The smallest quantity of prussic acid which has been known to
destroy life is nine-tenths of a grain of the anhydrous acid, equal
to forty-five minims of the diluted preparation of the British
Pharmacopœia; and it is probable that this would, in most instances,
prove fatal. In the case referred to death occurred in twenty minutes;
but from a larger dose it has ensued much earlier. The period may be
said to vary from two to five and forty minutes. Insensibility may,
however, come on in a few seconds. In the case of seven epileptics
accidentally poisoned at the Bicêtre, death occurred in the first within
twenty minutes, in the last after three-quarters of an hour, though the
dose of the acid was the same in each instance.
_Symptoms._—These will vary with the dose and the mode of exhibition.
Inhalation of the vapor of anhydrous prussic acid would immediately
cause death. The vapor of the diluted acid has given rise to serious
symptoms with great rapidity. Scheele is said to have been suddenly
killed by respiring the vapor of the dilute acid while making his
experiments.
When the diluted acid is taken in a large dose the symptoms may commence
during swallowing, death following so quickly that scarcely any effects
can be observed. The chief symptoms, perhaps, are insensibility, slow
gasping, or convulsive respiration, a clammy cold skin, fixed and
glistening eyes, dilated pupils, spasmodic closure of the jaws, an
almost imperceptible pulse, and sometimes convulsions of the limbs and
trunk. The rapidity with which consciousness is lost is well exemplified
in an instance recorded by Hufeland, where a man about to be apprehended
as a thief took an ounce of the acid, staggered a few steps and fell
apparently lifeless. In a few moments a single violent respiration was
made, and within five minutes of taking the poison he was dead.
Insensibility is not, however, in all instances, immediately produced;
many an authenticated case having occurred in which the symptoms were
protracted for some minutes, the individual performing several acts
indicating consciousness, such as replacing the cork in the bottle,
adjusting the bed-clothes, or even running some distance to summon help.
The utterance of a shriek has been said to be characteristic of
poisoning by this acid; but toxicologists know that such has not been
observed in the human subject, and that there is merely a gasping for
breath, or perhaps a call for help.
A small dose produces faintness, insensibility, difficulty of breathing,
involuntary evacuations, loss of muscular power, convulsions, and
temporary paralysis. If the proper treatment be employed, recovery may
often be effected.
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