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Mother, Nurse and Infant / A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies. cover

Mother, Nurse and Infant / A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.

Chapter 144: NARCOTICS AND SEDATIVES.
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About This Book

A practical manual offering plain instruction for mothers and monthly nurses on pregnancy, preparation for childbirth, labor, and postpartum care, together with infant management. It explains pelvic and reproductive anatomy and fetal development, describes diagnosis of pregnancy and abortion, and outlines normal and difficult labors with midwifery guidance. Additional sections treat causes and symptoms of common diseases, bedside and surgical nursing, emergency measures, dietetics, prescriptions, and a medical formulary. The volume closes with a glossary and index to support quick reference and to aid nonprofessional caregivers in observing symptoms and responding to routine and urgent maternal and infant health needs.

129. FOR SUBACUTE AND CHRONIC RHEUMATISM.
Potass iod. ʒ ij.
  Vin. calc. rad. f. ʒ ij.
  Tinct. guiac ammon. f. ℥ iij.
  Fld. ext. belladonna min. xx.
  Aqua cinnamon ℥ iij. M.

A teaspoonful in water three times a day.

130. FOR MUSCULAR RHEUMATISM.
Potasii iodide ʒ j.
  Vini colchici rad. f. ʒ ij.
  Morphia sulphatis gr. iij.
  Syrupi f. ℥ j.
  Aquæ f. ℥ iij. M.

S. A teaspoonful three times a day.

131. FOR DROPSY.
Fld. ext. apocynum Canabinum ʒ ij.
  Spts. lav. comp. ℥ ss.
  Syrup simplex ℥ iij ss. M.

S. A teaspoonful every three or four hours.

132. FOR URETHRAITIS.
Tinct. gelsemii ʒ ss.
  Potassii bromidi ʒ ijss.
  Potass. bicarb. ℥ ss.
  Aqua ℥ iv. M.

S. Dessert spoonful in water three times a day.

EMETICS.

133. POWDER OF IPECAC.
Pulvis ipecacuanha ℈ ij. Divide into two doses.

Signa. One to be taken in a little sweetened water or warm water. If one powder does not produce the desired effect within thirty or forty minutes, the second to be taken in like manner. It may be followed by a draught of tepid water after vomiting commences.

134. POWDER OF SULPHATE OF ZINC.
Sulphate of zinc 10 grs. to ʒ ss.

Signa. To be taken in syrup, and followed by a draught of warm water.

135. EMETIC FOR A CHILD.

℞ Very young children in some instances suffer from indigestion. If delicate give five grains ipecacuanha, and after that sickens the child give a dose of castor oil to remove the offending matter from the stomach.

136. EMETIC USED IN CAPILLARY BRONCHITIS OF CHILDREN.
Zinchi sulphatis gr. iij.
  Pulveris ipecacuauha gr. ij. M.

For one dose; to be repeated every ten minutes until emesis is produced.

EXPECTORANTS.

137. SEDATIVE COUGH MIXTURE.
Vinum ipecacacuanha fl. dr. 1½.
  Spiritus etheris nitrosa fl. dr. 6.
  Infusi senega ad. fl. oz. 8. Mix.

One-sixth part every six hours. In chronic bronchitis when an expectorant and sedative is desired.

138. INFUSION OF FLAXSEED, &C.
Seminum lini ℥ j.
  Radicis glycerhiza ℥ ss.
  Aqua bulientis Oij.

Macerate for two or three hours near the fire in a covered vessel, strain, and add lemon juice sufficient to make it agreeable. This may be given as a common drink in catarrh.

139. COUGH SYRUP.
Errata. On page 123, for 139, 140, read 81, 107.
Morphine grs. viij.
  Fld. ext. ipecac. f. ʒ jss.
  Tinct. bloodroot f. ℥ j.
  Water ℥ vj.
  Simple syrup f. ℥ xxv.
  Chlorate potash ℥ ss.
  Muriate of ammonia ʒ j. M.

S. Dose for an adult, a teaspoonful three times a day and after each fit of coughing.

140. TAR WATER.
Picis liquida Oij.
  Aqua Cong. j. M.

Stir them together with a wooden rod for ten minutes, then let the tar subside. Strain the water and keep in well corked bottles. A pint may be taken daily.

141. FOR WHOOPING COUGH.
Ammon. bromide ʒ j.
  Tinct. strammonii, sem. gtt. xx.
  Syrup simplex ℥ ij.
  Aqua ℥ ij. M.

Sig. A teaspoonful three times a day for a child.

142. FOR PNEUMONIA.
Syrup senega ℥ ss.
  Spirits nitre,  
  Tinct. digitalis aa, f. ʒ ij.
  Morphine gr. ij.
  Simple syrup f. ℥ ij. M.

Sig. Dose, a half teaspoonful every three hours or oftener.

143. PNEUMONIA.
Tinct. aconite gtt. xxx.
  Fld. ext. jaborandi,  
  Spirits nitre dulcis aa. ℥ ij.
  Aqua ℥ jv. M.

Sig. A teaspoonful every four hours for an adult.

144. FOR COUGH.
Syrup wild cherry ℥ iij
  Tinct. sanguinaria ℥ j.
  Morphine grs. ij.
  Chlorate potash grs. xv.
  Muriate of ammonia grs. x.
  Aqua ℥ j. M.

Sig. Dose, ½ a teaspoonful every six hours, and after each spell of coughing.

ENEMATA AND INJECTIONS.

145. FOR ASCARIDES.
Sulphuric ether 5 to 20 drops.
  Water ½ pint to a pint. M.

Inject into the bowels.

146. INJECTION FOR ASCARIDES OR PINWORMS.
Acid carbolici ℈ j.
  Potassa chloratis ʒ ij.
  Aqua Oj. M.

Warm to 98° and inject into the bowels.

147. INJECTION FOR THE VAGINA. (THIS MAY BE USED DILUTED WITH WATER.)
Tannin ℈ j.
  Zinci sulphatis ʒ ij.
  Aqua tepidi Oj. M.

Inject with a Davidson or a fountain syringe.

148. ENEMA FOR PINWORMS.
Argenti nitratis (nitrate silver) cryst. 8 grs.
  Aqua distilat 6 oz. for an enema.

Repeat this each day for four or five days. This will stain clothing.

149. ENEMA TO MOVE THE BOWELS.
Ol. ricini (castor oil) f. ℥ ij.
  Ol. terebinth. (spirits turpentine) f. ʒ i.
  Aqua fervent Oij.

To be administered at once.

150. FOR ASCARIDES CAUSING VAGINAL DISCHARGE.
Tinct. ferri chloridi ℥ ss.
  Aqua calcis Oj. Ft. injectio.

Inject one-half into the rectum at night and the other half the next morning.

151. EMMENAGOGUE ENEMA.
Aloes barbadensis gr. x.
  Tepid milk f. ℥ M.

To be injected twice a day when the menstrual flow is due, for one or two days.

152. FOR IRRITABLE UTERUS.
Bromide potash ʒ j.
  Water Oj. M.

Use as a rectal injection. Where there is pain in the part, one drachm of the tincture of opium hyoscyamus or conium may be used in the same way.

153. VAGINAL INJECTIONS.
Errata. On page 85 for (F. 153, 199) read (163, 214).

The vaginal injections most used when disinfection is the special object, and the usual proportions are the following:

℞ Corrosive sublimate, 1 to 1000 or 2000; carbolic acid, 5 or 10 to 1000; thymal, 1 to 1000; sulphite of soda, 5 to 1000; permangenate of potash, 5 to 1000; liquor sodii chlorinatæ (Labaraques solution), 1 to 2; chlorine water, 1 to 2; salacylic acid, 1 to 1000 hot water.

For medicinal astringent vaginal injections, give alum, sulphate of zinc, or lead, copper, and iron, salts of the strength of one or two per cent.

The permangenate of potash, silver nitrate, and iron solutions all make almost indelible stains on the linen.

If the injections are corrosive, a large straight glass syringe should be used.

154. INJECTION FOR LEUCORRHŒA.
Alum,  
  Sulphate of zinc,  
  Borate of soda,  
  Pure carbolic acid aa. ℥ jss.
  Water Oij. M.

Of this two table spoonfuls in a pint of water.

155. VAGINAL INJECTION.
Zinci sulphatiz,  
  Aluminis exsiccata aa. ℥ j.
  Acidi tannici ℥ ij. Mix. Label.

Half a teaspoonful to be mixed with a pint of tepid or cold water to form an injection.

156. INJECTION FOR DYSENTERY.
Mucilage of gum Arabic or starch ℥ ij.
  Laudanum gtt. xx. M.

For an injection.

157. INJECTION FOR FETID LEUCORRHŒA.
Chlorate of potash ʒ j.
  Laudanum f. ʒ j.
  Tar water Oij. M.

S. Three table spoonfuls to be added to the pint of warm water as a vaginal injection.

EMMENAGOGUES—UTERINE THERAPEUTICS.

158. STIMULANT EMMENAGOGUE.
Potassa bromide ʒ j.
  Tinct. cantharides f. ʒ jss.
  Tinct. cinnamomi f. ʒ jv.
  Aqua q. s. ad. f. ℥ jss. M.

S. Teaspoonful three times a day for amenorrhœa and hysteria.

159. FOR CHLOROSIS.
Tinct. ferri per chloridi f. ʒ jss.
  Potassa chloratis ℈ jss.
  Tinct. actea racemosa f. ʒ jv.
  Infusi serpentaria ad. f. ℥ M.

Sig. One-eighth part three times a day.

160. RECTAL SUPPOSITARY.
Ext. opii aq. 3 grains.
  Ext. belladonna 1½ grains.
  Buteri cacao q. s. 1½ ounces. M. ft. suppos. No. 12.

S. Apply one to relieve pain in the region of the uterus or rectum.

161. FOR PAINFUL MENSTRUATION.
Ferri carbonate pulv. ʒ iij.
  Ext. conii mac. ʒ ijss.
  Ol. cinnamon. min. xx.
  Syrup tolutani ℥ ij.
  Syrup simplici,  
  Aqua aa. ℥ vij. M.

S. Dose, a table spoonful four times a day. To be given for a week or ten days before the menstrual period.

162. FOMENTATION FOR PAIN IN THE BLADDER AND UTERUS.
Errata. On page 90 for (F. 162) read (F. 163.)
Flores chamomelæ 3 ounces.
  Pulv. semen lini 3 ounces.
  Herb hyscyami,  
  Herb belladoni,  
  Herb strammonii aa. 1 ounce. M.

Sig. Make fomentations. To be applied topically and covered with oiled silk to retain heat and moisture.

163. VAGINAL SUPPOSITARY.
Zinci oxide vel bismuth carbonatis ʒ jss.
  Extracti belladonnæ ʒ ss.
  Olei theobroma ℥ j.
  Olei olivæ ʒ ij. M.

Divide into eight pessaries. Used in chronic leucorrhœa, vaginitis, &c.

NARCOTICS AND SEDATIVES.

164. FOR HEADACHE.
Morphiæ sulphatis gr. ss.
  Sodii bromidi gr. xj. M. et fiant. charlutas No. ij.

Sig. Take one powder dissolved in a wineglass of water, to be repeated in an hour if necessary.

165. FOR SUBACUTE RHEUMATISM.
Vinum colchici rad. f. ℥ j.
  Morphia sulph. gr. v.
  Magnesia sulph. ℥ j.
  Potassa iod. ʒ iv.
  Aquæ f. ℥ iij. M.

Sig. Half a teaspoonful in water.

166. EPILEPTICAL SEIZURES AT THE MENSTRUAL PERIOD.
Potassa bromide grs. xx.
  Tinct. belladonna min. ij.
  Syrup,  
  Aqua q. s. ad. ft. ʒ jv. M.

S. One dose three times a day.

167. OVARIAN NEURALGIA.
Ammon murias ʒ ij.
  Tinct. aconit. ʒ j.
  Syrup aurant. cort. ℥ xij. M.

S. One teaspoonful three times a day.

168. SOOTHING NERVINE AND TONIC.
Pot. bromide ℥ ss.
  Ferri pyrophos ℥ j.
  Elixir humuli, Aquæ aa. ℥ jv. M.

Sig. Table spoonful three times a day.

169. FOR HEADACHE.
Ammonia murias ʒ iij.
  Morphia acetat. gr. j.
  Caffeine citrat. ʒ ss.
  Spts. ammon. aromat. ʒ j.
  Elixir guarana, Aqua rosæ aa. ℥ jv. M.

Sig. Dessert spoonful every ten or twenty minutes.

170. TOOTHACHE DROPS.
Chloroform 4 parts.
  Mastich 8 parts.
  Bals. Peru 5 parts. M. ft. sol.

Sig. Place two or three drops in cavity of tooth.

171. FOR FUNCTIONAL PALPITATION.
Tr. digitalis ʒ v.
  Tr. veratrum ʒ ij.
  Tr. aconite ʒ j.
  Tr. ginger ʒ ijss. M.

S. One teaspoonful three times a day.

172. STIMULANT EMMENAGOGUES.
Ferri phosphatis ʒ ij.
  Manganesii phosphatis gr. xxx.
  Tincturæ columbæ fl. ℥ j.
  Syrupi zinziberas fl. ℥ ij. M.

S. One teaspoonful in a wineglassful of water three times a day.

173. FOR NEURALGIA, &C.
Tincturæ aconiti min. xx.
  Spiritus ætheris fl. ʒ jv.
  Mistura guaiaci ad. fl. ℥ viij. M.

S. One table spoonful every four hours.

174. FOR NERVOUS DEPRESSION WITH CONSTIPATION.
Spiritus ammoniæ aromatic fl. ʒ iv.
  Extracti cinchonæ flavæ liquidi fl. ʒ jss.
  Tinct. rhei fl. ʒ jv.
  Infusi rhei ad. fl. ℥ viij. M.

S. Two table spoonfuls three times daily.

175. ACID MIXTURE.
Acidi sulphurici aromatici fl. ʒ ij.
  Syrup aurantii fl. ℥ j.
  Tincturi cinchonæ compositæ fl. ʒ vj.
  Infusi cinchonæ flavæ fl. ℥ viij. M.

S. One table spoonful before each meal in depressing disorders; if there is hemorrhage, give larger doses.

176. FOR LEUCORRHŒA.

℞ Water, one pint; sulphate of magnesia (epsom salts), as much as the water will dissolve; sulphate of iron, one drachm. Mix and add aromatic sulphuric acid, one fluid drachm. Dose, a table spoonful or a sufficient quantity to relax the bowels.

177. FOR ERYSIPELAS.
Spiritus etheris nitrici f. ℥ ij.
  Tinct. Ferri chloridi ʒ ij.
  Quinia sulphatis grs. xvj. M.

S. A teaspoonful every three hours after the action of a cathartic.

178. AROMATIC INFUSION IN DYSENTERY.
Errata. On page 164 for (F. 178, 179) read (F. 153, 154.)
Bruised calamus root ℥ iij.
  Coriander seed ʒ j.
  Black pepper ℥ ss.
  Water Oj.

Boil to twelve ounces and cool. S. Dose for an adult, an ounce, three times daily; for a child, one to three teaspoonfuls. Sweeten if preferred.

179. INCONTINENCE OF URINE.
Tinct. belladonna ʒ ss.
  Tinct. ignatia amara ʒ ss.
  Tinct. cantharides ʒ ss.
  Tinct. cinchonia comp. ℥ jv. M.

Sig. One teaspoonful in water three times a day.

180. HOP BITTERS.
Tinct. of Hops f. ℥ ss.
  Tinct. of buchu f. ʒ iij.
  Tinct. of senega f. ʒ iij.
  Podophyllin, dissolved in spts. of wine ℥ ss. gr. j.
  Tincture of cochinael gtt. xx.
  Distilled water ad. ℥ xvj. M.

This is said to be the same as the nostrum which is sold for one dollar (costing only a few cents).

181. TONIC IN NEURALGIA.
Cinchonidia grs. 5.
  Ferri carb. grs. 10. M.

One to be taken every four hours, and when the pain is severe give a little opium or Dover powder.

182. FOR CHRONIC CHILLS.
Cinchonidæ ʒ vj.
  Acid sulph. q. s. ad. solv.
  Ol. piper niger ʒ ss.
  Ol. limonis ʒ j.
  Alcohol q. s. ad. solv. M. E. adde.
  Aqua q. s. ad. Oj.
  Syrup Oj. M.

Sig. One table spoonful every four hours.

183. FOR ST. VITUS DANCE. (CHOREA.)
Zinci sulphatis gr. xxx.
  Ext. valerian (fluid) ℥ j.
  Syrup limonis fl. ℥ iij. M.

S. A half teaspoonful three times a day, gradually increasing the dose.

184. TONIC AFTER SEVERE HEMORRHAGE.
Tinct. ferri chloridi,  
  Tinct. nucis vomicæ aa. f. ʒ ij.
  Spiritus etheris nitrosi f. ℥ iij. Misce fiat mistura.

S. Take a teaspoonful in plenty of water three times a day.

LOTIONS, LINIMENTS, COLLYRIA, OINTMENTS, SALVES, &C.

185. FOR SCIRRHOUS TUMORS.
Ext. eucalyptus 2 drachms.
  Vaseline 1 ounce.
  Acid salacylic 4 drachms. Ft. Unguent.

Apply to tumor and wear it constantly. Use also for indolent ulcerations where stimulation and purification is needed.

186. TO REMOVE CLOASMA, (BROWNISH DISCOLORATIONS OF SKIN.)
Hydrarg. bichlor. 8 gr.
  Boracis pulv. 2 drs.
  Acidi acetic 2 oz.
  Alcohol 2 oz.
  Aqua 4 oz. M.

If it roughens the skin too much omit its use and apply sweet cream. Sig. Apply locally to the spots. Poison.

187. SALVE FOR BURNS, &C.
Yellow wax melted and strained f. ℥ j.
  Linseed oil raw f. ʒ iij.
  Tannin ʒ j.
  Sub nitrate of bismuth ℈ j. Mix as follows:

Heat the wax in a clean tin vessel, add the oil and stir till they are thoroughly incorporated; then set off the fire and continue to stir until cold, adding first the tannin and then the bismuth.

188. TO CURE SORE EYES.
Sulph. zinc,  
  Rock salt aa. ʒ j.
  White sugar ʒ ij.
  Soft water ℥ xij. Mix and use as an eye water.
189. LINIMENT USED IN CEREBRO SPINAL MENINGETIS.
Oil sassafras ℥ ss.
  Chloroform ℥ ss.
  Aqua ammonia ℥ ss.
  Oil cloves ʒ ij.
  Tinct. camphor ℥ ss.
  Alcohol, strong ℥ jv. M.

S. Apply the whole length of the spine.

190. FOR WHOOPING COUGH.
Rectified oil amber,  
  Tinct. opium,  
  Hartshorn,  
  Olive oil aa. ℥ ss. M.

S. Rub well the whole length of the spine two or three times a day, until there is tenderness of the skin.

191. AMMONIACAL GAS FOR DYSMENORRHŒA.
Spirits of ammonia ℥ j.

Put a teaspoonful of this in a chamber and have the patient sit for one or two minutes over it. In cases of severe tenesmus, or strangury, or dysmenorrhœa, relief may be obtained in about two minutes if the first pungent effects of the gas can be borne.

192. ANODYNE LOTION.
Tinct. aconite fl. drs. 12.
  Aqua ad. fl. oz. 4. Mix.

For acute superficial pain, pruritis, hyperesthesia of the skin, gout, &c.

193. COOLING LOTION FOR INFLAMED EYES.
Pulv. borax ½ ounce.
  Aqua camphor 1 ounce.
  Aqua cherry laurel q. s. 4 ounces. M.

S. Drop in the eyes ad. lib. A good vehicle for the addition of one or two grains atropia sulphate when indicated.

194. ANAL TROUBLES.
Stramonium ung. 1 ounce.
  Extract conium ½ drachm.
  Sodæ salicyl. 10 grains. M.

Sig. Use quite within the anal folds once or twice a day.

195. LOTION FOR PRURITIS ANI.
Soda bibor. ʒ ij.
  Morphia muriat. gr. xvj.
  Acid hydrocyan. dil. ℥ ss.
  Glycerine ℥ ij.
  Aqua ad. f. ℥ viij. M.

S. For external use.