By Bernard R. Jones
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Extra info for Pharmacology for Student and Pupil Nurses and Student Pharmacy Technicians
Compound electrolyte solutions Potassium, magnesium and calcium, and (rarely) phosphate and sulphate, are also included with sodium and chloride in certain compound electrolyte solutions; the need is usually indicated by laboratory report on blood samples. Two standard formulae often used are Hartmann's solution, which contains sodium, calcium, potassium and chloride, and Darrow's solution, from which the calcium is omitted; both solutions also contain sodium lactate, which is converted in the liver to alkaline bicarbonate, as which it circulates in the blood.
E. The blood then returns via the pulmonary vein to fiU the left atrium, which, on contracting, sends it forward to the left ventricle and the cycle commences again. The frequency of contraction of the left ventricle is measured when taking the pulse. Digitalis —has been in use for more than 200 years, yet is stiU unique in effect and is the best known heart drug; its various preparations originate 44 PHARMACOLOGY FOR STUDENT NURSES from the leaves of the common foxglove. The tincture is nov^ seldom prescribed, tablet forms being more stable; these may be of either the dried and powdered leaf itself (Digitalis Folium) or the LUNGS 1 1 FROM VENOUS C I R C U L A T I O N ^ RT ATRIUM PULMONARY iVEIN LT.
Which are suitable for paediatric and geriatric use. Digitalis fohum Digitoxin —tablets tincture —tablets —av. dose 60 mg. — „ „ 0-6 ml. — „ „ 100 micrograms 46 PHARMACOLOGY FOR STUDENT NURSES Digoxin—'Lanoxin'—tablets —av. dose 0-25 mg. (250 micrograms) injection — „ „ 0-5 mg. )— „ „ 0-0625 mg. (62-5 micrograms) elixir — „ „ 1 ml. e. narrowed) by spasm, leading to a lessening of blood flow—and oxygen supply—to the heart muscle; the result is the typical pain behind the sternum especially during stress of effort or emotion, when the oxygen need is greater and cannot be met.