A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Opium.=—Stomach-pump or emetic; repeated lavage;
black coffee enema; potassium permanganate (5 gr.) in
tumblerful of water, or tannic acid as an antidote; keep
patient awake with cold affusions or electric brush;
artificial respiration; respiratory stimulants—atropin,
ammonia, strychnin, cocain, caffein.
=Phenacetin.=—Same as Acetanilid.
=Phosphorus.=—Copper sulphate as an emetic; dilute
peroxid of hydrogen or potassium permanganate as an
antidote; Epsom salt as a purge; _avoid all oils and
fatty substances_.
=Potassa or Soda (Lye).=—Vinegar or lemon-juice as an
antidote; oils or egg-white; opium.
=Ptomain Poisoning.=—Empty the stomach by means of the
stomach-pump or by an emetic. Apply a hot-water bag to
the abdomen. Give opium or morphin to allay the pain and
check diarrhea. Give a large dose of castor oil.
=Rat Poison.=—This usually contains arsenic or
phosphorus (q. v.).
=Silver Nitrate.=—Solution of common salt as antidote;
emetic; demulcent drinks. Silver nitrate stains on the
skin may be whitened and their removal much expedited
by the application of a solution made according to the
following formula:
Mercury bichlorid, gr. v;
Ammonium chlorid, gr. v;
Aqua, ʒij.
=Stramonium.=—Same as Belladonna.
=Strychnin.=—Absolute quiet; if convulsions have
begun, do not use stomach-pump unless the patient first
be etherized; tannic acid as antidote; inhalations of
chloroform or amyl nitrite for convulsions; potassium
bromid (ʒj) and chloral (gr. xxx) by mouth or rectum.
=Tobacco.=—Emetic; external heat; stimulants.
ANTIDOTES.
1. =Albumen, Egg-white.=—Dissolve 4 egg-whites in 1
quart of warm water.
2. =Milk, Fatty Oils, Mucilaginous
Substances.=—Substitutes for albumen.
3. =Castile Soap.=—Dissolve in plenty of water;
substitute for albumen.
4. =Tannic Acid, Coffee, Tea.=—To precipitate various
alkaloids.
5. =Vinegar, Diluted Mineral Acids.=—To neutralize
alkalies and alkaline salts.
6. =Emetics.=—(1) Zinc sulphate, grs. v-xv, repeated
twice if necessary at fifteen-minute intervals, or until
emesis is produced. (2) Mustard, ʒj-iv, stirred to a
cream with warm water. (3) Ipecac, gr. xv; repeat if
necessary in fifteen minutes. (4) Tartar emetic, gr. ½,
in sweetened water for children.
_Note._—In all poison cases loosen clothing
instantly and permit free circulation of fresh air;
protect body with warm blankets; do not use pump or give
emetics if acid has been taken in concentrated form;
secure necessary drugs so that medication may be given
at once upon direction of physician in charge.
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