Vietnam or Thailand ? Vote for the TOP Country of the Week !
Updated: May 12, 2025
The treatment of this acute or gradual dilatation is absolute rest, with small doses of digitalis gradually but slowly increased, and when the proper dosage is decided on, administered at that dosage but once a day. Cardiac stimulants should not be given, except when faintness or syncope has occurred, and if strychnin is used, it should be in small closes.
Leaving him the vials of digitalis and strychnine, therefore, I went back, and dined solus on my own car, indulging at the end in a cigar, the smoke of which would keep turning into pictures of Miss Cullen. I have thought about those pictures since then, and have concluded that when cigar-smoke behaves like that, a man might as well read his destiny in it, for it can mean only one thing.
The treatment of such a patient requires the best of judgment as to the amount of food and liquid that should be given, the regulation of the administration of laxatives, the sponging of the body, the means of producing sleep if there is insomnia, how much reading, conversation or amusements should be allowed, how much stimulation by stryclmin or other stimulating drug should be given, and whether or not very small doses of digitalis should he tried.
If a patient has not been receiving digitalis, it is best to begin with a small close and gradually increase the dosage, rather than to give the heart a sudden shock from an enormous dose of digitalis. The preparation selected must be the best obtainable, but the exact dosage of any preparation can be determined only by its effect, as all preparations of digitalis deteriorate sooner or later.
One can never be sure that the heart muscle is so thoroughly degenerated that no part of it would be benefited by digitalis when compensation is lost; therefore, many times, especially if other drugs have failed, small doses of digitalis should be tried, to see if the heart will respond. Large doses or frequent doses would be contraindicated.
If the depressing action of bromids on the heart is counteracted by the coincident administration of digitalis, they will act only for good by quieting the nervous system and more or less inhibiting the secretion of the thyroid gland. If a patient has exophthalmic goiter fully developed, absolute rest in bed, with the treatment outlined above, should soon cause improvement.
If the dilatation of the left ventricle is due to some poisoning such as nicotin, with proper treatment stopping the use of tobacco, administration of digitalis, and rest the heart muscle will generally recover and the valve again properly close.
A lady in the country wrote to me to say, that her terrier was thin, dull, husking, and perpetually trying to get something from the throat; that her coat stared, and she frequently panted, I replied, that I apprehended she had caught cold; and recommended bleeding to the extent of four ounces, a grain each of calomel and emetic tartar to be given every fourth morning, and a fever-ball, composed of digitalis, nitre, and tartrate of antimony, on each intermediate day.
Digipuratum and digitol, a fat-free tincture, proprietary preparations accepted by the Council on Pharmacy and Chemistry for inclusion in N. N. R., may be employed. They are standardized preparations and may thus be more satisfactory than some pharmacopeial preparations of digitalis, although their claims to lessened emetic action are not borne out by recent experiments of Hatcher and Eggleston.
While he was in attendance on Philip, he had observed symptoms which made him suspect that Digitalis had been given to the young man, in doses often repeated.
Word Of The Day
Others Looking