Royal Army Medical Corps training, 1908 / War Office.

Date:
1908
Catalogue details

Licence: Public Domain Mark

Credit: Royal Army Medical Corps training, 1908 / War Office. Source: Wellcome Collection.

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    urine passed in the twenty-four hours should be about. fifty ounces. / _ 805. Cough.—The points to notice about a cough are its frequenty, duration, and character. 3 | (nih Expectoration.varies in character in different diseases, and also at different times in the same disease. A specimen of sputum should be kept for inspection, and if the quantity seems excessive, it should be measured for the twenty-four hours. Tear) Hemoptysis or the spitting of blood, if it occurs in any quantity, is almost always due to phthisis. ai The patient must be kept quiet, in. the semi-recumbent. position, and small pieces of ice may be given to him to suck. An ice bag may be applied to the chest. i taval | 8306. /%ts most commonly occur in cases of epilepsy, but are a frequent symptom of brain and kidney diseases. .The duration and severity of the attack should be carefully noted, and in what part of the body the convulsions begin. A patient in a convulsion or fit should never be left alone. Care must be taken that he does not injure himself, and that the tongue does not get between the teeth. ‘To prevent this something should be inserted between the teeth to keep them apart. . 307. Delirium.—When delirium is present it should be noticed if it is of the low muttering type, or active and noisy ; also if it is more pronounced during one part of the twenty-four hours than another. It should be observed if the patient picks at the bed clothes. 308. Sleep.—It should be noticed how long the patient sleeps, and whether his sleep is disturbed or sound and calm. To encourage sleep, the room should be darkened and the light shaded from the patient’s eyes. If a patient does not. sleep he may be given a drink of warm milk or some other nourishment if not contrary to instructions, the face and hands may be sponged, the pillows re-arranged, and a hot bottle placed at the feet if required. 809. Temperature.—This is taken by means of a small glass self- registering thermometer known as the “Clinical Thermometer.” Before taking a patient’s temperature, care inust be taken that the index is set below 97° F. | : | The temperature can be taken in the axilla, groin, mouth, or rectum. It should be taken in the morning and evening before the patient is washed. As the thermometer will register slightly higher when the temperature is taken in the mouth than in the axilla or groin, it is necessary to always take it by placing the instrument in the same place and at the same hour. When taken in the axilla, the parts should be wiped dry before inserting the bulb of the thermometer,.and the arm folded across the chest. The thermometer should be left in position for five minutes. When the temperature is taken in the mouth, the bulb of the thermometer is inserted under the tongue andthe patient made to keep his mouth shut, holding the glass with his lips. The patient should not have had anything cold or hot to drink recently, .. Jo |