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Transcriber's Notes:

A REFERENCE HAND-BOOK FOR NURSES

BY AMANDA K. BECK, R. N.

Graduate of the Illinois Training School for Nurses

FOURTH EDITION, REVISED PHILADELPHIA AND LONDON W. B. SAUNDERS COMPANY 1919

PRINTED IN AMERICA

PRESS OF W. B. SAUNDERS COMPANY PHILADELPHIA

TO ISABEL McISAAC

For many years Superintendent of the Illinois Training School for Nurses, of Chicago

AND TO IDORA C. ROSE

Formerly her Assistant and now her Successor

THIS BOOK IS AFFECTIONATELY INSCRIBED

PREFACE TO THE FOURTH EDITION.

In the present edition of this work a few new subjects have been added and the text has been somewhat altered in order that certain recent advances and changes might be noted and brought into daily service. I have not been unmindful, however, of the fact that to be of the greatest possible use to our profession this volume must remain small and compact.

I hear frequently that this Handbook is valued by my fellow-workers and that it is to many of them a daily help and companion. This is a source of great pleasure to me, and I hope that this new edition will be found more useful even than any of its predecessors.

PREFACE

As a probationer doing class and hospital work and as a graduate trained nurse I took notes of all the various formulae, directions, etc., that might at some time be useful to me in the pursuit of my duties. My class work was productive of many valuable items of information; these and such other items as I gathered in the course of my hospital work and while on private duty, and others which were the result of my own experience and observation, I kept in a memorandum book which soon became indispensable to me, and which I used until the leaves became worn and fell apart. I rewrote this memorandum book three times, and the task of its fourth rewriting made me wish that I had its contents in a form more easily preserved. The inspiration followed that my notes in book form would be of general use to most nurses and of some use to many physicians. This little volume is the result.

To my own notes, all of which have been submitted to competent authorities for criticism, I have added several articles by eminent physicians and superintending nurses, which tend to round out the usefulness of the book. I have kept in mind, however, my original intention of producing a hand-book of convenient size for quick reference.

To the authors of these articles, to the friendly critics to whom my notes were submitted, and to the kind friends who encouraged me in this work, I extend my sincere thanks.

AMANDA K. BECK, R. N.

REFERENCE HAND-BOOK FOR NURSES.

ABBREVIATIONS.

ABBREVIATION. LATIN. ENGLISH.

GLOSSARY OF MATERIA MEDICA.

In the following Glossary will be found short definitions of many of the terms employed in the Dispensatory to designate the medical properties of the remedies; most of the words are commonly employed as nouns, and sometimes as adjectives.

ROMAN NUMERALS.

POPULAR AND OFFICIAL NAMES OF MEDICINAL PREPARATIONS.

WEIGHTS AND MEASURES.

Used for weighing gold, silver, and jewels.

The ounce and pound in this are the same as in Troy weight.

METRIC MEASURES OF CAPACITY.

APOTHECARIES OR TROY WEIGHT.

TABLES FOR PERCENTAGE OF SOLUTIONS.

The following tables are sufficiently correct for practical purposes:

APOTHECARIES' MEASURE.

SOLUTIONS.

TO MAKE A 1: 500 SOLUTION.

Add 1 gr. or 1 m. to 1 ounce of water. Add 15 " 15 " 1 pint " Add 30 " 30 " 1 quart " Add 120 " 120 " 1 gallon "

To make 1 : 1000 sol. take 1 part of 1.500 sol. and 1 part water. To make 1 : 2000 " 1 " 1.500 " 3 parts water. To make 1 : 4000 " 1 " 1.500 " 7 " To make 1 : 5000 " 1 " 1.500 " 9 "

To make a 1: 500 solution of formaldehyd add 38 minims of formalin to 1 pint of water.

A HANDY SOLUTION TABLE WITH DOMESTIC MEASURES.

SOLUTION. DOMESTIC MEASURE.

TO PREPARE A 1: 500 SOLUTION.

There are 7680 m. in 1 pint of solution ; therefore we divide 7680 by 500 as follows:

N.B.--Divide the number of m. in 1 pint by the strength of the solution, and then divide the result by the percentage of original strength of the article.

When original strength of solution is less than 100 per cent., as, for example, formaldehyd, which is 40 per cent., divide the quotient above resulting by the percentage of strength--viz.:

To get a ?/??? of a grain dose of any drug out of a solution of 60 minims containing ?/?? of a grain of that drug, compute as follows:

The indications of its too free use are puffiness under the eyes, or griping pains in the abdomen, with diarrhea.

Toxic doses cause abdominal pain, vomiting, purging, swelling of the face, and collapse.

Aconite is a powerful poison, causing in overdoses tingling of the lips, tongue, and extremities, cold sweat, pallor, a feeble pulse, and collapse.

In large doses alcohol in any form causes mental excitement, delirium, loss of co-ordination, and finally stupor and coma. Death may result from paralysis of the heart or respiration.

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