786 EPITOME OF MODERN TREATMENT OP 



735. Gelatin and calcium chloride to coagulate blood, 159. Adren- 

 alin chloride best hemostatic when can reach bleeding spot, 639. 



Subcutaneous injections of fresh horse serum (antidiphtheric 

 serum is most convenient) has recently given most successful results 

 in persistent hemorrhages of all kinds. The serum should not be 

 repeated at intervals longer than 10 days. That from the same 

 species of animal as the patient is best. 



The dose is about ^ss for small animals; ^3-4 for large patients. 



Gastric (hematemesis) and Intestinal (enterorrhagia) hemorrh- 

 age, hot blankets externally; ice water internally; and bandaging- 

 of the limbs. 



In hematemesis, adrenalin by the mouth or Monsel's salt in pill 

 (H., 3i; D., gr. x) every fifteen minutes for an hour, if adrenalin 

 is inefficient; or tannic acid, 593; or ergot by mouth or subcutan- 

 eously, 639. 



In enterorrhagia, ergot, tannic acid with opium, or Monsel's salt» 

 as above. Hamamelis, 601. Diet, 689, oil of turpentine, 504, in 

 slight enterorrhagia. 



In bleeding from rectum, enemata (H., Oi; D., 3^-4). Enemata 

 to contain either adrenalin (Jss to Oi), Monsel's salt, or alum, or 

 tannic acid (Jss-Oi). 



In Hemoptysis, amylnitrite by inhalation most successful; mor- 

 phine under the skin, or chloral and bromide by mouth. Gallic acid 

 by mouth every 15 minutes (H., 3ii; D., gr. x). Inhalation of 

 Monsel's solution (Jss-Oii). To prevent recurrence, give calcium 

 chloride every 3 hours, and gelatin by mouth. Also complete rest to 

 avert pneumonia, and aconite to lower circulation. Ice applied to 

 chest during hemorrhage. 



Hemorrhage, Post-Partum. 



Remove fetal membranes. Intrauterine injections of sterile water 

 (115-120 deg. F.). Pack uterus with aseptic gauze. Ergotin sub- 

 cutaneously, 639. Raise hind quarters. Secure quiet by morphine 

 under the skin, or laudanum by mouth. Tight binder about abdo- 

 men to support uterus. In laceration of uterus, tight packing of 

 sterile gauze or suture. If severe bleeding, saline infusion. Strych- 

 nine under skin and alcohol, to avert collapse. 



Hernia. 



Umbilical Hernia in New-Born— Give purge, and, after 12 hours 

 fast, cast and return protusion and draw 3 folds of skin together 

 covering umbilical ring. The folds are held together by wooden or 

 iron clamps, with not sufficient pressure to cause the skin to slough; 

 or by skewers introduced down to fascia, on either side ring, and 

 held together by string wrapped around folds of skin, not tight 

 enough to cause sloughing. 



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