POISONS AND ANTIDOTES.

=General Treatment.=—Eliminate if possible by emetics, as zinc

sulphate, 10 to 20 grains; copper sulphate, 5 grains; or hypodermic

injection of apomorphin, ⅒ grain. Use stomach-pump or -tube where

vomiting cannot be produced, observing great care if irritant poison

has caused injury to tissues. In cardiac failure give stimulants. In

narcosis keep patient awake. In threatened paralysis of respiratory

movements use alternate hot and cold spray to chest, slapping, and

artificial respiration. Ammonia, atropin, caffein, and strychnin are

useful respiratory stimulants.

=Acetanilid.=—Emetic; rest in recumbent position;

stimulants—ammonia and strychnin; artificial

respiration; oxygen inhalations; external heat.

=Acid, Carbolic.=—Alcohol or Epsom salt as an

antidote. Three or four ounces of diluted alcohol,

followed by lavage with a solution of Epsom salt;

external heat; demulcents; stimulants hypodermically.

=Acid, Hydrocyanic.=—Fresh air; artificial

respiration; oxygen inhalations; ammonia by inhalation

and by intravenous injection.

=Acid, Oxalic.=—Chalk or lime as an antidote;

demulcents, like oil or egg-albumin.

=Acids, Mineral.=—Chalk, magnesia, soap, or

white-wash from wall to neutralize poison; demulcent

drinks—bland oils or egg-white; stimulants

hypodermically.

=Aconite.=—Recumbent position; empty stomach with

pump with patient flat on back; external heat;

stimulants—alcohol, ammonia, strychnin—hypodermically.

=Ammonia.=—Vinegar with lemon-juice to neutralize the

poison; white of egg or oil to allay irritation.

=Anilin Dyes.=—Give plenty of warm water to induce

emesis; place patient in recumbent position; loosen

clothing and permit free circulation of fresh air.

=Antimony (Tartar Emetic).=—Tannic acid as an

antidote; use stomach-pump; external heat; stimulants.

=Antipyrin.=—Same as Acetanilid.

=Arsenic.=—Stomach-pump or an emetic; freshly

precipitated ferric hydrate (tablespoonful every ten

minutes) made by adding magnesia to any iron solution;

demulcents—oil or egg-albumin.

=Atropin.=—Same as Belladonna.

=Belladonna.=—Emetic or stomach-pump; tannic acid as

an antidote; cold to head; enema of warm black coffee.

=Camphor.=—Empty the stomach; apply a hot-water bag to

the abdomen, and stimulate the patient if necessary.

=Cantharides.=—Emetic or stomach-pump; egg-white;

mucilaginous drinks in abundance; _avoid all oily

substances_.

=Chloroform.=—Withdrawal of drug; lowering of head;

pulling tongue forward; artificial respiration;

stimulants—strychnin, digitalis, ammonia.

=Cocain.=—Empty the stomach by means of the

stomach-pump or an emetic. Stimulate patient and

administer artificial respiration.

=Colchicum.=—Stomach-pump or emetic; external heat;

white of egg; stimulants; opium for pain.

=Copper Sulphate.=—Yellow prussiate of potassium,

soap, or magnesia; milk and albumin freely; opium for

pain.

=Corrosive Sublimate.=—White of egg freely; milk;

emetic or stomach-pump; opium for pain.

=Creosote.=—Same as Carbolic acid.

=Croton Oil.=—Emetic; mucilaginous drinks; opium.

=Cyanide of Potassium.=—Same as Hydrocyanic acid.

=Digitalis.=—Recumbent position; stomach-pump with

patient recumbent; external heat; tannic acid.

=Elaterium.=—Emetic; external heat; demulcents; opium.

=Ergot.=—Empty stomach; copious drafts of warm water,

coffee, or tea; quick purgative (croton oil); place

patient in recumbent position; give hot sponge-bath and

apply friction to the body.

=Gas, Illuminating.=—Fresh air; artificial

respiration; oxygen inhalations; injections of ammonia

and strychnin.

=Iodin.=—Starch-paste as an antidote; emetic; external

heat; demulcents; opium.

=Lead Salts.=—Epsom salt as antidote; emetic; milk or

egg-white.

=Lobelia.=—External heat; tannic acid; stomach-pump;

stimulants.

=Matches.=—Same as Phosphorus.

=Morphin.=—Same as Opium.

=Mushroom, poisonous (Toad-stools).=—Emetics; atropin

(¹/₁₀₀ gr.) hypodermically; castor oil; stimulants.

=Nux Vomica.=—Same as Strychnin.

=Opium.=—Stomach-pump or emetic; repeated lavage;

black coffee enema; potassium permanganate (5 gr.) in

tumblerful of water, or tannic acid as an antidote; keep

patient awake with cold affusions or electric brush;

artificial respiration; respiratory stimulants—atropin,

ammonia, strychnin, cocain, caffein.

=Phenacetin.=—Same as Acetanilid.

=Phosphorus.=—Copper sulphate as an emetic; dilute

peroxid of hydrogen or potassium permanganate as an

antidote; Epsom salt as a purge; _avoid all oils and

fatty substances_.

=Potassa or Soda (Lye).=—Vinegar or lemon-juice as an

antidote; oils or egg-white; opium.

=Ptomain Poisoning.=—Empty the stomach by means of the

stomach-pump or by an emetic. Apply a hot-water bag to

the abdomen. Give opium or morphin to allay the pain and

check diarrhea. Give a large dose of castor oil.

=Rat Poison.=—This usually contains arsenic or

phosphorus (q. v.).

=Silver Nitrate.=—Solution of common salt as antidote;

emetic; demulcent drinks. Silver nitrate stains on the

skin may be whitened and their removal much expedited

by the application of a solution made according to the

following formula:

Mercury bichlorid, gr. v;

Ammonium chlorid, gr. v;

Aqua, ʒij.

=Stramonium.=—Same as Belladonna.

=Strychnin.=—Absolute quiet; if convulsions have

begun, do not use stomach-pump unless the patient first

be etherized; tannic acid as antidote; inhalations of

chloroform or amyl nitrite for convulsions; potassium

bromid (ʒj) and chloral (gr. xxx) by mouth or rectum.

=Tobacco.=—Emetic; external heat; stimulants.

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