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May 9, 1959


Author Affiliations

818 Harrison Ave. Boston 18.

JAMA. 1959;170(2):242. doi:10.1001/jama.1959.03010020100026

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To the Editor:—  The pertinent questions raised by Dr. Bookman concern hydration, use of meperidine, and the role of the allergist. The introductory remarks in the article, which was reduced in size because of limitations of space, referred to the effects of dehydration in the patient with intractable bronchial asthma. The discussion of the intravenous use of aminophylline described the continuous infusion technique with three liters per 24 hours of a solution of 5% dextrose in water with aminophylline for the hospitalized patient with intractable asthma. This therapy is designed to correct dehydration, supply needed dextrose, and administer aminophylline for bronchodilation. Patients who are receiving iodides are generally urged to take them with 8 to 10 oz. of water or a preferred beverage. I have always used a teaching aphorism that "the value of iodides in the patient with chronic bronchial asthma is proportionately increased by his fluid intake." Patients

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