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Medical ArticlesThe Woman At The Next DeskIT may be the woman sewing in the next chair; it may ... Stomach Trouble If you would cure thoroughly, you must first make sure that th... Eyes Paralysis Of The partial paralysis of the muscles of one eye produces doubl... Tricuspid Stenosis Tricuspid Obstruction This is rare and probably always congenital, and is supposed ... From The Hygienic Dictionary Doctors. [1] In the matter of disease and healing, the peopl... Nursing Sore Mouth Sore mouth of nursing women, as the name of the disease indic... The Surgical Form Of The Superficial Cervical And Facial Regions And The Relative Position Of The Principal Blood-vessels And Nerves When the neck is extended in surgical position, as seen in Pl... Physical Signs Of Tracheal Foreign Body If fixed in the trachea the only objective sign of foreign bo... Pneumonia Take B D current, forceful as the patient can bear, and treat... Gravel Sometimes mere internal inflammation is mistaken for this dise... Water-treatment As Used By Currie Reuss Hesse Schoenlein &c Beside the above modes of treatment _cold_ and _tepid Water_ ... Essentials Of A Successful, Safe Fast 1. Fast in a bright airy room, with exceptionally good ventil... Symptoms The symptoms are increased tension, which means, sooner or la... Plate V Laryngeal And Tracheal Stenoses: 1, Indirect view, sitting position; postdiphtheric cicatricia... Vegetables Green And Fruit We would strongly recommend our readers to continually have th... The Nose How the Nose is Made. The nose began as a pair of little puck... Milk, Meat, And Other Protein Foods Speaking of butter, how about milk? The dairy lobby is very p... Tracheobronchial Diphtheria Urgent dyspnea in diphtheria when no membrane and but slight... Aphorisms Educate your eye and your fingers. Be sure you are right... Hives See Rash. ... |
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
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