Penicillin in General Practice

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exposure to the fumes of nitric acid, nitrous dioxide, hydrogen sulphide, and as was seen following the Coconut Grove fire in Boston, inhalation of fumes. In all thesc cases absolute rest with morphine and the administration of oxygen with humidification under pressure if possible is indicated. If shock is present intravenous plasma or serum may be given, but not more than 2,o0o c.c. Oedema may occur during the administration of anaesthetics such as ether and N20. When this happens the table may be tilted to help drainage from the lungs, and pharyngeal or intratracheal intubation carried out with pure oxygen given under pressure. Atropine gr. I/ioo must also be given intravenously. In cases due to cerebral oedema intravenous hypertonic solutions such as 50 per cent. succhrose are of benefit together with pharyngeal and intratracheal intubation with suction when necessary. The oedema following rapid paracentesis is now uncommon, presumably due to improved technique. In past pandemics of influenza rapidly occurring oedema was often seen, but with the presert attacks it is uncommon. It should be treated when it occurs with humidified pure oxygen.

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تاریخ انتشار 2008