282
THE
BRITISH
JOURNAL
OF TUBERCULOSIS
AMMONIUM C H L O R I D E INHALERS. The vapour of ammonium chloride, freshly prepared, is often of assistance in dealing with catarrhal affections of the nose, throat, and Eustachian tube. Among tuberculous subjects the mucous membrane in these regions is commonly the seat of chronic inflammatory and other lesions, and the e m p l o y m e n t of such a local agent as pure ammonium chloride in a state of vapour is flrequently of benefit. The vapour is produced by drawing air through hydrochloric acid and ammonia in a suitable apparatus, and purifying the same by
AMMONIUM CHLORIDE INHALER.
passage through water or a moist sponge. Messrs. Burroughs, VVellcome and Co. have designed a most ingenious, compact, clean, simple, portable, and effective " V A P O R O L E " AMMONIUM C H L O R I D E INHALER r which, after careful testing, we can thoroughly recommend. 1 The chief features of this efficient contrivance are shown in the accompanying figure. Supplies of acid and alkali sufficient for each application are provided in hermetically-sealed " V a p o r o l e " capsules, which can be carried anywhere and are instantly available. This little appliance does away with all the clmnsy and cumbersome inhalers where rubber tubes go wrong and the bottles of alkali and acid get spilt. It is supplied in a neat case, suitable for travelling, and complete with wellprotected " V a p o r o l e s " in metal boxes. This inhaler only needs to be used to be approved. Another ingenious form of chloride of ammonium inhaler has been introduced by Messrs. Philip Harris and Co., LtdY Its method of construction and manner of use is shown in the accompanying illustrations. In the " HARRIS" AMMONIUM CHLORIDE INHALER, the neutrality of the product is ensured by its passage through water, which absorbs any excess of acid or ammonia ; and in addition to this, a considerable quantity of vapour is obtained w i t h minimum 1 The "Vaporole" A m m o n i u m Chloride I n h a l e r is supplied by Messrs. B u r r o u g h s , W e l l c o m e a n d Co., of Snow Hill Buildings, L o n d o n , E . C . . from w h o m all particulars m a y b e obtained. 2 T h e " H a r r i s " A m m o n i u m Chloride I n h a l e r is supplied by Messrs. Philip H a r r i s a n d Co., Ltd., E d m u n d Street, B i r m i n g h a m , at 3 s. 6d. each. T h e c h a r g e s of chloride a n d a m m o n i a m a y be p r o c u r e d in capsules at Is. 6d. per doz.
PREPARATIONS
AND
APPLIANCES
283
effort on t h e p a r t of t h e p a t i e n t . T h e d i r e c t i o n s for use are simple. O n e e n d of a w h i t e capsule c o n t a i n i n g a m m o n i a is b r o k e n a n d introd u c e d into an aperture. T h e o t h e r end. is t h e n b r o k e n off, w h e n the a m m o n i a flows out. T h e b r o w n c a p s u l e ( h y d r o c h l o r i c a c i d ) i s
CHLORIDE
OF
AMMONIUM
INHALER.
t r e a t e d in the s a m e m a n n e r , b u t i n t r o d u c e d into a n o t h e r a p e r t u r e , w h i c h is t h e n s e c u r e l y corked. A t h i r d a p e r t u r e is half filled w i t h w a t e r , and, if desired, a few d r o p s of i n h a l i n g oil such as e u c a l y p t u s or creosote, m a y b e a d d e d , a n d cork. AN HYGIENIC
BED AND DOUCHE
PAN.
For bed-fast tuberculous and other patients a reliable sanitary b e d - p a n is indispensable. Of t h e m a n y forms available, t h e b e s t w e h a v e seen is t h e " PERFECTION" BED-PAN. 1 It is a n a t o m i c a l l y c o r r e c t in form, a n d a d m i r a b l y fits t h e b o d y , causing no d i s c o m f o r t f r o m pressure. T h e w e i g h t o f t h e b o d y rests on the sides of t h e pan, so o b v i a t i n g p r e s s u r e on t h e spine. T h e p a n is of large capacity, a n d can b e used as a d o u c h e - p a n . It is a t h o r o u g h l y s a n i t a r y c o n t r i v a n c e , is h i g h l y g l a z e d a n d non-porous, can b e r e a d i l y c l e a n e d a n d r e n d e r e d aseptic, a n d is easily e m p t i e d . It certainly m e r i t s its n a m e . i The patents under which the" Perfection "bed and douche pan is manufactured are owned and controlled by Meinecke and Co., 48 and 5o, Park Place, in the City of New York. Grimwades, Ltd., at Stoke-on.Trent, in this country, have the exclusive rights of manufacture, and orders should be addressed direct to Grimwades, Ltd., Potteries at Stoke-on-Trent, England. The retail prices are 8s. 6d. and 6s. 6d. for large and small sizes respectively.