A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Opium.=—This is the dried juice of a species
of poppy growing in Asia. It contains several
alkaloids, the chief of which are _morphin_ and
_codein_. From morphin are prepared artificially
two alkaloids—_apomorphin_ and _heroin_.
Opium depresses the brain, depresses the respiration,
stimulates the heart slightly, lessens the peristaltic
movements of the bowel, and diminishes all secretions,
except the sweat. It is employed to induce sleep, to
relieve pain, to allay cough, to check diarrhea, and to
promote perspiration.
_Opium-poisoning_ is marked by three stages: the
_first_ stage is short and characterized by mental
exhilaration; in the _second_ stage the pupils
are greatly contracted (pin-point), the respirations
are slow, the pulse is slow and full, and there is
deep stupor. In the _third_ stage the patient can
no longer be aroused (coma), the respiration becomes
shallow and irregular, the pulse becomes rapid and weak,
the pupils finally dilate, and the patient dies from
failure of the respiration.
Even after small doses of opium many patients suffer from
headache and nausea. Children are much more sensitive
to its action than adults. Morphin resembles opium in
action, but is more powerful, less nauseating, and less
constipating. Codein is less powerful as a hypnotic and
less depressing than morphin.
The _dose_ of _opium_ is from ½ to 1 grain
(0.03-0.65 gm.); of the _Extract of Opium_
(Extractum Opii), ⅛ to ½ grain (0.008-0.03 gm.);
of the _Tincture of Opium_ or _Laudanum_
(Tinctura Opii), 10 to 20 minims (0.6-1.2 c.c.); of the
_Camphorated Tincture of Opium_ or _Paregoric_
(Tinctura Opii Camphorata), ½ to 4 drams (2-15 c.c.);
of _Dover’s Powder_ (Pulvis Ipecacuanhæ et opii),
5 to 10 grains (0.3-0.6 gm.); of _morphin_ and its
salts (sulphate, hydrochlorate, etc.), ⅛ to ½ grain
(0.008-0.03 gm.), and of _codein_, ½ to 1 grain
(0.03-0.06 gm.).
_Heroin_ is chiefly used to allay cough. The _dose_
is from ¹/₁₂ to ⅛ of a grain (0.005-0.008 gm.).
_Apomorphin_ is employed as an emetic and as an
expectorant in bronchitis. The _dose_ as an emetic
is from ⅒ to ⅙ of a grain (0.006-0.01 gm.), always
hypodermically; the _dose_ as an expectorant is
from ¹/₂₀ to ¹/₁₀of a grain (0.003-0.006 gm.), always by
the mouth.
=Paraldehyd.=—This is an oily liquid, having a
peculiar unpleasant odor and taste. It is used chiefly
as a hypnotic. While comparatively safe and reliable,
its disagreeable taste and persistent odor on the breath
detract from its usefulness. The _dose_ is from ½
to 1 dram (2-4 c.c.), in some pleasant vehicle.
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