While working on a sermon the pastor heard a knock at his office door. "Come in," he invited. A sad-looking man in threadbare clothes came in, pulling a large pig on a rope. "Can I talk to you for a minute?" asked the ma... Read more of Professional Humour at Free Jokes.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Dyspepsia

See Indigestion. ...

The Surgical Dissection Of The Wrist And Hand

A member of such vast importance as the human hand necessaril...

Punctures Case Vi

A little boy, aged 12, received a stab by a penknife a few da...

Diagnosis From Measles

In scarlatina the heat is much greater, and the pulse is much...

Lues Of The Tracheobronchial Tree

Compared to laryngeal involvement, syphilis of the tracheobr...

Diagnosis

The swallowing function can be studied only with the fluoros...

Scarlet Fever

This fever assumes two principal forms: Simple or mild, and M...

Paroxysmal Tachycardia

This condition is generally termed by the patient a "palpitat...

Aortic Insufficiency Aortic Regurgitation

This lesion, though not so common as the mitral lesion, is of...

Nicotine (tobacco)

Emetic; stimulate and keep warm; keep patient lying down. ...

Rotation Forceps

It is sometimes desired to make traction on an irregularly s...

Anesthesia In Heart Disease

While no physician likes to give an anesthetic to a patient w...

Compression Stenosis Of The Trachea

Decannulation in these cases can only follow the removal of ...

Rubbing Sheet Substitute For The Half-bath

It cannot be difficult to procure a wash-tub. Should you be s...

Nourishment

Nothing is more required in healing than properly to nourish t...

Cold In The Head

Infants often are prevented sucking by this form of cold closi...

Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy

When taking a specimen the party wall should be inspected by...

Nervous Fears

TO argue with nervous anxiety, either in ourselves or...

The Current

The current is that moving electric essence which traverses t...

Tetanus

This is substantially the same thing as trismus, except that ...



Paroxysmal Tachycardia Management





Category: Uncategorized
Source: Disturbances Of The Heart

There is no specific treatment for paroxysmal tachycardia. What is
of value in one patient may be of no value in another; in fact,
drugs are rarely successful in ameliorating or preventing the
condition. Patients who are accustomed to these attacks often learn
what particular position or management stops the attack.

Sometimes a patient rises and walks about. Sometimes an ice-bag over
the heart will stop the attack.

If there is no serious illness present, and no serious cardiac
disease causing the condition, and a patient is known to have an
overloaded stomach or bowels, an emetic or a briskly acting
cathartic is the best possible treatment. The attack often
terminates as suddenly as it begins, without leaving any knowledge
as to which particular treatment has been beneficial. A patient who
is well and has an attack of tachycardia should be allowed to assume
the position which he finds to give him the most comfort, and to use
the means of stopping his attack which lie has found the most
successful. In the absence of his success or of his knowledge of any
successful treatment, a hypodermic injection of 1/6 or even 1/4
grain of morphin sulphate is often curative. Atropin should not be
given, as it may increase the cardiac disturbance. If an attack
lasts more than an hour or so, one of the best treatments is the
bromids, which should be given either by potassium or sodium bromid
in a dose of 2 or 3 gm. (30 or 45 grains) at once. Sometimes one
good-sized dose of digitalis may be of benefit, but it is often
disappointing, and unless there is a valvular lesion with signs of
broken compensation, it is rarely indicated. It should also be
remembered that, if the patient is receiving digitalis in good
dosage for broken compensation, tachycardia may be caused by an
overaction of the digitalis. Such overaction would be indicated by
previous symptoms of nausea, vomiting, intestinal irritation, a
diminished amount of urine, headache and a tight, bandlike feeling
in the head, cold hands and feet, and a day or two of very slow
pulse. If none of these symptoms is present, though a patient has
received digitalis for broken compensation, a tachycardia occurring
might not contraindicate digitalis, as much of the digitalis on the
market is useless; and a patient may not actually have been
obtaining digitalis action.

If the tachycardia occurs in a patient with arteriosclerosis,
especially if there is much cardiac pain, nitroglycerin is of
advantage; also warm foot-baths. If there is prostration and a
flaccid, flabby abdomen, a tight abdominal bandage may be of
benefit.

Gastric flatulence, while perhaps not a cause of the tachycardia, is
liable to develop and be a troublesome symptom. Anything that causes
eructations of gases is of benefit, as spirit of peppermint,
aromatic spirit of ammonia or plain hot water. If there is
hyperacidity of the stomach, sodium bicarbonate or milk of magnesia
will be of benefit.

The ability of some patients to stand a rapid heart action without
noting it or being incapacitated by it is astonishing. It may
generally be stated that a rapid heart is noted, and a pulse above
120 generally prostrates, at least temporarily, a patient who is
otherwise well, provided the cause is anything but hyperthyroidism.
A patient who has hypersecretion of the thyroid will be perfectly
calm, collected, often perhaps not seriously nervous, and, with a
heart beating at the rate of 140, 150, 160 and even 200 per minute,
will state that she has no palpitation now, although she sometimes
has it. A heart thus fast, with a patient not noting it and not
prostrated by it, is almost diagnostic of a thyroid cause.

Some patients, both men and women, cannot take even a small cup of
tea or coffee without an attack of paroxysmal tachycardia. Such
patients, of course, quickly learn their limitations.





Next: Hyperthyroidism

Previous: Paroxysmal Tachycardia



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1160