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Also, if the digitalis causes cardiac pain when such was not present, or increases cardiac pains already in evidence, and causes a tight feeling in the chest, nausea or vomiting, or a diminished amount of urine, and a tight, bandlike feeling in the head, digitalis is not acting well, and should be stopped, or the dose is too large.
This feature of digitalis action in arteriosclerosis renders its use sometimes a question of careful decision. The dose of digitalis under such a condition should not be large. It may be indicated, however, and may do a great deal of good, and it does not always increase the blood pressure.
I counted the irregular pulse-beats, then listened to the action of his heart, with my ear to his breast. There lay his physical trouble. I poured out a dose of digitalis, and, handing it to him, asked him to sit down. As he sat and drank the medicine, I rapidly studied him.
Give internally one pound of salts in drench, and follow with one of the following powders every four hours: nitrate of potash, one ounce; tartrate of antimony and pulverized digitalis leaves, of each, one drachm; mix all together, and divide into eight powders.
If more heart pain is caused, the dose of digitalis is too large, or it is contraindicated. Exper. They also found that when digitalis is given by the mouth, the electrocardiograph showed that its full activity was not reached until from thirty-six to forty-eight hours after it had been taken.
More blood must be subtracted, a seton inserted, the bowels opened with Epsom salts, and the digitalis, nitre, and James's powder given more frequently and in larger doses than before. Little aid is to be derived from observation of the pulse of the dog; it differs materially in the breed, and size, and age of the animal.
The belly for the first time began to enlarge, and on feeling the dog considerable fluctuation was evident. He would not eat, but he drank immoderately. Give daily a ball consisting of tonic and physic mist., with powdered digitalis and tartrate of iron. 'May 6th'. He is in better spirits, feeds tolerably well, but is rather increased in size.
Certainly the treatment should be used in cardiac insufficiency with a great deal of care, although it is often very valuable treatment. It should be emphasized that most patients with cardiac dropsy receiving the Karell treatment or a modification of it should also receive digitalis in full doses, and should have daily free movement of the bowels.
"You know as well as I do," he said, "that Digitalis, given in certain doses, is a poison, and you cannot deny that I honestly believed myself to be dispensing your prescription. While you are hesitating to give me an answer, my character may suffer; I may be suspected myself." He ended in declaring he should consult his lawyer. The doctor went home, and questioned his servant.
It is considered to act similarly to digitalis as a heart-stimulant, especially when the failure of the heart's action is due to mechanical impediments rather than to organic degeneration. The Pharmacist. During my visit to the Southern States of America, I have had several opportunities of watching, under favorable conditions, the flight of the buzzard, the scavenger of Southern cities.
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