InformationalPrivacy
| It was one evening in the summer of the year 1755 that Campbell of Inverawe {157} was on Cruachan hill side. He was startled by seeing a man coming towards him at full speed; a man ragged, bleeding, and evidently suffering agonies of terror. ... Read more of Ticonderoga at Scary Stories.ca | Informational Privacy |
 |
Home |
Medical Articles |
Mother's Remedies |
Household Tips |
Medicine History |
Search |
Medical ArticlesChildren's DangersAvoidance of the causes of disease requires some idea of the d... Dysmenorrhea Painful Menstruation If the disease be occasioned by uterine displacement, obstruc... Introduction Of The Esophagoscope The esophagoscope is to be passed only with ocular guidance, ... Treatment Bronchoscopy should be done in all cases of chronic pulmonar... Vaccination Trouble When a child is suffering after vaccination, we should have hi... Alcohol Enough has already been said of the value and limitations of ... Acute Esophagitis This is usually of traumatic or cauterant origin. If severe o... Treatment The treatment of a suspected coronary sclerosis is the same a... Infections And How To Avoid Them What Causes Disease. The commonest and most dangerous acciden... The Surgical Dissection Of The Axillary And Brachial Regions Displaying The Relative Order Of Their Contained Parts All surgical regions have only artificial boundaries; and the... Bowels Reversed See Bowels, Locking of, above. ... Anesthesia No dyspneic patient should be given a general anesthetic; be... Hives See Rash. ... About Faces WATCH the faces as you walk along the street! If you ... Papillomata Decannulation after tracheotomy done for papillomata should ... Ablutions And Rubbing With Iced Water Or Snow In a few very obstinate cases, when no rash would appear afte... Breath Hot This may be felt either because the breath is actually hot, or... Rheumatism We feel urged, in first considering this sore and very common ... Palpitation Of The Heart This is commonly a symptomatic or sympathetic affection--rare... Ventilation All-important If the circulation of air is necessary in any other form of ... |
ShockCategory: 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
Viewed 776 |
||||||||||||||||||||
