three or four hours, and in thin subjects, these
areas may be padded with gauze. And in the treat-
ment of fractures, Nitroglycerin Tablet care must be taken in applying
splints or casts to Nitroglycerin Sl avoid pressure necrosis over bony
The bed should be kept smooth and dry, and the
sheets should be changed at least once a day, or
oftener if soiled. The mattress should Nitroglycerin 2 be yielding
and kept free from ridges.
The skin of Buy Nitroglycerin Online these patients requires particular
attention and in this hydrotherapy is most impor-
tant. They should be thoroughly bathed two Spray Nitroglycerin or
three times a day and afterward rubbed with alco-
hol. .\ftcr this some bland and mildly antiseptic
dusting powder, as talcum, may be applied to keep
the skin dry. Frequent and gentle massaging is
also Ntg Nitroglycerin indicated, as it stimulates cutaneous circulation.
Traumatism should be avoided. In severe trophic
disturbances, as in Nitroglycerin Spray myelitis, the skin does not tol-
erate much irritation. In these cases vigorous
massage, hot applications, and hot water bottles
should be used with caution.
The soiling of the skin from Nitroglycerin Buy urine, sweat, or
feces, is to be prevented, if possible, as the moisture
predisposes to ulcer formation.
The physiological resistance should be increased
by proper diet, fresh air, and good hygiene. A low
resistance predisposes to ulcer by causing a de-
creased Order Nitroglycerin nutrition of the skin and subcutaneous
tissues. This is further augmented by pressure,
filth, or local stasis. Where this condition Nitroglycerin Cream is ex-
treme, severe or Nitroglycerin Tablets even fatal bacterial infection may
result after the sore has formed.
The bowels should be kept open, and tonics, such
as the iron preparations or nu.x vomica, given when
indicated. Alteratives may be given, but when the
iodides are used, for example Nitroglycerin Iv potassium iodide, the
skin must be watched for signs of iodism. as in
this condition it is predisposed to bacterial infec-
tion, but they should be administered in syphilitic
cases together with other antisyphilitic remedies.
In cases where bedsores have already formed, the
patient should be placed on an air mattress or water
bed. Iv Nitroglycerin and no pressure whatever allowed on the sore
or adjacent tissues. The previously mentioned
measures as hydrotherapy, cleanliness, change of
posture, etc., are all to be carried out. In severe
cases, where the ulcer spreads rapidly, the patient
should be placed in a continuous warm bath. Occa-
sional Nitroglycerin Sublingual immersion in water has a stimulating effect
on the peripheral circulation. The production of
local hyperemia by any method, has this result.
-\ttempts at overstimulation, however, both general
and local, should be avoided.
Local treatment is much the same as in similar
conditions, as in chronic leg ulcer, and should be
carried out according to the principles of aseptic
surgery. If a suspicious red spot is noticed, a large
air ring should be used at once to relieve the local
pressure. Where the sore has alreadv formed,
relief of local pressure is obtained by soft gauze
pads and the pneumatic rin? and. when possible, an
air mattress or water bed should be nsed also.
The ulcer should be cleansed two or three times
a day. or oftener if septic. It may be irrigated with
normal saline solution, weak iodine or boric acid,
or one to 5,000 mercury bichloride solutions, or
occasionally with more astringent solutions, as one
to 5,000 potassium permanganate or Buy Nitroglycerin one to 10,000
silver nitrate. .Mcohol, tincture of iodine, or other
UCK PRIZE DISCUSSIONS.
Strong antiseptic should be used with extreme care
lest it cause too much irritation. Balsam of Peru
is a splendid preparation, both for its stimulating
effect on granulation tissue formation and its anti-
Dusting powders, as thymol iodide, acetanilid,
boric acid, and iodoform are among those fre-
c|uently used for dry dressings. Stimulating oint-
ments, as ten per cent, balsam of Peru, ten per cent,
ichthyol, or Sl Nitroglycerin mild scarlet red may also be used in
some cases. Hot boric dressings may be used in
septic cases, but overheating must be guarded
In sloughing ulcers, it may be necessary to re-
move the necrotic tissue by operation or cautery.
Small necrotic areas, or areas of unhealthy granu-
lation tissue, may be Buy Cheap Nitroglycerin curetted out or cauterized with
phenol or nitrate of silver. In large extensive sores,
where tissue destruction has been great, it Nitroglycerin Mg may be-
come necessary, when the granulations become
healthy and infection minimized, to skin graft the
raw surface to promote further attempts at Sublingual Nitroglycerin healing,
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