enema of two teaspoonfuls of sodium bicarbonate to
a quart of warm water is given every six hours for
the first day or levlen price two. All food is withdrawn and
water forced. To encourage the drinking of wa-
ter, it may be given as iced tea, lemonade or
orangeade, sweetened with saccharine. If the
baby refuses to take the fluids, or if there is marked
nausea or emesis, sterile tap water should be sup-
plied by hypodermoclysis, six to eight ounces every
six to eight hours to an infant six months old.
Should acetone appear in the generic levlen urine, the solution
should contain one per cent, citrate and two per
cent, glucose. A less preferable method of intro-
ducing fluid is through the stomach or duodenal
tube. The least satisfactory method is by procto-
clysis. As soon as the castor oil is out of discount levlen the stom-
ach, give a lactic acid bacillus tablet in sweetened
water every two hours ; these to be continued purchase levlen until
the stools are normal. As acidosis is the great dan-
ger, the urine should be kept alkaline with bicarbo-
nate of soda, or sodium citrate, five to ten grains
every two hours to a child six months old ; it is
rarely necessary to continue this longer than forty-
eight hours. If the baljy is breast fed nursing is
resumed at the end of twenty-four to forty-eight
hours, the baby to nurse one minute from each
breast every four hours, to be preceded with lime
and plain water. If the infection is due to order levlen online the gas
bacillus, the baby is given lactic acid milk, or pro-
tein milk, before each nursing; this replaces the
lime and plain water. If the infection is due to the
dysentery bacillus, the nursing is preceded by a
October 23, 1920.]
PRACTICAL THERAPEUTICS AXD PREVEMIVE MEDICIXE.
649
lactose barley solution, varying in strength from
two teaspoon levlen ed tablet fills each to two tablespoonfuls each
to the pint of water. If the baby is bottle fed, the
same levlen ed tablets treatment -is carried out except as to the nurs-
ing. Although carbohydrates are contraindicated
in gas bacillus infections, they must be given in
threatened acidosis. Toxic nephritis with impend-
ing anuria is best combated with levlen 28 hot baths, hot
packs, and warm soda flushes of the colon. For
restlessness give chloral by enema, or morphine by
injection. As a stimulant, levlen online atropine in fairly large
doses gives good results. Now and then one will
meet with a case of vasomotor paralysis which can
be buy levlen online benefited by an intravenous injection of adrena-
lin. When the stools are large, frequent and wa-
tery, opium is often a life saver ; paregoric by levlen ed
mouth or morphine by cheap levlen hypodermic injection. For
tenesmus the writer likes an enema of silver nitrate
solution, one half to one per cent., in distilled water.
Intestinal antiseptics and astringents are mentioned
only to be condemned.
The Therapeutic Use of Oxygen. — R. D. Ru-
dolf {American Journal of the Medical Sciences,
July, 1920) says that oxygen is of value whenever
a state of anoxemia exists, as in cases of moimtain
sickness, sickness from high flying, in poisoning by
carbon monoxide, nitrites, and arseniuretted hydro-
gen, and in the effects of purchase levlen online enemy gas. It should be
tried in all cases of cyanosis, and in such acute
respiratory conditions as pneumonia when anoxemia
threatens. The ordinary method of giving oxygen
b}- holding a funnel connected with the oxygen
cylinder near the face of the patient is practically
useless ; a better method is to give the gas levlen cost through
a rubber tube inserted into one nostril, and this may
be made 'more effectual if the opposite nostril is
rh3'thmically compressed during inspiration, the
mouth being kept closed. The oxygen chamber is a
very effectual way of giving oxygen, but it involves
much expense and care. A very tri levlen useful and ef-
fectual appliance levlen 21 for the administration of oxygen
is Meltzer's apparatus for oral insufflation.
Vaccine Therapy in the Acute Osteomyelitis
of Adolescents. — Raymond Gregoire {Journal de
medccine dc Peris, April 5, 1920) states that in
certain selected cases of this disorder vaccine treat-
ment gives excellent results. In the septic form
of osteomyelitis prompt surgical treatment is, of
course, indicated, though vaccine treatment might
prove order levlen of some value as an au.xiliary measure. In
the acute or buy cheap levlen subacute cases, in which the general
condition is less seriously impaired, the advisability
of vaccine treatment depends entirely upon the state
of the involved bone. Where a more or less exten-
sive portion of bone has become transformed into
a sequestrum, vaccine treatment is inappropriate
and the foreign substance must be surgically re-
moved. Such a condition is detected b}' x ray
examination. buy levlen In all other cases, however, irrespec-
tive of the duration of the case, extent of local
inflammatory reaction, and condition of neighboring
joints, vaccine therapy may yield surprising results.
Cases were thus cured after several weeks of sup-
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