A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
The _dose_ of the _Extract of Ergot_ (Extractum
Ergotæ) is from 1 to 15 grains (0.065-1 gm.); of the
_Fluid Extract_ (Extractum Ergotæ Fluidum), ½ to 1
dram (2-4 c.c.); of the _Wine_ (Vinum Ergotæ), 1 to
4 drams (4-15 c.c.); of _ergotin_, a concentrated
extract, 2 to 5 grains (0.13-0.3 gm.). When given
hypodermically abscess is likely to form, even under the
most strict antiseptic precautions.
=Ether.=—Next to nitrous oxid, this is the safest of
the general anesthetics, although it is not so readily
inhaled as chloroform, and is more apt to produce
unpleasant after-effects, such as nausea and vomiting.
The latter may sometimes be relieved by the inhalation
of hot vinegar fumes.
Death from ether is usually the result of asphyxia, and
not, as in the case of chloroform, from heart failure.
Internally, by the mouth or hypodermically, ether is
sometimes used as a circulatory stimulant in sudden
heart failure. Great care should be exercised in
handling ether in the neighborhood of lighted gas-jets,
as the vapor of the drug is highly inflammable. Ether
should be stored in well-stoppered containers, in a cool
place, remote from lights and fire.
The _dose_ of ether as a circulatory stimulant
is from 5 to 30 minims (0.3-2 c.c.) in ice-water or
hypodermically.
=Formaldehyd.=—This gas is employed in the form of
a 40 per cent. solution (_formalin_). It is used
as an antiseptic, disinfectant, and deodorant. It is
the best disinfectant for sick-rooms that we possess,
although on account of its lack of penetrating power
it can not be used for disinfecting bedding, stuffed
furniture, carpets, books, etc. To be effective the gas
must be generated from formalin in a special apparatus,
or from paraform tablets heated over a suitable lamp.
Attempts to vaporize solution of formaldehyd from an
open vessel placed on a stove are unsuccessful, since
this treatment converts most of the formaldehyd gas into
crystals of paraform. Solutions of formalin—1 : 2000 to
1 : 500—are sometimes used for irrigating suppurating
cavities and disinfecting instruments. A solution of
1 part of formalin to 20 parts of water makes a good
disinfectant for stools, urine, and sputa.
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