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.

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    B. Eemedial Tkeatment. First Stage.—General Manage ment.—One or two nurses. Patient in Ijed. Posture; at- tention to neck and head (p. 559), and to stertor (p. 559). Cold to head. Hot india-rubber bottles, covered with flannel, to feet (caution, p. 560). Eoom darkened and still. Patient undisturbed (pp. 560 and 561). Attention to bladder and rectum (p. 562). Prevent bed-,sores. Diet.— None for several hours. Stimulants, none. Medicines.—A selection of rapid hydragogue purgatives: (1) Olei Crotonis ]\\. To be mixed with a little butter and applied to the back of the tongue at once. (2) 1^ Pulveris Jalapae Compositi 31 At once. (3) l^t Pulveris Elaterini Compositi gr. iii. [U.S.P. IJ; Triturationis Elaterini gr. ^.] At once.—A less powerful purgative: 1^ Hydrargyri Subchloridi gr. iv, Sacchari Lactis gr. ii. [U.S.P. 1^ Hydrargyri Chloridi Mitis gr. iv, Sacchari Lactis gr. ii.] At once. To be followed in six hours by an aperient saline.—A htemostatic: 1^ Extracti Ergotte Liquidi 3i, Glycerin! n|^xxx, Aquse ad 3i. [U.S.P. R Extracti Ergotse Fluidi 5i, Glycerin! n\^xxx, Aquae Destillatae ad gi.] Every three hours. Non-medicinal Measures.—Question of bleeding (p. 559). Second Stage {Reaction).—General Management.—Continue the same measures (p. 561). Diet. — Sips of water. Milk in 2 J fl. oz. feeds every two hours. Stimulants, none. Medicines.—Continue milder purgative. Question of cardio- vascular depressants (p. 561). Tliird Stage {Paralysis).—General Management.—Gradual return to physical and mental exercise (p. 562) and tu preventive measures, as above. Massage and electricity. Value of encouragement. Diet.—Gradual return to light sohds, etc., as in Preventive Treatment. Medicines. — Nervo - muscular stimulants: ^ Liquoris Strychninse Hydrochloridi Tinc- ture Aurantii 3ss, Aqufc Chloroformi ad gi. [U.S.P. 1^ Strychninse Hydrochloratis gr. Tinctures Aurantii Amari 3ss, Aqu£e Chloroformi 3iv, Aquse Destillatae ad 51-] Three times a day after meals.