Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
The great indications to be fulfilled in this distressing case, is the
immediate dilution, saturation, and expulsion of the poison. Copious
draughts of water, holding calcined[321] magnesia in suspension, should
be administered without any loss of time. If this is not in readiness,
soap and water should be administered; mucilaginous drinks, milk, and
even warm or cold water, in the absence of more eligible potations,
should not be neglected. It must be never forgotten, exclaims _Orfila_,
that success upon these occasions depends upon the activity of the
practitioner; the delay of a few moments will entirely change the fate
of the patient, as the sulphuric acid destroys the texture of the organs
with a fearful celerity. After having thus neutralized the caustic, it
will be our duty to obviate the effects it may be likely to occasion;
the lancet must be used with boldness, and the detraction of blood
repeated at short intervals; at the same time emollient clysters may be
advantageously injected.
_Chemical processes for the detection of Oil of Vitriol._
In the pure state, there can exist no difficulty in identifying it; its
specific gravity, and its action on vegetable matter, will, without any
other tests, be quite sufficient to fulfil our object. If heated with
metallic mercury, it will disengage sulphurous acid gas; and if united
with lime, a sulphate of lime will be produced, which the chemist may
easily recognise by dissolving a portion in distilled water, and
assaying the solution by _muriate of baryta_, which will produce with
the sulphate a precipitate, insoluble in nitric acid. By the last
mentioned tests we shall be enabled to detect the presence of sulphuric
acid, in whatever state of complication it may happen to exist with
alimentary matter.
NITRIC ACID.
This acid, when pure, assumes the form of a limpid fluid, emitting white
fumes of a suffocating odour; its taste is highly acid, and corrosive;
and it is at once distinguished from all other acids, by its tinging the
skin indelibly yellow. When of the specific gravity 1·5 it contains
74·895 per cent of dry acid, (whose ultimate elements are one
proportional of nitrogen, and five of oxygen) the complement 25·105
parts, is water.[322] It is decomposed with violent action by all
combustibles, and when mixed with volatile oils it causes their
inflammation.
From the facility with which this acid undergoes decomposition, it is
rarely found in commerce in a colourless condition; indeed the action of
light is sufficient to impart a tawny tinge to it; when this change has
proceeded to such an extent as to render the acid orange coloured, it is
called _Nitrous acid_, or, in the language of the arts, _aqua fortis_,
although in a chemical point of view, such a nomenclature is incorrect,
for it is nothing more than nitric acid, holding nitrous acid gas
loosely combined.
_Symptoms of Poisoning by Nitric Acid._
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