Treatment of croupous pneumonia in children / by Joseph E. Winters.

  • Winters, Joseph Edcil, 1848-1922.
Catalogue details

Licence: Public Domain Mark

Credit: Treatment of croupous pneumonia in children / by Joseph E. Winters. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    For a child of two years: 3^ Pulv. opii . gr. i. Pulv. ipecacuan gr. i. Potass, sulph gr. viij. M. In. Chart. No. 30 div. Sig.—One q. 2 hrs. until three are given; when the patient should be seen again and order continuance or discontinuance, according to indication. This felicitous combination by Dr. Dover is a febrifuge inducing free perspiration. Forged preparation foisted 1 >y drug trade has reverse effect—it is noxious. During stage of distention and laceration of vessels, pulse is high-tension, full, bounding. Tension should be lowered; 'pressure in turgid vessels lessened. The measures adopted compass an ulterior design— mitigate and abbreviate exudative consequents. Brownish tenacious exudate of early stage, and fibrin- ous exudate of second stage, are moderated by control and regulation of arterial pressure—cardiac inhibition is a therapeutic mandate. Aconite stimulates cardiac inhibition, slows pulse, lessens distention, diminishes alveolar encroachment, relieves respiratory embarrassment, abets oxygenation. During first twenty-four to thirty-six hours, aconite must be given in such doses as will make pulse slower, softer, and low tension. For a child of two years: Tr. aconite gtt. iij. (Fleming’s tincture—Squibb) Aq. destillat § iij. M. Sig.—One drachm every fifteen minutes for two hours; then every half-hour for four hours, and then every hour. Dilatation of cutaneous capillaries relieves pulmonary pressure—equalizes circulation. Envelop body in light flannel, induce cutaneous transpiration—potent, safe febrifuge. The surface fully and adequately protected; crib lined with flannel and placed where it will be secure from [7]
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