Merck's Archives of Materia Medica and Drug Therapy, Vol. 3 (Classic Reprint)

Merck's Archives of Materia Medica and Drug Therapy, Vol. 3 (Classic Reprint)

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Excerpt from Merck's Archives of Materia Medica and Drug Therapy, Vol. 3
We now come to the medicinal treat ment. For pulmonary hemorrhage there is no drug in the entire materia medica equal or even comparable to morphine. And a hypodermatic injection of morphine should immediately be administered, as soon as the patient has been put in the proper position. I usually administer gm. Of morphine sulphate combined with gm. Of atropine sulphate. Some physicians give the atro pine as high as or even of a grain, but I have never employed such high doses and do not consider them necessary. The effect of the morphine in this condition is wonderful: it exceeds by far anything one would expect from knowledge of the rug's physiological effects only. Undoubtedly, besides exercising a beneficial effect on the turbulent heart and circulation, and on the respiratory movements of the lung, it does material good by allaying anxiety and diminishing cerebral activity. The useful ness of atropine, which acts as a stimulant to the respirato center, has been disputed by some; but t ere can hardly be any doubt that slight stimulation, to overcome the depressing effect of the morphine on the poorly working lungs, is desirable. While it should be our endeavor to dimin ish pulmonary activity as much as possible, we must not go outside of the limits of safety. It must be remembered that the danger of asphyxia in this condition is not altogether problematical. The atropine has another beneficial effect: it relaxes the cu taneous vessels, increasing the amount of blood in them and thus diminishing the amount of blood in the lungs.
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Product details

  • Paperback | 516 pages
  • 152 x 229 x 26mm | 680g
  • Forgotten Books
  • United States
  • English
  • , black & white illustrations
  • 0243046960
  • 9780243046966