Handbook of materia medica, pharmacy, and therapeutics, including the physiological action of drugs, the special therapeutics of disease, official and practical pharmacy, and minute directions for prescription writing / by Sam'l O.L. Potter.

Samuel Otway Lewis Potter

Date:: 1894

Credit: Handbook of materia medica, pharmacy, and therapeutics, including the physiological action of drugs, the special therapeutics of disease, official and practical pharmacy, and minute directions for prescription writing / by Sam'l O.L. Potter. Source: Wellcome Collection.

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

766/846 page 764

$Chloroform (swallowed). Anfzdofes.—Sod\um Carbonate in plenty of water. Emetics. Treatnient as for irritant poisoning. An/a^om's/s.~Atromne, hypo- dermically. Amyl Nitrite ; by inhalation. Coffee, black, a pint into the rectum. Heat to the body and especially to the cardiac region. Rouse by slapping with wet towel. Mustard to calves of legs and over the heart. Relapse may occur hence the patient should not be left for some time after apparent restoration. Coal-gas. Chlorine-water as spray, inhaled. Antas;onists — Oxygen by inhalation, 4 or 5 quarts. Ammonia vapor inhaled. Galvanis^ by interrupted current to extremities. Artificial Respiration, to be maintained steadily for hours. Fresh air, in plenty ; open all doors and windows. Coffee black, a pint as enema. Venesection may be of service. Douche, alternately cold and warm, to head and chest. Horizontal position, clothing removed Alcohol moderately by mouth or rectum. Catheter may be required in pro- longed cases. Subsequently, a warm bed, open windows; Condy’s fluid about the room, stimulants sparingly, cold acid drinks freely. Cocaine. AntidotesAlkaloids, above. Antago7iists.—Z\\\ox2\ is the most direct antagonist, so also are Chloroform and Ether. Morphine is directly antagonistic at almost all points of action. Amyl Nitrite combats the earliest syniptoms of cardiac depression, then Alcohol and Opium as cardiac stimulants. Artificial Respiration may be required. Colchicum. Antidotes.—Tannic or Gallic Acid, followed by emetics and cathartics. Demulcent drinks, warm. Anlagonists.—Alcoholic stimulants. Morphine, hypodermically for the cardiac depression. Treatment is the same as that for Aconite poisoning. Conium. Antidotes.—Tannic or Gallic Acid, followed by emetics and cathartics. Antag07iists.—Nux Vomica and its alkaloids, also Picrotoxin and other tetanizers. Alcohol. Muscular Movement. Heat applied externally, as soon as the stomach has been evacuated. Copper Salts, Antidotes.—Albumen. Soap. Gluten. Milk. Sugar. Mag- nesia. Potassium Ferrocyanide. The latter is the most efficient chemical anti- dote, but Magnesia or Albumen may be used. In the absence of eggs, give a thin paste of flour and water. Any antidote should be followed by prompt evacuation of the stomach, and Potassium Iodide to saturation of the system. A7itagonists.—Opium and Demulcents for the gastro-enteritis. Corrosive Sublimate (Corrosive Mercuric Chloride). A7itidotes.—Albumen. Gluten. Magnesia. Milk. Lime-water. Albumen, in some form, is the most efficient; the white of one egg to each 4 grains of the poison, forms the albu- minate, which must be at once evacuated by emesis or the stomach-pump, it being soluble in an excess of albumen, also in the alkaline contents of the in- testines. Potassium Iodide for after-treatment, converts the poison into solu- ble combinations and promotes their elimination. Charcoal, §ss or more neces- sary (R). Hydrated Protosulphide of Iron, if given within 20 minutes, is said to be an efficient antidote. Azitagonists.—See under Mercury, below. Fatal Dose.—gr. iij have proved fatal. Creosote. A7itidotes.—Mucilage, Oils, are the most easily obtained. A7itag- onists.—Ammonia, for depression. Treatment is the same as for Carbolic Acid, which see. Curare. Antidotes.—Ligate above wound, if any ; incise the part freely and suck it strongly. Evacuation of the bladder repeatedly, to prevent reabsorp- tion. Caustic Alkalies destroy the poison. A7itagonists.—Artificial Respira- tion is the most efficient antagonist, maintaining life until elimination occurs. Strychnine, though from a member of the same family of plants, is antagonis- tic as to the action upon the heart and respiration. So also is Atropine, Cyanide of Potassium. Antidote.—Ferrous Sulphate to form Prussian Blue (Ferric Ferrocyanide), followed by evacuation of the stomach. A7itagonists.— Ammonia, intravenously. Alcohol. Artificial respiration. [Compare Acidum Hydrocyanicum, above].$