Symptoms

Muscular relaxation, pupils dilated, pulse weak and rapid, temperature subnormal, hallucinations. stupor, respiration stertorous, coma.

If death, from cardiac or respiratory paralysis.

Treatment

Wash out the stomach with warm water or remove its contents with emetics (apomorphine hydrochloride gr. 1-10 hypodermatically, zinc sulphate two grams, or a tablespoonful of mustard in a wineglass of water), repeated in fifteen minutes, if necessary. Keep up the body temperature with dry heat applications. Counteract the depression with strychnine hypodermatically. Should there be insufficient response to this, give one c. c. of adrenalin or suprarenalin solution (1 to 1,000) intra muscularly, and follow with atropine hypodermatically. If stimulation must be kept up use a saturated solution of camphor in olive oil, one c. c, intramuscularly pro re naia until such time as strychnine may be repeated with safety. Do not allow the urine to accumulate in the bladder; catheterize if it cannot be voided.