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Children's Strength

The question often arises as to the ability of children to bea...

Water On The Chest

Sometimes a large watery swelling appears in one part or anoth...

Pleuroscopy

Foreign bodies in the pleural cavity should be immediately re...

Varix And Angioma Of The Esophagus

These lesions are sometimes the cause of esophageal hemorrhag...

Coughs

These will be found treated under the various heads of Colds, ...

Dysentery

This is an affection of the bowels of the nature of diarrhoea,...

Hope And Healing

The mind has always an influence on the body. Life rises and f...

Gatherings

See Abscess; Ankle; Armpit; Bone, Diseased. ...

Impotence

Take B D current, moderate force. Treat exactly as in spermat...

The Royal Touch

Malcolm. Well; more anon.--Comes the king forth, I pray ...

Scurvy

Is a disease springing from disordered digestion, and caused s...

Scarlatina Simplex Or Simple Scarlet-fever

In the _mildest form_ of the disease, called _scarlatina simp...

Treatment

It is a mistake to try to force a foreign body into the stom...

Aortic Stenosis

Aortic narrowing or stenosis is a frequent occurrence in the ...

Copy Of Certificate

These may Inform all whom it might Concern, that Mr. J...

The Expletive Method Blood-letting

has been advocated by some of the best authorities, and there...

Our Relations With Others

EVERY one will admit that our relations to others sho...

Alcohol

The patient is quite helpless, and there is usually a strong s...

Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa

The _violent_, or _sthenic form_ of scarlatina anginosa becom...

Punctures Case X

Mr. Worth's daughter, aged six, was thrown down by a dog and ...



Prevention





Category: Uncategorized
Source: Disturbances Of The Heart

If the patient is weak, the circulation depressed, the blood
pressure low, and the heart rapid, the drug advisable to produce
rest and sleep is almost always morphin or some other form of opium.
Morphin, with few exceptions, is a cardiac tonic and a cardiac
stimulant, unless the dose is much too large. As long as the bowels
are daily moved and the food is not given at the time of the full
action of the morphin, when digestion might be delayed or interfered
with, in most patients the action of this drug during serious
illness is entirely for good. The greatest mistake in using morphin
for the production of sleep, or for physical and mental rest and
comfort when there is not severe pain, is in giving too large a
dose. If pain is not severe, or due to inflammatory distention of
some undilatable part, to pressure on some nerve, to distention of
some tube by a calculus or to some serious injury to the nerves,
large doses of morphin are not needed. Small doses will act much
more efficiently. It is excessively rare that a hypodermic of one-
fourth grain of morphin sulphate is needed, except for the
conditions enumerated. It is often a fact that so small a dose as
one-eighth grain of morphin or even one-sixth grain will cause
sufficient stimulation of a nervous patient, because its primary
stimulant effect on the spinal cord is greater than its depressant
effect on the brain, to require another dose (one-fourth grain
altogether) to give such a patient rest. On the other hand, this
patient may many times be quieted by one-tenth grain of morphin
sulphate on account of the size of the dose being not sufficient to
stimulate the spinal cord. Many a time clinically when one-eighth
grain has failed, a dose of one-fourth grain having been apparently
necessary, a change to one-tenth grain has proved entirely and
perfectly satisfactory.





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