Volume 2

The internal secretions and the principles of medicine / by Charles E. de M. Sajous.

  • Charles E. de M. Sajous
Date:
1911
Catalogue details

Licence: Public Domain Mark

Credit: The internal secretions and the principles of medicine / by Charles E. de M. Sajous. Source: Wellcome Collection.

    1076/1124 (page 1834)
    motor center. Artificial respiration to remove the ether from the air-cells as soon as possible. Contraindicated: Strychnine, digitalis and other vasocon¬ strictors. Hydrastis Poisoning. Same treatment as Ergot Poisoning. Hydrocyanic Acid (Prussic Acid) Poisoning. Due to paralysis of the sympathetic and vasomotor centers, followed by immediate recession of the blood from the brain, lungs, and periphery to the deep and larger vessels. Hence the preliminary vertigo, difficult vision, dyspnoea, weak pulse, and cyanosis. At once: morphine to excite sympathetic center and ergot to excite the vasomotor center, both hypodermically and in large doses. Ether or chloroform inhalations aid markedly the effect by stimulating powerfully the vasomotor center. Empty the stomach as soon as possible, avoiding apomorphine, tartar emetic, ipecac and other depressing emetics. Mustard best, or wash out the stomach with warm water. Hot (110° F.) coffee enemata. Heat to the surface. Contraindicated: Amyl nitrite, nitroglycerin and other vasodilators. Iodine Poisoning . 1167 Primary effects due to violent irritation of the pharynx, oesophagus and stomach. A small dose fails to elicit graver symptoms. White of egg or milk in large doses, followed by an emetic, preferably apomorphine hypodermically, usually suffice to relieve all the acute phenomena. When the dose is large, general symptoms also supervene, due to excessive vasoconstriction with tendency to cardiac arrest through hyperconstriction of the arterioles. Amyl nitrite in¬ halations and nitroglycerin should be added to the measures indicated above and hot (110° F.) saline solution intravenous injections should be given to hasten elimination of the poison and prevent further excitation of the centers if the dose ingested is excessive. Contraindicated: Strychnine, morphine and other vasocon¬ strictors.