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

Breast Sore Nipples On

Take a little warm vinegar or weak acid (see Acetic Acid). Bat...

Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa

The _violent_, or _sthenic form_ of scarlatina anginosa becom...

Technic Of Specular Esophagoscopy

Recumbent patient. Boyce position. The larynx is to be expos...

Direct Laryngoscopy Adult Patient

Before starting, every detail in regard to instrumental equi...

Esophagoscopes

The esophagoscope, like the bronchoscope, is a hollow brass ...

Hair Coming Off

There are many forms of this disfiguring trouble, both in the ...

Malaria

Is now known to be conveyed by the bite of a certain kind of m...

Brain Inflammation Of

This arises often from over-schooling of young boys and girls....

Differential Diagnosis Of Ulcer Of The Esophagus

Simple ulcer requires the exclusion of lues, tuberculosis, e...

Gangrene Of The Lung

Pulmonary gangrene has been followed by recovery after the e...

Memory Loss Of

A more or less complete suspension of this faculty is a not un...

Symptoms

Dysphagia is the most frequent complaint in cases of esophag...

Convalescence

When compensation has been restored, the patient may be allow...

Baths

During rheumatism the peripheral blood vessels are generally ...

Acute Dilatation Of The Heart In Acute Disease

It has for a long time been recognized that in all acute prol...

Calendula

is applied to wounds, _incised_ and _lacerated_, promoting he...

Chloroform Or Ether (inhaled)

Fresh air. Pull tongue forward, and begin artificial respirati...

Varix And Angioma Of The Esophagus

These lesions are sometimes the cause of esophageal hemorrhag...

Punctures Case Xiii

Am old man applied leeches to the instep for inflammation occ...

Rash Or Hives

Infants are often troubled with large red, angry-looking spots...



The Heart In Pneumonia





Category: Uncategorized
Source: Disturbances Of The Heart

As pneumonia heads the list of the causes of death in this country,
and as the heart fails so quickly, sometimes almost in the beginning
in pneumonia, a special discussion of the management of the heart in
this disease is justifiable.

Acute lobar pneumonia may kill a patient in twenty-four or forty-
eight hours; lie may live for a week and die of heart failure or
toxemia, or he may live for several weeks and die of cardiac
weakness. If he has double pneumonia be may die almost of
suffocation. It is today just as frequent to see a slowly developing
and slowly resolving pneumonia as to see one of the sthenic type
that attacks one lobe with a rush, has a crisis in a seven, eight or
nine days, and then a rapid resolution. In fact the asthenic type,
in which different parts of the lung are involved but not
necessarily confined to or even equivalent to one lobe, is perhaps
the most frequent form of pneumonia.

The serious acute congestion of the lung in sthenic pneumonia in a
full-blooded, sturdy person with high tension pulse may be relieved
by cardiac sedatives, vasodilators, brisk purging, or by the
relaxing effect of antipyretics. Venesection is often the best
treatment.

When the sputum almost from the first is tinged with venous blood,
or even when the sputum is very bloody, of the prune-juice variety,
the heart is in serious trouble, and the right ventricle has
generally become weak and possibly dilated. The heart may have been
diseased and therefore is unable to overcome the pressure in the
lungs during the congestion and consolidation.

There is a great difference in the belief of clinicians as to the
best treatment for this condition. It would seem to be a positive
indication for digitalis, and good-sized doses of digitalis given
correctly, provided always that the preparation of the drug used is
active, are good and, many times, efficient treatment. Small doses
of strychnin may be of advantage, and camphor may be of value. In
the condition described, however, reliance should be placed on
digitalis. Later in the disease when the heart begins to fail,
perhaps the cause is a myocarditis. In this condition digitalis
would not work so well and might do harm. It is quite possible that
the difference between digitalis success and digitalis nonsuccess or
harm may be as to whether or not a myocarditis is present.

If the expectoration is not of the prune-juice variety and is not
more than normally bloody, or in other words, typically pneumonic,
and the heart begins to fail, especially if there is no great amount
of consolidation, the left ventricle is in trouble as much as the
right, if not more. In this case all of the means described above
for the prevention of any dilatation of the heart will be means of
preventing dilatation from the pneumonia, if possible. The treatment
advisable for this gradually failing heart is camphor; strychnin in
not too large doses, at the most 1/10 grain hypodermically once in
six hours; often ergot intramuscularly once in six hours for two or
three doses and then once in twelve hours; plenty of fresh air, or
perhaps the inhalation of oxygen. Oxygen does not cure pneumonia,
but may relieve a dyspnea and aid a heart until other drugs have
time to act.

If there is insomnia, morphin in small doses will not only cause
sleep, but also not hurt the heart. In the morning hours of the day
the value of caffein as a cardiac stimulant and vasocontractor,
either in the form of caffein or as black coffee, should be
remembered. Strophanthin may be given intravenously.

One of the greatest cares in the treatment of heart failure in
pneumonia should be not to give too many drugs or to do too much.





Next: Shock

Previous: Acute Dilatation Of The Heart In Acute Disease



Add to Informational Site Network
Report
Privacy
ADD TO EBOOK


Viewed 2028