Text book of veterinary medicine, Volume 4 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 4 (of 5)
Law, James
Veterinary medicine
As in other pneumonias the application of cold to the skin is liable to
bring on a chill unless the temperature is very high. A safer and hardly
less effective method is to apply around the chest a thin blanket or
sheet wrung out of tepid water and cover it closely with dry blankets
holding these close to the skin by elastic circingles. No part of the
damp compress must be allowed to remain exposed to the air under pain of
causing chill. Damp cotton wool applied next the skin tends to maintain
its contact by its own elasticity, so that it requires less care in the
elastic dry covering. This moist warmth draws a free circulation of
blood to the skin, so that it is cooled and sent back internally to cool
the burning fever, without sensation of chill. The abstraction of this
large mass of blood to the skin, acts like bleeding in diminishing the
blood tension in the chest and allowing the resumption of the normal
vaso-motor and nutritive functions without the dangers of venesection.
The soothing action on the skin, soothes by sympathy the infected and
inflamed tissues.
A steam or hot air bath may serve a similar purpose. Conjoined with an
aloetic laxative and aconite, I have seen this reduce the temperature
from 104.5° F. to 102.7° F. at the next taking 18 hours later. It only
once again reached 103° F. in the subsequent course of the disease.
To secure diaphoresis, warm mashes or gruels may be freely used.
Alcoholic drinks have been freely used (the weaker wines 1 to 2 qts.,
sherry, brandy, whisky ½ to 1 pint), camphorated spirit (2–3 drs.)
subcutem, ipecacuan (1 oz.), tartar emetic (2 drs.), liquor of acetate
of ammonia (4 ozs.), pilocarpin (2 grs. subcutem). If the alcoholic
liquors produce a free circulation and glow in the skin, better still if
diaphoresis, they are useful antithermics, but, if they fail in this,
they may do harm by reducing the vital activities of the leucocytes, and
their power of resistance. Trasbot has had uniformly unfortunate results
with alcohol in large doses. The same objection attaches to tartar
emetic and other depressant diaphoretics, though valuable if free
diaphoresis is secured.
Constipation may be met by cold water injections, calomel (½ to 1 dr.),
pilocarpin (3 grs.), eserine (1½ gr.), sodium sulphate or other agent
graduated to requirement.
An expectorant and alkaline diuretic action may be obtained from
potassium iodide (1–2 drs.), ammonium chloride (2 drs.), or ammonium
acetate. These not only liquefy the exudate, and facilitate
expectoration, but secure elimination of toxins, ptomaines and waste
products from the blood and system. The iodide is besides somewhat
antiseptic.
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