are the most important:--
VENTILATION OF THE BED-ROOM, ETC.--The child must be kept in bed from
the onset of the attack. He must have so much clothing only as will
secure his comfort, avoiding equally too much heat or exposure to cold.
To these points the parent's attention must be particularly directed.
It is the practice with some nurses, in the belief that a breath of
cool air is most pernicious, to keep the child constantly enveloped in
a smothering heap of bed-clothes, with curtains closely drawn, and the
room well heated by fire, by which means the fever and all its
concomitant dangers are greatly augmented. It is equally a popular
error (and yet by many it is still held and acted upon) to suppose that
because in small-pox exposure to cold is useful, that therefore it
must be of equal advantage in measles. It cannot be too generally known
that the nature of the fevers accompanying the two diseases are widely
different, and that the adoption of this error is productive of the
most serious consequences; for it would most likely produce in measles
inflammation of the lungs, which, in truth, is commonly the result of
carelessness upon this point.
The bed-room should be large and airy; free from currents of cold, but
well ventilated, and not hot. The room, also, must be darkened, on
account of the tenderness of the eyes; all noise excluded, and mental
excitement or irritation carefully avoided.
REGIMEN.--Little or no food must be allowed, and whatever is taken must
be of the simplest kind, and in a liquid form. Mild mucilaginous
drinks, and warm, may be given liberally; as barley-water, or thin
gruel, etc.
SPONGING, ETC.--The face, chest, arms, and hands should be sponged
occasionally with vinegar and warm water (one fourth and three
fourths). This will be productive of great comfort to the little
patient; it removes the heat, dryness, and itching of the skin, which
are often very distressing; and is especially useful at night in
relieving wakefulness. If the cough be troublesome, it will be useful
for the child to breathe the steam of warm water; not through an
inhaler, but over a large basin, with the head covered with flannel
large enough to hang over its edges. By this means the tender and
inflamed eyes will at the same time derive advantage from the soothing
effect of the vapour.
CAUTIONS.--Whenever the measles is known to be prevalent in a
neighbourhood, and a child manifests symptoms of cold i
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