SOLUTIONS AND THERAPEUTIC INDEX
=Acid, Boric.= 5 dr. in a pint of water makes a 4% solution, or 1:25.
=Acid, Carbolic.= 15 ♏︎ in a quart of water makes a 0.1% solution, or
1:1000. 5 dr. to the quart makes a 2% solution; and 1¼ oz. to the
quart, a 5% solution.
=Chinosol.= 15 gr. to the quart of water makes a solution of 1:1000.
=Formalin.= 1 dr. to the quart of water makes a solution of about
1:500.
=Mercury Bichloride.= 15 gr. to the quart of water makes a 0.1%
solution, or 1:1000. 1½ gr. to the quart makes a 0.01% solution,
or 1:10,000.
=Normal Salt Solution.= 2 dr. of salt to the quart of water, or 0.9%.
=Physiological Salt Solution.= Take normal salt solution as given
above and to every 3½ oz. add 15 gr. of carbonate of soda.
=Potassium Permanganate.= 2½ dr. to the quart makes a 1% solution. 3
gr. to the quart makes a 1:5000 solution.
=Silver Nitrate.= 4½ gr. to the ounce of water or 1 gr. to 1–7/10 dr.
makes a 1% solution.
=Ziratol.= 2½ teaspoonfuls to a quart of water makes a 1% solution.
For general reference the following valuable table is appended:
PERCENTAGE SOLUTION TABLE
BY ALFRED I. COHN, PHAR. D., in _Merck’s Report_
════════╤══════════════════════════════════════════════════════════════
Quantity│
of │
solution│ GRAINS OF SALT OR DRUG REQUIRED TO MAKE SOLUTIONS OF
to be │ PERCENTAGE STRENGTH INDICATED
made │
────────┼──────┬──────┬──────┬──────┬──────┬──────┬──────┬──────┬──────
│ 0.5% │ 1% │ 2% │ 3% │ 4% │ 5% │ 6% │ 8% │ 10%
────────┼──────┼──────┼──────┼──────┼──────┼──────┼──────┼──────┼──────
½ fl. oz│ 1.15│ 2.3│ 4.6│ 6.9│ 9.3│ 11.7│ 14.1│ 19. │ 24.
1 fl. oz│ 2.3 │ 4.6│ 9.2│ 13.9│ 18.6│ 23.4│ 28.2│ 37.9│ 47.9
2 fl. oz│ 4.6 │ 9.2│ 18.4│ 27.8│ 37.2│ 46.8│ 56.4│ 75.8│ 95.8
3 fl. oz│ 6.9 │ 13.8│ 27.6│ 41.7│ 55.8│ 70.2│ 84.6│ 113.7│ 143.7
4 fl. oz│ 9.2 │ 18.4│ 36.8│ 55.6│ 74.4│ 93.6│ 112.8│ 151.6│ 191.6
5 fl. oz│ 11.5│ 23. │ 46. │ 69.5│ 93. │ 117. │ 141. │ 189.5│ 239.5
────────┴──────┴──────┴──────┴──────┴──────┴──────┴──────┴──────┴──────
════════╤═════════════════════════════════════════════════════════════════════
Quantity│
of │
solution│ GRAINS OF SALT OR DRUG REQUIRED TO MAKE SOLUTIONS OF PERCENTAGE
to be │ STRENGTH INDICATED
made │
────────┼──────┬──────┬──────┬──────┬──────┬──────┬──────┬──────┬──────┬──────
│ 15% │ 20% │ 25% │ 50% │1:500 │1:1000│1:2000│1:3000│1:4000│1:5000
────────┼──────┼──────┼──────┼──────┼──────┼──────┼──────┼──────┼──────┼──────
½ fl. oz│ 36.8│ 50.2│ 65.│ 151.2│ 0.46│ 0.228│ 0.12│ 0.075│ 0.06│ 0.05
1 fl. oz│ 73.5│ 100.3│ 130.│ 302.5│ 0.91│ 0.456│ 0.23│ 0.15 │ 0.12│ 0.09
2 fl. oz│ 147. │ 200.6│ 260.│ 605. │ 1.8 │ 0.91 │ 0.46│ 0.3 │ 0.23│ 0.18
3 fl. oz│ 220.5│ 301. │ 390.│ 907.5│ 2.7 │ 1.37 │ 0.68│ 0.46 │ 0.34│ 0.27
4 fl. oz│ 294. │ 401.2│ 520.│1210. │ 3.64│ 1.82 │ 0.91│ 0.61 │ 0.46│ 0.36
5 fl. oz│ 367.5│ 501.5│ 650.│1512.5│ 4.55│ 2.28 │ 1.14│ 0.76 │ 0.57│ 0.46
────────┴──────┴──────┴──────┴──────┴──────┴──────┴──────┴──────┴──────┴──────
The table shows the quantity of drug required to yield a given _volume_
of solution of the percentage strength desired. Thus, to make one fluid
ounce of a 5 per cent solution it is merely necessary to dissolve 23.4
grains of the salt in _sufficient water to make one fluid ounce_.
THERAPEUTIC INDEX
_Young’s Rule for Dosage_: The age of the child is divided by the age of
the child plus 12, and the result is the appropriate dose for the child.
The doses given below are for the adult unless otherwise specified.
=Absorbent.= A medicine or dressing that promotes absorption, such as
potassium iodide, Tr. iodine, glycerine, or hot vaginal douches.
=Adrenalin.= The blood-raising principle of the suprarenal glands. It
is hæmostatic and astringent. Acts somewhat like digitalis on the
heart.
_Uses._—Vomiting of pregnancy, increased glandular activity,
hæmorrhage, inflammation of mucous membranes.
_Dose._—Internally, 5–10 m. of the 1:1000 solution. Externally,
the solution of 1:1000 or 1:10,000 may be applied.
=Albolene.= An oily white substance obtained from petroleum. It is
used on the nipples and skin of the mother and to remove the
vernix caseosa from the skin of the child.
=Aloin, Strychnia, and Belladonna.= A laxative pill which usually
contains aloin ⅙ gr., strychnia sulph. 1/60 gr., and Belladonna
1/12 gr.
=Ammonia Carbonate.= Antispasmodic, stimulant, and expectorant.
_Uses._—Stimulant to heart. Stimulating expectorant in pneumonia
and bronchitis.
_Dose._—5–20 grains in mucilage or syrup.
=Anæsthone.= A mixture of adrenalin chloride (0.1%) and chlorotone
(5%) in an ointment base of wool fat and petrolatum. Astringent,
antiseptic, anesthetic and germicide. Useful application to
swollen mucous membranes or in coryza.
=Argyrol= (_Silver Vitellin_). Antiseptic and germicide.
_Uses._—Like Silver Nitrate, but less irritating to the tissues.
3–5% solution in water is an injection for gonorrhœa. 15% solution
dropped in the eyes of the newborn may prevent ophthalmia. 25%
solution may be used twice a day as a remedy for existing
ophthalmia, but the strength should be reduced after three or four
days. 10–15% solution is used as an injection in cystitis. An
ounce or more of the solution may be left in the bladder until the
next evacuation.
=Asafœtida.= A fetid gum resin. Carminative, antispasmodic, mild
stimulant, and expectorant.
_Uses._—Gas pains of adults and infants. Hysteria and indigestion.
_Dose._—5–10 gr. t.i.d. For infantile colic, an emulsion called
the mistura of asafœtida may be used in 2–4 dram doses. For adults
1–2 tablespoonfuls.
=Belladonna.= Nervine, mydriatic, sedative, narcotic, antispasmodic
and anodyne. Makes the throat dry and dilates the pupils.
_Uses._—Night sweats, nervous cough, pain, incontinence of urine
and to restrain glandular activity.
_Dose._—Fl. ext. 1–3 ♏︎; dry ext. ½–1 gr. Tincture 8–20 ♏︎. Solid
ext. ½¼ gr. All for adults. For infants, proportionately less.
_See Rule for Dosage._
=Benzoin.= Antiseptic and externally a styptic and protective for
sores.
_Uses._—Sore nipples and urticaria. Lard is also benzoinated for
use in removing vernix caseosa. Compound Tr. of benzoin contains,
benzoin, purified aloes, storax, balsam of Peru, and alcohol.
=Benzoinal.= Albolene mixed with benzoin.
=Bismuth Subnitrate.= A white heavy powder. Antiseptic and astringent.
_Uses._—Subacute gastritis, pyrosis, diarrhœa and vomiting of
pregnancy. Particularly desirable in infancy because it is free
from arsenic, lead and silver.
_Dose._—5–60 gr. in the adult.
=Boric Acid= (_Boracic Acid_). A white crystalline powder. Antiseptic.
_Uses._—As a dressing and lotion for eyes, navel, mouth, nipples,
and all mucous surfaces. In solution to preserve the sterility of
rubber nipples until they are needed.
_Dose._—Internally, 5–15 gr. Solutions are usually about 4% or 5%.
A saturated solution in water is about 6%. In hot water 25%.
=Boroglyceride.= An antiseptic paste of boric acid and glycerine. When
an excess of glycerine is present the preparation is called
boroglycerol.
_Uses._—An oxydizer in endometritis. It is applied to the cervix
on cotton tampons.
=Calcium= (_Lime_). Stomach sedative, soothes the irritated or burned
skin, corrects hyperacidity, increases the clotting power of the
blood (?).
Lime water is a saturated solution of calcium hydrate and is used
for nausea, to break up the curds of milk, and to increase its
digestibility. It is mildly constipating.
=Calomel.= _See Mercury._
=Camphor.= A solid volatile oil. Nerve sedative. Anaphrodisiac.
Antispasmodic. Stimulant.
_Uses._—The monobromated camphor is given internally for hysteria,
neuralgia, and as a hypnotic.
_Dose._—1–10 gr.
=Camphorated Oil.= A solution of camphor in cottonseed oil.
Rubefacient and stimulant.
_Uses._—Internally in collapse. Externally as an application to
the child for colds of chest and nose.
_Dose._—5–20 ♏︎ hypodermically in collapse. The injection should
be made deep into the muscle.
=Carbolic Acid= (_Phenol_). Derived from coal tar. Antiseptic,
deodorant and local anæsthetic.
_Uses._—Vomiting of pregnancy, pruritus, eczema, sterilization of
instruments. Usual solution is 2½% to 5%. For sterilization of
knives, scissors and other sharp instruments the 95% is used. In
pruritus, the following wash will aid: carbolic acid, 12 dr.,
glycerine 2 dr., alcohol, 4 ʒ water q.s. 1 pt. Apply.
=Cascara Sagrada.= Stimulant laxative, and cathartic. Useful in
pregnancy, but after labor there is evidence that it may go over
in the milk to the child.
_Dose._—Fl. ext. 10–20 ♏︎. The Hinkle pill contains cascara.
=Castor Oil.= Oil expressed from the seeds of the castor plant. A
cathartic. Acts in four or five hours.
_Dose._—For adults, ½ oz. to 1 oz. For infants 10 to 60 drops
given with a dropper—not with a spoon.
Castor oil cocktail.—Rinse out the glass with lemon juice or
whiskey. Pour in teaspoonful of lemon juice and a teaspoonful of
whiskey, add castor oil in amount required, cover with whiskey and
give.
A paste is made from the mixture of castor oil and bismuth
subnitrate in equal parts, which is an excellent preparation for
sore nipples.
_Cerium Oxalate (and Cerium Valerianate)._ Sedative and nerve
tonic. The oxalate is a white crystalline powder, odorless and
tasteless.
_Uses._—Vomiting of pregnancy, seasickness.
_Dose._—2–10 gr. several times daily.
=Charcoal.= Administered in tablet form or as a powder between two
slices of buttered bread.
_Uses._—Acid stomach. Vomiting of pregnancy.
=Chinosol.= Nonpoisonous, nonirritating and odorless. Antiseptic
deodorant, styptic and analgesic. Dissolves instead of coagulates
secretions.
_Uses._—Antiseptic solutions for hands and sponges, deodorizing
wash for vagina post partum, intrauterine douche, wash for
gonorrhœa and cystitis.
_Dose._—For douche or hand solution 1:1000 or 1:5000. For dusting
powder, 1 part to 10 or 20 of starch, talcum, boric acid, or
bismuth subnitrate.
Chinosol will corrode unplated steel. It may be mixed with salt,
but not with soap.
=Choral Hydrate.= White crystal masses. Pungent in odor and taste.
Hypnotic, antispasmodic, antiseptic and analgesic.
_Uses._—Insomnia, eclampsia, convulsions, and to restrain
secretion of milk.
_Dose._—By mouth, 10–30 gr. By rectum, not to exceed 60 gr. In
infants 1–2 gr. by rectum in an ounce of water.
=Chymogen.= A preparation of rennin (10%) made by Armour & Company.
=Coagulen Ciba.= A physiological nontoxic styptic, prepared from the
natural coagulants of the blood. A 10% solution in water will
hasten the beginning and end of coagulation. May be applied to
bleeding surfaces directly, or given under the skin, into the
muscle, or into a vein. 3½% to 5% solution in distilled water,
should be sterilized by boiling 2–3 minutes. Do not filter.
Inject.
=Cocaine Hydrochlorate.= Anæsthetic, sedative, anodyne, anti-pruritic.
_Uses._—Vomiting of pregnancy, with _caution_.
_Dose._—Internally ½–1½ gr. Externally a 4%–10% solution in water.
=Codeine.= Alkaloid of opium. Less narcotic than morphine.
_Uses._—After-pains and pain of over-distended breasts.
_Dose._-¼–1½ gr. by mouth. ¼–¾ gr. hypodermically.
=Compound Licorice Powder.= _See Senna._
=Condylomata.=
_Use_—
℞ Acid. Salicyl. gr. x
Acid Boric. gr. xxx
Calomel. ʒ i
M.
Sig.: Apply twice daily.
=Digitalis.= Cardiac tonic. Diuretic. Stimulant.
_Uses._—Weak heart. Syncope. Collapse.
_Dose._—For adult: of the tincture, 5–15 ♏︎, fl. ext. 1–3 ♏︎, ext.
gr. 1/6½.
_Digipuratum._ A preparation of digitalis from which the inactive
substances have been removed. It is used in the same conditions as
digitalis.
_Dose._—The tablets contain 1½ gr. and one is given four times
daily until ten are taken. _Then stop._ Hypodermically. Each viol
contains 1 c.c. of fluid and equals 1½ gr. of digipuratum. Each
dose contains enough of the active principle of digitalis to kill
a 30 gm. frog.
=Ergot= (_Fungus of Rye_). Contracts unstriped muscle fiber.
_Uses._—To check hæmorrhage after labor. To promote involution.
Must not be given in labor until the uterus is empty.
_Dose._—By mouth 15–60 ♏︎ of the fl. ext. Hypodermically, 10–20 ♏︎.
=Ergotole, Ergotine.= Concentrated solutions of ergot, 2½ times as
strong as the fluid extract. They are sterilized and preserved in
glass ampoules.
_Uses._—See =Ergot=.
_Dose._—30–60 ♏︎.
=Green Soap.= A soap made of linseed or other oil, potash, alcohol and
water.
“The adoption by the U. S. Pharmacopoeia of the term Sapo Viridis
(green soap) is unfortunate, since soft soap even if made from
green hempseed oil will become brown-yellow unless artificially
colored.”—U. S. Dispensatory.
=Hæmophilia.= A condition of the blood wherein its clotting power is
diminished or absent.
Coagulen, horse serum, or diphtheria antitoxin may be given
hypodermically. Direct transfusion of blood from another is best.
=Hyoscine, Morphine, and Cactin.= (H. S. & C. Tablets). A proprietary
combination of drugs. The action is said to be similar to that of
morphine and scopolamine.
=Iodine, Tincture.=
_Uses._—To sterilize the skin before operation. In vomiting of
pregnancy it is sometimes effective. Drop doses may be given well
diluted. Externally it is applied to ulcers, as in Bednar’s
disease, and sometimes as a dressing for the cord. In pruritus
vulvæ it is a valuable application.
=Iron.= Tonic emmenagogue.
_Uses._—To increase the number of red blood corpuscles. To raise
blood pressure and to increase the secretion of milk.
_Dose._—3–5 gr. Blaud’s pill contains the carbonate in a form that
is easily assimilated.
=Laxatives.= Laxatives are unirritating and excite moderate
peristalsis. Sulphur, magnesia, cassia, manna, cascara sagrada,
the Hinkle pill, and the A, B, & S pill are usually mild in
action.
=Lysol.= Disinfectant and antiseptic for hands and instruments. It is
a brown syrupy fluid made from coal tar oil, which is distilled
and mixed with fat, soap, etc. It has a creosote odor and contains
50% cresol. Readily soluble in water. Prepared in ½–4% solutions.
=Magnesia, Calcined.= Antacid and cathartic. Comes in white cakes.
_Uses._—Acid stomach, vomiting of pregnancy, “heartburn,” and
constipation.
_Dose._—30–120 gr.
=Magnesia, Milk of.= A mixture of magnesia and water. Has the same
properties as the above.
_Dose._—For adults, 2–3 teaspoonfuls. For infants, ¼–2
teaspoonfuls.
=Magnesia Sulphate= (_Epsom Salts._). Saline cathartic.
_Uses._—The profuse watery stools produced by magnesia are
valuable aids to elimination when the kidneys are overworked or
defective. In congestion of the breasts and threatened eclampsia,
or in any case where it is desirable to drain off waste or
dehydrate the system.
_Dose._—1 teaspoonful daily in hot water before breakfast. ½–1 oz.
as a single dose or 1 oz. by rectum, as in the =1–2–3 enema.=
=Menthol= (_Mint Camphor, Japanese Peppermint_). Analgesic,
antiseptic, anæsthetic, and vascular stimulant.
_Uses._—In pruritus vulvæ, vomiting of pregnancy, and hæmorrhoids.
_Dose._—By mouth 3–5 gr. In tampons, one part to five of oil. In
ointments one part to sixteen. To the vulva for pruritus, use the
spirits in 5% solution.
=Mercury= (_Hydrargyrum_). Cathartic, alterative, antisyphilitic,
antiseptic and disinfectant. Readily absorbed by the unprotected
mucous surface and relatively inert when the membrane is covered
by a discharge. Solutions of the bichloride when used as a lotion
unite with the albumin of a mucous discharge and form an
albuminate of mercury, which is inactive. Bichloride solutions
have small place in obstetrics. They are hard on the hands and
destructive to instruments. Other agents like lysol, ziratol and
chinosol have satisfactory germicidal properties and in addition
are nonpoisonous, lubricative and cleansing.
Mercury should only be given to the infant in the form of calomel
(the mild chloride). The dose is 1/12-⅛ gr., repeated if
necessary.
=Morphine.= Alkaloid of opium.
Antispasmodic, hypnotic, analgesic and narcotic.
_Uses._—To relieve pain, produce sleep, check diarrhœa, and to
control the pain, as well as the contractions of abortion. To
relax a rigid os.
_Dose._—In “Twilight Sleep” and rigid os the first dose is Morph.
sul. 1/6¼ gr. and scopolamine Hydrobromid 1/200–1/150. The
scopolamine to be repeated if required, in one-half or
three-quarters of an hour. The usual dose of morphine
hypodermically is 1/12½ gr.
=Nitroglycerine= (_Glonoin_). Vasomotor dilator, arterial stimulant.
_Uses._—For the prostration following hæmorrhage.
_Dose._-½00–1/50 gr. hypodermically.
=Novocaine.= Local anæsthetic, similar to cocaine, but less toxic. For
local anæsthesia in solutions of 0.25% to 2% usually in
association with adrenalin (5–10 drops of the 1:1000 solution to
each 10 c.c. of novocaine solution).
=Nux Vomica.= The plant from which strychnia is derived. Tonic,
stomachic, and stimulant to muscle, nerve, and heart.
_Uses._—Bitter tonic and stimulant. Vomiting of pregnancy and
agalactia.
_Dose._—Ten drops of the tincture in water before meals.
=Opium.= The concrete juice of the poppy. Relieves pain. Constipates.
_Uses._—Hæmorrhoids in adults, colic and diarrhœa in infants.
_Dose._—One grain in suppository night and morning for adult. For
infant, as paragoric only. Two to five drops only, not repeated.
_Children bear opium badly._
=Pepsin.= A ferment in the gastric juice that digests proteins. In
commerce it is obtained from the pig.
_Uses._—Imperfect digestion.
_Dose._—For adult, 10–15 grs. For infant, 2 gr.
=Phenolphthalein.= A nonofficial coal tar derivative. Mild laxative.
_Dose._—2–3 gr. Phenolax and chocolax are preparations of the
drug.
=Pituitary Extract= (_Pituitrin_). A substance derived from the
infundibular portion or the posterior lobe of the hypophysis
cerebri. Nontoxic, stimulant to unstriped muscle.
_Uses._—Uterine inertia, post partum hæmorrhage, Cæsarean section
and tympany. Will not produce abortion nor premature labor. May be
tried in acute anæmia to raise the blood pressure.
_Dose._—5–15 ♏︎. Repeated if necessary.
=Potassium (or Sodium) Bromide.= White granular powder. Soluble, 1 to
5 in water. Sedative, hypnotic, antiepileptic.
_Uses._—Neurasthenia, convulsions, nymphomania, vomiting of
pregnancy.
_Dose._—20–60 gr. In enema with chloral. Pot. bromide 40 gr. and
chloral 20 gr. in several ounces of water or milk.
=Potassium Iodide.= Alterative emmenagogue. Uric acid solvent.
_Uses._—Syphilis rheumatism, swellings, slow inflammations,
excessive secretion of milk.
_Dose._—2–10 gr. increased as required.
=Potassium Permanganate.= Dark purple opaque prisms. Soluble in water
1 to 16. Disinfectant, deodorant, antiseptic, astringent.
_Uses._—As an injection in leucorrhœa and gonorrhœa, 1:5000
solution.
=Purgatives.= Simple purgatives produce free discharges from the
bowels with some griping. Senna, aloes, rheubarb, castor oil, and
calomel are examples. Saline purgatives are followed by profuse
watery evacuations. Magnesia sulphate, and citrate, potassium and
sodium tartrate, and sodium phosphate belong to this class.
Drastic purgatives bring about a violent action of the bowels with
much griping and tenesmus. Such are jalap, colocynth, elaterium,
and croton oil. Hydrogogue purgatives combine the results of the
salines and drastics. They have much griping with profuse watery
stools. The hydrogogues are elaterium, gamboge, croton oil, and
potassium bitartrate.
=Quinine Sulphate.= (Derived from Cinchona bark.) Antipyretic, tonic,
antiperiodic, antiseptic, emmenagogue and ecbolic.
_Uses._—Valuable stimulant in a slow first stage. It is combined
with castor oil to bring on labor at term. Castor oil 1 oz. and
quinine sulphate 10 gr. is given as the first dose, followed in an
hour by another 10 gr. of quinine, and an hour later by another.
_Dose._—2–20 gr.
=Regulin.= A mixture of agar-agar in dry form with extract of cascara
sagrada.
_Uses._—A laxative in chronic constipation.
_Dose._—Teaspoonful to tablespoonful in stewed fruit or mashed
potatoes, once daily.
=Russian Oil= (_Liquid Petrolatum_). Laxative in pregnancy and
puerperium. Acts mechanically and as a lubricant. Not unpleasant
to take.
_Dose._-½ oz. at bedtime, and, if necessary, before each meal. May
be given to breast-fed babies in doses of gtts. xv three times
daily.
=Senna.= Laxative and purgative. Acts especially on the large
intestine. Sometimes passes over in the milk to the child.
_Dose._—Fl. ext. 1–4 teaspoonfuls. In compound licorice powder the
dose is 30–80 gr. (about 10 gr. of senna to the dose).
=Silver Nitrate.= Caustic, antiseptic, stimulant, irritant and
antigonorrhœic. Table salt neutralizes it.
_Uses._—2% solution in water for pruritus vulvæ. 1% solution
dropped into the eyes of the newborn to prevent ophthalmia
neonatorum. Do not neutralize the 1% solution. ¼ gr. silver
nitrate with 2 gr. of pepsin in capsule for pernicious vomiting of
pregnancy.
=Sodium Bicarbonate= (_Baking powder_). Antacid, antirheumatic.
_Uses._—Gout, dyspepsia, acid stomach, acidosis, vomiting of
pregnancy. Soothes the skin when burned.
=Sodium Chloride.= (Salt.)
For normal saline use 10 gr. to 3½ oz. of water. For physiological
salt solution, add 15 gr. of Sod. Carb. to every 3½ oz. of normal
saline as made above.
=Sodium Citrate.= A white odorless, granular powder with cooling salty
taste.
_Uses._—Diuretic, antipyretic and refrigerant. Retards the
coagulation of albumin in milk and aids the digestibility of
proteins. May be indicated in gout and cystitis.
_Dose._—Internally, 15 to 60 gr. In the modification of cow’s milk
about two grains should be used for each ounce of the mixture.
=Spirits of Nitre, Sweet= (_Spirit Nitrous Ether_). 4% solution of
nitrous ether in alcohol. Diaphoretic, diuretic, antipyretic,
stimulant, antispasmodic.
_Uses._—Fever, dropsy, vomiting of pregnancy, colic, anuria.
_Dose._—For adult, 20–60 gtts. For infants small doses often
repeated.
=Stramonium= (_Jimson Weed_). Hypnotic, narcotic, antispasmodic.
_Uses._—For hæmorrhoids take Ung. Stramonii and Ung. Galli in
equal amounts and apply.
=Urotropin.= A white powder soluble in water. Urinary antiseptic,
diuretic.
_Uses._—Cystitis, typhoid bacilli in urine, gout. It makes the
urine irritatingly acid when given long. It does not act in
alkaline media.
_Dose._—7½–10 gr. well diluted.
=Valerian.= Anodyne, stimulant, antispasmodic and nervine.
_Uses._—Hysteria, hypochondriasis, headache.
_Dose._—30–60 ♏︎ of the fl. ext. by mouth, or by rectum 2 oz. of
the following mixture may be used P.R.N. for hysteria:
Pot. Brom. 1 oz.
Ext. Valerian fl. dr. vi.
Normal saline q.s. oz xii.
=Veratrum Viride= (_Hellebore_). Sedative, emetic, diaphoretic,
diuretic. Retards the heart’s action without weakening it.
_Uses._—Eclampsia.
_Dose._—1 to 4 ♏︎ of the fl. ext. is given hourly until the pulse
comes down to 80.
=Veronal.= Safe, reliable hypnotic.
_Uses._—Insomnia from hysteria, neurasthenia, and mental
disturbance.
_Dose._—5 to 15 gr. dissolved in hot tea, milk, or water. May
repeat.
=Zinc.= Tonic, astringent, antispasmodic.
_Uses._—Stearate of zinc is a valuable dressing in excoriations of
buttocks and external genitals.
=Zinc Ointment.= It is indicated for bedsores (decubitus) eczema,
herpes, and intertrigo. Zinc ointment contains one part of zine
oxide to four parts of benzoinated lard.
=Ziratol.= A mixture of phenols in soap, water, and glycerine.
Antiseptic, deodorant and germicide. Relatively odorless, easily
soluble and does not injure hands, instruments, or rubber. It is
said to be only ⅐ as toxic as carbolic acid. Used in solutions of
0.5% up to 5%.
GLOSSARY
[Adapted from Dorland and Standard Dictionaries]
=Ab-nor´mal.= Not normal; contrary to the usual structure or
condition.
=A-bor´tion.= 1. The expulsion of the fœtus before it is viable. 2.
Premature stoppage of a morbid or a natural process.
=Ab-ra´sion.= 1. A rubbing or scraping off. 2. A spot rubbed bare of
skin or mucous membrane.
=Ab´scess.= A localized collection of pus in a cavity formed by the
disintegration of tissues.
=Ac-couch´e-ment.= Delivery in childbed; confinement.
=Ac´e-tone.= 1. A colorless liquid found in pyro-acetic acid and in
naphtha. 2. Any member of the series to which the normal or typical
acetone belongs.
=A´ci-do´´sis.= Acid intoxication of the system from the elaboration
or too much acid by faulty metabolism or the imperfect disposition
of normal amounts of acid.
=A-ci´nus=, pl. _acini_. One (acini, more than one) of the smallest
lobules of a compound gland.
=Al´bo-lene.= An oily white substance derived from petroleum.
=Al´bu-mi-nu´´ri-a.= The presence of albumin in the urine.
=Al´ka-line.= Having the reaction of an alkali.
=A´men-or-rhœ´´a.= Absence or abnormal stoppage of the menses.
=Am-mo´ni-a.= A colorless alkaline gas, NH_{3}, of penetrating odor,
and soluble in water, forming ammonia-water. Ammoniacal urine
contains ammonia, which is one form of nitrogen excretion.
=An-æ´mi-a.= A condition in which the blood is deficient in quantity
or in quality.
=An´æs-the´´si-a.= Loss of feeling or sensation, especially loss of
tactile sensibility, though the term is used for loss of any of the
other senses.
=An´æs-thet´´ic.= 1. Without the sense of touch or of pain. 2. A drug
that produces anæsthesia.
=An´al-ge´´si-a.= Absence of sensibility to pain.
=An-aph´ro-dis´´i-ac.= A drug that allays sexual desire.
=An´a-sar´´ca.= An accumulation of serum in the cellular tissues of
the body.
=An´en-ceph´´al-ous.= Having no brain.
=An´ky-lo´´sis.= Abnormal rigidity or stiffness of a joint.
=An´o-dyne.= A medicine that relieves pain.
=An´te par´tum.= Latin for “before delivery.”
=An-te´ri-or.= Situated in front of, or in the forward part of.
=An´ti-pe´ri-od´´ic.= A drug that tends to prevent recurrent attacks
of disease.
=An´ti-sep´´tic.= 1. Preventing decay or putrefaction. 2. A substance
destructive to poisonous germs.
=A-pe´ri-ent.= Mildly cathartic.
=Ap-nœ´a.= The absence of respiration—especially that form which
occurs in a child delivered by the Cæsarean operation.
=A-re´o-la.= The darkish ring around the nipple.
=As-ci´tes.= Dropsy (an accumulation of fluid) in the abdomen.
=A-sep´sis.= Absence of septic matter, or freedom from infection.
=As-phyx´i-a.= Suffocation.
=As-trin´gent.= 1. Causing contraction and arresting discharges. 2. An
agent that arrests discharges.
=At´e-lec-ta´´sis.= Imperfect expansion of the lungs at birth; partial
collapse of the lung.
=At´on-y.= Lack of normal tone or strength.
=A´tri-um.= (_L._, a hall.) The point of entrance of a bacterial
disease.
=At´ti-tude.= A posture or position of the body. The relation which
the various parts of the child’s body bears to its own long axis.
The attitude of the fœtus normally is complete flexion.
=Aus´cul-ta´´tion.= The act of listening for sounds within the body.
=Bac-te´ri-a.= The vegetable microorganisms (Schizomycetes) especially
the short-rod forms.
=Bal´an-i´´tis.= Inflammation of the glans penis. It is usually
associated with phimosis.
=Bal-lotte´ment.= The diagnosis of pregnancy by pushing up the uterus
by a finger inserted into the vagina so as to cause the embryo to
rise and fall again like a heavy body in water.
=Bar´tho-lin glands.= The vulvo-vaginal glands.
=Bleb.= A skin vesicle filled with fluid. A blister.
=Breg´ma.= The point on the surface of the skull at the junction of
the coronal and sagittal sutures.
=Cæ-sa´re-an sec´tion.= (Named from Julius Cæsar, who is said to have
been thus born). Delivery of the fœtus by an incision through the
abdominal and uterine walls.
=Ca´put.= Any head, or head-like structure.
=Ca´put suc´ce-da´´ne-um.= A swelling formed on the presenting part of
the fœtus during labor. It is due to the effusion of fluid into the
subcutaneous tissues of the scalp and its retention there.
=Car-min´a-tive.= Drugs that stimulate the circulation, the mental
faculties, and intestinal peristalsis. Asafœtida, camphor, capsicum,
cardamon, chloroform, ether, ginger, horseradish, mustard, and the
oils of anise, cloves, spearmint, nutmeg and valerian are
carminatives.
=Car´ne-ous.= Fleshy.
=Cath´e-ter, tra´che-al.= A long slender tube designed for
introduction into the babe’s trachea as a means of sucking out
mucus.
=Cath´´e-ter-ize´.= To introduce a tube and draw off fluid, as urine
or mucus.
=Caul.= 1. The great omentum. 2. A piece of amnion which sometimes
envelopes a child’s head at birth.
=Cell.= 1. Any one of the minute protoplasmic masses which make up
organized tissue.
=Ceph-al´ic.= 1. Pertaining to the head. 2. A medicine for the head.
=Ceph´al-hæ-ma-to´´ma.= 1. A tumor or swelling filled with blood
beneath the pericranium.
=Cer´vix.= The neck or any neck-like part.
=Chlo-as´ma.= The yellowish brown spots or patches that appear on the
skin of pregnant women.
=Cic´a-tri´´cial.= Pertaining to, or of the nature of, a cicatrix.
=Ci-ca´trix.= A scar; the mark left by a sore or wound.
=Cil´i-a.= 1. The eyelashes. 2. Minute lash-like processes that
characterize certain cells.
=Cli´mac-ter´´ic.= A particular epoch of the ordinary term of life at
which the body is believed to undergo a radical change—especially
applied to the menopause.
=Cli-ni´cians.= Men who teach and explain diseases by showing actual
cases.
=Clit´o-ris.= The sensitive organ of the female, homologous with the
penis in the male.
=Coc´cyx.= The small bone situated at the end of the sacrum. The very
last portion of the spine.
=Col-lapse´.= A state of extreme prostration and depression with
failure of circulation.
=Col´les’ mem´brane.= A layer of tough sensitive fascia back of the
perineum and on either side of the vagina.
=Co-los´trum.= The first fluid secreted by the mammary glands after
functional activity begins. It contains casein and more albumen than
milk, as well as numerous fatty globules.
=Col´peu-ryn´´ter.= A dilatable bag, used to distend the vagina.
=Co´ma.= Profound stupor occurring in the course of a disease or after
severe injury.
=Co´ma-tose.= Pertaining to, or affected with, coma.
=Com´pli-ca´´tion.= A disease or diseases concurrent with another
disease.
=Con-cep´tion.= The fecundation of the ovum.
=Con´dyl-o´´ma.= A wart-like excrescence near the anus or vulva. It
may be as large as a cauliflower.
=Con-gen´i-tal.= Born with a person; existing at or before, birth.
=Con´ju-gate.= The anteroposterior diameter of the pelvic inlet.
=Cor´o-nal.= Pertaining to the crown of the head, as the coronal
suture.
=Cra´dle cap.= The dirty looking patch of epithelial scales and
sebaceous material that develops over the anterior fontanelle of
babies who have the exudative diathesis.
=Cra´ni-ot´´o-my.= The cutting in pieces of the fœtal head to
facilitate delivery.
=Cre-dé Expression.= The maneuver in which the uterus is grasped in
the hollow of the hand and squeezed and pressed down upon to aid in
the expulsion of the placenta.
=Cre-dé Treatment.= The instillation of a 1% solution of nitrate of
silver into the eyes of the newborn to prevent ophthalmia.
=Curd.= The coagulum of milk, consisting mainly of casein.
=Cy´an-o´´sis.= Blueness of the skin, often due to cardiac
malformation causing insufficient oxygenation of the blood.
=Cys-ti´tis.= Inflammation of the bladder.
=De-cid´u-a.= The membranous structure produced in the uterus during
gestation and thrown off after parturition. =D. reflexa=, the part
of decidua which is reflected upon and surrounds the ovum. =D.
serotina=, the late decidua; the part of the decidua vera which
becomes the maternal portion of the placenta. _D. Vera_, the true
decidua; the portion of the decidua which lines the uterus.
=De-cu´bi-tus.= 1. An act of lying down. 2. A bed-sore.
=De-hy´drate.= To remove the water.
=Di´a-be´´tes.= A disease marked by an habitual discharge of an
excessive quantity of urine and the presence of sugar therein.
=Di´´aph-o-re´sis.= Perspiration, and especially profuse perspiration.
=Di´´aph-o-ret´ic.= 1. Stimulating the secretion of sweat. 2. A
medicine that increases the perspiration.
=Di-ath´e-sis.= Natural or congenital predisposition to a special
disease.
=Dif´fer-en´´tial.= Pertaining to a difference, or differences.
=Dis-crete´.= Separate lesions which do not blend or coalesce.
=Di´u-re´´sis.= Increased secretion of urine.
=Dor´sum.= The back or any part corresponding to the back as the
dorsum of the penis or foot.
=Duc´tus ve-no´sus.= A fœtal blood vessel connecting the umbilical
vein with the post-cava.
=Dys-cra´si-a.= A depraved state of the system, and especially of the
blood, due to constitutional disease.
=Dysp-nϫa.= Difficult or labored breathing.
=Dys-to´ci-a.= Painful or slow delivery or birth.
=Ec-bol´ic.= An agent that accelerates labor.
=E-clamp´si-a.= A sudden attack of convulsions, especially one of a
peripheral origin.
=Ec-top´ic.= Out of the normal place.
=E-de´ma.= Swelling due to effusion of watery liquid into the
connective tissue.
=Em´bo-lism.= The plugging of an artery or vein by a clot or
obstruction which has been brought to its place by the
blood-current.
=Em´bry-o.= The fœtus in its earlier stages of development, especially
before the end of the third month.
=Em-men´a-gogue.= A drug that aids or stimulates menstruation.
=E-mul´sion.= An oily or resinous substance divided and held in
suspension through the agency of an adhesive, mucilaginous, or other
substance.
=En´do-me´´tri-um.= The mucous membrane that lines the cavity of the
uterus.
=En-gage´ment.= The head is said to be engaged when the largest
diameters have passed the inlet.
=En´si-form.= Shaped like a sword.
=Ep´i-si-ot´´o-my.= Surgical incision of the vulvar orifice laterally
for obstetric purposes.
=E-ro´sion.= An eating or gnawing away.
=Er´y-the´´ma.= A morbid redness of the skin due to congestion of the
capillaries, of many varieties.
=E´ti-ol´´o-gy.= The study or theory of the causation of any disease.
=Ex-co´´ri-a´tion.= Any superficial loss of substance such as that
produced on the skin by scratching.
=Ex´os-mo´´sis= (_Ex-os-mose_). Diffusion or osmosis from within
outward.
=Ex-san´guin-a´´tion.= An exhaustion of the blood from a part or the
whole of the body.
=Ex-trac´tion.= The process or act of pulling or drawing out,
particularly the removal of a child by pulling either with hands or
forceps.
=Ex´tra-u´´ter-ine.= Situated or occurring outside of the uterus.
=Ex´´u-da´tive di-ath´e-sis.= A congenital predisposition to eczema in
various parts of the body, as well as to infections of the
respiratory tract.
=Fæ´ces= (_or fe´ces_). The excrement or undigested residue of the
food discharged from the bowels.
=Fen´es-tra-ted.= (_L._, fenestrum, a window.) Pierced with one or
more openings, like windows.
=Fer´ment.= Any substance that causes fermentation in other substances
with which it comes in contact.
=Fi´brin.= A substance which, becoming solid in shed blood, plasma and
lymph, causes the coagulation of these fluids.
=Fil´let.= 1. A loop-shaped structure. 2. A loop, as of cord or tape,
for making traction.
=Fis´sure.= A cleft or groove, normal or other.
=Fis´tu-la.= A deep, sinuous ulcer, often leading to an internal
hollow organ.
=Flu´id ex´tract.= A concentrated solution of the active principle of
a drug in such strength that 1 c.c. of the product equals 1 gr. of
the crude drug. The fluid is a mixture of alcohol, water and
glycerine in varying proportions. One may be omitted.
=Fœ´tus= (_or fe´tus_). The unborn offspring of any animal that brings
forth living progeny; the child in the womb after the third month.
=Fon´ta-nelle´´.= Any one of the unossified spots on the cranium of a
young infant. It is so named because it rises and falls like a
fountain.
=Fo-ra´men.= A hole or perforation, especially a hole in a bone.
=Four-chette´.= The fold of mucous membrane at the posterior junction
of the labia majora.
=Fræ´num= (_or fre´num_). A fold of the integument or of the mucous
membrane that checks, curbs, or limits the movements of an organ in
part—as the frænum of the tongue.
=Func´tion.= The normal or proper action of an organ or set of organs.
=Func´tion-al.= Of or pertaining to a function.
=Fun´dus.= The base or part of a hollow organ remotest from its mouth.
=Ga-lac´tor-rhœ´´a.= Excessive secretion of milk.
=Ga-vage´.= Feeding by the stomach tube; also the therapeutic use of a
very full diet.
=Gen´it-als.= The reproductive organs.
=Ger´´mi-cide´.= An agent that destroys germs.
=Ges-ta´tion.= Pregnancy.
=Glans cli-tor´i-dis.= The distal or outside end of the clitoris.
=Glans pe´nis.= The head, or terminal end, of the penis.
=Gon-or-rhϫa.= A contagious catarrhal inflammation of the genital
mucous membrane.
=Graaf´i-an fol´li-cle.= Any one of the small spherical ovarian
bodies, each of which contains an ovum.
=Hæm´o-phil´´i-a.= A condition of the system wherein bleeding occurs
readily, and the blood clots slowly or not at all.
=Hæm´or-rhage.= A copious escape of blood from the vessels; bleeding.
=Accidental h.=, hæmorrhage during pregnancy, due to premature
detachment of the placenta. =Post partum h.=, that which occurs soon
after labor, or childbirth. =Unavoidable h.=, that which results
from the detachment of a placenta prævia.
=Hæm´or-rhoid.= A pile, or vascular tumor of the rectal mucous
membrane.
=Hy-dat´id.= An encysted vesicle containing an encysted fluid. From
the _Greek_ “_Hydatis_,” meaning a drop of water.
=Hy-dat´i-form.= Resembling a hydatid in form.
=Hy-dram´ni-os.= Dropsy of the amnion.
=Hy´dro-ceph´´a-lous.= A fluid effusion within the cranium. This
disease is marked by enlargement of the head, with prominence of the
forehead, atrophy of the brain, mental weakness, and convulsions.
=Hy´giene.= The science of health and of its preservation.
=Hy´men.= The membranous fold which partially or wholly occludes the
external orifice of the vagina, at least during virginity.
=Hy´per-em´´e-sis.= Excessive vomiting. =H. gra-vi-da´rum=, excessive
vomiting of pregnancy.
=Hy´per-æ´´mi-a.= Excess of blood in any part of the body.
=Hy-per´tro-phy.= The morbid enlargement or overgrowth of a part.
=Hyp-not´ic.= A drug that induces sleep.
=Hy´po-der-moc´´ly-sis.= The introduction, into the subcutaneous
tissues, of fluid in large quantity.
=Hy´po-gas´´tric.= Of or pertaining to the lower anterior region of
the abdomen in the middle line of the body. The hypogastric arteries
arise from the internal iliac in addition to the branches given off
from those vessels in the adult.
=Hy´po-phos´´phite.= Any salt of hypophosphorous acid.
=Ic´ter-us.= Jaundice.
=Id´i-o-syn´´cra-sy.= An effect abnormal to the one usually produced.
An effect peculiar to the individual.
=Im-mu´ni-ty.= The condition of being immune or exempt from disease,
especially the condition arising from inoculation, or from a
peculiar resistance of the organism.
=Im´preg-na´´tion.= 1. The act of fecundation or of rendering
pregnant. 2. The process or act of saturation, a saturated
condition.
=In´farct.= A mass of substance extravasated either into the substance
of an organ or into a vessel due to the obstruction to the
circulation.
=In´´fan-tile´ pel´vis.= A pelvis which has not responded to the
developmental stimulation of the sexual glands at puberty, and
therefore remains in its infantile shape. A masculine pelvis.
=In´´fan-tile´ u´ter-us.= An undeveloped uterus.
=In-fec´tion.= The communication of disease from one person to
another, whether by effluvia or by contact, mediate or immediate;
also the implantation of disease from without.
=In´fil-tra´´tion.= To cause a liquid or gas to penetrate or enter by
pores or interstices.
=In´flam-ma´´tion.= A morbid condition characterized by pain, heat,
redness and swelling.
=In-nom´in-ate.= Not having a name, as the innominate bone.
=In-som´ni-a.= Inability to sleep; abnormal wakefulness.
=In´ter-sti´tial.= Pertaining to, or situated in, the interstices or
interspaces of a tissue.
=In´ter-tri´´go.= A chafe, or chafed patch of the skin; also the
erythema or eczema that may result from a chafe of the skin.
=In-tro´i-tus.= The entrance to any cavity or space.
=In-ver´sion.= A turning inward, inside out, upside down, or other
reversal of the normal relation of a part.
=In´vo-lu´´tion.= 1. A rolling or turning inward. 2. The return of the
uterus to its normal size after parturition. 3. A retrograde change,
the reverse of evolution.
=Is-chu´ri-a par-a-dox´a.= A condition in which the bladder is
over-distended with urine, although the patient continues to
urinate, generally in dribbles.
=Jaun´dice.= Yellowness of the skin, eyes, and secretions, due to the
presence of bile pigments in the blood.
=La´bi-a.= Lip-shaped organs. The external folds of the vulva, labia
majora, and the internal folds of the vulva, labia minora.
=Lac´e-ra´´tion.= 1. The act of tearing. 2. A wound made by tearing.
=Lac-ta´tion.= 1. The secretion of milk. 2. The period of the
secretion of milk. 3. Suckling.
=Lan-u´go.= The fine hair on the body of the fetus.
=Lav-age´.= The irrigation or washing out of an organ, such as the
stomach or bowel.
=Le´sion.= Any hurt, wound or local degeneration.
=Leu´cor-rhœ´´a.= A whitish, viscid discharge from the vagina and
uterine cavity.
=Light´en-ing.= The sense of lightness and easier breathing that
follows the descent of the head into the pelvis during the last
three weeks of pregnancy. It is most likely to occur in primiparas.
=Lo´chi-a.= The vaginal discharge that takes place during the first
week or two after childbirth.
=Lymph.= A transparent slightly yellow liquid of alkaline reaction
which fills the lymphatic vessels.
=Mal-aise´.= An uneasiness or indisposition, discomfort or distress.
=Mal´po-si´´tion.= Abnormal or anomalous position.
=Mam´ma.= The mammary gland; the breast.
=Mam´ma-ry.= Pertaining to the Mamma.
=Ma-ras´mus.= Progressive wasting and emaciation, especially such a
wasting in young children when there is no obvious or ascertainable
cause.
=Mas-sage´.= The systematic, therapeutic friction, stroking and
kneading of the body.
=Mas-ti´tis.= Inflammation of the breast.
=Me-a´tus.= A passage or opening, as the meatus urinarius.
=Me-læ´na ne-o-na-to´rum.= The passage of dark pitchy stools
containing blood pigments and blood that has been extravasated into
the alimentary canal of the newborn babe.
=Mem´brane.= A thin layer of tissue which covers a surface or divides
a space or organ.
=Men´o-pause.= The period when menstruation normally ceases; the
change of life.
=Mis-car´riage.= Abortion; premature expulsion of the fœtus; birth of
the fœtus before the twenty-eighth week.
=Milk leg= (_Phlegmasia Alba Dolens_). A condition developing in one,
and rarely, in both, legs, after delivery. It is due to occlusion of
the veins of the pelvis and leg by thrombosis or to septic
inflammation of the pelvic connective tissue.
=Mole.= 1. A fleshy mass or tumor formed in the uterus by the
degeneration or abortive development of an ovum. 2. A nevus; also a
brownish spot on the skin.
=Mons ven´er-is.= A rounded prominence at the symphysis pubis of a
woman.
=Mor-bid´i-ty.= The condition of being diseased or morbid.
=Mor´cel-la´´tion.= Division and piecemeal removal.
=Mu´cus.= The viscid watery secretion of the mucous glands.
=Mul-tip´ar-a.= A woman who has borne more than one child.
=Mum´mi-fi-ca´´tion.= Dry gangrene; also the drying up and shrivelling
of the fœtus.
=Myd´ri-at´´ic.= A drug that dilates the pupil.
=Nau´se-a.= Tendency to vomit; sickness at the stomach.
=Ne-cro´sis.= Death of a tissue, especially of a bone.
=Ne-phri´tis.= Inflammation of the kidney.
=Neu-rot´ic.= 1. Pertaining to or affected with a neurosis. 2.
Pertaining to the nerves.
=Neu´tra-lize.= To render neutral or ineffective.
=Ni´tro-gen.= A colorless gaseous element found free in air.
=Nod´u-lar.= 1. Like a nodule or node. 2. Marked with nodules.
=Nu´cle-us.= 1. a spheroid body within a cell, forming the essential
and vital part. 2. A mass of gray matter in the central nervous
system. 3. In chemistry, the central element in the molecule of a
compound.
=Nu´tri-ent.= Nourishing; affording nutriment.
=Nym´phæ.= The labia minora.
=Ob-stet´rics.= The art of managing childbirth cases; that branch of
surgery which deals with the management of pregnancy and labor.
=Ob-ste-tri´cian.= One who practices obstetrics.
=Oc´ci-put.= The back part of the head.
=Ol´i-go-hy-dram´´ni-os.= Scantiness of the liquor amnii.
=Ol´i-gop-nœ´´a.= A delay following the birth of a child before the
first respiration is established.
=Oph-thal´mi-a.= Severe inflammation of the eye or of the conjunctiva.
=Or´gan.= Any part of the body having a special function.
=Os.= (_L._, a mouth.) The orifice in the uterus or vagina.
=Os-mo´sis.= The passage of a fluid through a membrane.
=O´va.= Latin plural of ovum, egg.
=O´vu-la´´tion.= The formation and discharge of an unimpregnated ovum
from the ovary.
=O´vule.= 1. The ovum within the Graafian vesicle. 2. Any small
egg-like structure.
=O´vum.= 1. An egg. 2. The female reproductive cell which, after
fertilization, develops into a new member of the same species.
=Ox´y-di´´zer.= Anything that combines with oxygen.
=Pal-pa´tion.= The act of feeling with the hand; the application of
the fingers with light pressure to the surface of the body for the
purpose of determining the consistence of the parts beneath in
physical diagnosis.
=Par-al´y-sis, Erb’s.= 1. Same as birth-palsy. 2. Partial paralysis of
the brachial plexus affecting various muscles of the arm and
chest-walls. It is revealed by an inability to lift the arm toward
the head.
=Par-al´y-sis facial (Bell’s).= Paralysis of the face, due to lesion
of the facial nerve or of its nucleus.
=Par´a-me-tri´´tis.= Inflammation of the parametrium, or cellular
tissue about the uterus.
=Par´a-phi-mo´´sis.= Retraction of a narrow or inflamed foreskin which
can not be replaced.
=Pa-ren´chy-ma.= The essential or functional elements of an organ as
distinguished from its stroma or framework.
=Pa-ri´e-tal.= Of, or pertaining to, the walls of a cavity.
=Par´o-nych´´i-a.= Infection and suppuration about the junction of
nails and skin.
=Par´ox-ysm.= A sudden recurrence or sudden intensification of
symptoms.
=Path-o-log´ic.= Pertaining to pathology.
=Pa-thol´o-gy.= That branch of medicine which treats of the essential
nature of disease, especially of the structural and functional
changes caused by disease.
=Pel-vim´e-ter.= An instrument for measuring the various diameters of
the pelvis.
=Pel-vim´e-try.= The act of determining the dimensions of the pelvis
by means of a pelvimeter.
=Per´i-ne-or´´rha-phy.= Suturation of the perineum, performed for the
repair of a laceration.
=Per´i-ne´´um.= The space or area between the anus and the genital
opening.
=Pe-riph´e-ry.= The outward part or surface.
=Per´i-to-ne´´um.= The serous membrane which lines the abdominal
walls.
=Per´i-to-ni´´tis.= Inflammation of the peritoneum.
=Per´i-stal´´sis.= A worm-like movement by which the alimentary canal
propels its contents.
=Per-ni´cious.= Tending to a fatal issue.
=Phe-nom´e-non.= Any remarkable appearance; any sign or objective
symptom.
=Phys´i-o-log´´ic.= Pertaining to physiology.
=Phys´i-ol´´o-gy.= The science which treats of the functions of the
living organism and its parts.
=Phi-mo´sis.= Tightness of the foreskin such that it can not be drawn
back over the glans.
=Phle-bi´tis.= Inflammation of a vein.
=Pig´men-ta´´tion.= The deposition of coloring matter.
=Pla-cen´ta præ´vi-a.= A placenta which intervenes between the
intrauterine cavity and the inner orifice of the cervical canal.
=Pla-cen´ta suc´cen-tur´i-a´´ta.= An accessory or subsidiary placenta.
=Pled´get.= A small compress or tuft as of wool or lint.
=Pleth´o-ra.= A condition marked by vascular turgescence, excess of
blood and fullness of pulse.
=Po-dal´ic.= Pertaining to, or accomplished by means of, the feet.
=Pol´y-hy-dram´´ni-os.= Excess in the amount of the liquor amnii in
pregnancy.
=Po-si´tion.= 1. The attitude or posture of a patient. 2. The relation
of the presenting part of the fœtus to the quadrants of the maternal
pelvis.
=Pos-te´ri-or.= Situated behind or toward the rear.
=Post par´tum.= After delivery.
=Pre´ma-ture.= 1. Occurring before the proper time. 2. An infant born
before its proper term, but viable.
=Pre´ma-tu´´ri-ty.= The condition of a child that has been delivered
before term, and before maturity or ripening has taken place.
=Pre-mon´i-tory.= Serving as a warning.
=Pre´puce.= The fold of skin covering the glans penis; the foreskin.
=Pres´en-ta´´tion.= 1. The appearance in labor of some particular part
of the fœtal body at the os uteri. 2. That part of the fœtal body
which first shows itself at the os in labor.
=Pri-mip´a-ra.= A woman who has given birth, or who is giving birth,
to her first child.
=Prod´ro-mal.= Premonitory. Indicating the approach of an event,
phenomenon, or disease.
=Prog-no´sis.= A forecast as to the probable result of an attack of
disease; the prospect as to recovery from a disease afforded by the
nature and symptoms of the case.
=Pro-jec´tion-al vom´i-ting.= Sudden violent emesis.
=Pro-lapse´.= The falling down, or sinking, of a part or viscus.
=Pro-lep´sis.= The anticipation and nullification of complications
before they arise.
=Prom´´on-to´ry.= A projecting eminence or process.
=Pro´phy-lax´´is.= The prevention of disease.
=Pro´te-in.= Any one of a group of nitrogenized, noncrystallizable
compounds similar to each other, widely distributed in the animal
and vegetable kingdoms, and forming the characteristic constituents
of the tissues and fluids of the animal body. They are formed by
plants, the animal organism receiving them as food and transforming
and assimilating them. They all contain carbon, hydrogen, nitrogen,
oxygen and sulphur. Some of the most important are albumin, casein,
legumin, fibrin, myosin and glutin.
=Psy´chic.= Pertaining to the mind.
=Pu´bes.= That part of the lower central hypogastric region which, in
the adult, is covered with hair. The pubic region.
=Pu´bic.= Pertaining to the pubes, or os pubis.
=Pu´ber-ty.= The age at which the reproductive organs become
functionally operative.
=Pu´bi-ot´´o-my.= (_He-bos´te-ot´´omy._) The operation of cutting
through the pubic bone, lateral to the median line.
=Pu-er´pe-ral.= Pertaining to childbirth.
=Pu´er-pe´´ri-um.= The period or state of confinement. The puerperium
is the time succeeding labor which is necessary for the restoration
of the genitals to their condition previous to pregnancy, or as near
it as possible. It varies from 6 weeks to several months.
=Pu´ru-lent.= Consisting of or containing pus.
=Py-æ´mia.= Blood-poison of microbic origin.
=Py´e-li´´tis.= Inflammation of the pelvis or the kidney.
=Py´or-rhœ´´a.= A discharge of pus, especially from infection around
the roots of the teeth.
=Py-ro´sis.= Heartburn. Acidity of the stomach. Eructations of acid.
=Re´flex-es.= Reflected actions or movements. Impulses received and
transmitted by the nervous system without conscious volition.
Involuntary responses to irritation. Automatic movements.
=Re-frig´e-rant.= Relieving fever and thirst. A cooling remedy.
Acidulous drinks and evaporating lotions are refrigerant.
=Re-gur´gi-ta´´tion.= 1. The casting up of undigested food. 2. A
backward flowing of the blood through the left auriculo-ventricular
opening, on account of imperfect closure of the mitral valve.
=Re´lax-a´´tion.= 1. A lessening of tension. 2. A mitigation of pain.
=Re´nal.= Pertaining to the kidney.
=Res´ti-tu´´tion.= 1. An act or process of restoration. 2. The
rotation of the presenting part of the fœtus outside of the vagina.
=Re´tro-gres´´sive.= Going or moving backward. Passing from a better
to a worse condition.
=Re´tro-ver´´sion.= The tipping of an entire organ backward.
=Rick´ets.= (_Ra-chi´tis._) A constitutional disease of childhood in
which the bones become soft and flexible from retarded ossification,
due to deficiency of the earthy salts.
=Ro-ta´tion.= The process of turning around an axis.
=Rough´en-ing.= Any rough, coarse food that gives bulk to the
intestinal contents without much nutrition.
=Ru´be-fa´´ci-ent.= An agent that reddens the skin.
=Ru´gæ.= Wrinkles or folds.
=Rup´ture.= 1. Forcible tearing or breaking of a part. 2. Hernia.
=Sa´crum.= The triangular bone situated at the end of the spine. It is
formed of five vertebræ, amalgamated and wedged in between the two
innominate bones.
=Sag´it-tal.= Shaped like, or resembling, an arrow.
=Sal´i-va´´tion.= An excessive discharge of saliva.
=Sal´pin-gi´´tis.= Inflammation of an oviduct or of the eustachian
tube.
=Sal´´var-san´.= A compound invented by Ehrlich for the treatment of
diseases caused by the Spirillæ, such as syphilis and recurrent
fever. It is popularly called 606.
=Sa-præ´mi-a.= Poisoning of the blood by the absorption of toxins from
localized infections as from the uterus.
=Scap´u-la.= The shoulder blade.
=Scro´tum.= The pouch which contains the testicles and their accessory
organs.
=Se-ba´ceous.= 1. Pertaining to sebum or suet. 2. Secreting a greasy
lubricating substance.
=Se-cre´tion.= 1. The process or function of separating various
substances from the blood. 2. Any secreted substance.
=Sec´un-dines.= All that remains in the uterus after the birth of the
child is called secundines—placenta, membrane and cord.
=Se´men.= 1. A seed or seed-like fruit. 2. The thick whitish liquid
fecundating secretion produced in coition.
=Shock.= Sudden vital depression, due to an injury or emotion which
makes a sinister impression upon the nervous system.
=Show.= The appearance of blood that foreruns a labor or menstruation.
=Sin´a-pism.= A plaster or paste of ground mustard-seed; a mustard
plaster.
=Sin´ci-put.= The portion of the head lying in front of the anterior
or large fontanelle.
=Si´nus.= 1. A recess, cavity or hollow space. 2. A dilated channel
for venous blood, found chiefly within the cranium and uterus during
gestation. 3. An air-cavity, in one of the cranial bones, especially
one communicating with the nose, such are the ethmoidal frontal
maxillary and sphenoidal sinuses. 4. A suppurating channel or
fistula.
=Smeg´ma.= A thick, cheesy, ill-smelling secretion found under the
prepuce and around the labia minora.
=So-lu´tion.= 1. The process of dissolving. 2. A liquid containing
dissolved matter.
=Sor´des.= The dark brown matter which collects on the lips and teeth
in low fevers.
=Spas´mo-phil´´ic di-ath´e-sis.= Is a condition characterized by an
increased elective irritability and a tendency to spasm, like
contractions of one or more groups of muscles. (Grulee).
=Spe-cif´ic.= 1. Pertaining to a species. 2. Produced by a single kind
of microorganism. 3. A remedy specially indicated for any particular
disease.
=Sper´ma-to-zo´´on.= The motile generative element of the semen which
serves to impregnate the ovum.
=Spi´na bif´i-da.= Congenital cleft of the vertebral column with
meningeal protrusion.
=Spi´ro-chæ´´te.= A genus or form of flexile spirobacteria.
=Sta´sis.= A stoppage of the flow of fluid in any organ or any part of
the body.
=Ste-no´sis.= Narrowing or stricture of a duct or canal.
=Ster´ile.= Nonfertile.
=Ster´il-i-za´´tion.= The act or process of rendering sterile.
=Still-birth.= The birth of a dead fœtus.
=Stim´u-lant.= 1. Producing stimulation. 2. An agent or remedy that
produces stimulation.
=Strep´to-coc´´cus.= A genus or form of bacterial organism, which
grows in consecutive links, like a chain.
=Stri´a=, pl. _striæ_. Streaks or lines.
=Stro´ma.= The tissue which forms the ground substance, framework, or
matrix of an organ.
=Styp´tic.= Astringent, an agent for arresting hæmorrhage.
=Sub´in-vo-lu´´tion.= Incomplete involution; failure of a part to
return to its normal size and condition after enlargement from
functional activity.
=Sup-pos´i-to-ry.= An easily fusible medicated mass to be introduced
into the vagina, rectum, or urethra.
=Su´ture.= 1. Surgical stitch or seam. 2. The line of junction of
adjacent cranial or facial bones.
=Sym´phys-e-ot´´o-my.= The division of the fibrocartilage of the
symphysis pubis in order to facilitate delivery by increasing the
anteroposterior diameter of the pelvis.
=Sym´phy-sis.= The line of junction and fusion between bones
originally distinct. The symphysis pubis.
=Syn´chro-nous.= Occurring at the same time.
=Syph´i-lis.= A contagious venereal disease leading to many structural
and cutaneous lesions, due to a microorganism called the spirochæta
pallida.
=Tam´pon.= A plug made of cotton, sponge, or oakum.
=Te-nac´u-lum.= A hook-like instrument for seizing and holding
tissues.
=Te-nes´mus.= Straining, especially ineffectual and painful straining.
=Throm´bus.= A plug or clot in a vessel remaining at the point of its
formation.
=Tinc´ture.= The solution of medicinal substances in fluids other than
water or glycerine. There is usually about one part of the drug to
eight of alcohol.
=Tis´sue.= An aggregation of cells, fibers and various cell-products
forming a structural element.
=Tox-æ´mi-a.= Blood poisoning.
=Tox´in.= Any poisonous albumin produced by bacterial action.
=Trau´ma.= A blow, wound, or other violent injury.
=Trau´ma-tism.= A condition of the system due to injury.
=Tu´mor.= 1. Swelling; morbid enlargement. 2. A neoplasm. A mass of
new tissue which persists and grows independently of its surrounding
structures, and which has no physiologic use.
=Tym´pa-ni´´tis.= Distention of the abdomen from gas.
=Um-bil´i-cal.= Pertaining to the umbilicus.
=Um-bi-li´cus.= The navel.
=U´ra-chus.= A cord that extends from the apex of the bladder to the
navel. It represents the remains of the canal in the fœtus which
joins the bladder with the allantois.
=U-re´a.= A white crystallizable substance from the urine, blood and
lymph.
=U-re´ter.= The fibro-muscular tube which conveys the urine from the
kidney to the bladder.
=U-ræ´mi-a.= The presence of urinary constituents in the blood and the
toxic condition produced thereby.
=U-re´thra.= A membranous canal conveying urine from the bladder to
the surface and in the male conveying the seminal ejaculations.
=U´rin-al´´y-sis.= The chemical analysis of urine.
=U´ter-us.= The hollow muscular organ which provides lodgement for the
fœtus from conception to birth. The womb.
=U´ter-us bi-cor´nis.= A womb wherein the two sides have been
incompletely joined during development, and two horns, or
protrusions, appear on the fundus.
=U´ter-us di-del´phys.= A womb in which there has been separate
development and incomplete fusion of the two sides.
=U´ter-us du´plex.= A double uterus.
=U´ter-us sep´tate.= A uterus that is divided by a partition or
septum.
=Var´i-cose veins.= Of the nature of, or pertaining to, a varix. The
permanent dilatation of a vein.
=Ven´e-sec´´tion.= The opening of a vein for the purpose of letting
blood.
=Ven´tral stalk.= An embryonic process which is the rudimental
precursor of the umbilical cord. It is known as the ventral stalk
because somewhat later in the course of development it becomes
attached to the ventral (abdominal) surface of the embryo.
=Ver´nix cas´e-o´´sa.= A fatty substance that covers the skin of the
fœtus.
=Ver´sion=. The act of turning, especially the manual turning of the
fœtus in delivery. =External v.=, that which is performed by outside
manipulation. =Internal v.=, version performed by the hand
introduced into the uterus. =Braxton Hicks’ Version=, a version done
with the whole hand in the vagina and two fingers entering the
uterus through the partially dilated os.
=Ves´i-cal.= Pertaining to the bladder.
=Vi´a-bil´´i-ty.= Able to live after birth.
=Vil´li.= 1. The finger-like projections that develop on the outside
of the egg and connect it vascularly and otherwise with the uterus;
a vascular chorionic tuft. 2. A minute club-shaped projection from
the mucous membrane of the intestine.
=Vul-sel´lum.= A forceps with teeth on the ends of the jaws.
=Walch´er’s position.= The patient on the back with the hips at the
edge of the table and the legs hanging down.
=Whar´ton’s jelly.= The soft pulpy connective tissue that constitutes
the largest part of the umbilical cord.
=Womb.= Same as uterus.
INDEX
A
Abderhalden test for pregnancy, 61
Abdomen:
care of, 70
changes in pregnancy, 59
weakness of, 85
Abortion, 95
etiology, 207
management, 207
Accessory articles of diet, 319
Accidental hæmorrhage, 228
After-birth, 41, 117
After-pains, 154, 254
relief of, 154
Albuminuria, 77 (_see_ Eclampsia)
Amenorrhœa, 57
during lactation, 158
in the nonpregnant, 58
Amnion, 38
adhesions, 87
Anæsthetics, 103, 138, 142
Anencephalus, 309
Anus, 23
Aphthæ, 294
Areola, 31
Asepsis in delivery, 142
Aseptic care, 200
Asphyxia neonatorum, 278
methods of resuscitation, 279
Atelectasis, 283
Attitude of child, 165
B
Baby:
anencephalus, 309
aphthæ, 294
asphyxia, 142, 278
balanitis, 306
bath, 266
bowels, 273
breasts, 293
care after delivery, 144
care at birth, 142
circumcision, 306
cleansing, 265
clothing, 270
colic, 299
constipation, 298
convulsions, 282
cradle cap, 295
diarrhœa, 298
exercise, 284
eyes, 268
furuncles, 305
flushings, 285
gavage, 285
genitals, 272
hæmorrhage, 289
harelip and cleft palate, 287
heart, 278
hernia, 287
hydrocephalus, 308
icterus, 293
lavage, 286
marasmus, 303
menstruation, 293
mouth, 272
nails, 289
nursing periods, 273, 156
paraphimosis, 305
phimosis, 305
pneumonia, 304
prematurity, 301
priapism, 308
respiration, first, 142
routine for, 270
significant symptoms and
conditions, 320
sleep, 272
snuffles, 304
spina bifida, 308
temperature, 276
thrush, 294
tongue-tie, 287
toilet basket, 271
umbilicus, 267
urticaria, 294
vomiting, 300
weight, 271
Bag of waters, 39, 110
Balanitis, 306
Ballottement, 62
Barley water, 316
Baths, 69, 325
Bed, making, 133
Bed-linen, care of, 150
Bed sores, 263
Bednar’s disease, 294
Bichloride solution, 135
Birthmarks and deformities, 72, 87
Binder, 153
Bladder, 23
after delivery, 159
in pregnancy, 56, 58
Bleeders, 232, 290
Blood, in pregnancy, 55
Bowels, in pregnancy, 68
in puerperium, 157
Breast milk, quantity, 275
Breasts, 30
caked, 156, 243
care of, 71
changes due to marriage and pregnancy, 53, 59
inflow of milk, 53
massage, 156
nursing periods, 156
of puberty, 33
preparation for lactation, 155
removal of child, 252, 261
sensations in pregnancy, 59
supernumerary, 31
Breech presentation, 168
Brow presentation, 177, 179
Buttermilk, 314
C
Cæsarean section, 195
Caput succedaneum, 127
Case record, nurse’s, 131
Catheterization,
after delivery, 159
before operations, 183
Caul, 114
Cephalhæmatoma, 128
Cervix, effacement, 110
repair, 144, 211
Child (_see_ Baby)
Chill in puerperium, 151
Chloasma, 55
Chloroform in labor, 103
Chorion, 38
Circumcision, 306
Clamp for cord, 268
Clitoris, 26
Coitus, 71
Colic, 300
Colostrum, 53
Conception, 36
Condylomata, 75
Confinement, estimating date, 58, 66
Constipation, 68, 298
Contraction of pelvis, 214
Contractions of Braxton Hicks, 53, 62, 109
Convulsions, of child, 282
of mother, 236
Cord, umbilical, 40
attachment to placenta, 42
cutting, 142
granulations of, 293
prolapse of, 220, 137
separation, 292
Cow’s milk vs. breast milk, 311
Cradle cap, 295
Cramps, 56, 86
Cranioclasis, 194
Curettage of uterus, 206
in abortion, 207
Curve of Carus, 20
D
Decapitation, 194
Delivery, asepsis during, 142
care of mother after, 144
on side, 140
Diabetes and pregnancy, 95
Diapers, 270, 273
bluing on, 270, 296
Diarrhœa of child, 298
Diet in puerperium, 152, 155
Diets, 336
Doctor, 130
when to call, 131
what to report, 131, 319
Douche, vaginal, 202
aseptic, 200
in pregnancy, 71, 160
intrauterine, 205, 233
Dress in pregnancy, 69
Drugs affecting the milk, 275
Dry birth, 225
Ductus arteriosus, 49
venosus, 48
E
Eclampsia, 78
blood pressure in, 55
symptoms and management, 237
wet packs in, 231
Ectopic pregnancy, 89
Edema, 69
Enemas, eliminative, 355
nutrient, 334
Episiotomy, 211
Ergot, 143
after delivery, 150
in abortion, 207
in post partum hæmorrhage, 233
Eruptions on the skin, 55
Erythema, 296
Ether in labor, 103
Examination of patient, 134, 140
Excavation of pelvis, 19
Extrauterine pregnancy, 89
Exudative diathesis, 295
Eye symptoms in pregnancy, 69
F
Face presentation, 174, 179
Fallopian tubes, 22
Fainting, 70
Fevers and pregnancy, 91
Flour ball, 316
Flushings, 285
Fœtus, attitude, 44
circulation, 48
diameters of head, 46
fontanelles, 46
heart tones, 63, 180
movements, 44, 62
rate of growth, 46
rule for estimating length, 47
rule for estimating weight, 47
signs of danger to, 180
signs of death, 97
signs of maturity, 47
Food mixings, 317
preparation for infants, 314
Foramen ovale, 50
Forceps, application, 186
conditions for, 185
dangers of, 185
in breech cases, 173
in face presentations, 176
indications for, 185
preparations for, 183
Fumigation, 329
Furuncles, 305
G
Galactorrhœa, 250
Gas analgesia, 104
Gas pains, 154, 158, 253
Gavage, 285
Genital crease, 25
Genitalia, care after delivery, 142, 148
preparation for delivery, 131
preparation for operation, 182
Getting up, 161
Gingivitis, 75
Glands, Bartholin, 27
mammary, 30
Montgomery, 31
thyroid, 56
Glossary, 351
Glycosuria, 69
Gonorrhœa and pregnancy, 93
Goodell’s sign, 60
Gossip, 161
Graafian follicle, 33
Gums in pregnancy, 75
H
Hæmorrhage, accidental, 228
in abortion, 207
in labor, 144, 119, 143
in the newborn, 289
in pregnancy, 95
post partum, 232, 234
unavoidable, 228
uterine douche for, 205
Hæmorrhoids, 86
Hair, 55, 132
Hands, care of, 160, 323
sterilization of, 134
Harelip and cleft palate, 287
Head, descent, 123
expulsion of, 115
effect of labor on, 126
extension, 126
external restitution, 126
flexion, 123
internal rotation, 124
Headache, 237, 254
Heart changes in pregnancy, 55
lesions in pregnancy, 94
Heart tones, fœtal, where
heard, 130
significance, 137
when membranes rupture prematurely, 226
Hegar’s sign, 60
Hernia, 287
Herpes in pregnancy, 76
Hospital drums, packing, 138
Hottentot apron, 26
Hydramnios, 87
and malpresentations, 175
and twins, 84
Hydrocephalus, 308
Hymen, 26
Hypodermoclysis, 206
Hyperemesis gravidarum, 79
I
Icterus, 293
Induction of labor, 208
Infant feeding, 310
outfit, 101
Infection, 226, 255
Injections, eliminative, 335
intravenous, 205
nutrient, 334
Insomnia, 56
Intertrigo, 296
Involution, 152, 160, 161
J
Jacquemins’ sign, 62
Jaundice, of child, 293
of mother, 95
K
Kidneys of child, 44
of mother, 56, 68, 95
L
Labia majora, 25
minora, 26
Labor, care during, 140
induction of, 208
precipitate, 223
preparations for, 130, 138, 326
signs of, 129
vomiting in, 228
Lactation and menstruation, 157
Lavage, 286
Leucorrhœa, 71
Lightening, 65, 108
Linea albicantes, 55
nigra, 55
Liquor amnii, 38
in disease, 87
Liver, of child, 44
of mother in pregnancy, 56, 95
Lochia, 154
and the hands, 160
Longings, 56
Lungs in pregnancy, 56
M
Malæna neonatorum, 290
Marasmus, 303
Mask of pregnancy, 55
Mastitis, 247
Maternal impressions, 72
Membranes, 110
premature rupture, 225
relation of rupture to labor, 114
rupture of, 109, 114
Menstruation, definition of, 33
during lactation, 157
in infant, 298
physiology of, 34
relation to conception and pregnancy, 33
systemic effects, 35
Milk fever, 243
Milk, elements of human, 312
excess of, 249
fat-free, 317
inflow, 156
peptonizing, 338
pasteurizing, 316
quality, 251
scarcity, 249
sterilization, 316
to dry up, 163
whole milk, 317
Milk leg, 262
Mind in pregnancy, 72
Moles, 80
Monsters, 88, 308
Mons veneris, 25
Morning sickness, 58
Multiple pregnancy, 83
N
Nausea, 58
Nervous system, 56
Neuralgia, 56
Nipple, 30
care of, 71
cracks and fissures, 244
imperfect, 245
preparation for lactation, 155
rubber, 318
Normal labor, 107
amount of blood lost, 119
causes of, 107
course of, 110
date of onset, 107
duration of first stage, 114
duration of second stage, 114
general effects, 118
mechanism, 120
subjective phenomena, 115
Nurse, 98
and cleanliness, 129, 323
and history sheet, 131
in obstetrics, 98
in puerperal fever, 262
outfit, 99
qualifications, 323
sterilizing, 101
Nursery rules, 269
Nursing periods, 156
Nursing the child, 293
O
Odors of person, 324
Oligohydramnios, 87
Operations, preparations for, 180
why required, 179
Ophthalmia neonatorum, 93, 142, 192
Os, digital dilatation, 211
physiology of dilatation, 111
rigidity of, 222
Ovaries, 23
Ovulation, 33
Ovum, 33
death of, 96
fertilization, 36
implantation, 37
mode of progress, 23
relation to uterine cavity, 52
P
Packs, wet, 213
Pains, after, 154
cause of, 109
character of, 115, 131, 138
false, 108
from gas, 154
regularity of, 110, 130
Palpation, 134
Paralysis, facial, 291
of shoulder (Erb’s), 291
Paraphimosis, 305
Patient, care of, after delivery, 144
during second stage, 137
examination of, 74, 133
in first stage, 133
loss of weight post partum, 155
preparation of, 131, 138
rest, 160
visitors, 133, 161
Pelvic floor rigidity, 223
Pelvis, 17
brim, 18
contracted, 214
diameters, 214
false, 17
measurements, 214
quadrants of, 121
shape, 18
true, 17
upper strait, 18
Pemphigus neonatorum, 296
Perineorrhaphy, 144
instruments, 139, 145, 146
after-care, 147
Perineum, 28, 25
head on, 115
preservation, 145
repair, 143, 144
torn in labor, 30
Peritoneum, 24
Peritonitis, (_see_ Infection)
Phimosis, 305
Phlebitis, 263
Physical signs of pregnancy, 59
Pigmentation, 55, 77
Pituitrin, 143, 224
Placenta prævia, 29
Placenta, 41
anomalies, 88
early expression, 149
infarcts, 88
conditions for Crede expression, 150
manual removal, 150
Pneumonia in child, 304
Point of direction, 121
Position, occipito-posterior, 178
of breech, 165
of face, 175
of head, 121
Walcher, 193
Pregnancy, Abderhalden’s test for, 61
age of, 65
albuminuria in, 77
at fourth month, 61
bowels in, 68
cathartics in, 68
condylomata, 75
constipation in, 75
cramps, 86
diabetes in, 95
diagnosis, 57
duration of, 66, 107
extra uterine, 89
fevers and, 91
general effects, 56
gingivitis, 75
gonorrhœa, 93
hæmorrhages, 95
hæmorrhoids in, 86
heart disease and, 94
heartburn, 68
herpes, 76
hydramnios in, 87
hygiene of, 66
hyperemesis in, 79
kidneys in, 68
local effects, 51
maternal changes, 51
mental conditions in, 72
pressure symptoms, 85
probable signs, 61
pruritus, 76
pyelitis, 79
salivation, 75
signs at 26th week, 62
syphilis, 92
toothache, 75
toxæmias, 74
tuberculosis, 92
varicose veins, 85
vomiting in, 79
Prematurity, 301
Presentation, definition, 120
frequency of vertex, 121
of breech, 165
of face and brow, 174
transverse, 174
Pressure symptoms, 85
Priapism, 308
Proprietary foods, 314
Pruritus in pregnancy, 76
Ptyalism, 75
Puberty, 33
Pubiotomy, 198
after-care, 199
Puerperal fever, 255
disposal of excreta, 261
etiology, 255
nurse and, 262
prevention, 258
symptoms, 259
treatment, 260
Puerperium, 151
diet in, 152
laxatives, 158
standing orders for, 162
Pulse in puerperium, 151
Pyelitis, 79
Pyloric stenosis, 303
Q
Quickening, 59
R
Rectal feeding, 333
Rectal infusions, 212
Rectum, 23
in labor, 23, 142
Red gum, 297
Renal disease, 95
Rest, 160
Room, setting up, 130, 180
Rubber gloves, 136
Rubber nipples, 318
S
Salivation, 75
Second stage of labor, 114
Sex, determination of, 65, 72
Sexual relations, 71
Sheet sling, 146, 181
Show, 109, 129
Skin, changes, 54
care of, 69
eruptions, 55
pigmentation, 55, 77
striæ gravidarum, 54
Snuffles, 304
Solutions, 340
percentage table of, 341
Souffle, funic, 65
uterine, 63
Spermatozoa, 36
Spina bifida, 308
Standing orders for nurse, 164
for puerperium, 163
Starvation fever, 276
Sterile linen, application, 138, 182
Sterilization, 101, 323
dressings, 325
instruments, 327
rubber goods, 328
Stitches, care of, 160
removal, 202
Stomach capacity of child, 275
Subinvolution, 155, 260, 261
Subjective signs of pregnancy, 57, 59
Sudden death of infant, 309
of mother, 263
Sugar in urine, 69
Sugars and flours, 317
Supplemental feedings, 310
Supplies for house, 99
for sterilization, 101
preparation of, 326
Symphyseotomy, 198
Syphilis and fœtus, 88
and pregnancy, 92
of placenta, 88
T
Tampon of uterus, 202
of vagina, 204
Temperature in puerperium, 151
Third stage of labor, 117, 142, 143
conduct of, 149
Thrombus, 263
Thrush, 294
Thyroid gland, 56
Toilet basket, 271
Tongue-tie, 287
Toothache, 75
Toxæmia, 74
Transfusion, 205
in eclampsia, 240
Tubercles of Montgomery, 31
Tuberculosis and pregnancy, 92
Twilight sleep, 103
Twins, 83
U
Umbilicus, 267
Unavoidable hæmorrhage, 228
Urination, after delivery, 158
of child, 273
Urine, 56
in pregnancy, 77
in puerperium, 151
sterile specimen, 200
sterile specimen from child, 200
Urticaria, 294
Utensils for milk modification, 318
Uterus, anatomy, 21
changes in pregnancy, 51, 59
curettage, 206
displacements, 84
height at various months of pregnancy, 64
inertia, 223
malformations, 85
rupture, 226
Uterine souffle, 63
V
Vagina, anatomy, 21
attachments, 21
distensibility, 21
Vaginal tampon, 204
in abortion, 207
Varicose veins, 85
Ventral stalk, 40
Version, 190, 192, 193
Vestibule, 26
Vessels of cord, 48
Villi, 37
Visitors, 133, 161
Vomiting, 300, 321
in pregnancy, 79
in labor, 228
uncontrollable, 79
Vorhees bag, 224, 230
Vulva, anatomy, 24
care of, 143
preparation, 132
W
Walcher position, 173, 193
Weaning, 252, 273
Wet nurse, 253
Wharton’s jelly, 40
Whey, 315
Wiegand compression, 173, 194
Witch’s milk, 32
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TRANSCRIBER’S NOTES
1. Silently corrected typographical errors and variations in spelling.
2. Anachronistic, non-standard, and uncertain spellings retained as
printed.
3. Enclosed italics font in _underscores_.
4. Enclosed bold font in =equals=.
End of Project Gutenberg's Obstetrics for Nurses, by Charles B. Reed