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Buford Hall, M.D.
JAMA. 1955;157(8):653-654. doi:10.1001/jama.1955.02950250027007.
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Since the levoisomer of arterenol (nor-epinephrine) became available in 1948, there has been an increasing number of reports attesting to the value of this sympathomimetic amine in the treatment of shock. In rare instances, intravenous infusion of the drug has been necessary for as long as four,1 five,2 six,3 or seven and one-half4 days. There is brief mention of one patient with bacteremic shock who received 532 mg. of the medicament in 21 days.5 Unpublished reports to the manufacturers6 describe one patient who received 448 mg. in 16 days and another who required 236 mg. in 10 days. The case described below required 22 days of treatment and a total of 1,452 mg. of arterenol base in about 115 liters of fluid.

REPORT OF A CASE  A 53-year-old white housewife was admitted to the Good Samaritan Hospital on March 14, 1954, and discharged on


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