1 68 Scientific Proceedings (76). 



table 1. 







«3 





Plasma Sodium 



"5 



a 



0 









a 



v . 



Chlorid per Liter. 



> 



is*. 







H 



u 



0. . 



5 J 









>. 



1> 



g-a 



0 0 







a 



0 



« E 



0 u 









0 V 



c° 



a 7X 



Remarks 



Date 



X 



Blood Urc 



G 



Index 

 Exci 



Calcu- 

 lated, Gm. 



Actual, 

 Gm. 



Difference, 

 Gm. 



Plasma C 

 um 



H+ Ion C 

 Whole 1 





June 17 





















to 





















Oct. 6 





1. 176 



5-5 



5-86 



6.27 



+O.41 



49-1 







Oct. 12 





1.542 



2.9 



5-86 



6.25 



+0.39 







Patient feels quite 

 well 



Oct. 21 





* • A -^0 



T C 

 L 'J 





6 7A 









Appetite slightly di- 

 minished 



Oct. 26 





3-005 



0.7 



5-84 



6.28 



+O.42 



34-8 





Complains of head- 

 ache and muscular 

 cramps 



Oct. 27 





3-285 



0.4 



5-84 



S-89 



+0.05 



19.0 





Nausea and vomiting 



Oct. 28 





3-430 



0.27 



5-78 



5-83 



+ O.05 



20.9 





Severe headache; 

 typical air hunger 



Oct. 29 





3-935 



0.17 



5-73 



5-02 



— O.71 



17.6 



6.86 



Headache; stertorous 

 breathing; mental 

 condition good 



Oct. 30 



9 A.M. 



11:45 " 

 1-15 P.M. 



2:30 " 

 9 



9:30 " 



4-580 

 4.620 







S-53 



S-75 

 S-30 



S-69 

 S-46 

 5.32 





15-2 



12.2 

 32.8 



18.7 

 21.4 

 39-4 



6.93 



7-44 

 7.29 



Partial coma; muscle 

 twitchings 



After NaHCOs, 30 

 gms. intravenously 



After NaHCOs, 25 

 gms. intravenously 



Oct. 31 



10 



5.020 







5.3i 





33-3 





Deep coma 



Nov. 1 





5-746 















Died 



Intravenous administration of sodium bicarbonate brought 

 back the reaction of the blood temporarily to a normal point of 

 7.44 without influencing the course of the uremia. Both injections 

 caused a still further lowering of the chlorids in the plasma. An 

 identical effect is produced by intravenous administration of any 

 salt and must be considered a salt action, rather than an alkali 

 effect, as injection of strong alkalies increase the concentration of 

 chlorids in the plasma. 1 



1 Hamburger, H., loc. cit. 



