Thursday, September 3, 2009

TURPENTINE STUPES

TURPENTINE STUPES
The application of turpentine and oil to the abdomen or joint, combined with moist heat.

Effects:
1. Relieves abdominal distention or gas pain.
2. Relaxes bowel or intestinal spasms.
3. Stimulates the peristaltic movements of the intestines.
4. Relieves pain and congestion in the adjoining parts of the sprained ankle.
5. Relieves pain due to intestinal colic.
6. Promotes the absorption of serious effusion and exudates.

Things Needed:
1. Set of Hot fomentations.
2. Sheet or Blanket to cover the patient.
3. One bath towel.
4. Bottle containing turpentine and oil in the following mixture: 1 tablespoon turpentine to 8 tablespoons mineral oil for children, 1 tablespoon turpentine to 6 tablespoons mineral oil for adults. Turpentine Mixture: Put one tablespoon of turpentine in a bottle with cover and add 8 tablespoons mineral oil, for children. For adults add only 6 tablespoons of mineral oil to 1 tablespoon of turpentine. Cover the bottle and shake mixture thoroughly. Label the bottle with this proportion of turpentine and mineral oil. This mixture can be kept for future use. Keep bottle away from children.
5. Cream and lotion.

Procedure:
1. Brings all things needed to the bedside including the mixture of oil and turpentine.
2. Prepare the patient as for fomentation on the abdomen or ankle.
3. Apply the oil and turpentine mixture with your fingertips to the area to be treated.
4. Observe the skin very carefully o see if the patient is allergic to turpentine. If redness is noticed, discontinue the treatment. Wipe and remove the oil and turpentine mixture and apply cream on the skin.
5. Cover the area with the dry towel and apply the hot fomentation over the area with the turpentine mixture. Fomentation pad should not be very hot.
6. Give the three sets of fomentations. For abdominal distention teach patient to do abdominal breathing. While the hot fomentation is still on the abdominal area, tell patient to do abdominal breathing. Breathe in slowly bringing the abdomen up on inspiration and down on expiration. Do this exercise for a few minutes, with rest periods in between.
7. After the last fomentation pad, remove the hot towel and with the dry towel remove the oil from the skin.
8. Apply cream on hand lotion over the skin area treated and bandage (for sprained joint).
9. If abdominal distentions persist, repeat the treatment after two hours, unless contraindicated (not advised).
10. If patient is not relieved in spite of the treatment, consult your physician immediately.

Precaution and contraindications:
1. Do not use turpentine on patients who have kidney disease.
2. Do not give to patient allergic to turpentine.
3. If intestinal obstruction is suspected, never give any hot treatment but bring the patient immediately to the nearest hospital. Symptoms of intestinal obstruction are: severe abdominal pain, no intestinal activities. Listen with your ears against the abdominal movements of the intestines. Cannot pass out gas or stool.
4. Elderly patient and fair-complexioned individuals are more sensitive. Use mixture of oil and turpentine for children.
5. For diabetic patient, use children’s mixture.
6. Fomentation towels should not be very dry.

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