Alcohol: First cleanse out the stomach with an emetic, then dash cold
water on the head and give frequent doses of aromatic spirits of
ammonia in water.
Charcoal or coal gas poisoning: Remove the patient into the open air,
dash cold water on the head and body and stimulate by passing ammonia
to and fro under the nostrils, at the same time rubbing the chest
briskly.
Lead: White lead and sugar of lead should first be treated with alum
emetic, afterwards a cathartic of castor oil or Epsom salt.
Nitrate of silver (lunar caustic): Give a strong solution of common
salt, and then emetics.
Prussic acid or cyanide of potassium. For this no certain antidote
exists, and it destroys life so suddenly as scarcely to allow of
use if we had one. When there is time chlorine in solution has been
recommended, also water of ammonia and cold affusions.
Opium, laudanum and morphine require the same antidote. If the patient
can swallow an emetic should be given; twenty grains of sulphate of
zinc and a teaspoonful of powdered ipecac mixed in a draught of water
should be given every twenty or thirty minutes until vomiting is
insured. A mixture of half teaspoonful of mustard and a tablespoonful
of salt dissolved in a pint or quart of warm water is another efficient
emetic in these cases. If swallowing is impossible the stomach pump
must be used. When the stomach is cleansed out give strong coffee and
acid drinks, dash cold water on the head and keep the patient walking.
Belladonna and black henbane: Give emetics, and afterwards a dose of
paregoric, and a hot whisky toddy, or a cupful of strong tea.
Nux Vomica and strychnine have no reliable chemical antidote; emetics
should first be given, or the stomach washed out with a siphon tube or
stomach pump. Chloroform must be employed to control the spasms, then
alcoholic stimulants should be freely administered.
Aconite, digitalis, hemlock, lobelia, cantharides, poisonous mushrooms
or toadstools, etc., have no certain antidotes. Emetics should be
immediately given when any of them are known to have been taken. Animal
charcoal is recommended to absorb and render harmless organic poisons
in the stomach; teaspoonful doses mixed with water should be given
repeatedly, and for those drugs least depressing in their action castor
oil is also recommended.
When a prompt emetic is urgently demanded and no drugs of any kind are
at hand, large quantities of tepid water should be drunk, say half
gallon to a gallon; this distends the stomach mechanically, and by
titillating the throat prompt and effective vomiting may be excited;
this may be repeated as often as necessary and the stomach thoroughly
washed out.
CHAPTER XXXII.
SOMETHING ABOUT DIET.
IT has been truthfully said that “many persons dig their graves with
their teeth,” but, that improper feeding causes many a grave to be dug
is also true.