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Medical ArticlesThe Eye
How the Eye is Made. Next in importance after the smell and t...
Causes And Dangers Of Polluted Water
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Period Of Efflorescence Or Standing Out Of The Rash
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Is Physical Culture Good For Girls?
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Strict aseptic technic must be observed in all endoscopic pr...
To cure a swelling on the knee-joint is, as a rule, easy. Rest...
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Heart Disease In Children And During Pregnancy
A common characteristic in a large proportion of middle-age...
If a person has been long accustomed to a slow-acting heart, ...
The Contagion Of Scarlatina Very Active
The _contagion_ of scarlatina is very active, and adheres for...
Length Of The Fast
How long should a person fast? In cases where there are serio...
It is a mistake to try to force a foreign body into the stom...
Endoscopic Operations For Laryngeal Stenosis
Web formations may be excised with sliding punch forceps, or...
One of the most notorious charlatans of the eighteenth centur...
Rules For The Application Of Water In Typhoid Cases
As a general rule, in typhoid cases, bathing should form one ...
How Women Can Keep From Being Nervous
MANY people suffer unnecessarily from "nerves" just...
By inserting the window plug shown in Fig. 6 the esophagus m...
Although curative attributes were ascribed to the magnet in...
If the operator has no refractive error he will need two pai...
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
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