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The Form Of The Thoracic Cavity And The Position Of The Lungs Heart And Larger Bloodvessels

In the human body there does not exist any such space as cavi...

Physics Of Aortic Lesions

Next in frequency to mitral insufficiency is aortic insuffici...

Ankle Swelling

When long continued in connection with disease or accident, th...

The Central Point Of The Circuit

The central point of the circuit--that point which divides be...

Fever Delirium In

See Delirium. ...

Treatment

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

Anesthesia

No dyspneic patient should be given a general anesthetic; be...

Lilly

WILLIAM LILLY, a famous English astrologer of yeoman ancestry...

Papilloma Forceps

Papillomata do not infiltrate; but superficial repullulation...

Lancing Swellings

See Abscess. ...

Vitamins For Young Persons And Children

Young healthy people from weaning through their thirties shou...

Symptoms Of Tracheal And Bronchial Foreign Body

1. Tracheal foreign bodies are usually movable and their mo...

Whooping Cough

The cough is a spasmodic action of nerves which are otherwise ...

Ulcers Case Xxvii

Mrs. Wakefield, aged 36, had an extensive ulceration with exc...

Constipation

The medicine for this affection is _Nux vom._, to be taken at...

Putrid Symptoms Gargle Solution Of Chloride Of Soda Drink: Chlorate Of Potass Liquor Calcii-chloridi

Should _putrid symptoms_ make their appearance (21), I would ...

Chloroform Or Ether (swallowed)

Emetic; enema of hot coffee; keep awake. If necessary, artific...

Complications And After-effects Of Bronchoscopy

All foreign body cases should be watched day and night by spe...

Punctures Case Viii

This case illustrates the mode of treatment by the lunar caus...

How To Be Ill And Get Well

ILLNESS seems to be one of the hardest things to happ...



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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