A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
Alkalis should be given before food. Iodin and iodids should be given
on an empty stomach, when they rapidly diffuse into the blood. If given
during digestion the acids and starch alter and weaken the digestion.
Acids, as a rule, should be given between the digestive acts, because
the mucous membrane of the stomach is in a favorable condition for
the diffusion of the acids into the blood. Acids may be given before
food when prescribed to check the excessive formation of the acids of
the gastric juice. By giving it before meals you check the osmosis
stomachward of the acid-forming materials. Irritating and dangerous
drugs should be given directly after food, such as the salts of
arsenic, copper, zinc, and iron, except where local conditions require
their administration in small doses before food. Oxid and nitrate
of silver should be given after process of digestion is ended; if
given during food, chemic reactions destroy or impair their special
attributes and defeat the object for which they were prescribed.
Metallic salts, especially corrosive sublimate, also tannin and pure
alcohol, impair the digestive power of the active principle of the
gastric juice, so should appear in the stomach during its period of
inactivity. Malt extracts, cod-liver oil, phosphates, etc., should be
given with or directly after food, so that they may enter the blood
with the products of digestion.
POISONS AND ANTIDOTES.
=General Treatment.=—Eliminate if possible by emetics, as zinc
sulphate, 10 to 20 grains; copper sulphate, 5 grains; or hypodermic
injection of apomorphin, ⅒ grain. Use stomach-pump or -tube where
vomiting cannot be produced, observing great care if irritant poison
has caused injury to tissues. In cardiac failure give stimulants. In
narcosis keep patient awake. In threatened paralysis of respiratory
movements use alternate hot and cold spray to chest, slapping, and
artificial respiration. Ammonia, atropin, caffein, and strychnin are
useful respiratory stimulants.
=Acetanilid.=—Emetic; rest in recumbent position;
stimulants—ammonia and strychnin; artificial
respiration; oxygen inhalations; external heat.
=Acid, Carbolic.=—Alcohol or Epsom salt as an
antidote. Three or four ounces of diluted alcohol,
followed by lavage with a solution of Epsom salt;
external heat; demulcents; stimulants hypodermically.
=Acid, Hydrocyanic.=—Fresh air; artificial
respiration; oxygen inhalations; ammonia by inhalation
and by intravenous injection.
=Acid, Oxalic.=—Chalk or lime as an antidote;
demulcents, like oil or egg-albumin.
=Acids, Mineral.=—Chalk, magnesia, soap, or
white-wash from wall to neutralize poison; demulcent
drinks—bland oils or egg-white; stimulants
hypodermically.
=Aconite.=—Recumbent position; empty stomach with
pump with patient flat on back; external heat;
stimulants—alcohol, ammonia, strychnin—hypodermically.
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