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A Reference Hand-Book for Nurses · Amanda K. Beck — chapter 5 of 58 · ~854 words · public domain

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A HANDY SOLUTION TABLE WITH DOMESTIC MEASURES.

SOLUTION. DOMESTIC MEASURE.

1 : 1000 1 teaspoon to gallon. ⅒ of 1 per cent. 15 drops to quart. 1 : 500 2 teaspoons to gallon. ⅕ of 1 per cent. 30 drops to quart. 1 : 200 5 teaspoons to gallon. ½ of 1 per cent. 1¼ teaspoons to quart. 1 : 100 2½ teaspoons to quart. 1 per cent. 1¼ teaspoons to pint. 1 : 50 5 teaspoons to quart. 2 per cent. 2½ teaspoons to pint. 1 : 25 2½ tablespoons to quart. 4 per cent. 5 teaspoons to pint. 1 : 20 3 tablespoons to quart. 5 per cent. 1½ tablespoons to pint.

TO PREPARE A 1: 500 SOLUTION.

There are 7680 m. in 1 pint of solution (water); therefore we divide 7680 by 500 as follows:

500)7680(15⅗ m. to 1 pint of solution (water). 500 ———— 2680 2500 ———— 1800 1500 ———— 300, or ⅗ of a m.

N.B.—Divide the number of m. in 1 pint by the strength of the solution, and then divide the result by the percentage of original strength of the article.

When original strength of solution is less than 100 per cent., as, for example, formaldehyd, which is 40 per cent., divide the quotient above resulting by the percentage of strength—viz.:

40)1536(38⅖ m. to 1 pint of solution (water). 120 ——— 336 320 ——— ¹⁶/₄₀ = ⅖.

To get a ¹/₁₀₀ of a grain dose of any drug out of a solution of 60 minims containing ¹/₃₂ of a grain of that drug, compute as follows:

³²/₃₂ or 1 grain = 32 × 60, or 1920 m. ¹/₁₀₀ = ¹/₁₀₀ of 1920 m. 100)1920(19⅕ m. 100 ——— 920 900 ——— 20, or ⅕ m.

RULE.—Multiply the quantity of the solution on hand in minims by a number indicating the fractional amount of the drug therein contained, and divide by a number indicating the fractional amount of the drug desired.

In 20 parts of solution we have 1 part of carbolic acid. In 1 part “ “ ¹/₂₀ “ “ In 100 parts “ “ 100 × ¹/₂₀ = 5 pt. “ So that ¹/₂₀ solution is a 5 per cent. carbolic acid solution.

40 parts contain 1 part of carbolic acid. 1 part contains ¹/₄₀ “ “ 100 parts contain 100 × ¹/₄₀ = 2½ parts of carbolic acid. So that ¹/₄₀ solution is a 2½ per cent. carbolic acid solution.

ACTION, USES, AND DOSES OF THE MOST IMPORTANT DRUGS.

=Acetanilid.=—This substance, a derivative of anilin, is used to lower temperature; to relieve headaches and neuralgic pains; and to allay spasm, as in chorea and whooping-cough.

Toxic doses cause lividity, cold sweats, ringing in the ears, and heart failure.

The dose is from 5 to 10 grains (0.3-0.6 gm.).

=Arsenic.=—Arsenic is used internally as a tonic in anemia, an alterative in chronic constitutional diseases, as a special remedy in chorea, and as an anti-malarial. Externally, it is occasionally used as a caustic.

The indications of its too free use are puffiness under the eyes, or griping pains in the abdomen, with diarrhea.

Toxic doses cause abdominal pain, vomiting, purging, swelling of the face, and collapse.

Preparations of arsenic should be given after meals. The dose of arsenous acid is from ¹/₄₀ to ¹/₂₀ grain (0.0016-0.0032 gm.); of Fowler’s Solution (Liquor Potassii Arsenitis), 1 minim (0.06 c.c.), very gradually increased to 10 minims (0.6 c.c.).

=Aconite.=—This drug depresses the heart, slows the pulse, and lowers temperature. Externally, it causes numbness and anesthesia. Internally, it is employed chiefly as a heart sedative in hypertrophy of the heart, and as a febrifuge in acute febrile disease when the pulse is strong and rapid. Locally, it is sometimes employed in liniments in neuralgia and muscular rheumatism.

Aconite is a powerful poison, causing in overdoses tingling of the lips, tongue, and extremities, cold sweat, pallor, a feeble pulse, and collapse.

The dose of the tincture (Tinctura Aconiti) is from 1 to 5 minims (0.06-0.3 c.c.).

=Alcohol.=—In moderate cases alcohol stimulates the heart, favors digestion, and lessens tissue-waste. For these reasons it is a useful remedy in low fevers, like typhoid fever, diphtheria, and pneumonia. On account of its prompt action, it is a valuable circulatory stimulant in sudden heart failure. It has been recently recommended also as an antidote in carbolic-acid poisoning. Externally, it is used as a cleanser for the skin and as a stimulant application in the prevention of bed-sores.

Preparations.—Wines are produced by the spontaneous fermentation of fruits. The strongest are port, Madeira, and sherry, each of which contains about 20 per cent. of alcohol. The dose is from 4 to 8 drams (15-30 c.c.). The weakest wines are the clarets and Rhine wines, which contain about 8 per cent. of alcohol. The dose of these is from 1 to 2 ounces (30-60 c.c.).

Champagne is prepared by adding sugar to an ordinary wine, and allowing the mixture to ferment in corked bottles, the carbon dioxid thus being retained. It contains from 10 to 12 per cent. of alcohol. The dose is from 1 to 2 ounces (30-60 c.c.).

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