A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Cinchona (Peruvian Bark).=—This is the bark
of an evergreen tree growing in the tropics. It
owes its medicinal properties to _quinin_ and
_cinchonin_, especially the former. It is used as
a general tonic, as a stomachic, as a febrifuge, and as
an anti-malarial. Large doses cause ringing in the ears,
headache, deafness, dimness of vision, convulsions, and
coma. The _dose_ of _quinin_ and its salts is
from 1 to 30 grains (0.06-2 gm.); of _cinchonin_,
1 to 30 grains (0.06-2 gm.); of the _Compound Tincture
of Cinchona_ (Huxham’s Tincture), 1 to 4 drams (4-15 c.c.).
=Cocain.=—This is the alkaloid of a shrub
(_coca_) growing in South America. Applied to
mucous membranes or raw surfaces, or injected under the
skin, it blanches the part and produces anesthesia.
Applied directly to the skin, however, it is without
effect, as it is not absorbed from the unbroken skin.
Internally, it is sometimes employed to stimulate the
heart, to stimulate the respiration, and to allay
vomiting. Its repeated use, even as a local remedy, is
dangerous, in that it is prone to cause a habit, the
symptoms of which are mental failure, loss of flesh and
strength, anemia, and intense craving for the drug.
The symptoms of acute cocain-poisoning are excitement,
delirium, a rapid pulse, hurried breathing, convulsions,
and coma. The _dose_ of _cocain_ is from ⅛ to
½ grain (0.008-0.03 gm.). As an anesthetic it is usually
employed in from 2 to 4 per cent. solutions.
A 2½-grain tablet of cocain, dissolved in a teaspoonful
of water, makes a 2 per cent. solution; a 4½-grain
tablet, in the same amount of water makes a 4 per cent.
solution; a 10½-grain tablet in a like amount furnishes
a 10 per cent. solution. These percentages are not
mathematically correct, but are sufficiently exact for
any surgical purposes.
=Cod-liver Oil.=—This is more of a food than a
medicine. It is preferable to other oils in being more
readily digested. When well borne by the stomach, it
is a valuable remedy in wasting diseases, especially
phthisis. The _dose_ is from 1 to 4 drams (4-15
c.c.). It may be given in emulsion, in flexible
capsules, or pure, dropped in the froth of porter. It
is best taken two hours after meals.
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