Notes on Some Remedies. XXXIII. Dehydration and Its Treatment
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? serve as a guide and should be varied to suit the special needs of infants, as each case ^quires separate consideration. The child should be under frequent observation as its Condition may undergo rapid alteration in a snort time. Skilled nursing is an important Part of treatment. General.?No purgative is usually required as diarrhoea has been sufficiently severe to 0,nPty the intestinal tract. Gastric lavage and (>(,lonic irrigation may be of great benefit by ^'ashing out the mucus. No milk feeds should be given for a period varying from 18 to 24 hours, or longer, during which it is of course essential that fluid (saline and glucose) should be administered by mouth or infusion. The food chosen should be low in fat and gradually introduced. Fat predisposes to vomiting by delaying gastric evacuation, and the unabsorbed fatty acids in the intestine cause further irrita-
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Notes on Some Remedies. XXXIV. Dehydration and Its Treatment: Treatment of Cholera
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 repl...
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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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