6y2 APPENDIX 



Rest and Sleep. 



Exclude noise. Have a dull light in the evening. 



For insomnia give phenacetin 0*30 to 0'6o grm. at eight o'clock, or 



^ Pot. brom i grm. 



Chlor. hydrat. ... i ,, 



Aq. ment. pip. ad ... 30 ,, 



For a child, 15 to 30 grm. ; for an adult, 30 to 60 grm. at eight o'clock. 

 Trional is useful, i to i'5 grm. at eight o'clock. 



Morphia may be necessary at times but it is often followed by 

 depression. 



Control Pain. 



Give aspirin, o'30 to i grm. every six hours; or opium, 0*02 grm. 

 every six hours. 



Pyrexia. 



If the temperature is above 103° F. reduce it. 

 If it is above 106° F. reduce it immediately. 



Keep the wards cool for typhoid, warm for measles, diphtheria and 

 whooping-cough. 



Give — 



I^ Quin. hydrochlor. ... 0-30 — I'oo grm. 



Phenacetin ... ... o*i8 — 0*50 „ 



Thrice daily. 



Hydrotherapy. 



Sponge the whole body with hot water in four minutes to dilate 



the blood-vessels. 

 Or a tepid sponge in fifteen minutes. 

 Or a cold pack twenty minutes. This is more active and is used at 



once in high temperatures or when sponging is useless. 

 Or a continuous pack. The sheet is kept moistened v/ith water at 



90° F. for several hours daily. 

 Mackintosh baths can be given. Ice bags can be applied. 

 Children and the aged do not stand baths well owing to the 



tendency to cardiac weakness. 

 As a last resort some give pilocarpine nitrate subcutaneously. 



Depress the Head. 



Avoid the elevation of the head. It not only causes muscular stress 

 but as the Ijrain is not well supplied with blood owing- to gravity and 

 heart weakness, depression, fainting and syncope may ensue. 



Sustain the Heart. 



This should l)e done with digitalis, strophanthus. strychnine, camphor 

 and alcohol. 



Raise the foot of the bed. Give salines. Hot bottles. 

 Some omit digitalis and strophanthus. 



Watch the Heart during Convalescence. 



After luemoglobinuria. beriberi, typhoid, diphtheria, &c., sudden 

 heart failure may occur. 



