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.

768/846 page 766

$sweeten with sugar; give a wineglassful every hour or two (B). Strychnine, for the paralysis, gives good results; also Atropine, gr. with Potassium Iodide, gr. v. Electricity, a slowly interrupted current until it causes reaction, for the paralysis of extensors (dropped wrist); cure to be completed by the faradic current (B). Marked Diagnostic Signs of chronic poisoning by Lead are—the dropped wrist, due to paralysis of extensor muscles; dark, blue line around margin of gums. Lime. Antidotes.—Calcium Chloride, Albumen. Mucilaginous drinks, or Oils. Milk. Flour and water. Avoid acids. Antagonists.—Opium, Alcohol, for vital depression. Lobelia. Antidotes.—Tannic Acid, to form the insoluble tannate. Char- coal, powdered in water. [See Aconite, above.] Antagonists.—Alcohol, Digitalis, Belladonna, Ergot, the vaso-motor excitants, antagonize its effects on the circulation; Strychnine, Picrotoxin, and Thebaine, those on the nervous system. Mercury. [See Corrosive Sublimate above, also Metallic Salts below.] Antidotes.—Albumen. Gluten. Flour. Milk. Vegetable astringents. Hy- drated Protosulphide of Iron. Charcoal. Alkalies, especially Magnesium Bi- carbonate (R). Potassium Iodide, to saturation of the system, as after-treat- ment; converts the metal into soluble combinations (B). Baths, simple or sulphurous (R). Antagonists.—Bismuth, Tannin, Sodium Sulphite, Diluted Nitric Acid in water, as gargles and mouth-washes for salivation. Belladonna, rr\^v-x of tincture every 4 to 6 hours, to lessen secretion in ptyalism (B). Hyos- cyamine, for the tremor, gr. gradually increased to gr. (Oulmont). Metallic Salts. Antidotes.—Albumen. Milk. Magnesia. Starch. Soap. Oils and other demulcents. Sodium or Potassium Carbonate and Bicarbonate. Lavage of stomach. Emetics and cathartics. Antagonists.—Opium, Alcohol, Cocaine, and other stimulants, when shock and vital depression. Mezereum. Antidotes.—Albumen. Milk. Oils and fats. Mucilaginous drinks. Antagonists.—Opium, as stimulant against shock and depression. Poultices, cool, to abdomen. Morphine. See Opium, below. Muscarine. Antidotes.—See Alkaloids, above. Antagonists.— exactly opposes Muscarine, and vice versa. Digitalis is antagonistic to some extent, so also is Physostigmine. There is no example of physiological antag- onism so complete in all particulars as that between Atropine and Muscarine. [See ante, page 92.] Mushrooms. Antidotes.—Emetics, if poisoning very recent; Cathartics, especially Castor Oil, if some time has elapsed. Tannic Acid, has been recom- mended. Antagonists.—Atropine. Alcoholic stimulants. Poultices, warm, to abdomen. [Compare Muscarine, above.] Nitrobenzol. Antidotes.—Ammonia, diluted, by inhalation. Emetics. An- tagonists.—Alcohol, Liq. Amrnonise (5ss in water), or Chloric Ether (3j in water), frequently repeated, as stimulants, given internally, by enema or hypo- dermically (brandy). Atropine. Artificial Respiration. Galvanic current, in- terrupted, to chest-walls, and over cardiac region. Data/ Dose.—Death has resulted from merely tasting it. Nitroglycerin. See Amyl Nitrite, above. Nitrous Oxide Gas. Antagonists.—Artificial Respiration, to be commenced at once and kept up for two hours if necessary, not faster than 18 per minute. Fresh air, open all doors and windows, and fan the patient. Oxygen by in- halation \ or 4 pints. Douche .to chest, alternately hot and cold. The tongue should be pulled well forward, and the mouth cleared of any obstruction to respiration, as artificial teeth. In apparently hopeless cases, two or three violent blows on the chest, delivered in quick succession, may restore the cardiac action (Murrell). I$