A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Phenacetin.=—This anilin derivative has properties
very similar to those of acetanilid, and is used for the
same purposes. _Dose_, 5 to 10 grains (0.3-0.6 gm.).
=Physostigma.=—This is the seed of a climbing plant
growing in Africa. Its activities depend upon an
alkaloid known as _eserin_ or _physostigmin_.
It depresses the spinal cord, stimulates the peristaltic
movements of the bowel, and, when applied to the eye,
contracts the pupil. It is employed to check certain
convulsions (tetanus and strychnin-poisoning), to overcome
atonic constipation, and, locally, to contract the pupils.
The _dose_ of the _Tincture of Physostigma_
(Tinctura Physostigmatis) is from 5 to 20 minims
(0.3-1.2 c.c.); of the _Extract of Physostigmatis_
(Extractum Physostigmatis), ¹/₁₂ to ⅙ of a grain
(0.005-0.01 gm.); of _eserin_ or _physostigmin_
and its salts, ¹/₁₅₀ to ¹/₅₀ of a grain (0.0004-0.0013 gm.).
=Pilocarpus=, or =Jaborandi=.—This is the leaves
of a South American plant. Its virtues depend entirely
upon an alkaloid known as _pilocarpin_. The
chief action of the drug is on the secretions—sweat,
saliva, and urine—which it markedly increases. Large
doses depress the circulation. Locally, in the eye, it
contracts the pupil like eserin. It is mainly employed
internally as a diaphoretic in Bright’s disease and
dropsical conditions. The _dose_ of the _Fluid
Extract_ (Extractum Pilocarpi Fluidum) is from 20 to
60 minims (1.5-4 c.c.); of _pilocarpin_ and its
salts, ⅛ to ½ grain (0.008-0.03 gm.). The latter are
usually administered hypodermically.
=Quinin.=—See _Cinchona_.
=Salicylates.=—These salts are employed in medicine
chiefly as antirheumatic remedies. Their manner of
action, however, is unknown. They are also used,
both internally and externally, to some extent as
antiseptics. Large doses cause ringing in the ears,
headache, deafness, nausea, and a greenish discoloration
of the urine.
The _dose_ of _salicylic acid_ or its salts
(ammonium, sodium, strontium) is from 5 to 20 grains
(0.3-1.3 gm.); of _Oil of Gaultheria_ (Methyl
Salicylate), 5 to 20 minims (0.3-1.2 c.c.). These
preparations should be given after meals, well diluted.
The following remedies have properties like the salicylates,
but are less powerful and less irritant to the stomach:
_Salol_, _dose_, 5 to 20 grains (0.3-1.3 gm.);
_salophen_, 5 to 30 grains (0.3-2 gm.); _aspirin_,
5 to 20 grains (0.3-1.3 gm.).
=Senna.=—This is a purgative cholagogue and is
used in the constipation of children and pregnant
women. _Dose_, in substance, 5 to 20 grains; in
fluidextract or tincture, 1 to 4 fluidrams.
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