186 PRINCIPLES OF VETERINARY SURGERY 



ifested only by tremor and this grave fatal form, come all 

 the intermediate states, some cases of which die and others 

 recover. In the dog shock is manifested by lassitude and 

 a sinking state not unlike the fatal cases of man. 



PROGNOSIS. — Shock is always grave. Its first, mild 

 manifestation may develop into grave symptoms with alarm- 

 ing rapidity. When the disease develops to the point of pro- 

 ducing marked alterations in the character of the pulse, 

 respirations and temperature, death is the usual termina- 

 tion. It is only by the application of the most energetic 

 treatment that any of the more serious cases can be saved. 



TREATMENT.— Friction to the surface, hot blanket 

 wraps over the entire body, and the internal administration 

 of vascular stimulants (aromatic spirits of ammonia) are the 

 appropriate treatment at the beginning. Coffee, digitalis, 

 cafTfein, strychnin and nitro-glycerin are also highly rec- 

 ommended. As soon as this first course of treatment is ap- 

 plied, subcutaneous and intra vaneous injections of normal 

 salt solution must be administered in large quantities and 

 often repeated until the state is markedly ameliorated. 



