Vietnam or Thailand ? Vote for the TOP Country of the Week !
Updated: June 7, 2025
If the heart is very weak, small closes of morphin may be used. If the heart is not weak, bromids or chloral may be given.
A treatment as successful as any in this heart weakness in delirium tremens is morphin sulphate, 1/2 grain, and atropin, 1/15 grain, given hypodermically, with the administration of digitalis hypodermically for its later action on the heart. If the heart is contracting very rapidly, an ice-bag over the precordia will often quiet it.
According to Lewin, Samter mentions a case of morphin-habit which was continued for three years, during which, in a period of about three, hundred and twenty-three days, upward of 2 1/2 ounces of morphin was taken daily. According to the same authority, Eder reports still larger doses.
There are several cases on record in which death has been produced in an adult by the use of 1/2 to 1/6 grain of morphin. According to Wood, the maximum doses from which recovery has occurred without emesis are 55 grains of solid opium, and six ounces of laudanum.
If the patient is weak, the circulation depressed, the blood pressure low, and the heart rapid, the drug advisable to produce rest and sleep is almost always morphin or some other form of opium. Morphin, with few exceptions, is a cardiac tonic and a cardiac stimulant, unless the dose is much too large.
The part the nervous system plays in this paroxysm is shown by the good result obtained from injections of morphin, even when there is no pain; hence the action of morphin is directly in line with the natural resolution of the symptoms: it quiets the nervous system, causes drowsiness, relaxes spasm, and thus causes increased peripheral circulation; many times this is the only treatment necessary.
Jane Carlyle became an invalid, and sought to allay her nervous sufferings with strong tea and tobacco and morphin. When a nervous woman takes to morphin, it almost always means that she becomes intensely jealous; and so it was with Jane Carlyle.
As long as the bowels are daily moved and the food is not given at the time of the full action of the morphin, when digestion might be delayed or interfered with, in most patients the action of this drug during serious illness is entirely for good.
According to the same authority, in 1854 there was a case in which a babe one day old was killed by one minim of laudanum, and in another case a few drops of paregoric proved fatal to a child of nine months. Doubtful instances of death from opium are given, one in an adult female after 30 grains of Dover's powder given in divided doses, and another after a dose of 1/4 grain of morphin.
When the patient survives the shock, the presence or absence of infection is the all-important factor in prognosis. #Treatment.# The general treatment consists in combating the shock. When pain is severe, morphin must be injected. Local Treatment.
Word Of The Day
Others Looking