Download or read book The Johns Hopkins Hospital Bulletin, Vol. 31 (Classic Reprint) written by and published by Forgotten Books. This book was released on 2019-02-07 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from The Johns Hopkins Hospital Bulletin, Vol. 31 We had of course regarded the whole alteration as due to loss of hydrochloric acid with the result that an excess of base had been left in the circulating fluids, so that the natural experiment would be the replacement of the chlorine ion by the introduction of hydrochloric acid. This was done several times but without much success (1620, 1622, 1709 and others), whereas the introduction Of sodium chloride has a life saving effect and the administration of sodium chloride continuously after the operation prevented the development of changes in the electrical excitability, disturbances of the alkali reserves or symptoms. The fate of the Na ion re quires explanation since it appears that so long as the 01 ion is supplied there is no heightened alkali reserve. The prompt effect of calcium salts in stopping parathyroid tetany led to their trial in some of these cases. The injection of calcium lactate, although it exerts a temporary effect in stopping the twitchings or modifying the convulsions, has no such controlling influence, as is seen in the tetany following parathyroidectomy after which an animal can be kept perfectly well for a long time by the proper administration of calcium. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.