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

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

Licence: Public Domain Mark

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

    628/660 (page 622)
    Elaterium—Emetics or the stomach-pump must be used. Demulcent drinks and opium are to be administered freely, and the general treatment of the symptoms of gastro-intestinal irritation is to be followed. Eserine, or Calabar Bean—Emetics or the pump, with tannin or any tannin containing liquid, may be employed, but hypodermic injections of atropine (i-3oth gr.) till the pupils widely dilate, afford the best chance. Strychnine and chloral have been recommended. Artificial respiration should be assiduously tried, with friction and warmth externally. Ether (Inhalation)—Pull forward the tongue, give free current of air, commence artificial respiration, and treat as if chloroform poisoning. Fungi, or Muscarin—Emetics or the pump should be used, and atropine given hypodermically (i-6oth gr.) and repeated till the pupils dilate, or digitalis or morphine may be given. Free stimulation, sinapisms, and friction may be required. The writer has had to treat a large school of children who had eaten fungi. Many of them were very bad, and about six appeared to be dying when first seen. Atropine appeared to act like magic, and all made a good recovery. Gelsemium.—The stomach-pump and emetics are to be used, and bicar- bonate of potassium and tannin freely given; warmth, free stimulation with alcohol, electricity, and artificial respiration are to be kept up. Hypodermics of ammonia or atropine, or digitalis, are partially antagonistic. The best result will follow 3 minims of atropine solution. Hydrocyanic Acid (Prussic Acid)—Antidote and treatment are described under Acid. Prussic. HyOSCyamUS. (Same as for Atropine.) Iodine—Emetics or the caittious use of the rubber tube of the stomach- pump should be employed, together with the free administration of starch, arrowroot, bread, boiled potatoes, flour, lime water, and demulcent drinks. Laburnum—The stomach-pump, if possible, should be always used, even if vomiting has occurred, as portions of seeds, &c., may remain in the stomach. Free stimulation, and, in bad cases, hypodermic injection of ammonia. Counter-irritation, friction, and the cold douche are necessary. Lead Salts—The stomach-pump, or, perferably, a large emetic of sulpHate of zinc, which is also an antidote, should be given, and followed by milk, white of egg, diluted sulphuric acid, Epsom or Glauber's salts, or phosphate of sodium, sulphuretted hydrogen, or Harrogate water. Demulcent drinks, with mild opiates to allay pain and spasm, may be administered. (See also under Plumbum.) Lime—Carbonic acid—any aerated water, as soda water or lemonade—is very useful ; or weak acetic acid or vinegar, freely diluted, and followed by oil or demulcent drinks, may be swallowed. Lobelia (or Tobacco)—Emetics or the pump should be employed, as should also tannin, and free stimulation externally by sinapisms, friction, and dry heat, internally or hypodermically by alcohol, ammonia, and ether, with strychnine (i-3oth gr.), and small doses of opium. The patient must be kept strictly in the horizontal position. Mercury (Corrosive Sublimate)—Emetics, or the very cautious use of the pump will be required. (The pump should not be used except in the very early stages of the poisoning.) Albumen or gluten (prepared by washing flour in a muslin bag), demulcent drinks, milk, and oil are to be given by the mouth, and morphine and alcohol subcutaneously. Morphine. (See Opium.)