Bronchial and Pulmonary Diseases including Pneumonia
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Bronchial and Pulmonary Diseases including Pneumonia

Bronchial and Pulmonary Diseases including Pneumonia




      

Bronchial and Pulmonary Diseases including Pneumonia


Bronchial and Pulmonary Diseases including Pneumonia

Bronchial and pulmonary diseases supply a large percentage of the camp ailments in the fall and early winter during the deer hunting season. An attack of pneumonia following a severe drenching from being out all day in a rain, or accidentally tumbling into the creek, is not a pleasant thing to contemplate. It usually comes in the night. The patient wakes out of a sound sleep with a chill. There is a sharp sticking pain as though a knife were being thrust between the ribs, at some point on the chest wall. The breath comes in short gasps and the patient instinctively turns toward the affected side in order to ease the pain.

The chill may or may not be followed by vomiting, and the fever lights up immediately, rising to 102-40 F. A distressing short cough comes along to add to the discomfort as each act of coughing increases the pain in the chest. In less than twenty-four hours the patient begins to expectorate what we call "prune-juice" mucus, that is, mucus streaked with blood until it resembles the juice of cooked prunes. When you see this "prune juice" you need have no doubt as to the diagnosis. You should, however, have been busy long before this.

There is no doubt now among educated physicians that pneumonia, taken in time, can be aborted. When the pain first manifests itself set somebody to baking hot cakes made from flour stirred with water. While these are still as hot as can be borne lay them over the painful spot on the lung, renewing as fast as they become cool. To accomplish much good this treatment must be kept up until the period of expectoration and even after, at least twenty-four hours. At the same time begin by administering calomel in 1/4 gr. doses every thirty minutes until at least three grains have been given.

Two hours after the last tablet of calomel has been given, give a tablet of elaterin. When the latter has "worked," start in with the dosimetric trinity tablets and push them until the skin becomes moist and the fever falls below 100 F. Do not give any of the coal tar products in pneumonia, that is, do not give phenacetine or acetanilide. When the patient is recovering it is well to keep up the heart by strychnia or digitalin.

There is such a thing as giving too much of these heart stimulants though, and you should watch the pulse closely. Stimulating the heart too greatly is liable to cause congestion of the small blood vessels in the lungs and defeat the very purpose you set out to accomplish.

Moody, Charles Stuart. Backwoods Surgery & Medicine. New York: Outing Pub., 1916. Print.

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