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Sometimes, when the heart has not been injured by prolonged fever, digitalis in small doses may slow the heart and act for good. Convalescence. The convalescence should be prolonged as in any other cardiac inflammation.
It probably should not be given if the patient has previously had good dosage of digitalis.
Comparison of the findings after these two injections will determine which factor, vagal or cardiac tissue, is the greater in the condition present. The patients with a large cardiac factor are the ones who may be more improved by the digitalis treatment than those in whom the fibrillation is caused by vagus disturbance. The prognosis depends on the condition of the myocardium of the vagus.
Graded walking, climbing, or other more interesting exercises are advisable, as all tending to raise the pressure, provided that at no time are they carried to the point of exhaustion. Forced feeding may be useful. Cool sponging in the morning, if there is proper reaction, is often of benefit. Iron may be indicated; bitter tonics may be indicated. Digitalis and strychnin are often of advantage.
She grew to think that she had a right thus to give her life for her love, to belong to Andras, to be the wife of that hero if only for a day, and to die then, to die saying to him: "I was unworthy of you, but I loved you; here, strike!" Or rather to say nothing, to be loved, to take opium or digitalis, and to fall asleep with this last supremely happy thought: "I am his wife, and he loves me!"
When compensation fails with these patients, the first sign is pendent edema of the feet, ankles and legs; subsequently, if there is progressive failure of compensation, the usual symptoms occur. The treatment is principally rest and digitalis, and the recovery of compensation is often almost phenomenal.
She recovered with no worse result than her conversion to Christian Science, which owes its vogue quite as much to public despair of doctors as to superstition. I am not, observe, here concerned with the question as to whether the dose of digitalis was judicious or not; the point is, that a farm laborer consulting a herbalist would have been treated in exactly the same way.
"Oh, to be sure," he smiled. "I forgot I hadn't told you what I suspected. Why, digitalis foxglove, you know. I suppose it never occurred to the police that the rubber dagger might have covered up a peculiar poisoning?
The sickness ceased, and the cough remained as before, I then gave twice in the day half a grain of calomel, the same of opium, two each of pulvis antimonialis and digitalis, and four grains of nitre, morning and noon, with six grains of the Dover's powder at night.
Well, if they'll take the contents of the stomach, in alcohol, with a little water acidulated, strain off the filtrate and try it on a dog, they will see that its effect is the effect of digitalis. Digitalis is an accumulative poison and a powerful stimulant of arterial walls, by experimental evidence an ideal drug for the purpose of increasing blood pressure.
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