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Excessive

atropine and anaesthesia

EXCESSIVE DIAPHORESIS.—The night sweats of phthisis may be checked by the subcutaneous injection of atropine; grain at bed-time usually suffices (Bartholow). The copious perspiration induced by drugs, such as pilocarpine, opium, alcohol, and other diaphoretics, may be checked by the use of atropine.

COLLAPSE.—Since atropine stimulates the heart and increases the blood-press ure, we find it useful in moderate doses in the collapse of fevers, cholera, sun stroke, and cardiac syncope. The dan gerous exhaustion consequent upon col liquative diarrhoea and internal hemor rhage indicate the use of atropine. It is also valuable for the prevention of shock after operative procedures and anaesthesia.

Atropine—V„ to '/,„ grain given be fore the administration of ether—reduces the chances of shack. Case of a woman, who, in a preliminary examination, came out of the influence of ether in a de plorable state; three days later, how ever, when the operation was about to be performed, atropine was given, and she was taken from the table with as good a pulse as before anaesthesia. Lewis

A. Stimson (N. Y. Med. Jour., Mar. 9, '39).

The combination of atropine and mor phine prior to ether inhalation, injected hypodermically, checks the after-vomit ing and is preferable to bromides, chloral, and opium, all of which often fail to produce good results. Rushmore (Jour. Amer. Med. Assoc., Mar. 19, '93).

Atropine by promoting contraction of the arteries antagonizes the dangerous fall of blood-pressure produced by chloro form. It may be used by intravascular, hypodermic, or intravenous injection. Schafer (Lancet, Feb. 5, '9S).