File:The diagnosis and treatment of diseases of women (1907) (14598267037).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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minated peritoneal cavity.In addition, the following measures are employed: Strychnia sulphate, 1-30 gr. every four hours. Digitalin 1-50 gr. every two hours. High enema of a pint to a quart of warm normal saline solution every two to four hours.The hot water bottles must be renewed as necessary to keep the patient warm, and the enemata and other treatment should be given in such a way as not to cause chilling of the surface.If the shock is extreme, it is well to give the normal saline solution subcutaneously—one or two pints under the skin of the chest on one or both sides.When much blood has been lost and the pulse is thready and almost gone, a pint to a pint and a half of the normal saline solution may be given also intravenously.The use of oxygen is an additional measure of much value, in cases where respiration is defective. 4. Internal hemorrhage. A serious internal hemorrhage is indicated by rapidweakening of the pulse, an increase of pain in the al:)domen and subnormal tern-
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Fig. 696. Elevation of the Lower Part of the Body, for the treatment of Shock. 778 AFTER-TREATMENT IN OPERATIVE CASES perature. It is rare after the first twelve hours, and usuaUy comes within the firstsix hours. If there is a drain through the abdominal incision or into the vagina,there will be a free flow of bloody serum or, if it is a tube drain, of blood itself. The treatment of as light hemorrhage is (a) to elevate the pelvis by raising the footof the bed (Fig. 696), (b) to put an ice-bag on the pelvis outside the dressing, (c)to keep the patient perfectly quiet on her back, and (d) to give a sedative (codeine)if necesary to secure rest. Discontinue the normal saline enemata, as the pelvicdisturbance occasioned thereby might increase the hemorrhage or start it after ithad once ceased. Do not give any stimulants or employ any measure that will in-crease the blood pressure. The hope is that, as the blood-pressure is low, the bleed-ing will cease for a few hours—long enough to per

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