Hypodermic syringe

“ Lamentable examples are daily encountered, of men and women, regardful only of the morphia intoxication, and indifferent to all the duties and obligations of life, reduced to a state of mental and moral weakness most pitiful to behold.
“‘Usually the habit is formed in consequence of the [146] legitimate use of the hypodermic syringe in the treatment of disease. Employed in chronic painful maladies for a long period, it is discovered, when an attempt is made to discontinue the injections, that the patient cannot or will not bear the disagreeable, even painful, sensations which now occur. ”

“ The physician should exhaust every means known to medical science to prevent his patient from knowing what it is that eases pain when his practice makes it absolutely necessary that a substance of the sort should be administered, and this is very much less frequent than the average doctor realizes, as will be shown in another passage of this book. It is in this necessity for concealment that the great danger of using the hypodermic syringe as an administrating instrument principally lies. ”

“ Then she noiselessly opened her door and peered up and down the darkened hallway.
A sudden thought came to her, as she stood there in the silence, and, slipping back to her room, she took first a hot-water bottle out of her nurse’s bag, and then a hypodermic syringe from its neat little morocco case. Miss Annie Seabrooke, she decided, had been making melancholy use of her knowledge of drugs. That enlightened young lady was, obviously, addicted to the use of morphine, for beside the syringe-case Frances found a little bottle bearing its telltale chemical formula: C17 H19 NO3. ”

“ Taking my hypodermic case from my bag, I prepared in the syringe a full dose of atropine sulphate, which I injected forthwith into the unconscious man's arm. And that was all that I could do, so far as remedies were concerned, until the coffee arrived.
I cleaned and put away the syringe, washed the tube, and then, returning to the bedside, endeavoured to rouse the patient from his profound lethargy. But great care was necessary. A little injudicious roughness of handling, and that thready, flickering pulse might stop for ever ”

“ For the same reasons care must also be exercised and poisonous medicines not applied over very large raw or abraded surfaces. With domestic animals medicines are only to be applied by the skin to allay local pain or cure local disease.
By the tissue beneath the skin (hypodermatic method) .—Medicines are frequently given by the hypodermic syringe under the skin. It is not safe for any but medical or veterinary practitioners to use this form of medication, since the medicines thus given are powerful poisons. There are many precautions to be observed, and a knowledge of anatomy is indispensable. ”

“ For our purpose it can be injected into the arm, with a hypodermic syringe, or even dropped on any delicate mucous membrane. We have experimented on it in every way, and are more than satisfied with the result. ”

“ Nick thanked the analyst, and went at once to the Adams House for letters and telegrams from Chick. The coincidence of the fluids contained in the hypodermic syringe and in the vial, which he picked up in the snow at the Providence depot, being the same was remarkable, and, as he walked along, he mused:
"One hundred and fifty thousand dollars and a pretty girl is a big stake to lose, Dr. Lord. But it wasn’t a man of science who [Pg 15] placed that syringe point in man’s wrist!" ”

“ On the sixth night after his attack I paid my evening visit early. The nurse was asleep and Mrs. Crosswell was in charge. If you had watched me closely that evening you would have noticed a little hypodermic syringe in my left hand as I went to examine my patient.
He was half asleep, and as I felt his pulse I sent his wife into the next room for some small thing. While she was away the point of the syringe found its way into the arm of the semi-conscious man, and the syringe was emptied. He started up in bed, and his wife hurried back on hearing him shout. ”

“ We waited for a minute until the latter melted, McMurtrie filling up the time by carefully sponging the bridge of my nose with some liquid antiseptic. Then, picking up what seemed like an ordinary hypodermic syringe, he warmed it carefully by holding it close to the Primus.
"Now," he said; "all you have to do is to keep perfectly still. You will just feel the prick of the needle and the smart of the hot wax, but it won't really hurt. If you move you will probably spoil the operation." ”

“ At the present time almost all morphine habitués use the hypodermic syringe, and, notwithstanding the elimination of the drug in part by the gastric mucous membrane, thus escape in part its evil effects upon the organs of digestion, and remain for a long time, often despite enormous excesses, free from the nutritive disturbances which are almost characteristic of the habitual abuse of crude opium. ”

“ It has spread much faster since the introduction of the hypodermic syringe, and has reached an extent which is partially represented by the payment of five million dollars annually for the drug, and by the estimate that there are now not less than 500,000 consumers in the country against 225,000 in 1870. ”

“ Yet more reprehensible than the neglect of many physicians in these matters is the folly of the few who do not hesitate to fully inform the patient in regard to the medicines given to relieve pain or induce sleep, and to place in his hands designedly the means of procuring them without restriction for an indefinite period of time. Almost criminal is the course of those who entrust to the patient himself or to those in attendance upon him the hypodermic syringe. ”

“ An individual accustomed to the use of anodynes, requires a much larger dose to procure relief than one who is not. Doses may be repeated, until their characteristic effects are produced, after an interval of thirty or forty minutes. When the stomach is very sensitive and will not tolerate their internal administration, one-sixth of a grain of Morphia can be inserted beneath the skin, by means of a hypodermic syringe. ”

“ The last four pages, however, contain the advertisement of a forthcoming book on the “autolysin” treatment of inoperable cancer. Perhaps we might forgive this were it not for the following paragraph: “This book tells how the general practitioner ... may take an active hand in fighting the malady. The weapons he requires are an ordinary hypodermic syringe and some ampules of Autolysin. The syringe he already possesses. Autolysin he may secure, if he is a legally qualified practitioner, by writing,” etc. Incidentally, the book is advertised to the Intelligent Layman. ”

“ The hypodermic use of a two-per-cent solution of cocain, or better Eucain β, can be employed, but the author sees no advantage in it, as the hyperemic engorgement following its use obliterates, to a certain degree, the actual extent of the deformity.
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It is desirable to obtain the best result to have the skin above the part as free as possible. When closely adherent it should be freed by the careful use of a delicate tenotome, inserted at the point where the injection is to be made, the same opening being used for the introduction of the needle of the syringe. ”

“ An injection of cyanide of potassium, for instance, would cause death, and account in a measure for this suggestion of asphyxia conveyed by the expression of the features.”
“True, my good sir; but have the goodness to ask yourself who could get into the place to administer such hypodermic? And, if self-administered, what can have become of the syringe? If thrown from one of the bowman’s slits, it could only have fallen upon the roof of the wing, and I assure you that was searched most thoroughly long before your arrival. ”

“ Charles subsided. When he dared to look again, Lee's arm lay alongside her body and the officer was triple-checking dosages in his booklet against a pressurized hypodermic spray. The officer sighed and addressed Lee: "You won't even feel this. Relax." He read his setting on the spray again, checked it again against the booklet. He touched the syringe to the skin of Lee's arm and thumbed open the valve. It hissed for a moment and Charles knew submicroscopic particles of the medication had been blasted under Lee's skin too fast for nerves to register the shock. ”

“ Toxicology, like other branches of the Profession, is partly guess work. Since the cadaver bears evidence of a hypodermic puncture, and indications are that the potion was not administered that way, my belief is that this patient died of a syringe of some obscure drug.
“Therefore I am immediately beginning upon the obscure tests. It may take days to prove or disprove my conclusions. In the meantime, I repeat, a sleeping potion prescribed in capsule form, which the pharmacy compounded and the student nurse states she administered, explains neither the syringe puncture nor the death. ”

“ That the medical world should ever have been so lax in its realization of its proper responsibility as to allow trained nurses to carry [Pg 72] hypodermic syringes and to administer habit-forming drugs seems to me to be one of the most amazing things in the world. No physician who has had an extensive experience with drug addiction and who has any conscientious scruples whatsoever will fail to make sure before he leaves a nurse in charge of a patient that the attendant possesses no habit-forming drugs and is without any instrument with which they may be hypodermically administered. ”

“ Before taking off the suction syringe after the passage of the needle sweep the point slowly in a circle to make sure that no vein has been opened or is likely to be opened as the needle is swept about.
The hypodermic needle for injection.
A hypodermic needle may be used for an internal ring injection or an injection through the anterior wall of the canal, but in moving it about the operator should watch carefully and not break such needle. If a needle breaks it will be at the shoulder formed by the point of attachment of the shaft of the needle with the butt. ”

“ Aspirating of blood may mean the puncture of this large vein and it may not be advisable to inject carelessly when this vein has been wounded owing to its size. The crural canal is only about a half inch in length. The injection of it may be accomplished with a hypodermic needle. It is not well to sweep the point of the needle externally with too [Pg 52] great freedom as the vein may be wounded. Inject slowly and move the point of the syringe carefully so that the injection may be diffused in the canal. ”

“ The scientific guy met him. They carried me into the house, into a fine-fitted laboratory. My dead body was placed on a table, a huge knife ripped my clothes from me.
"Quickly the loads from ten or a dozen hypodermic syringes were shot into different parts of my naked body. Then it was carried across the room to what looked like a large glass bottle, or vase, with an opening in the top. ”

“ The elevation of the skin is in the meantime partly kept up with the needle itself, while the syringe is grasped with the freed hand, the thumb and forefinger of the right hand being placed upon the handle of the screw or piston rod, which they must rotate to force the semisolid mass from the instrument.
Before beginning the injection an assistant is instructed to press with his fingers the tissue about the margin of the defect to prevent the filling from becoming misplaced or being forced into undesirable channels, especially if the skin over the defect is found to be thick and inelastic. ”

“ Three men had large syringes. A lad carried a pail of fluid from which they replenished them. The red-faced man watched. They went along the room in pairs, one holding the lantern while the other knelt by the sleeper and made the injection—two strokes of the piston with a pause between. One pair came to Mr. Raynor and another to me at the same time. I was too numb to feel pain when the great syringe dug deeply into my flesh, but it was well for me that I could not scream. As it was, I made a faint sound.
“Must have been near waking,” the injector said, putting the rug over my shoulders again. ”

“ I want to add here that should you run out of sterilized gauze at any time you can make it from any soft cloth by boiling it for ten minutes in the bichloride solution and hanging in the air to dry.
The pain attendant upon any surgical manipulation can be prevented by the hypodermic injection of a solution of cocaine. When you get your hypodermic have the instrument man show you how it works. He can show you much better than I can tell it. Insert the needle half an inch from the wound and inject a few drops of the solution into the skin. ”

“ He swore mildly as he opened his Aid Kit and extracted a sterile hypo. The super-antihistamine developed by the Bureau was an unpredictable sort of thing. Sometimes it worked and sometimes it didn't. He removed the screw cap that sealed the needle and injected the contents of the syringe into his arm. He hoped that this was one of the times the drug worked. If it wasn't, he reflected grimly, he wouldn't be long for this world. ”

“ INJECTIONS AND IRRIGATIONS
of simple water, or of some infusion or solution. The use of the syringe as an article of essential service in preserving the health of married women should never be overlooked. Even when they are aware of no tendency to weakness or unusual discharge, it should be employed once or twice a [Pg 380] week; and when there is debility or disease of the parts actually present, it is often of the greatest service.
There are many varieties of female syringes now manufactured and sold, some of which are quite worthless. ”