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Image from page 63 of “The operating room, a primer for pupil nurses” (1916)

Image from page 63 of “The operating room, a primer for pupil nurses” (1916)
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Identifier: operatingroompri00smit
Title: The operating room, a primer for pupil nurses
Year: 1916 (1910s)
Authors: Smith, Amy Armour
Subjects: Nurses Operations, Surgical. [from old catalog]
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Text Appearing Before Image:
rger tube (rectal) and the bowelflushed with cool water and soapsuds. One ounce ofether and three of oil are used for every 75 pounds ofbody weight. Chloroform and ether deteriorate if exposed to air,and must be bought in containers as small as possible—ether, in J-pound cans; chloroform, 40 grams. In be-ginning a new case an anesthetist must open a new bottle.To carry it on, most men will use the left overs from aprevious case. If not, use these ends for cleaning, keep-ing them in two stock jars. It is especially good forgrease marks. Chloroform, ether, and ethyl chlorid mustnot be allowed to evaporate. That is wasteful. Chloro-form masks may be covered with flannel, which is boiledafter every case, thus getting so hard that it must be fre- 64 OPERATING ROOM quently renewed. Anything more open of mesh will letdrops through. The pulmotor (Fig. 10) requires skilled care in cleaning,especially in not confusing the parts and closing offthe wrong channels, but can be operated by anyone.

Text Appearing After Image:
Fig. 10.—The pulmotor. For resuscitation of the apparentlylifeless from the effects of anesthesia, poisonous gases, smoke, drown-ing, electricity, collapse from any cause. The operator applies aface mask and turns a key, starting the mechanism of the apparatus,to produce immediate and measured respiration, with pure oxygenentering the lungs at each inhalation. The tongue is held forwardby forceps, and oxygen prevented from entering the esophagus bypressure with the right hand (Da Costa, Modern Surgery). All syringes, as for spinal anesthesia, must be verythoroughly cleansed with cold water after containinghuman serum, which, if cooked, will ruin their working. Pus-basins for vomitus should have a high outer wall. The anesthetist should have a certain position for histable of supplies. When the nurse is coming in with thepatient the orderly may carry this table to its place andprovide him with his high stool. THE ANESTHETIC NURSE 65 The anesthetist is sometimes covered by a sheet,and

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