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 |   Related post: the labored, stertorous breathing, and the type of stupor or coma give a picture as diametrically op- posite to that of Buy Hoodia Online simple exhaustion from heat, as can well be imagined. The atypical case is to be distinguished rather from uraemia and from apo- plexy. For this a temperature above 103° F. will usually suffice. It is to be admitted that certain cases of pontile hjemorrhage give a syndrome clin- icallv indistinguishable from insolation. This con- dition is very rare and almost hopeless. So it seems the part of practical wisdom to ignore the possi- bility if there is a history of exposure to radiant heat. The diagnosis having been made, efficient hydro- therapv will prove (where circumstances make it practicable) the most satisfactory measure. One attendant should be set to chipping ice and wrapping it into packets of convenient size, to be placed about the head, along the carotids, in the axilla, and on the .groins. One or more others should strip the patient, lay him on a rubber sheet, and sprinkle him from head to foot with Buy Hoodia ice water, sousing it on nut of towels, or sponges, or from a a garden sprinkling can. or from a syringe with (il'R Rl-.lUlikS' DJSCUSSJOXS. rose nozzle. Light, aciive friction to equiriize sur- face temperature is very useful. The time element is \%r\ important, and there should be no delay. Better to apply the best measures at hand, than to wait to transport patient any distance. At worst the clothing can be loosened about neck and waist, and cool water dashed from pitchers against temples and throat. As soon as the hydrotherapeutic measures are well arranged the physician must consider blood letting, remembering that his training has left him Jiiore prone, in this regard, to the sin of omission than to that of commission. \"enesection may sometimes be the primary meas- in-e, because immediate liydrotherapy is impossible. It may rank as the first adjuvant because of an ex- •cessively full and bounding pulse, or (when tension is only moderately increased) because of the prom- inence of coma of an apoplectiform type, or of labored breathing and cyanosis. If after half an hour of hydrotherapy the temperature is not lower iior the symptoms abating, bleeding is justifiable save only when pulse tension is actually below the average. Chloroform is recommended for convulsion. It seems uncalled for save when assistance is scant and the violence of the convulsions interfere with other Jiieasures. Stimulants are often used, seldom needed. Saline solution by vein or cellular tissue may be indicated after free venesection. Otherwise our choice lies Hoodia P 57 between ammonia for general prostration with im- pending death, atropine, gr. 1/60. if the chest is full of moist rales to the drowning point, strychnine, gr. Purchase Hoodia Online 1/30, for the respiratory centre, or with spar- teine, gr. 1/4 to i. for the heart. Success will oftener be reached by steady perse- verance with the methods mentioned than by an excited scurry down a longer Hoodia 57 list in the hope that if one thing does not benefit another may. As this is all emergency work a word as to ex- temporized means may be permitted. A towel or handkerchief and a pocket knife, razor, or button linle scissors are all that are needed for venesection. The tip of an ordinary medicine dropper is a good intravenous canula. Any physician should be able to give hypodermoclysis with a Davidson svringe, a piece of rubber catheter, and the needle from his hypodermatic case. Hydrant water with a heaping teaspoonful of table salt to the pint, boiled for ten minutes, is saline solution suiificiently near normal. The temperature having been reduced, and the immediate danger being past, after care becomes important. AMiatever is our theory as to the pri- mary pathological mechanism of sunstroke, hyper- toxicitv of the blood is a demonstrated factor. It IS important therefore to limit intestinal absorption. If the attack followed a heavy meal, Hoodia Buy or if the stom- ach seems distended and painful, or if there have been incfifectivc efYorts at vomiting, gastric lavage i? indicated. Two ounces of magnesium sulphate in saturated solution should be left in the stomach. Otherwise, ten grains of calomel in butter should be placed under the tongue, to be followed in a few hours by salines or a Purchase Hoodia colon lavage. The kidneys are to be closely watched. If suppression of urine or other signs of renal insufficiency appear, we may employ wet cups lu luin, and verairum or nitroglyc- erin, if blood pressure is high; intravenous saline, caffeine, digitalis, and sparteine if it is low. i'"or the headache which so often follows, 1 em- ploy chloral ; bromide and ergot, if it is Cheap Hoodia dull, gen- eral, and accompanied by drowsiness or injected conjunctivc-e. When it is localized and lancinating acetphenetidin is more effective. After recovery we must insist 57 Hoodia upon a considerable period of mental and physical rest. The use of liromide and ergot in this period, to be followed by small doses of iodide, seems rational, though it is difficult to demonstrate an effect clinically. Finally the patient must be instructed in the prophylactic treatment as follows : During hot weather avoidance of exposure Order Hoodia and of special men- tal and physical exertion, abstinence from alcohol and from diet excessive in quantity or indigestible or irritating in quality ; rest and hydrotherapy P 57 Hoodia on the slightest premonitory symptom of another attack. Related links: Propecia Usa, accutane buy online, Purchase Topamax Weight Loss, Order Budesonide Online, Advair Diskus Coupon, effexor xr 75mg cap, Celebrex Cost, Evista 60 Mg, Order Amiodarone Online, Buy Hoodia
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