Brand Bath

JHK

from Dr JH Kellogg's Hydriatic Techniques...

  • 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

Contra-indications

GKA

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