Elements of pharmacy, materia medica, and therapeutics / by William Whitla.

  • Whitla, William, 1851-1933.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Elements of pharmacy, materia medica, and therapeutics / by William Whitla. Source: Wellcome Collection.

    628/656 (page 626)
    624: INDEX OF POISONS. Butter of Antimony—treatment of poisoning by this preparation of antimony should be the same as for the mineral acids—viz., magnesia soaP' suds, chalk, potash, or soda, followed by oil and milk. Arsenic—Pump or Emetics, or 5 minims of apomorphine solution. Freshly-prepared moist peroxide of iron (prepared by adding soda or ammo- nia to the tincture of iron) or dialysed iron in ounce doses, diluted, or. in the absence of these, magnesia freely, or animal charcoal, olive oil, or lime Avater ; demulcent drinks and stimulants by mouth or rectum. Atropine and Belladonna—Pump or Emetics, and afterwards the following :—Tannin, charcoal, or tea. Morphine grain) by subcutaneous injection, or laudanum by the mouth, or pilocarpine (J grain) subcutan- eously, and purgatives. The poison being excreted by the Iddneys, the bladder should be emptied by the catheter to prevent reabsorption. Eserine in small doses has been advocated as an antagonist. Free stimulation, counter-irritation, and arti- ficial respiration may be necessary. Cannabis Indica—^Pump or Emetics, especially apomorphine hypoder- mically (5 minims of B. P. injection), and treat sj-mptoms as they present themselves; purge and stimulate. Camplior—^Pump or Emetics, and copious draughts of water, with brisk saline cathartics, and general counter-irritation, or cold and hot douche alternately. Cantliarides—Pump or Emetics, mucilaginous drinks, or, in their absence, oils, chalk, a little opium by the mouth, and a morphine supposi- tory by the rectum. Carbolic Acid—Pump or Emetics, and wash the stomach out with gly- cerine, Epsom or G-lauber's salts in solution; give oils, egg albumen, and warm mucilaginous drinks, wT.th any soluble sulphate, and finally, ftreely stimulate, counter-irritate, and inject l-60th grain atropine. Though there is no known antidote, the writer, in a case where half a cupful of the strong acid was taken in a fit of drunkenness—after the contents the stomach were evacuated, washed that organ out repeatedly mth pure glycerine, using half a gallon of it, the glycerine dissolving the excess of acid out of the swollen mucous membrane, and the patient made a good recovery. He has since satisfied himself that this is the best treatment whenever the strong acid has been swallowed. Chloral Hydrate—Pump or Emetics, especially 5 minim injections of Apomorphine solution, and injections of strj'chnine (l-20th gr.), or of atro- pine (l-25th gr.), cafEeine (5 grs.), or free stimulation with ammonia, whiskey, or ether, and sinapisms. Particularly external wartnth, electricity, and artificial respiration; inhalation of amyl nitrite may be tried. Chlorine (when inhaled)—Inhalation of ammonia or H2S ; (when swal- lowed)—albumen and mucilaginous drinks. Chloroform—Draw forward the tongue, artificial respiration, cold affusion, free ventilation, inversion of the body. H5T)odermically, whiskey, ammonia, strychnine, or digitalis, or inhalation of nitrite of amyl. Gal- vanism is doubtful. If the chloroform has been swallowed, use the pump, or give 5 minims of apomorphine solution, and proceed as if inhaled. Colchicum—Pump or Emetics, mucilaginous drinks, albumen, or strong tea or tannin, and give a purgative. Stimulate, and treat symptoms. Conium—Pump or Emetics, tannin and castor oil. Stimulate freely by ammonia. Hypodermics of strychnine or atropine may be tried, and artifi- cial respiration persevered in. Copper 1 Salts—Pump or Emetics, if free vomiting has not occurred ; yellow prussiate of potassium, egg albumen or milk form insoluble copper salts; mucilaginous drinks, and wheaten flour or water in which yolks of eggs are suspended, and the free use of opium to allay irritation.