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employed, and tracheotomy or actos online intubation ])er- formed on the approach of dyspnea. General treatment is required for the pain and initial shock as well as for the comfilications. Pain should be relieved by the hypodermic u-e of mor- phine; in severe burns it is often necessary to ad- minister morphine before examining the patient. cheap actos Shock is combated by order actos stimulants (strychnine and alcohol) and warmth. Besides the common wound infections, which need not be considered here, burns arc especially liable tu produce actos cost internal con- gestions. Cerebral conge -tion, mdicatcd b)- rest- lessness, buy cheap actos headache, and often delirium, is treated by the application of an ice cap and the administra- tion of bromides. Pulmonary congestion causes pneumonia and pleurisy, which are treated by the price of actos usual methods. Intestinal congestions are probably the mo-t frequent internal complications of burns, often leading to duodenal ulcer. Diet should be entirely fluid, bowels moved by enemas and salines when required, and any diarrhea immediately checked with opium. If duodenal ulcer is suspect- ed, feeding should be exclusively per rectum, and bismuth in large doses should be given. Iron, quinine, and strychnine are useful during con- generic for actos valescence. After recovery plastic surgery may be necessary to correct deformity resulting from cica- tricial contraction. Dr. Xelson Dii J 'at Brccht. of Washington, D. C, states: The therapy of burns may be considered under four headings : First, prophylactic : second, cura- tive : third, complications ; and fourth, sequelae. Prophylactic Treatment. — After the skin has been exposed to a degree of color sufficient to cause a first or second degree burn t Dupuytren ) , the im- mediate application of full strength solution of hy- drogen dioxide will abort the pathological changes. I demonstrated this fact during the treatment of numerous individuals who had come into contact with hot steam pipes. actos 15 mg Curative Treatment. — cost of actos The curative treatment of burns depends upon the degree, the site, the area involved, and the nature of the causative agent. Pain must be relieved by the employment of mor- phine hypodermatically or other suitable anodynes. Stimulants as strychnine or ammonia are indicated frequently to combat shock. Elimination and nu- trition must actos buy online be maintained. In the treatment of burns produced by caustic acids or alkalies appro- priate chemical antidotes are indicated. The armamentarium of remedies for local thera- peutic use contains : Sodium bicarbonate ( saturated solution or as a dusting powder) ; picric acid (one actos mg per cent, aqueous solution or in the form of a five per cent, ointment) ; phenol sodique in a one to eight solution ; zinc oxide ointment, or iodo- purchase actos online form ; solution of hydrogen dioxide : saturated solu- tion of boric acid order actos online ; Senn's powder ( three parts of boric acid and one part of salicylic acid) ; iodoform ; solution of potassium nitrate ; Carron oil ; collodion ; boric acid and starch ; salicylic wool : corrosive sublimate actos 45 mg solution, one to two thousand: carliolized oil, one to forty : phenol ointment : ichthyol oint- ment : tincture of calendula, five c. c. to 500 c. c. of sterile water : ointtnent of boric acid : petrola- tum ; and cataplasm of kaolin. When a patient is to be treated for a severe burn August 9. 19' j) TUP.R.ll'F.iriC NOTES. 283 lio should actos generic name be put 10 bed at abstilulc rest, the clntliiii^ sliould be actos tablets cut away, warm blankets wrapped aruuiKl tile uuaffecled areas, and hot water bags or the riec- trie pad applied to the unburned parts. \ esick-s generic actos and blisters should be punctured with a sterile needle or actos 30 mg scalpel. Sloughs and tlead skin should lie removed, employing a stiff brush, razor, or curette for the purpose. General anesthesia may be re- quired. Brewers' yeast dressings facilitate the >C]>- aration of necrotic tissue. After the sloughs have been separated and the surfaces are granulating, skin grafting is necessary. Continuous immersion in warm water is the most serviceable remedial measure in extreme cases. The water must be fre- quently changed and sodium chloride or some mild antiseptic may be added with advantage. The choce of local remedies to be used depends upon the individual case and the judgment of the attending physician. Complications. — The complications of burns. which require therapeutic notice are, among others, duodenal ulcer, laryngitis, bronchitis, pneumonia, edema of the glottis, septicemia, pyemia, septico- pyemia, inflammatory fever, congestion of the vis- cera, intestinal perforation, and peritonitis. Sequelse. — The sequelae to be considered are ane- mia ; asthenia; contracted, disfiguring, and painful cicatrices, keloid, and epithelioma. Troublesome scars may be prevented by early skin grafting and proper splinting. Dr. A. H. Powers, of Boston, says: Burns are of varying degrees and the treatment of them can best be given under three heads, mod- erate, actos price serious, and severe. The moderate burn. — There are many of so slight a degree that they do not need or at least i!>) not receive a physician's attention. The moderate burns may be of limited or extended area. They

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