Pilocarpine.
The stomach-tube or emetics will be required, together with the free admin istration of Tannin and the hypodermic use of its antagonist—Atropine—in to gr. doses.
Potash, Caustic.
Emetics should be administered; the pump or stomach-tube should not be used. Weak Acids (Vegetable preferred, and largely diluted), as Vinegar or Lemon-juice, Oils and Butter may be freely administered. The after-treat ment will consist in rectal feeding, and, after the danger of perforation has passed away, the free use of barley water, linseed tea, and other demulcents.
Potassium Chlorate, and Nitrate.
The stomach-tube or emetics and profuse demulcent drinks and purgatives arc indicated, along with hot-blanket baths and the treatment for Acute Bright's Disease, as the immediate danger is in the acute inflammation of the kidneys.
Ptomaines.
In poisoning by the ptomaines contained in decomposing food, if vomiting has not already occurred emetics or the use of the stomach tube or pump should be resorted to, and the organ should be thoroughly washer] out with warm weak Permanganate Solution. A brisk saline should be given to clear out the intestines, and the colon should be flushed with normal saline solution, which may be also required intravenously or hypodermically. The symptoms as they arise are to be treated thus: The heart failure will require Strychnine by the needle, or Digitalis or Atropine; shock will indicate the use of stimulants and external warmth and Alcohol; pain should be relieved by Morphia and Poultices; intestinal Antiseptics are worthless.
Sewer Gas.
After immediate removal to a pure atmosphere artificial respiration should be resorted to. Oxygen inhalation or a small amount of much diluted Chlorine gas may be used. Stimulants are freely to be administered, and the rectal route may be employed when swallowing is lost. Wa.rnith to the surface by hot blankets, water-bottles and friction is essential, and Strychnine hypoder mically should the pulse become weak.
Silver Nitrate, or Lunar Caustic.
Large doses of common Salt or Sea Water should be swallowed, and the soft rubber tube of the stomach-pump being passed. the whites of half a dozen eggs should be injected into the stomach after the poison is removed. Yolk of egg, wheaten flour, or milk mixed with water should be freely administered afterwards as demulcents.
Soda, Caustic.
Acids and Oils will be required as for Potash Poisoning.
Stranioninm.
Emetics or the stomach-tube, Tannin, free stimulation, and hypodermic use of Morphine are the necessary treatment (same as for Atropine and Bella donna).
Strychnine.
If seen immediately 5 to r o grs. Permanganate of Potash in solution or some Condy's Fluid should be promptly swallowed to destroy the poison in the stomach, and the stomach-tube or emetics should follow. A i-oz. dose of Adrenalin solution (i in L000) may be used if at hand to retard absorption while steps are being taken to evacuate the contents of the stomach. The stomach should be well washed out with the permanganate solution should the convulsions permit. Apomorphine to mins. B.P. Injection is the best emetic when at hand.
In the after-treatment the writer has found by experience that poisonous doses of Alcohol afford the best treatment, given both by mouth and rectum. Artificial respiration may be tried. Chloroform inhalation may be kept up as long as the convulsions arc severe, and r oz. Bromide of Potash with t dr. Chloral may be given by the rectum.
Sulphurets and Sulphuretted Hydrogen.
Inhalation of Oxygen or air containing a small percentage of Chlorine, and the free administration of a very weak solution of Chlorinated Lime or Soda constitute the necessary treatment, with the additional measures mentioned under Sewer Gas.
Sulphuric Acid—see under Acids, Mineral. Tartar Emetic.
Tannin, Strong Tea, &c. (See Antimony.) Tobacco.
Emetics or the stomach-tube, Tannin, free stimulation, and hypodermic injection of Strychnine (ilz gr.) are indicated, and the recumbent position must be strictly maintained (as for Lobelia).
Veratrine.
The stomach-tube or emetics must be used, and ]avage with Permanganate solution afterwards thoroughly carried out followed by Alcohol, Opium, &c. (as for Aconite, which see).
Vermin Killers.
The treat 111C la will depend upon the nature of the poison in the compound. Some of these contain Arsenic (Hammond and Simpson's Rat Paste) or Strych nine (Gibson's, Battle's, and Butler's), and sonic consist of free Phosphorus.
Zinc Salts (chiefly the Chloride, as Burnett's Fluid).
The rubber stomach-tube should be used with caution, or emetics, especially Aponmrphine gr.), injected hypodermically. Egg Albumin, Tea, Tannin, Milk, Alkalies or their Carbonates, demulcent drinks and soothing enemata containing a little Laudanum are to he administered.