In poisoning by nitrous acid fumes, oxygen inhalation, if applied in
time, undoubtedly holds out hope of success, and should always be tried.
Chloroform has been repeatedly recommended as a remedy. Probably its
inhalation produces no actual curative effect, but only an abatement of
the symptoms through the narcosis induced.
Nitric acid (HNO₃) in solution has an irritant corroding action if, when
concentrated, it comes into contact with the skin or mucous membrane.
THE HALOGENS (CHLORINE, BROMINE, IODINE)
Chlorine (Cl) is a yellow-green, pungently smelling gas, Bromine (Br) a
fuming liquid, and Iodine (I) forms crystals which volatilise slightly at
ordinary temperatures.
According to Lehmann’s experiments on animals the effect of chlorine
gas and bromine fumes is completely similar. Lehmann and Binz assume
that chlorine has a twofold effect: (1) narcotic, paralysing the outer
membrane of the brain, and (2) the well-known irritant action upon the
mucous membrane, producing a general catarrh of the air passages, and
inflammation of the lungs; it is, however, only the latter which causes
menace to life. Other writers do not mention the narcotic effect upon
the brain and assume that the halogens when brought into contact with
the mucous membrane are quickly converted into halogen hydrides, and,
as such, produce a corrosive effect. According to Lehmann, even 0·01
per thousand Cl or Br in the air is injurious, even 0·1 per thousand
produces ulceration of the mucous membrane, and one or two hours’
exposure to the poison endangers life. Lehmann has further tested (on
dogs) acclimatisation to chlorine, and finds that after a month the power
of resistance to chlorine appears to be increased about ten times. In a
further series of experiments the same author has proved that even the
smallest quantities of chlorine present in the atmosphere are completely
absorbed in breathing.
Continued or frequent action of chlorine upon the organism produces
symptoms which have been described as chronic chlorine poisoning—such as
anæmia and indigestion, in addition to catarrhal and nervous symptoms.
Further, in factories where chlorine is produced by the electrolytic
process, workers were found to be suffering from the so-called chlorine
rash (first observed by Herxheimer). This skin disease consists in an
inflammation of the glands of the skin, with occasional development of
ulcers and scars. Severe cases are accompanied by digestive disturbance.
Bettmann, Lehmann, and others maintain that it is not caused by chlorine
alone, but by chlorinated tar products, which are formed in the
production of chlorine and hydrochloric acid.
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