An index of diseases and their treatment / by Thomas Hawkes Tanner.

  • Thomas Hawkes Tanner
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: An index of diseases and their treatment / by Thomas Hawkes Tanner. Source: Wellcome Collection.

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    311. Bismuth and JlorjjJtia Ointmcnl. U. Bismiitbi SubniLmtis, oz. 1; Morpbiffl Acc-tatis, gr. G; Adipi.: iienzoati, oz. 3. Mis. l''or irritable ulcers and miptioni.piles, tjc 312. Storax Ointment. ni^' nr-^™°'n' ^' ' Eettificuti, ll. dj-s. 2. llix. nud add Ulei UhvJD, 11. dr. 1. ^ pleasant sulstilule for sulplinr oiiiluuiit in the treatment of scabies. Peruvian Balsam is also a good application lor the same affection. 312ff. StajMsagria Ointment. _R. Olei StaiibisagrifD, fl. dr. 1; Adipis, oz. 1. Mix, to form au omlment. Ustful to destroy pediculi and to cure pruri'jo senilis. XIV. NARCOTICS AND SEDATIVES. 313. AncEstlietics. Tbc cbief Anaistbetics -n-bicb bave bitberto been used iu tbe practice of medicine are cbloroform, etber, aud nitrous oxide. As tbe employ- ment of one or otber of tbese agents is often indicated iu calculous iiepbralgia, gallstone, colic, some cases of cancer, neuralgia, maniacal delii-ium, convulsions, tbe paroxysmal dyspncea of infantile larjTi- gismus and dipbtberia and croup, as we'll as in spasmodic diseases generally, a few words on tbeir mode of administration may not be out of pjlace. Tbe principal advantages of inbalatiou are tbese :—Tbat by means of tbe immense surface offered by tbc air-cells of tbe lungs for aiisorpliou, a deeper and more rapid effect is induced tbau it would be safe or easy to effect by otber means. At tbe same time, tbe digestive functions arc less interfered witb tban wbeu narcotics are given in tbe ordinary way. lu every form of inbalatiou (wiib tbe exception of tbe uilrousoxide, ctber, and perbaps of ibe bicblorideof metbylene) tbe ana-stbelic .sbould be freely diluted M-itb common air, and no attempt made to produce rapid narcotism; wbile tbe breatbing ouglit to be allowi.-d to go ou quietly and ntiturallj'. Tbo patient sdioufd be tranquil, fearless, and usually in tbe recumbent iiosture. If false teetb are worn, tbey are to bo removed; since if tliere be any struggling, or sielcuess. or cougli, tlio ])late may become separated from tbe gums and be drawn into tbo pbai-j-nx, or may get to tbo back of tbe fauces and produce aspbyxia by pressing ou tbe glottis. And tlien tbe administrator of tbe narcotic agent, wbile watcbing tbe respiration and tbe countenance, bad belter also keep bis linger on tbe iiulse. I'or if tbe breatbing becomes ster- torous, or if it stop, or if it a)ipear diHicult and tbe inipil.s become widely dilated, or if tbere is evidence tbat tlie circulation is getting weak aud fali.ering, tbe inlialaliou must be conqilelely suspended; wbile, if nioro serious symptoms follow, tbe body sbouLl be gently and gradually turned over to tlm left side, so as to'alUnv of tbe rogioii of (be beart and tlio b;ft side of llic fac(( resting upon tbe coucb. Acconiiug to JIi!. L.\:jkii, tlii.s practice lias been found very eflicieut at Uuy's lio.spilal iu Jeiiioyiiig liaiigrruus syiiiptoins.