Principles of Medical Treatment: Sixth Edition, Revised and Enlarged

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1916 Excerpt: ... five minutes is allowed for the passage of the Salvarsan into the vein, and the rate of flow is regulated by the height of the receptacle. This operation requires strict asepsis at every step. Dose. Speaking of the use of Salvarsan in syphilis, Ehrlich says: "The dose depends entirely on the type and stage of the disease." Ordinarily, fr. 0.1 to 0.6 gm. is used at intervals of from 5 to 10 days. In rare instances smaller or larger doses may be tried. Caution. When danger is to be feared begin treatment with a series of very small doses at long intervals, or an energetic course of Mercury. The combined use of large doses of Salvarsan and of Mercury at the same time is believed to be unsafe. Note.--Alternate courses of Salvarsan and of Mercury are to be recommended for syphilis. NEOSALVARSAN. Action. Like that of Salvarsan but less powerful in equal dosage. Toxic Effects. Similar to those of Salvarsan but milder with equal dosage. Indications. In may be preferred to Salvarsan because easier to prepare, or when toxic effects are feared. Contraindications. As for Salvarsan. Administration. Use immediately, because contact with air causes rapid decomposition. Do not mix the drug until everything is prepared and the needle already in the vein. Dose. 0.9 gm. of Neosalvarsan contains the same quantity of arsenic as 0.6 gm. Salvarsan. Preparation of Alkaline Solution of Salvarsan for Intravenous Use. Printed instructions for preparing the solution are provided with the drug. Technic of the Massachusetts General Hospital. 1. Everything used for preparing the solution is sterilized beforehand, and is handled under strictly aseptic precautions. The full dose of 0.6 gm. is being used less frequently, and smaller doses more frequently now at the Mass. Gen. Hosp. 2. The ... PREFACE CONTENTS CHAPTER I. DISORDERS OF THE CIRCULATORY SYSTEM CHAPTER II. NEPHRITIS CHAPTER III. ACUTE INFECTIOUS DISEASES CHAPTER IV. ACUTE INFECTIONS MOST COMMON IN CHILDHOOD CHAPTER V. ACUTE INFECTIONS OF RESPIRATORY TRACT CHAPTER VI. PULMONARY TUBERCULOSIS CHAPTER VII. THE TREATMENT OF ASTHMA CHAPTER VIII. GASTRO-INTESTINAL DISORDERS CHAPTER IX. SYPHILIS CHAPTER IX. SYPHILIS CHAPTER XI. ANEMIA CHAPTER XII. DIABETES MELLITUS CHAPTER XIII. ENDOCRINE DISORDERS CHAPTER XIV. PREOPERATIVE AND POSTOPERATIVE MEDICAL TREATMENT CHAPTER XV. VACCINE ТНЕRAPY CHAPTER XVI. MEDICATION INDEX