ! infant1 & aft]-c>e ( ! "m--always emphasiz+ ! nurse's duties4 ,?ird ,edition--,publi%$ ,april1 #aiaf4 ,by ,w4 ,,reynolds ,,wilson1 ,m4 ,d4 ,flexible lea!r1 #a4ej net4 ,,macf>lane',s ,,gynecology ,dr4 ,macf>lane's "w is a companion to ,dr4 ,wilson's successful book4 ,bo? are flexibly b\nd 9 r$ lea!r ) gold /amp+1 & fit into ! pocket4 ,"h y get *apt]s on anatomy1 physiology1 hygi5e1 m5/rual disord]s1 gynecologic exam9ations & positions1 d\*es1 diseases & _! treatm5t1 gynecologic op]ations--prep>ation = !m1 aft]-c>e1 etc4--ur9>y organs1 rectal diseases4 ,! text is illu/rat$4 ,x is decid$ly a book y w c>ry ) y 9 y\r pocket4 ,second ,edition--,publi%$ ,may1 #aiac4 ,by ,,ca?>9e ,,macf>lane1 ,m4 ,d4 ,clo?1 #a4ej net4 ,,beck',s ,,ref]5ce ,,h&-,,book ,y get 9 ?is "o volume su* important in=mation z ! action1 use1 & dosage ( ! important drugs1 poisons1 & _! antidotes1 miscellane\s =mulas1 te/s = album91 infant fe$+1 nurs+ 9 ! acute fev]s1 dis9fection1 all in=mation ne$$ = surgical cases1 em]g5cy helps1 ba?s & packs1 massage1 electricity1 recipes1 ob/etrics1 nurs+ 9 *ildr5's diseases1 miscellane\s rem$ies1 ess5tial anatomy4 ,?is "w has be5 call$ ! nurse's encyclop$ia4 ,?ird ,edition--,publi%$ ,febru>y1 #aiac4 ,by ,,am&a ,k4 ,,beck4 ,flexible lea!r1 #a4ej net4 ,,dunton',s ,,occupation ,,!rapy ,dr4 ,dunton emphasizes ! basic pr9ciples ( occupational !rapy & gives ^? =ms likely to be ( mo/ s]vice to ! nurse 9 private practice4 ,y get *apt]s on puzzles1 read+1 physical ex]cises1 c>d games1 /r+1 pap]1 wood1 pla/ic & metal "w1 weav+1 basketry1 *air-can+1 book-b9d+1 g>d5+1 nature /udy1 draw+1 pa9t+1 pyrography1 ne$lework1 photography1 & music4 ,by ,,william ,,ru% ,,dunton1 ,,jr41 ,m4 ,d4 ,clo?1 #a4ej net4 ,publi%$ ,octob]1 #aiae4 ,,fri$5wald & ,,ruhrah',s ,,dietetics ,?is "w gives ! ess5tials ( dietetics1 & consid]s briefly ! *emi/ry & physiology ( dige/ion4 ,x gives y _m excell5t recipes = bev]ages1 c]eals1 breads1 vegetables1 s\ps1 milk prep>ations1 eggs1 meats1 raw beef1 panopepton1 meat jellies1 diabetic foods4 ,b ! /rong feature ab\t ?is book is ! practical in=mation x gives y on ! dietetic managem5t ( y\r cases4 ,!n y get ! milk cure1 ! salt-free diet1 ! dietetic managem5t ( surgical cases1 diet aft] op]ations1 etc4 ,f\r? ,edition4 ,by ,,julius ,,fri$5wald1 ,m4 ,d41 & ,,john ,,ruhrah1 ,m4 ,d4 ,clo?1 #a4ej net4 ,publi%$ ,july1 #aiag4 ,mc,c,o,m,b,s' ,,diseases ( ,,*ildr5 ,dr4 ,mc,combs emphasizes j ^? po9ts y mo/ want to "k4 ,he gives y a %ort b adequate description ( ea* disease1 consid]able att5tion to prophylaxis1 me?ods ( nurs+1 em]g5cy measures1 illu/rat$ descriptions ( h[ to take ! temp]ature1 pulse1 respiration1 p]=m intubation1 give hypod]mics1 etc4 ,y get also special *apt]s on infant fe$+1 modification ( milk1 & !rapeutic measures employ$ 9 *ildhood4 ,?ird ,edition--,june1 #aiaf4 ,by ,,rob]t ,s4 ,,mccombs1 ,m4 ,d4 ,clo?1 #b4be net4 ,de,l,e,e',s ,,ob/etrics ,?is "w is us$ m ext5sively by nurses ?an any o!r book on ob/etrics4 ,x really consid]s two subjects--ob/etrics = nurses & ! actual ob/etric nurs+4 ,a *apt] ( special value is t on massage ( ! brea/s1 cov]+ #bj pages1 & %[+ y by l9es & arr[s j exactly :at directions ! /rok+s %\ld take4 ,9 addition1 y get ! anatomy & physiology ( ! female reproductive organs4 ,! "w conta9s #bce illu/rations1 _m ( !m 9 colors4 ,fif? ,edition--,pub4 ,july1 #aiag4 ,by ,,joseph ,b4 ,,delee1 ,m4 ,d4 ,clo?1 #b4ge net4 ,,davis' ,,ob/etric ,,nurs+ ,9 ?is "w e phase ( ob/etric & gynecologic nurs+ is consid]$4 ,y get really two books 9 "o1 ! fir/ half be+ giv5 ov] entirely to ob/etric nurs+ 9 all its complications1 & ! second to gynecologic nurs+1 & ! special tra9+ x dem&s4 ,y are told h[ to manage a case f pregnancy "r on to ! c>e ( ! baby4 ,y are told j h[ to meet e em]g5cy4 ,!re is an entire section on ob/etric surg]y4 ,! ,fif? ,edition has be5 ?or\ghly revis$4 ,publi%$ ,may1 #aiag4 ,by ,,edw>d ,p4 ,,davis1 ,m4 ,d4 ,buckram1 #b4jj net4 ,,boyd',s ,,/ate ,,regi/ration ,= ?is new edition ! entire "w has be5 re-writt51 m ?an d\bl$ 9 size1 & reset4 ,y get a comp>ative summ>y ( ! laws ( ! v>i\s ,/ates gov]n+ ! regi/ration ( nurses1 pres5t$ 9 su* =m z to furni% a means ( ready ref]5ce = ! tra9$ nurse 9 *oos+ h] field ( activity4 ,y get ! requirem5ts = regi/ration1 ! fees & _! disposition1 exceptions & re/rictions1 violations & _! p5alties4 ,?is book tells y :at y h to d 9 any ,/ate4 ,publi%$ ,febru>y1 #aiae4 ,by ,,l\ie ,,cr(t ,,boyd1 ,r4 ,n4 ,clo?1 #a4be net4 ,,paul',s ,,mat]ia ,,m$ica ,9 ?is "w y get def9itions--:at an alkaloid is1 an infusion1 a mixture1 an o9tm5t1 a solution1 a t9cture1 etc4 ,!n a classification ( drugs accord+ to _! physiologic action1 :5 to adm9i/] drugs ( ! v>i\s classes1 h[ to adm9i/] !m1 & h[ mu* to give4 ,next1 ! individual drugs are tak5 up4 ,= conv5i5ce1 all ! new] m$ic9al ag5ts are plac$ 9 "o section4 #c;d ,edition--,augu/1 #aiag4 ,by ,,george ,p4 ,,paul1 ,m4 ,d4 ,clo?1 #a4ej net4 ,,paul',s ,,fev] ,,nurs+ ,9 ! fir/ "p y get *apt]s on fev] 9 g5]al1 hygi5e1 diet1 me?ods = r$uc+ ! fev]1 alleviation ( symptoms1 detection ( complications4 ,9 ! second "p ea* infection is tak5 up 9 detail4 ,9 ! ?ird "p y get antitox9s & vacc9es1 bact]ia1 ur9e exam9ation1 w>n+s ( ! full dose ( drugs1 poisons1 enemata1 etc4 ,?ird ,edition--,publi%$ ,octob]1 #aiae4 ,by ,,george ,p4 ,,paul1 ,m4 ,d4 ,clo?1 #a4jj net ,,h>d+',s ,,high] ,,aspect ,,( ,,nurs+ ,miss ,h>d+'s book is a /udy ( "* build+1 f\nd$ on p]sonal exp]i5ce4 ,x w be a help n only to ! /ud5t nurse1 b also to ^? 9 active practice 9 hospitals or private homes4 ,%e tells y h[ to become a 8real0 nurse1 emphasizes ! necessity = /riv+ = high] ideals1 tell+ y _m ?+s t w make = ?is end4 ,%e impresses ^u y ! responsibilities ( nurs+ s]vice1 %[s y h[ to anticipate difficulties & h[ to avoid or ov]come !m4 ,by ,,g]trude ,,h>d+4 ,publi%$ ,m>*1 #aiai4 ,w4 ,b4 ,,saund]s ,,company ,we/ ,wa%+ton ,squ>e1 ,philadelphia ,london3 #i1 ,h5rietta ,/reet1 ,cov5t ,g>d5