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IVRI 2318.pdf

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THE EFFECT OJ? CERT.AIN DmTGS 23<br />

these drugs. With J .. R. lVI. the last two experiments after<br />

the morphine on November 8, and the laFlt two after the heroin<br />

on May 5 show a drop of 5 to 10 per cent in the oxygen, while<br />

several of the experiments on June 5 after morphine seem to<br />

indicate a high oxygen consumption, but aside from these cases<br />

there is no marked difference between the periods before and<br />

after the drug was given.<br />

The drop in the CO2 elimination per minute after giving morphine<br />

is very evident, and except with H. I.J. H. with morphine<br />

on June 6, is considerable. This has contributed to the<br />

diminution in the ventilation per minute and per respiration.<br />

With the drop in the CO 2 elimination, we find in every experiment<br />

a fall in the respiratory quotient. This fall in respiratory<br />

quotient may be theoretically accounted fOl' in two way," (1)<br />

the accumulation or storage of CO2 in the body an.d (2) a change<br />

in the metabolism, as conversion of fat into carbohydrates. The<br />

former was one reason mentioned by Grehant (47) to account<br />

for a drop in the CO 2 elimination in a 15.6 kg. dog from 0.348<br />

gram pel' minute aWH,ke to 0.123 gram per minute in morphine<br />

sleep. If there were in our experiments a storage of CO2, there<br />

may be cited two possible causes for its occurrence (1) a less<br />

sensitive respiratory center leading to accumulation of CO2 jn<br />

the arterial blood and correspondingly in the venous blood and<br />

tissues, and (2) a sluggish circulation leading to storage of considerable<br />

amounts of venous blood in the splanchnics. If the<br />

former is the case; it should be indicated by increased CO2 tension<br />

in the alveolar air, for an increased alveolar CO2 tension<br />

would signify increased (stored) quantities of CO 2 in the arterial<br />

blood and consequently throughout the body. The rise in the<br />

alveoll1r CO2 tension wjth morphine is equal to or less than the<br />

drop with caffeine, and any p.rop in respiratory quotient with<br />

morphine due to storage of CO2 should be equivalent to a similar<br />

rise in respiratory quotient due to caffeine. But the respiratory<br />

quotients in the experiments with caffeine show a Blight<br />

increase in one case and a fall in the other. Also the largest<br />

drop in the respiratory quotient occurs in morphine experiments<br />

with J. H. M. in which there was no rise in the alveolar CO 2

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