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The principles and practice of modern surgery

Note 6 — Chapter XVIII · DISTURBANCES OF BLOOD PRESSURE; SHOCK AND COLLAPSE.

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To the fluid for hypodermoclysis (salt solution) there may be added a proportion of grape sugar, by which much is gained of true nutritive value, which may be enhanced by the addition of pure pepsin peptone free from albumose. Thus if every four hours there be injected beneath the skin 100 Cc. of water containing 2 grams each of grape sugar and table salt to 4 grams of pepsin peptone, the necessity for further nourishment may be almost obviated, at least for a period of two or three days at a time; as for instance when intense nausea of severe peritonitis prevents the ingestion of anything possessing food value. Credé recommends for the same purpose a preparation containing soluble albumin in the strength of 95 per cent., with traces of iron and salt. This preparation is called by him kalodol, and much resembles blood albumin, which is why it is so easily assimilated. According to Credé, four injections of kalodol a day will suffice for ordinary needs.

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