patient and arrange that the necessary covered jars are provided so 
that the full quantity for the twenty-four hours can be kept. See 
that a special jar is always ready for holding the last urine voided 
Give orders that the patient shall urinate before the bowels move 
or before a clyster is given. This is important, as later on when the 
amount of urine is decreasing, much urine may be lost in the bed-pan 
Examine the urine for albumin and test the reaction at least twice 
daily, until convalescence is established. You have to ascertain the 
time when the albumin appears and afterwards the information 
obtained from the daily examination of the urine as to the amount 
of albumin, urea, and the reaction will be one of the most important 
guides to the prognosis and management of the case. Albumin is 
generally present in this disease, appearing between the second and 
third day. In severe cases it may be found in the first twenty-four 
hours. In very mild cases it may only appear for a few hours. In 
some cases it is never found throughout the course of the disease. 
4. Obtain a trained nurse. Too much care cannot be given to 
the patient, and severe cases will require two trained nurses, h 
default of trained nurses your patient will suffer, but it will not be 
your fault. 
5- Give instructions to have the temperature, pulse and respira¬ 
tions taken and recorded every two to four hours, and check the results 
by doing it yourself at least twice in every twenty-four hours. 
6. Older the patient to be screened both day and night. Do not 
fail to insist on the utmost care being taken to prevent Stegomvia 
ceding on the patient. I he lives of all non-immunes depend in a grft 
measure on this precaution being observed. Even if you have not 
made a positive diagnosis, so long as there is the least suspicion that 
it may possibly be yellow fever, your duty is to insist on the screening 
e screening saves your patient from being annoyed by mosquitos, 
and is an educational factor to the general public. If it is a case of 
ye ow fever, and over the fourth day of the disease, the patient is 
non-infective and screening is not absolutely necessary. 
7 . 1 he various rules and regulations of the Sanitary Departments 
should be complied with. 
