A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Lead.=—The preparations of lead are used internally
and externally as sedatives and astringents. _Lead
Acetate_ (Plumbi Acetas) is employed internally in
diarrhea. The _dose_ is from 1 to 3 grains
(0.06-0.2 gm.), in pill form.
The _Solution_ of _Lead Subacetate_ (Liquor Plumbi
Subacetatis) is employed externally. Diluted with from 5
to 6 parts of water it is used as a sedative application
in ivy-poisoning and erysipelas.
The _Dilute Solution_ of _Lead Subacetate_
(Liquor Plumbi Subacetatis Dilutus) is known as
_lead-water_, and is chiefly employed in making the
sedative preparation known as lead-water and laudanum.
As usually dispensed it contains 1 dram (4 c.c.) of
laudanum and 4 drams (15 c.c.) of lead-water to 2 ounces
(60 c.c.) of water.
_Acute lead-poisoning_ is characterized by a burning
pain in the abdomen, a metallic taste in the mouth,
vomiting, purging, coma, and collapse.
_Chronic lead-poisoning_ is characterized by anemia,
intestinal colic, constipation, a blue line on the
gums (deposit of lead sulphide), and paralysis of the
forearms (wrist-drop).
=Magnesium Sulphate (Epsom Salt).=—This salt is
an excellent hydragogue cathartic, producing in the
course of a few hours copious watery stools. It is also
employed as an antidote in acute lead-poisoning and
carbolic-acid poisoning.
To secure the most prompt and powerful cathartic effect
the drug is best given before breakfast, in a single dose,
and with but a small quantity of water. _Dose_,
from 1 to 8 drams (4-31 gm.).
=Magnesium Oxid (Magnesia).=—This is a white,
tasteless, and insoluble powder. It is a cathartic, but
much milder in action than Epsom salt. _Dose_, from
10 to 60 grains (0.6-4 gm.).
=Magnesium Citrate.=—An effervescing solution of
this drug is much used as an agreeable laxative. The
_dose_ is from 6 to 12 ounces (180-360 c.c.).
=Mercury.=—The most important preparations of this
metal are calomel, blue mass, corrosive sublimate, oxid
of mercury, iodid of mercury, nitrate of mercury, and
ointment of mercury.
_Calomel_ (Hydrargyri Chloridi Mite).—This
preparation is employed internally as a cathartic and
gastric sedative, and externally as a stimulating and
antiseptic dusting-powder. As a cathartic its best
effect is secured by giving it in _doses_ of from
⅒ to ⅙ grain (0.006-0.01 gm.) every half-hour or hour,
until a grain has been taken. In this way the whole
amount ingested is absorbed. When large doses are
employed much of the drug escapes absorption.
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