Disturbances of the Heart: Discussion of the Treatment of the Heart in Its Various Disorders, With a Chapter on Blood PressureOsborne, Oliver T. (Oliver Thomas)
Science
Disturbances of the Heart: Discussion of the Treatment of the Heart in Its Various Disorders, With a Chapter on Blood Pressure
Osborne, Oliver T. (Oliver Thomas)
Blood pressure; Heart -- Diseases
Ammonia: In the form of ammonium carbonate or the aromatic spirits
of ammonia, this has long been used with clinical satisfaction as a
cardiac stimulant. Probably, however, it is seldom wise to use
ammonium carbonate. It is exceedingly irritant, and constantly
causes nausea, perhaps vomiting, and often heartburn or other
gastric disturbance. It has no value over the pleasanter aromatic
spirits of ammonia, which is essentially a solution of ammonium
carbonate. The dose of the aromatic spirits is anywhere from a few
drops to half a teaspoonful, given with plenty of water. It is
thought to be a quickly acting stimulant, with an effect much like
alcohol, followed by very little or no depression. It is more of a
cerebral irritant than alcohol, and probably has few, if any,
advantages over camphor.
When but little nutriment has been taken for some days, it may be a
chemical question, since ammonium compounds so readily form and
become cerebral irritants, whether any more ammonium radicals should
be given the patient. This is especially true with defective
kidneys. In these conditions camphor is better.
3. Vasodilators.--In various conditions of high blood pressure,
arteriosclerosis and even during the sthenic stage of a fever,
vasodilators may be indicated. The most important are nitrites,
iodids and thyroid extracts. Alcohol, as stated above, may act as a
vasodilator. Aconite and veratrum viride are now rarely indicated,
although possibly aconite should be used when there is high tension
and the heart is acting irritably and stormily.
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