Notes on Some Remedies. XXXIV. Dehydration and Its Treatment: Treatment of Cholera
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چکیده
Cholera presents a picture of mixed salt and water depletion, its most outstanding feature being dehydration with consequent haemoconcentration and peripheral circulatory failure. A patient may lose fluid enormously, and in very bad cases we have observed the plasma reduced as low as to one half its volume though the total blood volume was not markedly altered. Treatment consists mainly in replacing the lost fluid and salt, and giving alkalis for the acidosis which usually develops as a result of the electrolyte disturbance of the body fluid. These
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Notes on Some Remedies. XXIII. Blood Transfusion, Part II
As the essential cause of shock in acute haemorrhage is the resulting low blood volume, the restoration of blood volume by transfusion is the most important step in treatment. Intravenous saline or glucose-saline infusions are inadequate as their effect is only transitory, although they are a valuable supplementary when dehydration complicates the picture. Definite indications for transfusion a...
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