2. _To stop the action of the poison if it cannot be readily and
immediately removed._—The means whereby this is effected is ordinarily
the administration of an antidote. As no universal antidote is known,
the treatment will of course vary with the substance taken. This will be
fully explained when speaking of each particular poison.
An antidote, according to Orfila, should possess the following
properties:—It should be capable of being taken in a large dose without
danger; it should act upon the poison, whether liquid or solid, at a
temperature equal to or below that of the body; its action should be
quick; it should be capable of combining with the poison, though
shielded by the gastric juice, mucus, bile, or other substances
contained in the stomach; and lastly, it should deprive the poison of
its deleterious properties.
Antidotes mostly operate by forming harmless chemical combinations, or
by producing insoluble compounds, and thus preventing or delaying
absorption. In most cases they have no effect upon the constitution; but
some may be looked upon as a kind of counter-poison. Thus, the
antagonistic action of opium and belladonna seems fairly made out, and
we might perhaps include under this head chloroform, as in some degree,
an antidote to strychnia.
Dr. Garrod has described a series of experiments in which he employed
purified animal charcoal as an antidote. Dogs, rabbits, and guinea-pigs
were the animals experimented on; while the poisons consisted of large
doses of opium, belladonna, aconite, nux vomica, arsenic, and other
drugs. They were given without mischief when sufficient animal charcoal
was administered simultaneously, or, in some instances, before the
peculiar effects of the destructive drug were developed. This substance
seems to act in a great measure mechanically, but it has also a power of
absorbing alkaloids which may render it useful. Such substances as
magnesia and gruel are sometimes given with the view of protecting the
walls of the stomach, with doubtful benefit.
3. _To remedy the mischief done, and obviate the tendency to
death._—Unfortunately, in a great number of instances, too long an
interval has elapsed between the exhibition of the poison and the time
when the first-mentioned indications can be fully carried into effect;
for, as before implied, if absorption has taken place, direct antidotes
will be of little avail.
Our object must then be to palliate the symptoms as they arise, as well
as to neutralize the _effects_ of the poison on the constitution, by
remedies of an opposite character. Thus in poisoning by depressing
agents and narcotics, or such as destroy the nervous force, all lowering
measures must be avoided, and agents used which will exert a contrary
effect, as stimulants, cold effusion, galvanism &c. The shock to the
nervous system must also be taken account, and appropriate remedies
employed to aid it in rallying.
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