Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
As medicinal treatment Large advises to give at the outset 1 oz. aloes
with one or two drs. of solid extract of belladonna and as an eliminant,
derivative and nervous sedative there is much to be said for it. In case
the difficulty of swallowing should prove a serious barrier a hypodermic
injection of ½ dr. barium chloride, 1½ to 2 grs. eserine, or 2 grs.
hydrochlorate of pilocarpin together with ¼ grain of atropin, may be
employed. As a substitute for atropin, ergot, potassium bromide, chloral
hydrate, chloroform, or phenacetin have been tried in different cases
with varying results. Iodide of potassium has been employed with
advantage in the advanced stages and in convalescence, and may be
usefully employed in the early stages as a sedative to the nervous
system, a deobstruant and an eliminant, if not as a direct antidote, to
the toxins.
Bleeding is generally condemned, yet in acute cases where there are
indications of active brain congestion, threatening convulsions or coma
it may tend to ward off a fatal result.
Cold applications to the head are generally commended. Bags of ice or
snow, irrigation with cold water, or cooling by running water at a low
temperature, through a pipe coiled round the head or extended along the
spine, will meet the purpose. Applied continuously this constringes the
blood-vessels within the cranium as well as on its surface, lessens the
exudation, and controls the pain and spasms. This may be advantageously
associated with warm fomentations to the feet and limbs, friction, or
even the application of stimulating embrocations to draw the blood to
these parts. In the smaller animals even warm baths may be resorted to
as a derivative, cold being meanwhile applied to the head and spine.
This not only lessens the vascular pressure within the cranium, but
secures elimination of toxic matters by both skin and kidneys. Cold pure
water should be constantly within reach.
A most important thing in the horse is to put him in slings, if he is at
all able to stand with their assistance. In decubitus he rests on his
side, with the head on the ground, and lower than the splanchnic
cavities. The result is a gravitation of blood toward the head. In the
sling, with the head fairly raised the gravitation is the other way and
the head is depleted. If the patient is too ill to be maintained in the
sling, he may be packed up with bundles of straw on each side, so that
his breast may lie on a thickly littered bed, and his head may be
elevated.
When convalescence sets in care must be taken to nourish with
non-stimulating, easily digested food, gruels, soft mashes, pulped or
finely sliced roots. In vomiting animals rectal alimentation may become
necessary. The rise of cranial temperature or the aggravation of brain
symptoms should be met as needed by the local application of cold, and
potassium iodide and iron or bitter tonics may be given if they do not
interfere with digestion.
ABSCESS OF THE BRAIN.
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