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Notes On Nursing Tracheotomized Patients

Bedside tray should contain: Duplicate cannula Scalpel ...

Spinal Congestion

In some cases of this trouble the symptoms are very alarming, ...

Eruptions

See Hives; "Outstrikes;" Saltrome, etc. ...

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While it is urged, in preventing the actual development of th...

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Punctures Case Xiii

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Take A D or B D current, full medium force. Treat with N. P. ...

Typhoid Fever

This is a dangerous, and with the ordinary allopathic treatme...

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I have said, in effect, a little above, that, while the curre...

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Importance of Clean Nails. On account of their constant use, ...

Auricular Fibrillation Treatment

The condition may be stopped by relieving the heart and circu...

The Dissection Of The Oblique Or External And The Direct Or Internal Inguinal Herniae

The order in which the herniary bowel takes its investments f...

Stomach Trouble

If you would cure thoroughly, you must first make sure that th...

Removal Of Foreign Bodies From The Larynx

Symptoms and Diagnosis.--The history of a sudden choking atta...

Yellow Fever

[As I have never practiced farther South than Cincinnati, and...

Foreign Bodies In The Larynx

Laryngeally lodged foreign bodies produce a wheezing respirat...

The Glands In The Skin

Sweat Glands. Like all the pavement (epithelial) surfaces of ...



Acute Dilatation Of The Stomach





Category: Uncategorized
Source: Disturbances Of The Heart

This condition is not well understood, nor is its frequence known,
but not a few instances of shock are due to dilatation of this
organ. The shock to the heart may be a reflex one through the
pneumogastric nerves.

It perhaps not infrequently occurs after abdominal operations and is
more or less serious, the symptoms being persistent vomiting, upper
abdominal distention and collapse. The vomiting is of bloody or
coffee-ground material.

Sometimes the ordinary treatment of the collapse and washing out the
stomach save the patient; at other times the patient with this
series of symptoms dies in spite of all treatment.

It has been shown that acute dilatation of the stomach may occur in
pneumonia, and may be one of the causes of cardiac collapse in
pneumonia.

When the condition is diagnosed, the treatment would be that of
shock plus abdominal bandage and washing out the stomach with warm
solutions, if the patient is not too collapsed, or at any rate the
frequent administration of hot water in small quantities.

Sometimes when the stomach is dilated the pylorus becomes
insufficient, and bile regurgitates into the stomach, and is a cause
of the profound nausea and vomiting arid the subsequent collapse. In
these cases

114. Henderson: Am. Jour. Physiol., February and April, 1909. not
infrequently small doses of dilute hydrochloric acid seem to aid the
pylorus to maintain its normal contraction, the regurgitation of
bile does not take place, and the stomach may soon acquire a more
normal muscle tone. Not infrequently when a stomach is in this kind
of trouble and all the foods are rejected, and yet the patient
seriously needs nourishment, a warm, thin cereal, as oatmeal or
gruel or something similar, may be retained. Such patients, as has
been repeatedly stated, need starch as soon as possible, lest an
acidosis develop.

In these vomiting and collapse cases the hypodermic administration
of morphin and atropin will not only stop the vomiting, at least
temporarily, but will also give necessary rest. The dose of morphin
need not be large, and the atropin may prevent nausea from the drug.





Next: Anesthesia In Heart Disease

Previous: Shock



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