Use stomach pump if possible, or empty stomach with rubber tube and
funnel, siphoning fluids out. Or give thirty grains of powdered ipecac
stirred in a wineglass of water. When vomiting ceases, give two
teaspoonfuls of whisky in half a glass of hot water. Give hypodermic
injection of sulphate of strychnine, one-twentieth of a grain every
two or three hours, till patient is roused and weakness is past.
Rubbing of the surface, application of hot-water bottles to the body
and legs.
If breathing ceases, follow Rule 2 under Suffocation (p. 186) till
breathing is well established again.
_Opium; Morphine; Laudanum; Paregoric; Soothing Syrups._ Symptoms:
Drowsiness, sleep, stupor when roused, pupils very small--"pin point"
unless patient is used to the drug--constipation, cold skin.
Use stomach pump, if at hand. Or give emetic of thirty grains of
powdered ipecac stirred in a wineglass of water, followed by two
glasses of warm water, as vomiting proceeds. Let the patient inhale
ammonia or smelling salts. Give him half a grain of permanganate of
potash dissolved in a wineglass of water, every half hour. Inject two
ounces of black coffee, at blood heat, into the rectum.
Rub the lower part of the body and legs briskly toward the heart,
while artificial respiration is being carried out. See Rule 2 under
Suffocation (p. 186). Thirty drops of tincture of belladonna to an
adult, every hour, will assist the breathing. Do not exhaust the
patient by walking him around, slapping him with wet towels, or
striking him on the calves; keep him awake by rubbing.
_Tobacco when Swallowed:_ Nausea and vomiting occur, with severe pain
and great prostration; delirium or convulsions may follow. The heart,
at first rapid and full, becomes weak and compressible.
Give emetic at once: thirty grains of powdered ipecac stirred in
wineglass of water, followed by two glasses of warm water, by degrees.
Give whisky, two teaspoonfuls in wineglass of hot water. Keep patient
warm.
_Nux Vomica; Strychnine._ Symptoms: Excitement, rapid heart action,
restlessness, panic of apprehension, twitching of forearms and hands,
possibly convulsions, during consciousness.
Use stomach pump, if possible, or give thirty grains of powdered
ipecac stirred in a wineglass of water. Then, when vomiting has
ceased, give twenty grains of chloral, together with thirty grains of
bromide of sodium in half a glass of water, at blood heat, injected
into the rectum. Give twenty grains of bromide of sodium in a
wineglass of water, every hour, by the mouth.
If convulsions, put chloroform before nose and mouth, as follows: pour
twenty drops of chloroform on a handkerchief and hold it close to the
mouth, letting air pass freely under it. Stop when patient relaxes.
Resume if he becomes rigid again.
_Cocaine._ Symptoms: General nervousness, irritability of temper,
wakefulness, followed quickly by great pallor, dilatation of the
pupils, unconsciousness, and convulsions.
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