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

  • Whitla William, Sir, 1851-1933.
Date:
1898
Catalogue details

Licence: Public Domain Mark

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

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    gallon of il, the glycerin dissolving the excess of acid out of the swollen mucous membrane, and the patient made a good recovery. He has since satisfies! himself that this is^ii.- lest treatment wheneser the strong acid has been swallowed. Alcohol has been recommended as an antidote, but its value has yet to lie proved. Chloral Hydrate i -pump or emetics, especially j minim injections of apomorphine solution should be used, and these must be followed by injections of strychnine (t - -f »l h grain), nr of atropine (\-jyth grain), caffeine (% grains) or free stimulation with amin-ana, whiskey, or ether, and sinapisms, particularly c.ctrrnal uutrm/A, electraily, and artificial respira- tion ; inhalation of amyl nitrite may lie tried. The patient should be roused and prevented from sleeping, and, as death may occur from the diminution of the body heat, wanntn is essential. A pint of strong, warm coffee into the rectum, as advised by Murrell, may save life. Chlorine, when tub must treated l;y inhalation* of ammonia or ->ul|>tiurettr«l hydrogen. If the poison has been swallowed it should l*e neutralised by large quantities of albumen and mucilaginous drinks. Chloroform IA ijnploH -t an il breathing or circulation umm on during ana*>the*iav the tongue should l*r drawn forward, artificial respiration, cold affusion^ free ventilation by a current of air, turning over the patient upon bis left vide, or inversion of the body, may be tried. Hypodermically whiskey, ammonia, strychnine, or digitalis, or inhalation of nitrite of amyl, may be given, (ithonivn doulnful, If the chlor--f- >rm ha* been swallowed, use the pump, or give 5 minims of apomorphine solution, and proceed a* if inhaled. Colchicum 'strung tea or tannin, should fee given, and these should be followed by a purgative, after which free stimulation may be required, and symptoms met as they arise. Conium I [| should l»c used. Stimulate freely by ammonia. Hypodermics of stry hnine or atropine may lie tried, and artificial respiration jiersrvered with. Copper Salts 1 vomiting has not occurred ; yellow prussiate of potassium, egg albumen or milk, which form insoluble copper salts, are to lie gisen ; mucilaginous drinks, and wheatcii flour or water in w hich yolk* of eggs are suspended, and the free use of opium to allay irritation, are called for. Corrosive 8ubiiinate. (See Mercury.) Creosote Ihc amc treatment may he employed as in pot><nitig by carbolic acid. Croton Oil l hr geneial treatment for irritant poisons may lie used, viz., emetics, or, if in the early stage, the gentle use of the 'tomach-pump, demulcent drinks, soothing enemala, and opium. Free stimulation and counter irritation may lie necessary. Cyanide Ol Potassium poisoning is to l»e treated as if hydrocyanic acid bad ‘*een swallowed, ami if mth at once give solution of ferri sulph.. and alternate hot ami cold douche, whilst atropine is given by hypodermic injection. Ih» stomach-pump or emetics, especially ulphate of zinc j dractun, or 5 minims irf apomorphine solution hypodermically, tannin, or animal charcoal, free stimulation and the hypodermic injection of i-uoth gr. aconitine, and the fre** use of opium are required. Muacarin (1 gr.) is antagonistic, ami alcohol should Ire given. I he patient should Ire kept alisolutel) quiet, and in the horizontal position.