VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Pathologic Physiology

The development of permanent injury to one or more valves o...

Decline

See Consumption. ...

Forceps

Delicacy of touch and manipulation are an absolute necessity...

Mechanical Effect Of Each Pole

The mechanical effect of the forward end of the current, or t...

Fever

In all fevers, to cool down the excessive heat of the patient ...

Rupture And Trauma Of The Esophagus

These may be spontaneous or may ensue from the passage of an ...

Spasmodic Stenosis Of The Esophagus

Etiology - The functional activity of the esophagus is depend...

Neck Stiff

For this, rub the whole back with soap lather (see Lather; Soa...

About Frights

HERE are two true stories and a remarkable contrast. ...

Disorders Of Muscles And Bones

The Muscles and Bones Have Few Diseases. Considering how comp...

Chronic Endocarditis

It is not easy to decide just whew all acute endocarditis has...

Stokes Adams Disease Heart Block

Stokes-Adams disease, or the Stokes-Adams syndrome, is a name...

Etiology Treatment

One has but to refer to the enumerated causes of irregular he...

On Ulcers

From the preceding observations it would naturally be conclud...

Tobacco

In spite of the fact that a large number of men today do not ...

Punctures Case Vii

Mr. Parr, aged 30, of delicate habit, trod upon a needle whic...

Jaundice

This disease depends upon derangement of the liver. The skin ...

Towards The End Of The Period Of Efflorescence When The Rash

declines, fades, disappears, and the skin begins to peal off, a...

Tuberculosis Of The Tracheobronchial Tree

The bronchoscopic study of tuberculosis is very interesting,...

Shampooing

See Head, Soaping. ...



Shock





Category: Uncategorized
Source: Disturbances Of The Heart

The treatment of shock will probably always be unsatisfactory as the
cause is so varied, and, although circulatory prostration and
vasomotor paresis always constitute the acute condition, the
physiologic health of the heart and blood vessels is so varied. The
patient in shock has low temperature, low blood pressure, and a
pulse either rapid or slow, but excessively feeble; the face is
pale, the surface of the body cold, and there is more or less clammy
perspiration; there may be dyspnea and cardiac anxiety, or the
patient may hardly breathe.

An acute cause, as terrible pain or hemorrhage, must of course be
stopped immediately. There is more or less anemia of the brain, and
therefore the legs and perhaps the lower part of the body should be
elevated. It may even be wise to drive the blood from the legs by
Esmarch bandages into the rest of the circulation. As there is
always more or less paresis and dilatation of the large veins of the
splanchnic system, a tight bandage about the abdomen is of great
advantage in raising the blood pressure to the safety mark.

Strophanthin, given intravenously, is valuable as a quick
restorative of the heart. Digitalis is so slow that it is of little
value in an emergency. Camphor hypodermically, and hot liquids
(nothing is better than black coffee) given by the mouth, are
valuable remedies. The camphor may be repeated frequently.
Strychnin, the long-used stimulant, should generally be given, but
in not too large doses and not too frequently repeated; 1/30 grain
hypodermically is generally a large enough dose; this dose may be
repeated in three or four hours, but should ordinarily not be given
oftener than once in six hours. An aseptic preparation of ergot
given intramuscularly is most efficient in raising the blood
pressure and aiding the heart. One dose of brandy or whisky may do
no harm. Alcohol, however, should not be pushed.

A most important procedure in all kinds of shock is to surround the
patient with dry heat, hot-water bags, and hot flannels; gentle
friction of the arms and legs, unless the patient is too exhausted,
may be of benefit. A hot-water bag to the heart is always a
stimulant. Sometimes friction over the base of the heart in the
region of the auricles is of benefit.

If the collapse is not acute and there is gradual profound
prostration, or if the patient is improved but still in a serious
condition of shock, too energetic measures must not be used; neither
should too many drugs be administered, or drugs in too large doses.
Absolute quiet and the administration of liquid nourishment in but
small amounts at a time are essential.

The hypodermic administration of epinephrin solutions, 1:10,000, or
solutions of pituitary extract, 1:10,000, should be considered; they
are often valuable.

If the shock occurs in ether or chloroform anesthesia, the
vasopressor stimulating effect of inhalations of carbon dioxid gas
may be considered, as advised by Henderson."

If the shock is due to hemorrhage and the hemorrhage has ceased, a
transfusion of physiologic saline solution is generally indicated.
Transfusion of blood under the same conditions is still better.
Rarely is transfusion indicated in shock from other causes; it often
adds to the difficulty rather than improves it. Occasionally if
shock is decided to be due to a toxemia, the toxin may be diluted by
the withdrawal of a small amount of blood and the transfusion of an
equal amount of saline solution.





Next: Acute Dilatation Of The Stomach

Previous: The Heart In Pneumonia



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 1871