New York lancet Volume 3 ; with which is incorporated the Archives of gynecology, obstetrics, and pediatrics

9781130229622: New York lancet Volume 3 ; with which is incorporated the Archives of gynecology, obstetrics, and pediatrics

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1897 Excerpt: ... times nothing but morphine administered hypodermically in doses of gr. yi to l/i is of any avail. A priori one would not select it as a hypnotic or anodyne, but experience has proved it to be reliable, and not so unsafe as to exclude its use. It is almost certain that when painful adenitis complicates the cerebral intoxication, morphine effects its purpose. The safest method of administration is in combination with atropine. Bromide of Potassium.--An occasional dose of bromide of potassium during delirium is useful and without danger, but its prolonged use is not permissible. Diarrhea.--An occasional looseness should not. be stopped unless it continues over twelve hours, and the patient seems exhausted thereby. It is but seldom obstinate, and yields to salol in gr. x doses, or to an enema of starch and opium; or, still better, a suppository of morphine and cocaine, gr. and gr. % respectively, more especially when continued straining persists (Lowson). Vomiting frequently ushers in an attack of plague, and may persist throughout the illness. When the latter condition obtains it is an unfavorable sign, as loss of strength ensues owing to the rejection of food and medicines. A mustard plaster to the epigastrium, ice to suck, and an effervescent draught of a few drops of hydrocyanic acid and liquor morphiae are generally sufficient to check this untoward symptom (Lowson). Pyrexia no doubt accounts for some of the delirium, the restlessness, the headache, and subsequent collapse. Hyperpyrexia is exceptional. The usual chemical antipyretics, antipyrin and phenacetin, are such severe depressants that they are at a discount and should not be used. Should hyperpyrexia necessitate its use, one hypodermic of antipyrin is no doubt justifiable, but only as a last resou...

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