A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
_Mercurial Poisoning._—Patients taking mercury
continuously, even in small doses, should be
carefully watched, as symptoms of _ptyalism_ or
_salivation_ sometimes arise very speedily. This
condition is manifested by fetor of the breath, soreness
of the teeth when the jaws are brought together,
increased flow of saliva, redness and swelling of the
gums, and finally by ulceration of the tissues, loss
of the teeth, and necrosis of the jaw bones. On the
slightest evidence of these symptoms the drug should
be suspended, and the mouth washed out frequently with
a solution of hydrogen peroxid (1 : 4) or of potassium
chlorate (1 dram to 8 ounces of water).
The ingestion of a single large _dose_ of an
irritant salt of mercury, such as the bichlorid or
biniodid, gives rise to severe burning pain in the
abdomen, vomiting, bloody purging, and collapse.
=Nitroglycerin.=—This drug is a depressant to the
central nervous system, a heart stimulant, and a
dilator of the peripheral blood-vessels. It is useful in
certain local spasms (asthma), in heart failure, and in
neuralgia of the heart. Owing to its action in dilating
the vessels, it sometimes causes, even in small doses,
headache, dizziness, and flushing of the face.
The _dose_ of nitroglycerin is from ¹/₂₀₀ to ¹/₅₀
of a grain (0.0003-0.0013 gm.). The _dose_ of the 1
per cent. alcoholic solution (Spiritus Glonoini) is from
1 to 5 minims (0.06-0.3 c.c.). The latter should be kept
in well-stoppered bottles, in a cool place, remote from
lights or fire.
=Nux Vomica.=—This is the seed of an East Indian tree.
Its activity depends upon an alkaloid _strychnin_.
It is a general stimulant, acting especially upon
the spinal cord, respiratory center, heart, stomach,
and intestine. It is employed in a great variety of
affections in which there is deficient functional
activity.
The limit of tolerance is indicated by restlessness,
stiffness of the neck muscles, and jerking of the limbs.
Toxic doses cause violent spasms closely resembling
those of lock-jaw or tetanus. The convulsions of
strychnin-poisoning, however, come and go, the muscles
being completely relaxed in the intervals, and,
moreover, they rarely involve the muscles of the jaw.
The _dose_ of the _Tincture of Nux Vomica_
(Tinctura Nucis Vomicæ) is from 5 to 20 minims (0.3-1.2
c.c.); of the _Extract of Nux Vomica_ (Extractum
Nucis Vomicæ), ⅙ to ¼ grain (0.01-0.016 gm.); of
_Strychnin Sulphate_ (Strychninæ Sulphas), ¹/₆₀ to
¹/₂₀ of a grain (0.001-0.003 gm.).
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account