Image from page 230 of "Diptheria, its nature and treatment" (1889)
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Identifier: diptheriaitsnatu00bil Title: https://www.flickr.com/photos/internetarchivebookimages/tags/bookiddiptheriaitsnatu00bil">Diptheria, its nature and treatment Year: https://www.flickr.com/photos/internetarchivebookimages/tags/bookyear1889">1889 (https://www.flickr.com/photos/internetarchivebookimages/tags/bookdecade1880">1880s) Authors: https://www.flickr.com/photos/internetarchivebookimages/tags/bookauthorBillington__Cornelius_E">Billington, Cornelius E https://www.flickr.com/photos/internetarchivebookimages/tags/bookauthorO_Dwyer__Joseph__1841_1898">O'Dwyer, Joseph, 1841-1898 Subjects: https://www.flickr.com/photos/internetarchivebookimages/tags/booksubjectDiphtheria">Diphtheria https://www.flickr.com/photos/internetarchivebookimages/tags/booksubjectLarynx">Larynx Publisher: https://www.flickr.com/photos/internetarchivebookimages/tags/bookpublisherNew_York__W__Wood_and_company">New York, W. Wood and company View Book Page: https://archive.org/stream/diptheriaitsnatu00bil/diptheriaitsnatu00bil#page/n230/mode/1up" >Book Viewer About This Book: https://archive.org/details/diptheriaitsnatu00bil" >Catalog Entry View All Images: https://www.flickr.com/photos/internetarchivebookimages/tags/bookiddiptheriaitsnatu00bil">All Images From Book Click here to https://archive.org/stream/diptheriaitsnatu00bil/diptheriaitsnatu00bil#page/n230/mode/1up" >view book online to see this illustration in context in a browseable online version of this book. Text Appearing Before Image: e following mixt-ure:1 fy Acidi carbolici, ~n[ x. Aquas calcis, fl. 3 iv. M. S.—To be applied by spraying for some minutes everyhalf-hour. This mixture has the important advantage of being moreagreeable to the patient in its taste and after-effect than anyother that I know of. Many children will permit its use that1 This formula was published by me in 1876. 216 diphtheria; its nature and treatment. would oppose that of any other. The proportions are impor-tant, since the addition of a few drops more of the carbolic acidmakes it pungent and disagreeable. That in a solution of thisstrength (xjg) carbolic acid is an efficient antiseptic andantiphlogistic has been shown on page 180. The valuableutility of lime-water has also been shown on page 165. Thespray thus administered should be fine, as coarse sprays areunpleasant and irritating to diphtheritica!ly inflamed surfaces.Some atomizers which are now in very general use are ob-jectionable in the treatment of diphtheria for this reason. Text Appearing After Image: Fig. 10.—The Delano (No. 558) Atomizer. The Delano atomizer makes a fine spray, and is in everyrespect a convenient and suitable instrument. All atomizers which throw a fine spray are liable to be ob-structed by solid particles. Nurses should always be taughthow to remove this obstruction by means of the fine wirewhich comes in the box with the atomizer, or with a bristle.When the Delano atomizer cannot be obtained, the Davidsoninstrument will serve a very good purpose, and has, indeed,some special advantages. The point of the atomizer should not usually be thrust intothe throat of the patient, but should be held several inches TKEATMENT. 217 from the open mouth. The spray is thus diffused over thewhole surface of the palate and pharynx. In most cases inwhich the mouth is opened widely; the spray, if good aim istaken, reaches the pharynx freely. In some cases, however,it is necessary to carry the point of the atomizer further backover the tongue or to depress the tongue. The patient Note About Images Please note that these images are extracted from scanned page images that may have been digitally enhanced for readability - coloration and appearance of these illustrations may not perfectly resemble the original work. -
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