A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Creasote.=—This is an oily substance obtained from
the slow burning of beechwood. It is chiefly used
internally as an antiseptic in dyspepsia and diarrhea,
and as an expectorant in purulent bronchitis and
phthisis. Large doses produce the same toxic effects as
are observed in carbolic-acid poisoning. The _dose_
is from 2 to 20 minims (0.1-1.2 c.c.) in capsules,
in milk, or in some bitter tincture, like that of
gentian. The _dose_ of _creasote carbonate_
(creosotal), which is free from the unpleasant odor and
taste of pure creasote, is from 5 to 20 minims (0.3-1.2
c.c.).
=Croton Oil (Oleum Tiglii).=—This is an oil expressed
from the seed of a small tree growing in Asia. Locally
it is an active vesicant; internally it is a powerful
purgative. Large doses cause severe inflammation of
the stomach and bowels. The _dose_ is from 1 to
2 drops (0.06-0.12 c.c.) in glycerin, olive oil, or
bread-crumbs. A bland vehicle is necessary to prevent
the vesicating effect of the drug on the throat. Diluted
with from 2 to 4 parts of olive oil, and applied with
friction, it is sometimes used as a counterirritant in
inflammatory diseases of the chest.
=Digitalis.=—This is a powerful circulatory
stimulant, strengthening the contractions of the
heart, constricting the peripheral blood-vessels, and
slowing the pulse. By increasing the blood-pressure in
the kidneys it also increases the flow of urine. It
is chiefly used as a stimulant in heart disease when
there is failure of circulation, and as a diuretic in
various forms of dropsy. The effects of the drug should
be carefully watched; too large doses cause marked
slowing and irregularity of the pulse, and a decrease
rather than an increase in the urine. The _dose_
of _powdered digitalis leaves_ is from ½ to 2
grains (0.03-0.13 gm.); of the _Tincture_ (Tinctura
Digitalis), 5 to 20 minims (0.3-1.2 c.c.); of the
_infusion_ (infusum digitalis), 1 to 4 drams (4-15
c.c.); of _digitalin_, an important principle of
the leaves, ¹/₁₀₀ to ¹/₆₀ grain (0.00065-0.001 gm.).
=Ergot.=—This is a fungus growing on rye. It is
employed to contract the blood-vessels in internal
hemorrhage and to stimulate the uterine contractions in
the second stage of labor when post-partum hemorrhage is
feared. Its use in the early stage of labor to hasten
delivery is dangerous, since it may cause tetanic spasm
of the uterus and asphyxiation of the child or even
rupture of the uterus.
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