Drugs that enslave : $b The opium, morphine, chloral and hashisch habitsKane, H. H. (Harry Hubbell)
Science
Drugs that enslave : $b The opium, morphine, chloral and hashisch habits
Kane, H. H. (Harry Hubbell)
Drug addiction
Absorption 5 min. 110 min.
Pulse increased 8 beats. None.
Pulse lowered 12 ” 10 beats.
Headache 36 hours. 10 hours.
Nausea 46 ” 3 ”
Pulse, its nat. standard 22 ” 8 ”
Incapacity to work 7 ” None.
Total duration of symptoms 46 ” 11 hours.
I have found that some drugs, notably jaborandi, when used hypodermically,
manifest their peculiar symptoms in so short a time as one minute, no
vein of any size being punctured. It is to be supposed that one drug
is absorbed from the subcutaneous cellular tissue with about the same
rapidity as another, but that each drug _manifests its presence_ in the
circulation with a difference in point of time, according to its peculiar
action, or to some idiosyncrasy of the patient. Thus, while morphia may
be absorbed as rapidly as pilocarpine or jaborandi, it does not, save in
certain persons or at certain times, give evidence of its presence by
recognizable symptoms so early or so decidedly as the latter, _unless the
patient manifests some idiosyncrasy_.
From this it would appear possible, in certain cases, for a very rapid
absorption to take place, and sudden overwhelming of the heart by the drug
to occur without the puncture of a vein. As the needle does not go deeper
than the subcutaneous cellular tissues, in a large majority of the cases
the immediate treatment would be as effective in one case as in the other.
At a recent meeting of the New York Pathological Society,[36] Dr. Amidon
presented some microscopic specimens exemplifying the pathology of
hypodermic medication. He said that although hypodermic medication had
been in vogue twenty-five years, or according to the claims of some, forty
years, he was not aware of any accurate investigation of the relations
between the hypodermically injected mass and the skin. He had injected
Prussian blue (a weak solution) into the skin of moribund subjects, and
a portion of skin was excised after death. The hypodermic injection was
given in what he considered the best manner, namely, the pinching up a
fold of skin and introducing the needle horizontally. The hypodermic
injection was found to occupy a space three and a half centimetres in
diameter and one millimetre in thickness, tapering in shape. The location
of the hypodermic injection varied according to the amount of adipose
tissues in the subject. In those who had but little adipose tissue the
hypodermic injection remained immediately below the skin, while in those
who had much, the injection diffused itself. It would be seen in the
specimens presented that the hypodermically injected mass lay close to
the arteries and veins; sometimes it completely surrounded an artery or
vein. This, together with some other experiments, proved that it was by
the blood vessels and not by the lymphatics that absorption took place.
Public-domain text, read in full here on John Shaqi.
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