A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Carbolic Acid.=—Externally, this acid is used in
weak solutions (1 : 40 to 1 : 20) as an antiseptic,
and in concentrated form as a caustic. Weak solutions
are also employed to allay itching in skin diseases.
Internally, carbolic acid is used as an antiseptic in
dyspepsia and diarrhea. Applications of carbolic acid,
even when dilute, should never be prolonged, as they are
liable to cause gangrene. Poisoning by carbolic acid is
characterized by white patches on the lips, the odor of
the drug on the breath, burning pain in the abdomen,
vomiting, purging, unconsciousness, and collapse. The
_dose_ is from ½ to 3 minims (0.03-0.2 c.c.).
=Castor Oil.=—This is an oil expressed from the seed
of an East Indian plant. The seeds themselves are acrid
poisons. It is a mild purgative, unloading the bowels
very thoroughly in from four to six hours. It may be
given in flexible capsules, in emulsion, or with equal
parts of lemon-juice and glycerin. The _dose_ is
from ½ to 1 ounce (15-30 c.c.).
There are two simple methods of taking castor oil without
producing nauseating effects. Have the patient wash
out the mouth with water as hot as can be borne, then
swallow the oil, and follow this by rinsing out the
mouth well with hot water. The other method is to hold
a piece of ice in the mouth long enough to chill the
lining membrane, swallow the oil, and rinse the mouth
with ice-water.
=Chloral.=—This substance is an active depressant
of the brain and spinal cord. In large doses it also
depresses the heart and respiration. It is employed to
produce sleep and to check convulsions. The _dose_
is from 10 to 30 grains (0.6-2 gm.) in some agreeable
syrup.
Poisonous doses cause unconsciousness, embarrassed
breathing, and collapse.
=Chloralamid.=—This is a comparatively safe and reliable
hypnotic, producing sleep without causing much depression of
the heart or disagreeable after-effects. The _dose_ is
from 10 to 30 grains (0.6-2 gm.), well diluted. Hot liquids
decompose it.
=Chloroform.=—This substance is employed by inhalation
as a general anesthetic, by the mouth as a sedative
in colic, neuralgia of the stomach, and obstinate
cough, and externally in the form of liniment as a
counterirritant in muscular rheumatism, sprains, etc.
As a general anesthetic it is more powerful than ether,
more readily inhaled, but not so safe. Death from
chloroform is usually the result of heart failure. The
_dose_ of _Spirit of Chloroform_ (Spiritus
Chloroformi) is from 5 to 30 minims (0.3-2 c.c.); of
_Chloroform-water_ (Aqua Chloroformi), 1 to 8
drams (4-30 c.c.).
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