from Dr JH Kellogg's Hydriatic Techniques...
- Tonic prevents shivering (and increased heat production)
- Sedative on nerves
- Antipyretic especially for Typhoid Fever as practiced by Brand
- At beginning of fever reduction usually about 1°C, later more
- Heat with cold tub bath - increases heat elimination
- Cool face and head with water at 10°C while patient is in bed.
- Lift patient quickly from bed to bathtub beside bed, immerse to neck
- First bath at 24-30°C, 3-4min reduce by 0.5°C until 18°C 10-12min
- Protect head with towel wet with ice-water forming a trough down back of the neck
- Rub vigorously for the first 3min then have sit for up for 8-12lt cold Pour at 10°C to head or chest if Cardiac Insufficiency
- Lie down again and repeat rubbing 5min and repeat pour
- Drink freely during bath
- 3-4 baths daily or whenever temperature reaches 38.5°C
- Abdominal Heating Compress worn at night 15°C changed hourly but do not disturb normal sleep
- When maximum daily temperature begins to decline raise bath temperature to 30°C
- Leave patient in bath until axillary temperature as felt by hand is the same as that of the rest of the body.
- Immediately remove the patient on first symptoms of secondary chill
- After bath:
- wrapped and dry carefully in sheet, don't rub abdomen
- after drying cover lightly, expect slight shivering
- Twenty minutes after take and record temperature
from Dr GK Abbott's Prescriptions...
Antipyretic in Typhoid
- 19-21°C for 15min . repeat if temperature reaches 39°C
- Bathe head and face in cold or ice water
- Lift patient into bath rub constantly to keep blood in skin
- Remove if patient becomes chilled