This term is applied so loosely and so indiscriminately to al...
This condition is generally termed by the patient a "palpitat...
Rules For Direct Laryngoscopy
1. The laryngoscope must always be held in the left hand, nev...
Auricular Fibrillation Diagnosis
If the pulse is intermittent and there is apparently a heart ...
By this term we mean not only the sensible perspiration which ...
Balance Loss Of
Cases where loss of balance in walking and standing are due to...
Inflammation Of The Finger Case Xxxii
Miss B. aged 23, had a slight scratch on the inside of the in...
It is difficult to determine the presence of _worms_ in child...
Enemas Cold Water
Prejudice often exists against cold treatment of any kind, but...
Circulation Of The Blood
Nothing is more important for the health or healing of any org...
The Surgical Dissection Of The Axillary And Brachial Regions Displaying The Relative Order Of Their Contained Parts
All surgical regions have only artificial boundaries; and the...
Face Skin Of
To secure a healthy appearance of this is worth much trouble, ...
The Stages Of Fasting
The best way to understand what happens when we fast is to br...
It is difficult to determine the cause of toothache, and more...
This is a contagious disease, and always begins with symptoms...
It is true that ethical medical doctors use the least-risky ...
are the following: Absence of internal inflammation; a bright...
Eyes Accidents To
Three distinct classes of these are to be considered. They req...
Diagnosis Of Foreign Body In The Air Or Food Passages
The questions arising are: I. Is a foreign body present? ...
The chief traumatic factors in chronic laryngeal stenosis ar...
Bromids And Chloral
Source: Disturbances Of The Heart
If there is much restlessness and the circulation is good, that is,
if myocarditis is probably not present, the bromids may be of great
value, especially in children. The dose should be sufficient to
quiet the nervous system. The drug may be discontinued after a few
days, if the conditions improve. If the bromid, except in large
doses, will not cause sleep, a sufficient dose of chloral should be
given. Chloral is one of the most satisfactorily acting drugs which
we have to produce sleep and to cause cardiac rest. While it should
not be given if there is real cardiac weakness, the good which it
does is so much greater than the possible bad effect on the heart,
that it should not be forgotten for some newer hypnotic. The worst
part of this drug is its taste, and the best way to administer it is
to have it in solution in water and the dose given on cracked ice
with a little lemon juice to be followed by a good drink of water
and a piece of orange pulp for the patient to chew. Ordinarily a
bad-tasting drug such as chloral is well administered in
effervescing water, but effeverscing waters are generally
inadvisable when there is any kind of inflammation of the heart, as
they are liable to cause distention of the stomach and pressure on
the heart. Some physicians prefer chloralamid as a less disagreeable
drug and one which acts almost as efficiently as chloral. As the
close of this must be larger than the dose of chloral, it is a
question of doubt as to which is the better drug to use. Of the
newer hypnotics, veronal=sodium (sodium-diethyl-barbiturate) is
among the best. It acts quickly, is less depressant and is a safer
salt than most of the other newer hypnotics. It is the readily
soluble sodium salt of veronal (diethyl-barbituric acid). When
combined with any active drug, sodium seems to make it less toxic
and less depressant. The dose of this drug is from 0.2 to 0.3 gm. (3
to 5 grains).