. The practice of pediatrics. ll be over. If the vomiting can be controlled in anattack of pertussis, and if the patient can obtain sufficient sleep, muchhas been accomplished. I would emphasize here, what has alreadybeen suggested: do not begin the specific whooping-cough treatment, whetherby the administration of quinin, antipyrin, or other remedies, untilthe spasmodic stage is at its height. If a sedative is given as soon asa diagnosis is made, by the time the disease reaches its height tolerancewill have become so established that the drug will have lost not a littleof its sedative action.


. The practice of pediatrics. ll be over. If the vomiting can be controlled in anattack of pertussis, and if the patient can obtain sufficient sleep, muchhas been accomplished. I would emphasize here, what has alreadybeen suggested: do not begin the specific whooping-cough treatment, whetherby the administration of quinin, antipyrin, or other remedies, untilthe spasmodic stage is at its height. If a sedative is given as soon asa diagnosis is made, by the time the disease reaches its height tolerancewill have become so established that the drug will have lost not a littleof its sedative action. If medicines must be given during the earlieststage, a placebo may be used. The infant asylum patients, upon whomthe best of our observations were made, received distilled water coloredwith compound tincture of cardamom. Steam inhalation is referred to only to call attention to its valuewhen used in connection with the drug treatment. has been of service to the great service to the very young,bronchitis and and those who have complicatingI prefer the Arnold steam atomizer(Fig. 86). The nozle is placedabout 8 inches from the face, whichalone is exposed, the other parts ofthe body being well protected bya rubber sheet. The inhalations,when taken from fifteen to twentyminutes every two hours, often givea weakly, cyanosed patient markedrelief. I have used wine of ipecac,creasote, and turpentine in the waterthus vaporized, as mentioned before;but I am not convinced that theyoffer any advantage over plain air is of immense value asa means of relief in are told that the child rarelycoughs when out-of-doors, but com-mences as soon as he is brought into the house, which is usually over-heated and badly ventilated. In nearly all cases the cough is worse atnight. This may be explained in part by the absence of proper ventila-tion in the sleeping apartment. Many out-patient mothers tell methat keeping the child for hours near a gas tank rel


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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren