210 DISEASES DUE TO BACTERIA 



Those vomited being replaced. Continue until the stools are green 

 and less copious, which can be expected in twelve to twenty-four hours. 



In mild cases give one four-hourly, in severe continue as above. 



Pills old and hard are useless. 



In collapse, hot bottles and when pulse fails open median basilic 

 vein with Rogers' special silver cannula inserted and hypertonic 

 saline solution given until B.P. returns. 



Sodium chloride gr. cxx. 



Calcium chloride gr. iv. 



Potassium chloride gr. vi. 



Water to a pint. 



Boil for 15 minutes to sterilize. 



Inject at a temperature varied according to rectal temperature. 



Rectal temperature Saline injection 

 99° F. over 98 '4° F. 



98° F. 100^-102° F. 



100° F. 97' 5° F. 



102° F. and over Warm 



If blood pressure falls below 70 mm. of Hg give intravenous saline 

 at once. Give it in cases of restlessness, cyanosis, cramps, black blood 

 as shown by pin prick. 



Stop the injection in cases of respirators or other distress. 



Leave the cannula in situ as it may be needed to repeat the 

 injections. Warm rectal injections can be given. 



If no severe cramps, strychnine hypodermicallv. 



If suppression, dry-cup over each loin. 



In the stage of reaction give : — 



Bland foods and avoid meat extracts also. 



I^ Bismuth salicylate ... ... ... j^r. xv. 



Soda bicarbonate ... ... ... gr. v. 



Liq. opii sedatives ... ... ... ni v. 



Mucilage q.s. 

 Chloroform water to 5 i. 



5 i t.d.s. 



For persistent vomiting give : — 



(i) Cocaine gr. ^ dissolved in 5i of water. 



(2) INIist. pepsini co. et bismuth 10 minims, half-hourly for four 



doses. 



(3) Two drops of tinct. iodine in water. 



For cramps : massage, morphia, inhalations of mixture of chloro- 

 form and oxygen. 



For delirium : bromides, with tincture of hyoscyamus. 

 For prostration ; strychnine or camphor in ether. 

 Watch for uraemia. 

 Opium eaters all die. 



