Pharmacopoeia of the Glasgow Royal Infirmary Ophthalmic Institution : based on the British pharmacopoeia of 1898 / arranged with notes by A. Maitland Ramsay.

  • Glasgow Royal Infirmary. Ophthalmic Institution.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Pharmacopoeia of the Glasgow Royal Infirmary Ophthalmic Institution : based on the British pharmacopoeia of 1898 / arranged with notes by A. Maitland Ramsay. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    least forty-eight hours after the operation the nurses keep the patient under continuous observation, and see that he lies still, and are particularly watchful that the bandages are not disturbed. They report to the house-surgeon at once if there be any rest- lessness, coughing, delirium, retention of urine, or complaint of pain or discomfort, but never under any circumstances administer either stimulants or narcotics unless these have been specially ordered. If all goes well the eyes are dressed on the second day after the operation, every care being taken to keep the parts aseptic. The lids are wiped by a piece of dry gauze, and then gently separated so that the wound may be examined. A single drop of a solution of one per cent, atropine and two per cent, cocaine is instilled, and a dressing, similar to the one removed, applied, the eyes thereafter being bound up for twenty-four hours. More light is now allowed to enter the ward. On the third day the dressings are again removed, the eye examined, and if the pupil be not dilated another drop of atropine and cocaine solution is instilled. The eye which has not been operated upon may now be left unbandaged, but is protected from the light by a large brown- paper shade. On the fourth day the patient is allowed to sit up in bed for meals, and, if there be no sign of inflammation, to leave bed on the ninth day. Food after Cataract Operations. For the first three days the patient is fed by a nurse, and the following is the time-table and scale of diet, which is adhered to as far as possible. If, however, the patient be asleep, he is on no account to be disturbed. 5 p.m. On day of operation—the hour of opera- tion at the Ophthalmic Institution is 2 p.m.—tea with bread and butter.