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

About Voices

I KNEW an old German--a wonderful teacher of the spea...

Endoscopy In Malignant Disease Of The Larynx

The general surgical rule applying to individuals past middle...

Pleuroscopy For Disease

Most pleural diseases require a large external opening for d...

Acquiring Skill

Endoscopic ability cannot be bought with the instruments. As ...

Hyperthyroidism

The presence of a well marked case of exophthalmic goiter is ...

Foods For Monodiet, Juice Or Broth Fasting

zucchini, garlic, onion, green beans, kale, celery, beet gree...

Massage

This seems a very simple thing to do, but is by no means easy ...

Cane Syrup

In the original edition, good treacle was recommended as a lax...

Length Of Pack Perspiration

To make quite sure of the reaction, the single sheet may be t...

Uric Acid

This acid is found in persons of a gouty tendency, such tenden...

Nicotine (tobacco)

Emetic; stimulate and keep warm; keep patient lying down. ...

Acetic Acid

Brown recommends diluted _Acetic Acid_ as a specific against ...

Gravel

Sometimes mere internal inflammation is mistaken for this dise...

The Use Of The Brain

LET us now consider instances where the brain alone i...

Self-control

TO most people self-control means the control of appe...

Inducing A Child To Open Its Mouth (author's Method)

The wounding of the child's mouth, gums, and lips, in the of...

The Healing Crisis And Retracing

Certain unpleasant somatics that occur while fasting (or whil...

Beverages

The Popularity of Beverages. For some curious reason, the h...

Actinomycosis Of The Esophagus

Esophageal actinomycosis has been autoptically discovered. It...

Deafness

See Hearing. ...



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 954