North Carolina Medical Journal [serial] 24, 1889

Cover North Carolina Medical Journal [serial] 24, 1889
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Arriving shortly after sleep had set in, I found the jaws set firmly, while the rest of the body was limp. Pulse feeble and rapid. Respiration already down to 8 per minute.
Hypodermic injections of atropia brought the respirations after an hour up to 9, and in another hour up to 10. The pulse on the other hand gradually grew more feeble. I discovered the cause of this to be that there existed a pronounced case of mitral insufficiency (I learned later that the heart disease was of twelve years'
...progress).
Three hours later the respirations were 14 per minute. In all other respects the patient was rapidly nearing the close of life. The sleep was as deep; all parts of the body were relaxed; the limbs were cold up to the body; the pulse could hardly be felt at the wrist.
The limbs were rubbed with hot applications, while I injected several syringefuls of pure alcohol (90 per cent.) into her arm, in the hope that the alcohol might keep the heart beating. Another hour and we had to go to the neck to feel any pulsation.


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