Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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wofold—to clear out the faeces from the lowerbowel, and to supply fluid to the depleted circulating blood, therebystimulating the heart. The latter is the main object in practisingenteroclysis in states of exhaustion and after operations. In sup-pression of urine we aim to supply fluid to the kidneys and stimu-late the circulation. According to Kemp, the high rectal enemais one of our most useful diuretics. The solution employed is the Cantani saline solution (sodiumcarbonate, 3.0; sodium chloride, 4.0; water, 1000). At least aquart is injected. The temperature of the solution for simple wash-ing of the gut, as in diarrhoea, should be that of the body. Innephritis or collapse the temperature should be at least 108° to110° F. (42.2° to 43.3° C). The instrument employed may be a bag fountain syringe, of aquart capacity, to which is attached a small calibre soft-rubberrectal tube or a catheter, or the rubber tubing and catheter may beattached to a six-ounce glass funnel. E- < Oh
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o Xr. > 3 THE ADMINISTRATION OF DRUGS. 1Z The patient is completely undressed and laid on a table on theside, with the knees flexed and the buttocks near the edge. Arubber sheet placed underneath the buttocks leads into a pail, so thatthe returning water will drain off (Plate II.). The buttocks areplaced slightly higher than the trunk. The catheter or rectal tubeis oiled and introduced two or three inches into the rectum, the waterallowed to flow, and the tube passed higher up. Sometimes there isan obstruction to the passage of the tube, and then it is necessary tointroduce the finger cautiously into the rectum alongside of the tubeand guide it past the upper sigmoid ring. The tube may thus bepassed from six to eight inches into the gut. It is seldom necessaryto introduce it higher, as the water will find its way into the colon.About a pint or more of water is then allowed to flow into the gut. It is not necessary to compress the anus around the catheter toprevent the escape of the

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