File:A text-book of practical therapeutics (1922) (14757643346).jpg

Identifier: textbookofp00hare (find matches)
Title: A text-book of practical therapeutics
Year: 1922 (1920s)
Authors: Hare, H. A. (Hobart Amory), 1862-1931
Subjects: Therapeutics
Publisher: Philadelphia and New York, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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nches of warm water if there is a tendencyto coldness of the feet. The patient being stripped, the nurse takes a linen sheet previouslydipped in water at any temperature that is not too low for reactionto take place, and throws it around the patients body and over thehead, so that in a moment the entire surface is in contact with it.Then the nurse applies brisk friction all over the patients bodyand limbs, while the latter rubs the front of the body with his ownhands. The whole performance is over in a few moments, and thepatient should then lie down, be lightly covered, and rest. Such adrip-sheet will often be a cure for insomnia depending upon faultycerebral circulation or nervous tension. In other instances it seems 566 REMEDIAL MEASURES OTHER THAN DRUGS to be stimulating and to arouse dormant functions. Once a day isusually sufficiently often to use it, and when treating neurasthenicsthe morning is generally the best time to employ it unless it isdesigned to cause sleep (Fig. 76).
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Fig. 76.—Drip-sheet wrung out and thrown about the patient, who rubs himself infront while the attendant applies friction to the back of the body and limbs. Cold in Fevers. The proper manner to employ cold water externally in fever shouldbe thoroughly understood. It may be used at varying temperatures,according to the effect desired, such as cool, moderately cold, andvery cold. Very commonly in the course of a fever the patient is restless,uncomfortable, and sleepless, yet has not a temperature fraught withharm. Such a case may be sponged with tepid water or with alcoholand water, or salt and whisky, with great benefit in the productionof sleep, the reduction of fever, and the advantage of nervous quiet. COLD BATHING 567 Sometimes the sponging is successful when used only over the armsand legs, but more frequently it should be extended at least to thespinal column. If tepid sponging does not lower the fever in a given case, thenordinary cool tap-water should be employed; and it is w

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