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

Complete Recovery Of The Seriously Ill

Its a virtual certainty that to fully recover, a seriously il...

Scarlet Fever

This fever assumes two principal forms: Simple or mild, and M...

Ulcers Case Xxix

The peculiarity of the present case arose from neglect in eva...

The Nerves In The Skin

How We Tell Things from Touch, and Feel Heat and Cold and Pai...

Cauliflower Growths

These begin like warts, and in the earlier stages poulticing a...

What Is It That Makes Me So Nervous?

THE two main reasons why women are nervous are, first...

Hair Coming Off

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

Other Sequels Dropsy &c

Beside the ulceration of glands and deafness, some of the seq...

The Confusions About Diets And Foods

Like my daughter, many people of all ages are muddled about t...

Temperature Of The Water Double Sheet Changing Sheet

The water for the wet-sheet pack, in this violent form, ought...

Bilious Colic

This disease, in addition to the symptoms of cutting, crampin...

Stone

See Gravel. ...

Bronchoscopes

The regular bronchoscope is a hollow brass tube slanted at i...

How And Why We Breathe

Life is Shown by Breathing. If you wanted to find out whether...

Heel Sprained

Often in sprains all attention is given to the bruised and tor...

Jaundice

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

Tuberculosis Of The Esophagus

Esophageal tuberculosis is not commonly met, but is probably ...

Chronic Stenosis Of The Larynx And Trachea

The various forms of laryngeal stenosis for which tracheotomy...

Worry

One of the most fruitful causes of ill-health is the habit of ...

Etiology Treatment

A subacute or a chronic infective endocarditis should be trea...



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 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 972