The principles of treatment and their applications in practical medicine / by J. Mitchell Bruce.

  • John Mitchell Bruce
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: The principles of treatment and their applications in practical medicine / by J. Mitchell Bruce. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    471/676 (page 447)
    :Miicilagiiiis Acacise ad 3i. When required. Or Trochisci as above, with caution, (h) An antipyretic (caution, see p. 431): ^ Phenacetini gr. ii. Every hour from 4 to 6 p.m. inclusive, (c) Anhidrotics: (1) 1^ Liquoris Atropinse Sulph- atis TT\J-, Aquae 31. [U.S.P. Atropinae Sulphatis grs. Aquaj Destillatse ad gi.] At bedtime. (2) Extracti Bella- donnee Alcoholici gr. \, Zinci Oxidi gr. iv; fit pilula. At bed- time.—All sputa to he disinfected or destroyed. EoR HEMOPTYSIS (p. 438).—General Management.—Com- plete bodily rest in the most easy posture. If bleeding be free, treat patient where found, avoiding movement and removal of clothes. If bleeding have been very violent, lower the head to allow clearance of trachea, and introduce finger to bring away clots from pharynx. Calm reassuring manner and words (p. 440). Give a powerful and rapid sedative of respiration, circulation, nervous system, and body generally, in form of a hypodermic injection of morphine (gr. x^—gr. ^). No talking permitted. Room: Temperature not to exceed 6 2° F. Candles ; no gas. Ventilation secured. Bed-coverings very light. One light woollen or other garment only, others being cut away if necessary. Food: Water only at first, to relieve thirst, in sips; or as ice very sparingly. Thereafter small cold fluid feeds, at short intervals, of milk or broth, or teaspoonfuls of beef essences or jellies. Stimu- lants : none, unless syncope imminent; then in half or one teaspoonful doses in water, with finger on pulse (p. 440). Medicines.—A selection of htemostatics (p. 439): (1) 1^ Ex- tracti Ergotce Liquidi ri]^xxx-5ii, Glycerini n^^xx, Tincturce Camphorae Compositae Aquae Cinnamomi ad gi. [U.S.P. ^ Extracti Ergotae Fluidi Tl^xxx-.^ii, Glycerini rn^xx, Tincturae Opii Camphoratit; Aqua.' Cinnamomi ad si.] Every four hours. (2) 1^ Injectionis Brgotini Ilypodermicte lll^v. [U.S.P. Extracti Ergotas gr. iss, Aqua' Destillatje ii|^x.] To be given by nurse if haemorrhage return. (3) 1^ Olei Terebinthina3 Mucilaginis Acacia; ad H To be given at once, and one-third of a dose to be repeated every three hours, urination and the urine being watched. Progress of the Case.—(1) If haemorrhage persist or return, repeat morphine hypodermically (after proper interval), and