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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    air-currents; room is kept at 65° F. Ventilation by means of open windows, must supply abundant oxygen. Relieve nervous shock, subdue arterial tension, pro- mote diaphoresis and diuresis; sufficient catharsis for adequate emunctioning by intestines and liver, proper temperature and ventilation, are the safeguards which science vouchsafes a pneumonia patient during aggres- sive inflammation. When fibrinous casts distend alveoli and small bronchi, exerting mechanical lateral pressure on vessels, aconite is pathologically interdicted. During the four or five days of stationary lesion, drugs are in abeyance, hygiene in force: oxygenation, unperturbed, restful sleep, bland predigested food, adapted to age and digestive ability of patient, proper emunctioning. Oxygen inhalation is indisputably and unobjectionably serviceable throughout entire station- ary period. When consolidation begins, oxygen is an uniform invariable indication. Never defer its use until crisis. Indispensable during crisis, gravity of this is allayed by free oxygen in- halation during all the stage of compressed vessels by fibrinous plugs. Resolution. Crisis—lysis. By Crisis.—Rapid breathing becomes still more accelerated with no respiratory pause, sometimes with a rattle or gurgle; pulse increasingly rapid, small and irregular; lips and finger ends blue, nose, ears, and extremities cold. Carbonemia causes deepening in- sensibility or grave restlessness. Temperature drops alarmingly. Such critical phenomena were witnessed in a mountain hotel at 1 a.m., twelve miles from a chemist’s shop. Having apprehended this, it was pro- vided for and child (eight months) recovered. In such a crisis one-half drachm whiskey in two of hot water, sweetened to make palatable and less nauseating [8]