Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and ExpertsBlyth, Alexander Wynter
Science
Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and Experts
Blyth, Alexander Wynter
Poisons
The action of chloroform is usually divided into three more or less
distinct stages. In the _first_ there is a “drunken” condition, changes
in the sense of smell and taste, and it may be hallucinations of vision
and hearing; there are also often curious creeping sensations about the
skin, and sometimes excessive muscular action, causing violent
struggles. I have also seen epileptiform convulsions, and delirium is
almost always present. The face during this stage is generally flushed,
covered with perspiration, and the pupils contracted. The first stage
may last from one minute to several, and passes into the _second stage_,
or that of depression. Spontaneous movements cease, sensibility to all
external stimuli vanishes, the patient falls into a deep sleep, the
consciousness is entirely lost, and reflex movements are more and more
annihilated. The temperature is less than normal, the respirations are
slow, and the pulse is full and slow. The pupils in this stage are
usually dilated, all the muscles are relaxed, and the limbs can be bent
about in any direction. If now the inhalation of chloroform is
intermitted, the patient wakes within a period which is usually from
twenty to forty minutes, but may be several hours, after the last
inhalation.
The _third stage_ is that of paralysis; the pulse becomes irregular, the
respirations superficial, there is a cyanotic colouring of the lips and
skin, while the pupils become widely dilated. Death follows quickly
through paralysis of the respiratory centre, the respirations first
ceasing, then the pulse; in a few cases, the heart ceases first to beat.
Public-domain text, read in full here on John Shaqi.
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