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Fluid intake in cardiac oedema: with reference to a factor in aetiology

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MennieR_1932redux.pdf (22.89Mb)
Date
1932
Author
Mennie, Richard
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Abstract
 
 
(i) Cases were examined with a view to determining the advisability of giving fluid in Cardiac Oedema. (ii) It was found that fluid might be given so long as a. salt free diet is maintained. (iii) Salt free diet is of the utmost importance in Cardiac Oedema. (iv) Excessive fluid and salt free diet may help the kidney to remove waste products of metabolism and this is beneficial to patient. There also seems to be a thickening of the blood. (v) Excess of fluid and salt free diet may start a diuresis. (vi) Study of salt and fluid intake in Oedema suggested the importance of salt as a factor in Cardiac Oedema. (vii) Salt excretion is deficient in conditions of Cardiac Oedema but fluid excretion remains good. (viii) Salt is therefore retained in circulation which upsets osmotic pressure of blood. Surplus salt therefore driven into tissues and takes fluid with it. (ix) Administration of salt in Oedema is dangerous and if given in sufficient quantities may produce Hydraemia. (x) In this type of Hydraemia alkali reserve is raised and there is therefore probably no acidosis. (xi) Venous pressure is also not raised and therefore it is probable that neither is capillary pressure. (xii) Colloidal osmotic pressure is normal in some cases. (xiii) Glucose if given in sufficient quantity causes increase in weight. (xiv) This appears to be due to mechanism for keeping osmotic pressure constant and Chloride is driven to tissues taking fluid with it. (xv) The suggestion is made that a deficient salt excretion may be one factor in Cardiac Oedema.
 
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http://hdl.handle.net/1842/35305
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