Arizona republican. [volume] (Phoenix, Ariz.) 1890-1930, 1893-02-19

possible moment be recognized and
treated, for it is by these complications
the worst results follow. A gradual
rise OF temperature after the fifth or
sixth day is always to be viewed with
much apprehension. A pulse which is
persistently over 120 is Of grave signiti-
canoe. When there is marked delirium
toward the close OF the first week it is a
grave significance. A dry, brown tongue
is unfayOrable, especially when the
fever is not increased. Intense pros
titutIon, profuse sweating and sunKen
features all indicate severe type Of
the disease. When acute pneumonia is
developed in course Of a continued
fever, measles, or other diseases, it may
lead to fatal termination. Occurring
in persons affected with organic disease
OF the heart it is likely to prove serious.
Acute pneumonia not easily con-
counded with other diseases, especially
when treated by careful and intelli-
gent physician. Sometimes 1t is so
mistaken, as for instance the somewhat
rare form of acute tuberculosis, COM
monty known as galloping consumption
in which large area OF the lung be-
comes rapidly consolidated. Here,
however, although the whole lung may
be involved, the disease usually COIN
mences in the upper lobes so that
abnormal physical signs are more
marked at the apex. The beginning OF
the decease also does not have the alb
ruptness and suddeness OF pneumonia
1t is slower and more protracted. The
irregular course of the fever is also
hat IN q
to pulse or temperature at various
times of the day. Pleurisy has some
times been COMPOUNDED with pnen-
monia. In pleurisy, however, there
is not generally such suddeness in the
rise of temperature besides there ia
usually an effusion poured ont as the
result of inflammation and the side
affected distinctly bulges out. The
pain is severer sometimes so much so
as to cut short of breath. 1t is also
different In MISUNDERSTANDING like.
In pneumonia the patient should al
ways take to the bed and keep it until
convalescence is fully established. The
room should if possible be one that is
light and airy, and of temperature
ranging from go TO 65 degrees save, in ex-
pectional cases where there is consider
6le sensiteYeness OF the bronchial tubes,
of course there should be thorough
and systematic ventilation so that
the air Of the sick room may be OF the
greatest purity. The chief aim as the
diet should not be as regards the guam
tIty given, but rather the quality.
Every article should be thoroughly
cooked and Of kind that is most cas-
lily digested. Food which represents
nutritiousness should be had. Good
milk, meat essences, beef, mutton,
chicken and oyster hroths. II weak,
there may be a moderate use OF sherry
or port wine. If the appetite be very
poor it may be stimulated by some bit
ter or acid or stimulating tonic. II
there be constipation it should receive
proper attention without delay. Ev-
erything that will increase the comfort
OF the patient should be carefully at
tended to. The sick one should not be
allowed to converse with callers, but
should be kept at rest. When there is
an uneasiness and pain in the side hot
applications will assist i'm relieving the
same. But when the pain is severe
quieting medicine by way of hypoder-
mic injection works most satisfactorily,
bringing results in a shorter time than
rs II given by the stomach. There is
also need of less quantity of medicine
when thus administered. Not in
frequently the cough is very Distress
ing symptom. The old method of treat
ing a cough by opiates is a mistake, as
little opium a. possible should be gwen
in such cases. There are other ways
OF relieving thfS disturbing symptoms
which the intelligent physician will
always choose. In order to ensure
sleep the sick room should be kept
very quiet and at times darkened,
Careful attention should he given in
the latter part of the evening to sponge
the entire surface of the skin. Since a
very soothing result will in many cases
follow which will prepare the patient
for much better night than he would
otherwise have. The effect OF such
treatment is not only to reduce the
bodily temperature, but also the fire.
quenCy of the pulse and respirations,
and it often tends 10 induce quietness.
During the period OF convalescenCe
the tendency of q relapse should be
carefully borne in mind and due care be
had to everything that will act unfa-
vorably. The patient should SIT in
sunny room and remain indoors on
unpleasant days, especially during the
winter months and in the severer eli
mate of the eastern states. Early go
ing out of doors is not Objectionable after
the time of convalesCence if one exercise
care. A substantial diet NAV also be
taken when this period has been ar
rived at. When fairly on the road to
recovery a larger liberty may be had
than is allowed in convalescence from
other affections. Not only in diet, but
otherwise.
CONTINUED February 2Gth.l