Lectures on dietetics

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Saunders, 1922 - 244 pages
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Page 182 - T, table support or shorter support. When crank C is turned parallel to A, fluid can be aspirated from the glass into the syringe. When C is moved 'parallel to B, the fluid from the syringe can be emptied into the duodenum.
Page 109 - The carbohydrate of the diet is seldom reduced below 50 gm., and is preferably kept higher. If carbohydrate must be kept low, the total diet is kept low. The diet is so chosen that glycosuria, not ketonuria, is the signal of overstrain. Fasting-alcohol days are given not merely whenever this signal appears, but also at close enough intervals to prevent it from appearing, even every two or three days if necessary. If there has been no glycosuria, a slight addition to the diet is made after each fast-day.
Page 107 - SO to 250 cc of whisky or brandy may be given in each twenty-four hours in small doses, from 10 to 20 cc every one to three hours during the twenty-four. As soon as the glycosuria stops and the acidosis diminishes, which even in severe cases may be within fortyeight to ninety-six hours, the amount of alcohol and alkali may be reduced. Fasting and moderate dosage of alcohol are continued for from twenty-four to forty-eight hours longer, however, depending on the patient's strength. The alkali is now...
Page 110 - The one requirement is that the patient must remain free from both glycosuria and acidosis. Any trace of sugar is the signal for a fast day, with or without alcohol. The original fast, to clear up the urine in the first place, may be anything from two to ten days, but after that no fast need be longer than one day. The things to be considered in the diet are carbohydrate, protein, fat and bulk. Frequently the first thing given after the fast...
Page 117 - ... and to make the same fermentation test with it. • The mixture of the normal urine with the yeast will have on the following day only a small bubble on the top of the cylinder. This proves at once the efficacy and purity of the yeast.
Page 173 - Before administering the feeding enema, a cleansing injection, consisting of a quart of water and a teaspoonful of salt, should be given early in the morning, in order to thoroughly evacuate the bowel. One hour later the first rectal alimentation may be administered. The feeding enema is best injected by means of a fountain- or Davidson syringe or a plain, hard-rubber piston-syringe, and a soft-rubber rectal tube which is introduced into the anus five to seven inches.
Page 116 - Take 1 gm. (about 15 grains) of fresh commercial compressed yeast, and shake thoroughly in the graduated test tube with 10 cc of the urine to be examined. Then pour the mixture into the bulb of the saccharometer. By inclining the apparatus the mixture will easily flow into the cylinder, thereby forcing out the air. Owing to the atmospheric pressure, the fluid does not flow back, but remains there.
Page 108 - The kind of starch is of minor importance. Green vegetables are useful because their carbohydrate and food value is so low that they can be given in considerable bulk, and this bulk is agreeable to the patient for relieving his feeling of emptiness. Neither fat nor 'protein is added. For the first day, the food is chosen to represent a carbohydrate content of from 10 to 40 gm.
Page 95 - Hens' eggs (weighed with the shells) . . cabbage, green beans, berries, such as strawberries, raspberries, currants, also oranges and almonds. Forbidden absolutely : All foods made from flour or meal — bread is allowed in moderate quantities according to the physician's orders ; sweet potatoes, rice, tapioca, arrow-root, sago, grits, legumes, green peas, cabbage, sweet fruits, especially grapes, cherries, peaches, apricots, plums, and dried fruit of every sort. Drinks — Allowed in any quantity:...
Page 117 - If the urine contains sugar, the alcoholic fermentation begins in about 20 to 30 minutes. The evolved carbonic acid gas gathers at the top of the cylinder, forcing the fluid back into the bulb. On the following day the upper part of the cylinder is filled with carbonic acid gas. The changed level of the fluid in the cylinder shows that the reaction has taken place and indicates by the numbers—to which it corresponds— the approximate quantity of sugar present.

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