A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Atropin.=—See _Belladonna_.
=Belladonna.=—This drug owes its activity to the
alkaloid _atropin_. It is employed internally to
stimulate the respiration; to stimulate the circulation;
to allay local spasm, as in asthma and whooping-cough;
to check excessive secretion, as in the night-sweats
of phthisis; and to stimulate peristalsis in atonic
constipation. Locally, it is employed in the form of
solutions of atropin to dilate the pupil of the eye,
and in the form of a liniment or plaster of belladonna
as a sedative application in various inflammatory
conditions. Toxic doses of belladonna cause dilatation
of the pupils, dryness of the throat, quickening of the
pulse and respiration, delirium, and a diffuse red rash
resembling that of scarlatina.
The _dose_ of _atropin_ is from ¹/₁₅₀ to ¹/₅₀
grain (0.00043-0.0013 gm.); of the _Tincture of
Belladonna_ (Tinctura Belladonnæ), 5 to 20 minims
(0.3-1.2 c.c.); of the _Extract of Belladonna_
(Extractum Belladonnæ), ⅛ to ¼ grain (0.008-0.016 gm.).
=Bismuth.=—The insoluble preparations of the
metal—_subnitrate_, _subcarbonate_, and
_subgallate_—are used internally as mild
antiseptics, sedatives, astringents, and antacids in
various inflammatory diseases of the stomach and bowel.
They are scarcely poisonous when taken internally in
any amount. The usual _dose_ of any one of the
preparations named is from 5 to 30 grains (0.3-2 gm.)
in dry powder or stirred in milk or water.
=Bromids.=—The salts of bromin in common use are
the bromids of potassium, sodium, ammonium, and
strontium. The action of these is very similar. They
are especially useful as depressants to the central
nervous system. They are employed to produce sleep, to
check convulsions, and to relieve headache and neuralgic
pain. Large doses depress the heart and respiration. The
continued use of the bromids causes a condition known as
_bromism_. This is characterized by fetor of the
breath, a rash on the skin, languor, and somnolence. The
_dose_ of the _bromin salts_ is from 10 to 60
grains (0.6-4 gm.).
=Caffein.=—This is an alkaloid obtained from coffee.
It is a heart stimulant, respiratory stimulant, brain
stimulant, and kidney stimulant (diuretic). The
_dose_ is from 1 to 5 grains (0.06-0.3 gm.).
=Calomel.=—See _Mercury_.
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