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May 9, 1918), in an extremely urgent case resorted, in the absence of special transfusion apparatus, to a very simple technic, which yielded excellent re- sults. flagyl 500 mg po tid Into a graduated receptacle for saline solu- tion, previously sterilized, is placed an appropriate amount of sodium citrate, e. g., 1.5 grams for 500 grams of blood. The blood is collected directly into the receptacle. The outlet communicates, through rubber tubing, with an injecting needle hav- ing a short bevelled portion. If a graduated recep- tacle flagyl 500 mg filmtablet is not available, any receptacle with an outlet can be used, its capacity having been detemiined be- fore use by means of water poured from a litre bottle. The donor is placed on a bed near the re- cipient, tincture of iodine is applied at the bend of the elbow, and the blood is obtained in requisite amount by the old fashioned method of venesection. Meanwhile the receptacle is constantly shaken or the blood agitated with a sterile rod or instrument to flagyl 400 mg pregnancy distribute the sodium citrate well through it. The blood is then at once transfused into the recipient by cheapest flagyl intravenous injection. The latter is generally ad- ministered in one of buy flagyl 750 mg the veins at the elbow, but where more convenient the external saphenous at the malleolus can likewise be utilized. With the re- order flagyl 500mg online ceptacle placed about 1.5 metres above the bed, 500 grams of blood will flow into the recipient's vein in about ten minutes. In this procedure local anes- thesia is not required. If necessary the receptacle can be replaced by a sterile funnel of known capac- ity and the vein puncture needle by a large hypo- dermic syringe needle. Preoperative Purgation. — Max Minor Peet (Journal A. M. A.. July 20, 1918) contends that preojjerative catharsis has very little in its favor and survives by virtue of its being a routine prac- tice. It has many disadvantages among which are : the physical and mental depression which follow catharsis ; loss of sleep preceding the operation flagyl 500 mg injectable ; the exertion required in the repeated use of the bed pan : the flagyl 250 mg loss of intestinal metronidazol 500 mg flagyl and body fluids which is greater than can be compensated for in several hours bv the use of the Murphy drip ; do i need a prescription to buy flagyl increase in metronidazole (flagyl) 500 mg oral tablet sensitiveness of the lower bowel and its reduced ability to tolerate the rectal tube and saline or tap water ; increased postoperative thirst which is mor? difScult to relieve in the purged patient on account of the preceding; the appearance of the condition of hypotonicity of the small intestine through tab flagyl 400 mg the removal of the normal stimulus of semisolid mat- September 7, 1918.] MODERN TREATMENT AND PREVENTIVE MEDICINE. 435 ter, the loss of fluids and the temporary increased peristalsis ; and, finallv, the alteration produced in the intestinal flora with the preponderance of fer- mentative organisms. can you take 1000 mg flagyl The patient who has had a laxative or purge before operation is more prone to the development of gas distention, postoperative ileus and severe gas pains than the one not so treated. Comparative observations for the past six years have shown that patients receiving a simple enema before operation are in much better condi- tion than flagyl 250 mg comprimidos metronidazol those receiving laxatives or cathartics and have flagyl 500 mg tablet ne i�e yarar nuich less thirst, nausea, vomiting, gas pains, and abdominal distress. The experience of all surgeons in those cases demanding operation im- mediately, before there has been time for the administration of a cathartic, is also in agreement with these comparative observations. In fact, theoretical, experimental, and clinical evidence is all in favor of the abolition of purgation as a preopera- tive procedure. Medication in Children. — Herman B. Shefifield (Medical Record, June 22, 1918) writes that diges- tants are rarely needed in children while the bitter tonics are not commended except nux vomica in small doses. Quinine may be given by the intramus- cular method in severe malarial fever in five grain doses dissolved in fifteen 2000 mg flagyl bv minims of water two or three times daily. Of the iron preparations the tincture of the chloride, the syrup of the iodide, the solution. of the peptomanganate and the dried sul- phate are preferred. Syrup of the iodide of iron and codliver oil are well taken by young children. As to alteratives, iron arsenate, one quarter to one flagyl metronidazol 500 mg tabletas grain, is beneficial in the anemias, while Fowler's solution may be pushed in the neurotic type of chorea. Except in flagyl 500 mg tid luetic affections the syrup of the iodide of iron and the syrup of hydriodic acid should be preferred to the iodide of sodium and potassium. Treatment of the Wounded by Means of Elec- tricity. — H. J. 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