Symptoms

Nervous excitement, skin hot and flushed, pulse full and strong. Later the pulse becomes weak and rapid, skin moist and cold, delirium, convulsions, coma.

If death, in a few hours.

Treatment

Wash out the stomach with warm water, or give several glasses of water and then give an emetic (apomorphine hydrochloride gr. 1-10 hypodermatically, zinc sulphate two grams, or a tablespoonful of mustard to a wineglass of water), repeated in fifteen minutes, if nec-essary. Keep up the body temperature with dry heat applications. Control the convulsions with morphine hypodermatically. 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) intramuscularly and follow with atropine hypodermatically. If stimulation must be kept up, use a saturated solution of camphor in olive oil, one c. c., intra muscularly pro re nata until such time as strychnine may be repeated with safety. Allay the thirst and soothe the mucous membranes by the unrestricted use of any demulcent liquid that may be desired. Milk, albumin water, and starch water are suitable.

Sequelae

Renal and gastrointestinal inflammation.