BATHS AND PACKS.
Reading edition
WARM PACK FOR PNEUMONIA PATIENTS.
Articles needed:
4 blankets. Foot-tub for hot water.
1 rubber and towel for head. Basin and ice.
1 long rubber sheet. 2 compresses for head.
Place under patient: First, blanket, then rubber sheet, covered with second blanket. Place small rubber piece, covered with the towel, under patient’s head. Third blanket put over patient. Leave patient on side while woolen blanket is wrung out of hot water. Place this blanket quickly under and about the patient, removing lower dry one at the same time. Leave feet out of wet blanket, wrapping them up dry, and use hot-water bottle if necessary. Cold compresses to head. Leave in pack 45 minutes. Wipe dry; give alcohol rub. Take temperature and pulse every half-hour after removing from pack.
COLD PACK TO REDUCE TEMPERATURE.
Articles needed:
1 long rubber sheet. Foot-tub.
3 blankets. Pitcher or sprinkler.
Basin of ice. Rubber and towel for head.
2 compresses for head.
Place under patient: First, blanket, then rubber sheet, covered with second blanket. Have blanket over patient with patient on side. Wring a cotton blanket or sheet out of warm water to wrap about patient, leaving feet out, covering them with a dry blanket, using hot-water bottle if necessary. Compress on head. Sprinkle with tepid water. Use friction. Turn patient once in midst of pack and iron back with ice, and again just before he is removed. Leave in 30 minutes. Change compresses frequently. Give plenty of water to drink. Have sea sponge to take up water. Leave patient between blankets; give alcohol rub. Take temperature and pulse half an hour after removing the pack.
SPONGING TO REDUCE TEMPERATURE.
Articles needed:
2 blankets. Basin of ice.
3 towels. Basin of warm water.
Rubber and towel for head. Compresses or ice-cap for head.
Place patient between blankets. Rubber and towel under head. Towel across loins. Wash face and apply cold compress to head. Sponge chest, arms, legs, and back with warm water. Cool water and sponge chest. Apply cold compress across chest. Turn patient on side. Sponge arms, leaving upper part of body exposed. Fold blanket up and sponge back. Change compresses frequently. Give plenty of water to drink. Continue sponging from 20 to 30 minutes. Rub with alcohol and put patient to bed. Take pulse and temperature half-hour after sponging.
HOT PACKS TO INDUCE PERSPIRATION.
Articles needed:
4 blankets. 1 sheet.
2 long rubber sheets. Basin of ice.
1 short “ sheet. Foot-tub of hot water.
Rubber piece for head. Old woolen blanket.
2 towels. 2 compresses.
Place under patient: First, blanket, then rubber sheet, covered with the second blanket. Third blanket place over patient. Wrap feet up dry. Have patient on side. Wring fourth blanket out of hot water and place quickly about patient, bringing well up around neck and in between the arms. Wrap well about the legs. Bring under rubber sheet up about the neck well and place a long rubber sheet snugly over that. Wrap feet, then bring under blanket up over rubber sheet, and top blanket tucked over all, seeing that all folds of blankets are snug around the neck. Rubber and towel under head. Compress to head. Place sheet over patient not tucked in. Give hot drinks freely unless liquids are restricted. Take pulse before placing patient in pack and every 15 minutes while in. Leave patient in 45 minutes and then in dry blankets half an hour, Take out of pack, rub dry, and give alcohol rub.
TUBBING.
Articles needed:
1 long rubber sheet. 1 sea sponge.
2 blankets. 2 pails.
1 tubbing sheet. Basin of ice.
1 towel. Siphon.
2 compresses or ice-cap. Piece of rubber tubing.
1 bath towel.
Place under patient: One blanket covered with long rubber sheet, then with tubbing sheet, over which place muslin sheet widthwise. Place towel over loins. Bring sheet up around patient, tubbing sheet rolled in from sides and tied to the four corners of the bed. Use four pails of tepid water, gradually cool to 60° or 70° F. Apply friction most of the time. Compresses to head. Give water freely. Leave feet out of water. Turn patient and use friction on back once while in and before taking out. Take pulse frequently. Leave patient in pack 20 minutes. Turn patient and remove water with siphon and sea sponge. Lower patient, removing tubbing and wet sheet, leaving patient between blankets with hot-water can at feet. Take temperature half-hour after removal. Give alcohol rub and make bed.
ALCOHOL SWEAT.
Articles needed:
6 old blankets. 8 hot bricks in bags
1 piece of old blanket. (woolen preferred),
12 × 12 inches.
2 long rubber sheets.
1 short “ sheet. Basin of ice.
1 piece “ for head. 2 compresses.
1 towel. Alcohol.
1 sheet. Hot drink.
Place under patient blanket covered with a long rubber sheet and then second blanket. Wrap shoulders in a blanket. Place folded blanket and small rubber sheet around the feet. Cover patient with blanket, and over that place long rubber sheet. Fold back upper rubber sheet blanket over patient and then one under patient. Place covered bricks on folds of lower blanket. Pour one tablespoonful of alcohol on hot bricks covered with outer edge of blanket, on which bricks rest, then with blanket over patient, folding it in between bricks and patient. Bring under rubber sheet up and upper one down. Tuck each rubber sheet and blanket well in about the neck. Bring folded blanket and short rubber sheet over feet, under the long rubber sheet. Arrange opposite side in like manner. Place over all 2 blankets and tuck in. Cover these with clean sheet, not tucked in. Rubber and towel under head. Apply the cold compress to head and change frequently. Give a hot drink unless contraindicated. Take patient’s pulse before placing in sweat and every 10 minutes while in. More often as condition of patient indicates. Leave in one hour. Do not expose patient while removing bricks and blankets. Leave one blanket under and two over patient for half an hour. Tuck blanket about patient, sheet over all. When removing these blankets dry patient and give alcohol rub.