II. _From Opium._—When a dangerous quantity of opium has been taken,
the treatment, in the first instance, is the same as with regard to
spirits, or any other intoxicating fluid. Immediate vomiting, by the
administration of similar emetics, is to be attempted, and when it has
taken place, it should be encouraged by warm drinks, till there is reason
to believe that the stomach has been freed of the poison. These drinks,
however, should not be given before vomiting is produced, for, in the
event of their failing to excite it, they remain upon the stomach, and
thus dissolve the opium and promote its absorption. But when vomiting
occurs from the action of the emetics, it will in all probability be
encouraged by warm drinks, and the stomach thus more effectually cleared
of the poison. Large quantities of a strong infusion of coffee ought then
to be given, or the vegetable acids, such as vinegar or lemon-juice,
mixed with water. These serve to mitigate the bad consequences which
often follow, even after the opium has been brought completely up. If the
person show signs of apoplexy, more especially if he be of a plethoric
habit, the jugular vein, or temporal artery should be opened, and a
considerable quantity of blood taken away. Indeed, it may be laid down
as a general rule, that as soon as the poison is rejected, the patient
ought to be bled, and the operation should be repeated according to
circumstances. Every means must be used to arouse him from stupor. He
must be moved about, if possible, from room to room, hartshorn applied
to his nostrils, and all plans adopted to prevent him from sinking
into lethargy. For this purpose, camphor, asafœtida, or musk, might be
administered with advantage. It is also a good practice to sponge the
body well with cold water; and the affusion of cold water on the head and
over the body, is still more effectual. In cases where vomiting cannot be
brought about by the ordinary means, M. Orfila suggests that one or two
grains of tartar emetic, dissolved in an ounce or two of water, might be
injected into the veins. In desperate cases, the stomach pump must be had
recourse to. Purgatives are latterly necessary.
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