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Article
May 28, 1927

THE TREATMENT OF LOBAR PNEUMONIA IN A GENERAL HOSPITAL

Author Affiliations

NEW YORK
From the Medical Service of the Mount Sinai Hospital.

JAMA. 1927;88(22):1703-1705. doi:10.1001/jama.1927.02680480013008
Abstract

Since November, 1925, all patients with lobar pneumonia admitted to the Mount Sinai Hospital have been studied by a pneumonia commission.

The "pneumonia routine" employed in this series consisted of the following orders: (1) in bed; (2) forced fluids (milk, 1,000 cc., fruit drinks, broth, coffee, tea); (3) sponge for 103 F.; (4) enema daily; (5) turpentine stupes when needed; (6) tincture of digitalis, 1 drop per pound on admission, and 45 minims daily thereafter; (7) morphine sulphate, one-fourth grain (16 mg.) on admission; (8) blood pressure daily; (9) leukocyte count and differential determination every two days; (10) blood culture; (11) sputum for culture and typing as soon as obtainable. As an expectorant, when needed, anisated spirit of ammonia, 30 drops every two hours, was used. For pain or restlessness or harassing cough, codeine sulphate, 1 grain (0.065 Gm.) hypodermically was used, to be repeated in four hours if necessary.

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