A Text book of the Practice of Medicine for Students And Practitioners

Cover A Text book of the Practice of Medicine for Students And Practitioners
A Text book of the Practice of Medicine for Students And Practitioners
H a Hobart Amory Hare
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Another point of importance is to cut down the fats given to these patients, who before the onset of these symp- toms have been subsisting largely upon fats and proteids, because the poisons of coma are derived from fats and fatty acids. For the diminution of the poisonous properties of the loxic substances already formed everyone is in accord that alkalies should be freely admin- istered. Vichy water should be taken in large quantities, and 20 or 30 806 DISEASES OF NUTRITION grains of bicarbon...ate of sodium may be given every two or three hours dis- solved in Vichy water, thereby fortifying it. Stadelmann has advised the intravenous injection of carbonate of sodium in order that it may combine with the acids in the blood, diminish acidiosis, and aid in their ehmination. For this reason the quantity of acetone in the urine may be temporarily increased by this plan of treatment. Naunyn uses 35 to 40 grams of car- bonate of sodium (not bicarbonate) dissolved in a quart of water. This must be given very slowly by intravenous injection.

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