Podcast Beta
Questions and Answers
What particle in the nucleus of an atom has a positive charge?
An electron has a positive charge.
False
What is the mass of a neutron?
1.675 x 10^-24
The sum of the masses of the protons and neutrons accounts for the atomic ______.
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Which quantum number describes the spatial orientation of an orbital?
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Match the following quantum numbers with their descriptions:
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Hund's rule states that electrons must occupy degenerate orbitals singly with opposite spins.
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What principle is used to determine the electron configuration of an atom?
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Which electronic configuration represents a more stable configuration for chromium?
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Ionization involves losing the most tightly held electrons first.
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What is the chemical process called that results in the formation of cations?
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The periodic table is arranged based on elements' atomic numbers, electron configurations, and recurring __________ properties.
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Match the elements with their atomic numbers:
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Which of the following elements tends to form anions by accepting electrons?
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Electronegativity increases as you move from left to right in a period.
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What type of bond is characterized by the transfer of electrons from one atom to another?
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The __________ attraction occurs between negatively charged electrons in one atom and the positively charged nucleus of another atom.
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What is the electronic configuration for copper?
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All elements in the transition series have completely filled d orbitals.
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Which orbital configurations are considered typical elements in periods 2 and 3?
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The elements known as __________ are formed by filling very low-lying f orbitals.
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Match the following types of bonds with their characteristics:
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What geometry is associated with sp3 hybridized orbitals?
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Ionic bonding involves the sharing of electron pairs between atoms.
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What type of hybridization do boron and aluminum compounds exhibit?
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The bond angle in a water molecule (H2O) is closer to __________ degrees.
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Match the type of hybridization with the number of equivalent orbitals it produces:
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Which of the following statements regarding covalent bonds is true?
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In ionic bonds, metals tend to gain electrons to form anions.
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Name one characteristic of sp hybrid orbitals.
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The type of hybridization seen in ethylene (C2H4) is __________.
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Which best describes electronegativity?
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Pi bonds are formed in the same way as sigma bonds.
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What determines the polarity of a covalent bond?
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The use of hybrid orbitals to describe the bonding in molecules is known as __________.
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Match the following terms to their definitions:
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What type of bond is formed in carbon dioxide (CO2)?
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Coordinate covalent bonds involve both electrons coming from different atoms.
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What is the primary characteristic of hydrogen bonding?
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CO2 is an example of a __________ bonded molecule.
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Match the following terms with their descriptions:
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Which bonding interaction involves the donation of an electron pair from one atom?
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The maximum coordination number of a metal ion is a fixed property.
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What is a characteristic of Van der Waals forces?
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The process of __________ involves complex formation where a ligand surrounds a metal ion.
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Which type of bonding is typically responsible for the physical properties of water?
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In acid-base chemistry, coordinate covalent bonding is rarely observed.
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Name an example of a molecule that forms a triple bond.
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When ligands coordinate with a metal ion, they can form __________ compounds.
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Which of the following is NOT a feature of ligands?
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Match the type of bonding with its example:
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What is the primary use of penicillamine?
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Deferoxamine mesylate can be administered orally.
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What are the typical components of products used for treating diarrhea?
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Penicillamine capsules are official in the __________.
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What is the oxidation state of chromium in the complex [Cr(CN)6]3-?
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Match the following substances with their uses:
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Chelating agents can be used to treat poisoning from heavy metals such as mercury and arsenic.
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What is the magnetic moment (MM) for the Fe(III) complex with six water units?
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Which of the following agents is known for treating gold dermatitis?
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Calcium Disodium Ethylenediaminetetra acetate (EDTA) is primarily used to treat __________ poisoning.
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Chemical adsorption typically involves weak Van der Waals forces.
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What can contribute to the effectiveness of an adsorbent?
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What type of hybridization occurs in the Fe(III) complex when water molecules replace cyanato ligands?
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The primary component of bismuth-containing products used for diarrhea is __________.
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Dimercaprol can be used to treat poisoning from iron and cadmium.
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What is the main reason CN- ligands result in a lower magnetic moment in Fe(III) complexes?
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Match the following types of adsorption with their characteristics:
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What is a key risk associated with diarrhea in young or elderly patients?
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The usual route of administration for disodium edetate is through __________ injection.
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Deferoxamine has a strong affinity for ferrous ions.
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Which chelating agent is used to increase urine alkalinity during therapy?
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Match the following chelating agents with their primary uses:
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What is the role of adsorbent-protectives in gastrointestinal treatment?
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Adsorption is a process where a substance adheres to the __________ of another substance.
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The pH of an aqueous solution of Calcium Disodium Edetate is between 6.5 and 8.
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What type of agents are used in Benedict’s and Fehling’s solutions to stabilize copper(II) ions?
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Penicillamine is characterized as having a characteristic __________ odor.
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Which formula represents the complex formed when Cr(III) ion complexes with six cyanato groups?
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What is one of the actions of bismuth salts when used as antidiarrheals?
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Bismuth subnitrate is soluble in water.
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What compound is formed when intestinal hydrogen sulfide acts upon bismuth salts?
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Bismuth sub carbonate is commonly used as an _______.
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What is the main use of bismuth subnitrate?
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Activated charcoal is effective in binding large organic molecules.
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What is the approximate formula of Bismuth Sub carbonate?
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Kaolin binds toxins and bacteria through both _______ and chemical adsorption.
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How is Bismuth Sub carbonate typically dissolved?
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The prolonged use of laxatives can lead to dependence on laxatives.
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What is the effect of the interaction between tragacanth and bismuth subnitrate?
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Match the following compounds with their usage:
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Saline cathartics are agents that _______ evacuation from the bowels.
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What interaction occurs when bismuth subnitrate interacts with tragacanth?
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What is one of the uses of zinc chloride in lower concentrations (0.5 to 2%)?
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Aluminum Hydroxy chloride is more soluble in water than aluminum chloride.
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What type of action does zinc chloride exhibit that aids in tissue sloughing and scar tissue formation?
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Aluminum chloride was initially used as an antiperspirant but was too irritating and could damage __________.
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Match the following compounds with their characteristics:
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Which type of laxative acts by local irritation on the intestinal tract to increase peristalsis?
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Bulk-forming laxatives are primarily composed of digestible polysaccharides.
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What is the main purpose of emollient laxatives?
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Saline cathartics increase the ______ load of the gastrointestinal tract.
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Which of the following is NOT classified as a stimulant laxative?
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Saline cathartics can be used without the risk of side effects for long periods.
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Name one protective agent used in pharmaceuticals.
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The main lubricant laxative used is ______.
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Match the laxative type with its function:
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Which saline cathartic is most commonly used?
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Topical compounds primarily act systemically once absorbed into the bloodstream.
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What is an example of a common side effect of magnesium salts when used as cathartics?
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Protective agents are typically ______ and chemically ______.
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Which of the following laxatives is recognized as a stool softener?
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Protective agents can absorb moisture from the skin's surface.
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What is the primary use of Hydrogen Peroxide Solution?
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Sodium hypochlorite solutions are safe for use on tissues without any precautions.
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What type of mechanism does protein precipitation involve?
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Hydrogen peroxide can act as both a __________ and a reducing agent.
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Match each chemical with its primary property or use:
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Which of the following ions can catalyze the decomposition of Hydrogen Peroxide?
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The oxidation state of oxygen in the peroxide ion is +2.
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What is released when hydrogen peroxide undergoes reduction?
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The complexation with metal ions results in a radical change in the properties of the __________.
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In which type of media is the reaction of hydrogen peroxide most efficient?
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Sodium hypochlorite can be diluted with an equal amount of water for safe use.
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What happens to the pH of diluted sodium hypochlorite solution?
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Sodium hypochlorite solutions are strong __________ agents.
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What is the mechanism of action for sodium hypochlorite solutions as antiseptics?
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Metal ions interact specifically with microbial proteins only.
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What is the primary chemical structure of talc?
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Talc is soluble in water.
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What is one primary use of zinc oxide?
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Zinc oxide forms __________ when it reacts with dilute hydrochloric acid.
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Match the topical agents with their properties:
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What gives calamine its pink color?
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Calamine is completely soluble in water.
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What is the mechanism of action of inorganic antimicrobial agents?
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The process of completely removing all microorganisms is known as __________.
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Match the following antimicrobial terms with their definitions:
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Zinc oxide can gradually absorb __________ from the air.
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Calamine lotion is used for its soothing properties.
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What type of reaction occurs to form calamine from zinc oxide and ferric oxide?
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An example of a __________ is a substance that kills funguses.
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What percentage of MgO does talc generally contain?
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Talc is the softest mineral known.
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Which of the following is a primary use of Iodine Tincture?
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Iodine Solution contains alcohol as a solvent.
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What is the main antimicrobial agent in both Iodine Solution and Iodine Tincture?
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Iodine Tincture may be used to disinfect __________.
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What is one reason why metal spatulas should not be used to handle iodine?
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Silver Nitrate is poorly soluble in water.
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Name the condition that can result from prolonged use of silver preparations.
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Astringents can cause protein __________ on the surface of cells.
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What characteristic odorous component does Iodine Tincture contain?
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Match the following compounds with their primary function:
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Iodine primarily acts as a strong reducing agent.
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What happens to silver nitrate crystals when exposed to light?
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The oxidizing action of iodine in aqueous solution is believed to be mediated through the formation of __________ acid.
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Which concentration of Silver Nitrate is commonly used for eye treatment in newborns?
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Higher concentrations of silver nitrate are less irritant to tissues.
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What is the charge of a proton?
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Electrons have a mass greater than neutrons.
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What are the four quantum numbers that describe atomic orbitals?
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The number of protons in an atom determines its atomic ______.
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Match the particles with their characteristics:
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Which orbital is described by l = 1?
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The Pauli exclusion principle states that two electrons in the same orbital can have the same spin.
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What does the Aufbau principle state regarding electron configuration?
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Which type of bonding involves two pi bonds between atoms?
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Hydrogen bonding is a stronger interaction than covalent bonding.
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Name one property that is common among ligands.
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Carbon dioxide, CO2, is an example of a __________ bonded molecule.
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Match the type of bond to its characteristic:
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What type of hybridization does carbon exhibit in carbon dioxide?
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Coordinate covalent bonds always involve the donation of an electron pair from both bonding atoms.
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What is a chelate?
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The additional bonding species in a coordination compound are termed __________.
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Match the following terms with their definitions:
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How does the stability of a ligand in a complex relate to its basicity?
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Van der Waals forces are stronger than hydrogen bonds.
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What is the significance of a nodal plane in covalent bonding?
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The __________ is an attractive force that is significant in the liquid state of water.
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What type of hybridization is associated with a linear molecule geometry?
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Ionic bonding involves sharing a pair of electrons between two atoms.
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What is the geometry associated with sp3 hybridized orbitals?
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The bond angle in a water (H2O) molecule is closer to __________ degrees.
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Match the following types of bonds with their descriptions:
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Which of the following elements typically exhibit sp2 hybridization?
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The octet theory of chemical bonding is always applicable to transition metals.
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Name one type of covalent bond classification.
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The __________ hybridization results in three equivalent orbitals arranged at 120° apart.
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Match the following atomic orbitals with their hybridization types:
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Which statement is true regarding sp hybridization?
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Covalent bonds can only be nonpolar.
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In what type of bonding do metals typically lose electrons?
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The shared pair of electrons in a __________ bond is found evenly distributed.
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What is the complex formed by Cr(III) and six cyanato groups?
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The magnetic moment (MM) of Fe(III) complexed with six water molecules is indicative of two unpaired electrons.
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What type of hybridization occurs when six CN- ligands replace water in an Fe(III) complex?
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EDTA is primarily used in the treatment of heavy metal poisoning caused by __________.
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Match the following chelating agents with their uses:
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Which of the following is a characteristic of calcium disodium edetate?
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Dimercaprol can be administered orally for heavy metal poisoning.
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What is the chemical structure of Dimercaprol?
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The formulation of __________ is contraindicated in iron poisoning due to renal toxicity.
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What is one of the limitations of using the disodium edetate form of EDTA?
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Chelating agents are ineffective in the treatment of heavy metal poisonings.
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What is the main purpose of using chelating agents in analytical chemistry?
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Which metal is NOT effectively treated with EDTA?
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The magnetic moment of the Fe(III) complex with 6 CN- is indicative of __________ unpaired electron(s).
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Which chelating agent is known for its strong affinity for calcium?
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What is the electronic configuration of chromium?
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Elements in Groups VIA and VIIA typically form cations.
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What characterizes the process of ionization?
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The periodic table arranges elements based on their atomic numbers and ________ configurations.
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Match the following elements with their corresponding atomic numbers:
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Which of the following statements is true regarding electronegativity?
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Elements with half-filled d orbitals are more stable than those with fully filled d orbitals.
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Name a common characteristic of ionic bonds.
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The ________ effect diminishes the attractive force of the nucleus on valence electrons as we descend in a group.
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Match the following bonds with their descriptions:
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Which elements are known as transition elements?
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Orbital hybridization creates orbitals with the same directional properties as the original atomic orbitals.
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What configuration do sodium atoms adopt to represent their electron arrangement?
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The first 98 elements of the periodic table exist ________.
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What does the term 'electropositivity' refer to?
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Which metal is NOT mentioned as being targeted by penicillamine for chelation?
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Penicillamine capsules are typically administered intravenously.
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What is the primary use of deferoxamine mesylate?
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Penicillamine helps improve copper excretion in patients with __________ disease.
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Match the following agents to their primary actions:
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Which of the following statements about adsorption is true?
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Activated charcoal has a low surface area and porosity.
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What factor can influence the efficiency of adsorption?
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Deferoxamine is produced naturally by __________ pilosus.
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Which type of bonding can result in irreversible adsorption?
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Activated charcoal binds effectively to both polar and non-polar substances.
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What is a common treatment for chronic diarrhea?
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What is the primary reason that aluminum chlorides were replaced in commercial antiperspirants?
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Zinc chloride solutions are neutral due to hydrolysis.
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The increased bulk in the intestinal tract due to impaired absorption leads to __________.
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Match the following gastrointestinal agents with their primary function:
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What are the two types of aluminum hydroxy chlorides mentioned?
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Zinc chloride can act as a __________, causing tissue sloughing and aiding in scar formation.
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What is NOT a cause of acute diarrhea?
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Match the following uses of zinc chloride with their descriptions:
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What is the primary action of bismuth sub carbonate when used as an antacid?
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Bismuth salts are water-soluble and promote significant clinical benefits when used as antidiarrheals.
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What chemical reaction occurs when intestinal hydrogen sulfide acts on bismuth salts?
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Bismuth subnitrate is assayed in terms of __________.
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Match the following bismuth compounds with their classifications:
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What is the physical form of bismuth sub carbonate?
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Bismuth sub carbonate dissolves completely in alcohol.
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What is the approximate formula of bismuth subnitrate?
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Kaolin binds toxins and bacteria through both __________ and __________ adsorption.
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Match the following substances with their key characteristics:
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What happens to the stool when bismuth-containing preparations are administered orally?
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Laxatives should only be used for long-term therapy to maintain regular bowel movements.
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What is the main use of bismuth subnitrate in Milk of Bismuth?
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Constipation is defined as the __________ or __________ evacuation of feces.
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Which phosphate can help stabilize tragacanth in the presence of bismuth?
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What type of laxative acts by local irritation on the intestinal tract and increases peristaltic activity?
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Emollient laxatives only facilitate the passage of compacted fecal material.
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Name one example of a bulk-forming laxative.
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Saline cathartics increase the __________ load of the gastrointestinal tract.
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Match the following laxative types with their actions:
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Which laxative is primarily used as a lubricant?
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Sodium-containing saline cathartics are safe for long-term use in patients on low-sodium diets.
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What is the main effect of magnesium salts when absorbed in the body?
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Dried Sodium Phosphate is used as a saline cathartic in __________ Sodium Phosphate.
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Match the saline cathartics with their properties:
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What is a characteristic of the ideal protective agent used in topical compounds?
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All topical compounds are absorbed into the bloodstream.
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What property limits absorption of protective agents through the skin?
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Protective agents reduce mechanical __________ on the skin's surface.
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What is the primary component found in talc?
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Zinc oxide is soluble in water and alcohol.
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What is the effect of heating zinc oxide to high temperatures?
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Calamine is a mixture of zinc oxide and a small proportion of __________ oxide.
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Match the topical agents with their primary uses:
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What is the primary purpose of antimicrobial agents?
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Calamine has antimicrobial properties due to the presence of ferric oxide.
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What is the chemical formula for zinc oxide?
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Talc has very low ________ properties.
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Match the following types of antimicrobial agents with their definitions:
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What method can mimic the natural geological conditions for talc formation?
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Zinc oxide can react with dilute acids to form water-soluble products.
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What is the significance of the hydrophobic nature of talc?
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The antimicrobial action of zinc oxide is due to the release of a small amount of zinc ion from __________ in the acidic moisture on the skin.
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What is the primary use of hydrogen peroxide solution?
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Sodium hypochlorite solutions are effective only when used in high concentrations.
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What type of reaction occurs when hydrogen peroxide is decomposed by the enzyme catalase?
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Sodium hypochlorite is commonly recognized as a type of _______.
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Match the following solutions with their primary uses:
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Which metallic ion is known as an effective protein precipitant?
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Hydrogen peroxide decomposes more readily in the presence of light.
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What happens to hydrogen peroxide when it acts as a reducing agent?
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The chemical formula for sodium hypochlorite is ______.
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Match the following conditions with their effects on hydrogen peroxide:
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What is the pH adjustment used for in the diluted sodium hypochlorite solution?
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Both hydrogen peroxide and sodium hypochlorite can serve as disinfectants.
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Describe the role of catalase in the decomposition of hydrogen peroxide.
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When sodium hypochlorite reacts with water, it forms ______ acid.
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What is the primary ingredient common to both Iodine Solution and Iodine Tincture?
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Iodine Tincture is less irritating to open tissues than Iodine Solution.
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What is formed when iodine reacts with iron?
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Iodine solutions are often used to disinfect __________.
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Match the following solutions with their primary use:
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What adverse effect is caused by extended use of silver preparations?
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The primary action of silver ions is selective for bacterial proteins.
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What concentration range is typically used for antibacterial silver nitrate solutions?
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Iodine is known for its property as a mild __________ agent in aqueous solutions.
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Which chemical reaction demonstrates the formation of a complex with iodine?
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Aluminum chloride acts as a Lewis acid.
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What main property defines an astringent?
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The range of activity of silver ions includes __________, astringent, irritant, and corrosive properties.
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What is the purpose of adding two drops of Silver Nitrate Ophthalmic Solution to the eyes of newborn babies?
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Match the following astringent products with their characteristics:
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Study Notes
Electronic Structure of Atoms
- Atoms consist of a nucleus surrounded by electrons.
- The nucleus contains protons (positively charged) and neutrons (no charge).
- Electrons occupy specific regions of space called orbitals.
- The number of protons in a neutral atom is equal to the number of electrons.
- The sum of protons and neutrons determines the atomic mass of an element.
- The number of protons is called the atomic number.
Atomic Orbitals
- Atomic orbitals are described by four quantum numbers:
- Principal quantum number (n): Defines the energy level of the electron. Higher values of n correspond to higher energy levels and greater distances from the nucleus.
- Azimuthal quantum number (l): Represents the shape of the orbital. This determines the orbital's angular momentum.
- l = 0 is an s orbital (spherical)
- l = 1 is a p orbital (dumbbell shaped)
- l = 2 is a d orbital
- l = 3 is an f orbital
- Magnetic quantum number (ml): Specifies the spatial orientation of the orbital.
- Spin quantum number (ms): Represents the intrinsic angular momentum of the electron, which is quantized and can be either spin up (ms = +1/2) or spin down (ms = -1/2).
Electron Configuration
- The Aufbau principle states that electrons are added to orbitals in order of increasing energy.
- Pauli exclusion principle: no two electrons in an atom can have the same set of four quantum numbers.
- A maximum of two electrons can occupy a single orbital, and they must have opposite spins.
- Hund's rules:
- Lower energy orbitals are filled before higher energy orbitals.
- Electrons will occupy degenerate orbitals individually with parallel spins before pairing up in the same orbital.
- Stable configurations can occur when d orbitals are half-filled or completely filled, such as in Chromium and Copper.
- Electron configurations can be written using the inert gas core as a shorthand, denoting the preceding noble gas configuration.
Ionization
- Ionization is the process of an atom losing one or more electrons.
- This results in a positively charged ion called a cation.
- The electrons lost are typically the most loosely held ones.
- The electronic structure of the ion may not reflect the level of electron loss, especially with transition metals.
Periodic Table
- The periodic table organizes chemical elements by increasing atomic number, electron configuration, and recurring chemical properties.
- Rows are called periods and columns are called groups.
- Some groups have specific names, such as halogens and noble gases.
- The filling of s and p orbitals corresponds to the eight main groups.
- Transitions metals occur between groups IIA and IIIA, during the filling of d orbitals.
- The lanthanides and actinides are located below the main table, corresponding to the filling of f orbitals.
Electronegativity
- Electronegativity measures an element's attraction for electrons.
- Electronegativity increases from left to right across a period and from bottom to top within a group (excluding Group VIIIA).
- Electropositivity is the opposite of electronegativity and varies in the opposite direction.
Electronic Structure of Molecules
- Three major forces govern molecular formation:
- Coulombic attraction between electrons and nuclei
- Number of valence electrons
- Orbital distribution
- There are two main types of chemical bonds:
- Covalent bonds: involve the sharing of electron pairs.
- Nonpolar covalent bonds involve equal sharing between atoms.
- Polar covalent bonds involve unequal sharing, where the electron density shifts towards the more electronegative atom.
- Ionic bonds: formed by the transfer of electrons from an electropositive atom to an electronegative atom, resulting in electrostatic attraction between oppositely charged ions.
- Covalent bonds: involve the sharing of electron pairs.
Orbital Hybridization
- Orbital hybridization involves mixing atomic orbitals to form new, degenerate hybrid orbitals that differ in spatial orientation and directional properties.
- The number of hybrid orbitals formed is equal to the number of atomic orbitals involved in the hybridization.
- There are three main types of hybrid orbitals:
- sp: Linear geometry, forms two sp orbitals oriented at 180 degrees.
- sp2: Trigonal planar geometry, forms three sp2 orbitals oriented at 120 degrees.
- sp3: Tetrahedral geometry, forms four sp3 orbitals oriented towards the corners of a tetrahedron.
Types of Bonding Interactions
- Ionic bonding: an electrostatic interaction between oppositely charged ions.
- Many stable ions have inert gas valence shell structures (octet rule).
- Typically occurs between electropositive metals and electronegative nonmetals.
- Covalent bonding: involves sharing of electron pairs between atoms.
- Nonpolar covalent bonds involve equal sharing.
- Polar covalent bonds involve unequal sharing, leading to partial charges.
- Coordinate covalent bonding: Both electrons in the bond originate from the same atom.
- The donor atom provides the electron pair for the covalent bond.
- The acceptor atom has an empty orbital that can overlap with the donor orbital.
- Hydrogen bonding: A weak secondary interaction between a partially positive hydrogen atom (bonded to a highly electronegative atom) and a nonbonding electron pair on a neighboring electronegative atom.
- Plays a key role in many physical and chemical properties of water, such as its high boiling point.
- Van der Waals forces: Weak electrical dipole forces that arise due to temporary electron clouds distortions.
- These are the only forces holding nonpolar molecules together.
Resonance
- Resonance describes delocalization of electrons, where a molecule can be represented by multiple resonance structures (canonical structures).
- The actual electron distribution is a hybrid of all contributing resonance structures.
Coordination Compounds and Complexation
- Metal cations can form coordination compounds by binding to additional anions or neutral molecules known as ligands.
- Ligands bond directly to the metal cation, following a specific coordination number that represents the maximum number of ligands a metal ion can accommodate.
- The arrangement of ligands around the metal ion gives the complex a specific geometry.
Properties of Ligands
- Ligands are generally anions or neutral molecules, not atoms.
- They possess at least one nonbonded electron pair for forming coordinate covalent bonds with the metal ion.
- The stability of complexes depends on the ligand type. More basic ligands generally form more stable complexes.
- Ligands can be classified by the number of positions they can coordinate with a metal (monodentate, bidentate, etc.).
Chelation
- When polydentate ligands coordinate with a metal ion, they form a ring structure called a chelate.
- Chelates with five-, six-, or seven-membered rings are generally the most stable.
Bonding in Complexes
- The metal's (n-1)d, ns, and np orbitals can hybridize to form six bonding orbitals that point towards the ligands.
- The geometry of the complex is determined by the hybridization and coordination number.
Complex Formation and Chelating Agents
- Complexes are formed when a central metal ion is surrounded by ligands, which are molecules or ions that have a lone pair of electrons.
- The coordination number is the number of ligands that are directly attached to the metal ion.
- In complexes with six ligands, metal ions with three or less electrons in their d orbitals will form d2sp3 hybrid orbitals. This leads to six equivalent hybrid orbitals that bond with the six ligands, forming octahedral complexes with examples like [Cr(CN)6] -3.
- Metal ions with more than 3 d electrons will undergo a configuration change to achieve a lower spin configuration. This can be measured experimentally by analyzing the magnetic moment of the complex, which is the result of unpaired electrons.
- The d2sp3 hybridization is called "inner orbital hybridization" when 3d orbitals are involved, while the hybridization involving 4d orbitals (4d,4s, 4p) is referred to as "outer orbital hybridization."
- Chelating agents are organic compounds that bind to metal ions, forming stable complexes.
- Chelating agents have applications in:
- Analytical chemistry: used to determine metal concentrations by titration.
- Solubilization of metal ions: increase solubility and stabilize the oxidation state.
- Pharmaceutical chemistry: used as preservatives in preparations containing hydrogen peroxide, and for treating heavy metal poisonings and metabolic disorders.
Chelating Agents
-
Calcium Disodium Edetate (EDTA)
- A white crystalline granule used primarily for lead poisoning treatment.
- Forms an insoluble complex with lead that is excreted by the kidneys.
- EDTA has a strong affinity for calcium, therefore, the disodium calcium form is preferred to avoid hypocalcemia.
- Also used for poisoning due to copper, nickel, cadmium, zinc, chromium, and manganese.
- Poorly absorbed orally, given intravenously.
- Intramuscular administration is used for diagnosing metal poisonings.
-
Disodium Edetate:
- White crystalline powder soluble in water.
- Chelates the same metals as the calcium disodium form.
- Limited by the risk of hypocalcemia.
- Used in hypercalcemic states (high serum calcium).
- Can be helpful for occlusive vascular disease and cardiac arrhythmias associated with high blood calcium levels.
- Not effective in dissolving urinary calculi.
- Administered intravenously.
-
Dimercaprol (BAL)
- A colorless or almost colorless liquid with a disagreeable odor.
- Used to treat heavy metal poisoning (primarily arsenic, mercury, and gold) by competing with enzymes for these metals, forming less toxic complexes that can be excreted.
- Contraindicated in poisonings due to iron, cadmium, or selenium because the resulting complexes are more toxic.
- Dimercaprol-metal chelates dissociate in acidic media, therefore, urine needs to be alkalinized to prevent free metal release.
- Administered intramuscularly.
-
Penicillamine:
- A white or off-white crystalline powder that chelates copper, iron, mercury, lead, gold, and other metals.
- Primarily used to improve copper excretion in patients with Wilson’s disease.
- Resistant to metabolic inactivation by amino acid oxidase.
- Used in treatment of gold dermatitis for patients on chronic gold therapy.
- Administered orally.
-
Deferoxamine Mesylate:
- A white crystalline lyophilized powder soluble in water.
- Produced naturally by Streptomyces pilosus as a ferric [Fe(III)]complex.
- Has a particular affinity for ferric ions, forming stable water-soluble octahedral complexes.
- Weak affinity for ferrous ions and other divalent metal ions.
- Used with other drugs and procedures for treating acute iron toxicity.
- Administered intramuscularly or intravenously.
Gastrointestinal Protectives, Adsorbents, and Cathartics
- Gastrointestinal agents used to treat mild diarrhea.
- Diarrhea is a symptom of impaired digestion or absorption leading to increased intestinal bulk, increased peristalsis, and expulsion of intestinal contents.
- Diarrhea can be acute or chronic.
- Acute diarrhea can be caused by bacteria, chemicals, drugs, allergies, and disease.
- Chronic diarrhea can result from surgery, carcinomas, inflammatory conditions, and absorptive defects.
- Dehydration and electrolyte imbalances are serious complications of diarrhea, particularly in young children and elderly individuals.
- Antidiarrheal agents treat the symptoms and sometimes the cause, but not the complications.
- Most antidiarrheal products combine adsorbent-protectives, antispasmodics, and sometimes antibacterial agents.
- The ideal antispasmodic agent should act directly on the smooth muscles of the gut to reduce peristalsis and increase segmentation.
- Antibacterials are only effective if there's an actual infection or during outbreaks caused by known microorganisms.
Mechanism of Adsorption
-
Adsorption is a process where a substance (adsorbate) adheres to the surface of another substance (adsorbent).
-
In gastrointestinal protectives and adsorbents, substances like activated charcoal, kaolin, and certain clays act as adsorbents that bind toxins, gases, and bacteria in the gut.
-
Types of Adsorption:*
-
Physical Adsorption: Based on weak, non-specific Van der Waals forces. Reversible and doesn't involve chemical bonding.
-
Chemical Adsorption: Involves stronger chemical bonds. Can be irreversible and involves electron exchange or sharing.
-
Factors Affecting Adsorption:*
-
Surface Area and Porosity: Adsorbents with high surface areas and porous structures, like activated charcoal, adsorb more substances.
-
Polarity: Adsorption is more effective when the adsorbent and adsorbate have similar polarities.
-
pH Sensitivity: The surrounding pH can affect the efficiency of adsorption, as some adsorbents become soluble depending on the pH level.
Bismuth-Containing Products
-
Bismuth salts are used as antidiarrheals and antacids.
-
Bismuth subcarbonate has been used as an antacid.
-
Soluble bismuth cation exerts a mild astringent and antiseptic action.
-
Bismuth salts react with intestinal hydrogen sulfide to form bismuth sulfide, resulting in black stools.
-
They provide dual action: adsorbing toxins and bacteria & forming a protective barrier in the intestines.
-
Bi3+ + 3H2S → Bi2S3 (black precipitate) + 6H+
-
1. Bismuth Subnitrate, N.F.XIII ([Bi(OH)2NO3]4·BiO(OH))*
-
A white, slightly hygroscopic powder with an acid reaction.
-
Insoluble in water and alcohol, soluble in hydrochloric or nitric acid.
-
Assayed in terms of bismuth trioxide (Bi2O3).
-
Incompatible with tragacanth, but the difficulty can be overcome by using sodium or trisodium phosphates.
-
Can inhibit pepsin.
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Used as a component of Milk of Bismuth.
Milk of Bismuth
-
Contains bismuth hydroxide and bismuth sub carbonate in suspension in water.
-
Classified as an astringent and antacid.
-
2. Bismuth Subcarbonate, U.S.P.XVIII ([BiO) CO ] ·H O) ₂ ₃ ₂ ₂*
-
A white or pale yellowish white odorless, tasteless powder.
-
Stable in air but affected by light.
-
Insoluble in water and alcohol, soluble in nitric acid and hydrochloric acid with effervescence.
-
Assayed in terms of bismuth trioxide (Bi2O3).
Nonofficial Bismuth Compounds
- Bismuth Subgallate
- Bismuth Subsalicylate
- Bismuth Ammonium Citrate
Activated Clays and Other Adsorbents
-
Used for industrial adsorption and clinically for mild short-duration diarrhea.
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1. Kaolin*
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A native hydrated aluminum silicate powder.
-
Binds toxins and bacteria through both physical and chemical adsorption.
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Insoluble in water, cold diluted acids, and alkali hydroxide solutions.
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Typically combined with pectin, forming Kaopectate® and Kao-Con®.
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Can interfere with the absorption of lincomycin.
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2. Activated Charcoal*
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Used as an adsorbent for diarrhea and as an antidote in certain poisoning.
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Works primarily through physical adsorption.
-
Highly porous and effective in binding large organic molecules like bacterial toxins, chemicals, and drugs.
Saline Cathartics
- Agents that increase intestinal evacuation.
- Laxatives are mild cathartics.
- Properly used for:
- Easing defecation in patients with hemorrhoids or rectal disorders.
- Avoiding blood pressure increases during defecation for patients with hypertension.
- Relief of acute constipation.
- Removing solid material from the intestinal tract for x-ray studies.
- Prolonged use can lead to dependence and disruption of bowel rhythm.
- Constipation is infrequent or difficult defecation, caused by various factors including diet, drugs, and intestinal dysfunction.
Types of Laxatives
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Stimulant laxatives:
- Act by irritating the intestinal tract to increase peristalsis.
- Examples: phenolphthalein, aloin, cascara extract, rhubarb extract, senna extract, podophyllin, castor oil, 1,8-dihydroxyanthraquinone (danthron), oxyphenisatin, bisacodyl, and calomel.
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Bulk-forming laxatives:
- Made from cellulose and other nondigestible polysaccharides.
- Swell when wet to stimulate peristalsis.
- Examples: psyllium seed, methyl cellulose, sodium carboxymethylcellulose, and karaya gum.
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Emollient laxatives:
- Act as lubricants or stool softeners to facilitate passage of compacted fecal material.
- Examples: Mineral oil (lubricant) and d-octyl sodium sulfosuccinate (stool softener).
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Saline cathartics:
- Increase the osmotic load of the gastrointestinal tract.
- Made of poorly absorbed anions and sometimes cations.
- Increased osmotic pressure draws fluids into the intestines, increasing bulk and stimulating peristalsis.
- Examples of poorly absorbed anions: biphosphate (H2PO4-), phosphate (HPO4 2-), sulfate, and tartrate.
- Saline cathartics must be taken with large amounts of water to avoid dehydration and excessive hypertonicity in the stomach.
- Relatively free of side effects when used for short periods.
Saline Cathartics
- Sodium Biphosphate, Sodium Phosphate, Sodium Sulfate, and Potassium Sodium Tartrate are saline cathartics.
- Patients on low-sodium diets should avoid these.
- Sodium Biphosphate is a urinary acidifier with a neutral pH.
- Sodium Phosphate is frequently employed as a saline cathartic in Fleet Enema and Phospho-Soda.
- Dried Sodium Phosphate is a nearly anhydrous white powder that readily absorbs moisture.
- It is used as a saline cathartic in Effervescent Sodium Phosphate, a mixture of sodium bicarbonate, tartaric acid, and citric acid.
Topical Agents
- Topical compounds are applied to body surfaces to protect areas from irritation, particularly of mechanical origin.
- Protectives are substances used for this purpose.
- They are generally insoluble and inert to prevent absorption through the skin and interactions with tissue.
Talc
- Talc is a hydrous magnesium silicate commonly used as a lubricating and protective dusting powder.
- It can be used to prevent irritation due to friction, and to protect areas from further irritation.
- It is unctuous, adheres readily to the skin, and is free from grittiness.
- It is the softest mineral known.
- It is odorless, tasteless, and insoluble in water, dilute acids, and dilute bases.
Zinc Oxide
- Zinc Oxide is a very fine, odorless, amorphous, white or yellowish white powder.
- It is insoluble in water and alcohol, but reacts with dilute acids and ammonium compounds to form water-soluble products.
- It acts as a mild astringent and a weak antimicrobial compound, reducing skin irritation and providing a protective barrier.
Calamine
- Calamine is zinc oxide with a small proportion of ferric oxide, giving it a pink color.
- It is insoluble in water but soluble in mineral acids.
- It is used in dusting powders, ointments, and lotions for its soothing, absorbent, and protective properties.
Antimicrobial Agents
- Antimicrobial agents are used for the prevention and/or reduction of infection caused by microorganisms.
- Antiseptics are used on living tissues to prevent infection.
- Germicides directly kill microorganisms, e.g., bactericides, fungicides, amebicides.
- -stat agents inhibit the growth of microorganisms without killing them.
- Disinfectants kill microorganisms on inanimate objects but are not safe for use on living tissue.
Hydrogen Peroxide Solution
- It is a clear, colorless liquid that can decompose on standing or when exposed to light or heated.
- It acts as a mild oxidizing antiseptic, decomposing into water and oxygen in the presence of the enzyme catalase.
- It is commonly used as a gargle or mouthwash for bacterial infections of the throat and mouth, and in diluted form, as a vaginal douche.
Sodium Hypochlorite Solution
- It is a clear, pale greenish-yellow liquid with a chlorine odor.
- It is a strong oxidizing agent and acts as a disinfectant and laundry bleach.
- Diluted Sodium Hypochlorite Solution, N.F.XIII, is approved for use as an antibacterial agent on tissues.
Iodine Solution
- Iodine Solution and Iodine Tincture contain the same concentrations of ingredients but differ in the solvent (water for the solution, alcohol for the tincture).
- They are both reddish-brown solutions with a characteristic iodine odor.
- Iodine is a mild oxidizing agent, forming hypoiodous acid in water.
- It is effective against many microorganisms, with Iodine Tincture being potentially more effective as the alcohol aids penetration.
- Iodine Solution is preferred for open wounds due to the irritating nature of alcohol.
Silver Nitrate
- Silver Nitrate exists as colorless or white crystals that darken upon exposure to light in the presence of organic matter.
- Solutions of silver nitrate function as antibacterial agents, primarily due to the activity of the silver ion.
- Silver ion acts as a protein precipitant, reacting with both bacterial and human proteins.
- Overuse of silver preparations can lead to argyria, a condition characterized by a darkening of the skin due to the deposition of silver.
Silver Nitrate Uses
- Silver nitrate is used as an antibacterial agent in solutions ranging from 0.01% to 10%. Higher concentrations can cause irritation.
- A 1% solution of Silver Nitrate Ophthalmic Solution is used to prevent ophthalmia neonatorum (infection in newborn eyes).
- Silver nitrate is effective against gonococcal organisms.
- A 0.5% aqueous solution of silver nitrate is used as a wet dressing for third-degree burns.
Astringent Agents
- Astringent agents cause protein precipitation on cell surfaces, leading to protein coagulation and tissue constriction.
- Astringents act on small blood vessels (smooth muscle) and are applied topically.
- Astringents have a mild antimicrobial effect, restrict blood flow, and do not kill cells.
- Common astringent products include aluminum, zinc, and zirconium salts.
Aluminum Chloride (AlCl₃ ·6H₂O)
- It acts as a Lewis acid and is soluble in water, alcohol, and glycerin, creating an acidic solution.
- Used as an astringent and mild antiseptic in solutions ranging from 10% to 25%.
- Can cause tissue irritation due to hydrolysis forming hydrochloric acid (HCl).
- Initially used as an antiperspirant, but its irritating nature led to its replacement.
Aluminum Hydroxy Chloride
- Refers to monohydroxy chloride and dihydroxy chloride.
- These compounds are acidic and less soluble in water than aluminum chloride.
- Less irritating than aluminum chloride, making them suitable for antiperspirants.
- Used in deodorant sprays, creams, and solutions around 20% concentration.
Zinc Chloride
- Forms an acidic solution due to hydrolysis, producing hydrochloric acid (HCl) and basic zinc chloride.
- Solutions should be filtered through asbestos or glass wool as they can dissolve materials like paper and cotton.
- Forms zinc oxychloride when mixed with zinc oxide, which is used in dental cements.
Uses of Zinc Chloride
- Acts as a strong astringent and mild antiseptic due to its protein precipitation properties.
- Functions as an escharotic, aiding in tissue sloughing and scar tissue formation.
- Used in low concentrations (0.5 to 2%) as nasal sprays or applied to mucous membranes for sinus drainage.
- A 10% solution is used as a dentin desensitizer for teeth.
Atomic Structure
- Atoms consist of a central nucleus surrounded by electrons.
- The nucleus contains protons, which have a positive charge and a mass of 1.672 x 10^-24 g, and neutrons, which are uncharged and have a mass of 1.675 x 10^-24 g.
- Electrons possess a negative charge of one electrostatic unit (e.s.u.) and a mass of 9.107 x 10^-28 g.
- The number of protons in an atom is equal to the number of electrons in the neutral atom.
- The number of protons determines the atomic number of the element.
- The sum of the masses of the protons and neutrons in an atom accounts for the atom's atomic mass.
- The region of space around the nucleus where electrons are likely to be found is described by atomic orbitals.
Quantum Numbers
- The principal quantum number (n) determines the energy level of an electron. As n increases, the energy level rises.
- The suborbital quantum number (l) describes the shape and size of an electron's orbital.
- l = 0 corresponds to an s orbital, which is spherical.
- l = 1 corresponds to a p orbital, which is dumbbell-shaped.
- l = 2 corresponds to a d orbital, which has a more complex shape.
- l = 3 corresponds to an f orbital, which has an even more complex shape.
- The magnetic quantum number (ml) specifies the spatial orientation of an orbital.
- The spin quantum number (ms) represents the intrinsic angular momentum of an electron, which is oriented either spin up (+1/2) or spin down (-1/2).
Filling Atomic Orbitals
- The Aufbau principle states that electrons are added to orbitals in order of increasing energy.
- The Pauli exclusion principle states that no two electrons in an atom can have the same set of quantum numbers. Therefore, a maximum of two electrons can occupy a single orbital, and they must have opposite spins.
- Hund's rules state:
- Lower energy orbitals are filled before higher energy orbitals.
- Electrons occupy degenerate orbitals singly, with parallel spin, as long as possible.
Ionization
- Ionization is the process of an atom losing one or more electrons, resulting in a cation (positive ion).
- The outermost electrons are typically the ones lost during ionization.
- The electronic structure of an ion might not reveal the exact level from which the electron was removed.
- Transition elements can ionize to form cations with electrons remaining in the d orbitals.
- Elements in Groups VIA and VIIA tend to gain electrons to form anions (negative ions).
Periodic Table
- The periodic table organizes elements based on their atomic number, electron configuration, and recurring chemical properties.
- Elements are arranged in rows (periods) and columns (groups).
- Groups I-VIIIA correspond to the filling of s and p orbitals.
- Transition elements (Groups IB - VIIIB) result from the filling of d orbitals.
- The lanthanides and actinides are located below the main body of the table and involve the filling of f orbitals.
- Electronegativity increases from left to right across a period and from bottom to top within a group (except for Group VIIIA).
Bonding in Molecules
- The formation of molecules involves three primary forces:
- Coulombic attraction between electrons and nuclei.
- Number of electrons in valence orbitals.
- Distribution of valence orbitals.
- There are two main types of bonds:
- Covalent bonds involve the sharing of electron pairs between atoms (polar or nonpolar).
- Ionic bonds involve the transfer of electrons from an electropositive atom to an electronegative atom.
- Orbital hybridization is the mixing of atomic orbitals to form new, degenerate orbitals with distinct spatial orientations and directional properties.
- The number of hybrid orbitals formed equals the number of atomic orbitals involved in hybridization.
Types of Hybrid Orbitals
- sp orbitals: Two sp orbitals, oriented 180° apart, are formed by the combination of one s and one p orbital.
- sp2 orbitals: Three sp2 orbitals, arranged in a triangular planar geometry (120° apart), result from the combination of one s and two p orbitals.
- sp3 orbitals: Four sp3 orbitals, oriented towards the corners of a tetrahedron (109.5° apart), are formed by the combination of one s and three p orbitals.
Types of Bonding Interactions
- Ionic Bonding: Electrostatic attraction between oppositely charged ions.
-
Covalent Bonding: Sharing of electron pairs between atoms (nonpolar or polar).
- Sigma bonds: Molecular orbitals that are symmetrical about the bond axis.
- Pi bonds: Molecular orbitals located on both sides of the bond axis, perpendicular to a plane passing through the bond axis.
- Coordinate Covalent Bonding: Both electrons in the bond come from a single atom (donor).
- Hydrogen Bonding: Weak interaction between a partially positive hydrogen atom and a lone pair of electrons on an electronegative atom in a neighboring molecule.
- Van der Waals Forces (London Forces): Weak electrical forces between molecules due to temporary dipoles.
Coordination Compounds and Complexation
- Coordination compounds form when a metal cation bonds to additional ligands (anions or neutral molecules) beyond its normal valence requirements.
- The maximum number of ligands a metal ion can bond to is called the coordination number.
- Ligands are typically anions or neutral molecules with nonbonded electron pairs.
- Chelate complexes are formed when polydentate ligands bond to a metal ion, creating a ring structure.
- Chelating agents are polydentate ligands that can improve metal ion solubility and stability.
Bonding in Complexes
- The (n-1)d, ns, and np orbitals can hybridize to form six bonding orbitals directed towards the ligands.
Coordination Complexes and Chelating Agents
- Cr(III) forms a complex with six CN- ligands, [Cr(CN)6]-3.
- Cr(III) has 3d3 configuration, leaving two d orbitals, one s, and three p orbitals empty for bonding.
- Fe(III) with six water molecules in a complex shows a magnetic moment (MM) of 6, indicating 5 unpaired electrons. - This suggests an outer orbital hybridization involving 4d, 4s, and 4p orbitals.
- Replacing water with six CN- ligands in the Fe(III) complex results in an MM of 2, indicating one unpaired electron.
- The strong negative field of CN- ligands forces pairing of electrons in the d orbitals of Fe(III), resulting in a low spin configuration.
- Chelating agents play a role in analytical chemistry by determining metal concentrations through titration.
- Chelating agents solubilize and stabilize metal ions in analytical solutions, enhancing their reactivity.
- Benedict’s and Fehling’s solutions, used for reducing substance detection, employ chelating agents like citric acid and tartaric acid to complex copper(II) ions.
- Chelating agents act as preservatives, preventing decomposition due to trace metal quantities.
- Chelating agents are effective in treating heavy metal poisoning by forming stable, excretable complexes.
- Calcium disodium edetate (EDTA) is used to treat lead poisoning by forming insoluble complexes excreted by kidneys.
- EDTA has a strong affinity for calcium, and the disodium calcium form is used to avoid hypocalcemic states.
- EDTA is also effective against other metals like copper, nickel, cadmium, zinc, chromium, and manganese but not mercury, arsenic, or gold.
- EDTA is poorly absorbed from the gastrointestinal tract and is administered intravenously.
- Disodium edetate is used in conditions dealing with hypercalcemic states.
- Dimercaprol (BAL) is a chelating agent used in arsenic, mercury, and gold poisoning.
- BAL forms complexes with heavy metals, disrupting their interaction with essential enzymes.
- BAL is contraindicated in iron, cadmium, and selenium poisoning due to the toxicity of the resulting complexes.
- BAL is administered intramuscularly due to its poor gastrointestinal absorption.
- Penicillamine chelates copper, iron, mercury, lead, gold, and other metals.
- Penicillamine is used to improve copper excretion in patients with Wilson’s disease.
- Penicillamine is effective due to its resistance to metabolic inactivation by amino acid oxidase.
- Penicillamine is used for treating gold dermatitis in patients receiving chronic gold therapy.
- Deferoxamine mesylate is a chelating agent with a high affinity for ferric ions (Fe(III)).
- Deferoxamine mesylate forms stable, water-soluble complexes with ferric ions.
- Deferoxamine mesylate is used for the treatment of acute iron toxicity.
- Deferoxamine mesylate is administered intramuscularly or intravenously due to poor gastrointestinal absorption.
Gastrointestinal Protectives, Adsorbents, and Cathartics
- Diarrhea is a symptom characterized by increased intestinal bulk stimulating peristalsis, leading to frequent defecation.
- Acute diarrhea can be caused by bacterial toxins, chemical poisons, drugs, allergy, and disease.
- Chronic diarrhea arises from conditions like gastrointestinal surgery, carcinomas, inflammatory conditions, and absorptive defects.
- Antidiarrheal agents aim at treating the symptoms and potentially the cause of diarrhea but not its complications.
- Antidiarrheal products often contain adsorbent-protectives, antispasmodics, and antibacterial agents.
- Adsorbent-protectives bind toxins, bacteria, and viruses in the gastrointestinal tract and provide a protective barrier to the intestinal mucosa.
- Adsorbents bind substances through physical or chemical adsorption.
- Physical adsorption involves weak, nonspecific forces like Van der Waals forces, while chemical adsorption entails stronger chemical bonding.
- Activated charcoal acts as an adsorbent with a high surface area and porous structure, effectively binding various substances.
- Clay adsorbs toxins and bacteria through both physical and chemical adsorption.
- Bismuth salts exert a mild astringent and antiseptic action and form bismuth sulfide, visible as black stools.
- Bismuth subnitrate (N.F.XIII) is practically insoluble in water and alcohol, but dissolves in acids.
- Bismuth subnitrate has a well-known incompatibility with tragacanth but can be overcome using sodium biphosphate or trisodium phosphate.
- Bismuth subnitrate is a component of Milk of Bismuth, acting as a mild astringent-protective.
- Bismuth subcarbonate (U.S.P.XVIII) is practically insoluble in water and alcohol, but dissolves in hydrochloric or nitric acid with effervescence.
- Kaolin is a hydrated aluminum silicate that binds toxins and bacteria through both physical and chemical adsorption.
- Kaolin is insoluble in water, diluted acids, and alkali hydroxides.
- Activated charcoal works primarily through physical adsorption due to its highly porous structure, effectively binding large organic molecules.
- Saline cathartics act by increasing the osmotic load in the gastrointestinal tract, drawing fluids into the intestines and stimulating peristalsis.
- Saline cathartics are salts of poorly absorbable anions like biphosphate, phosphate, sulfate, and tartrate.
- Saline cathartics are water-soluble and should be taken with water to prevent dehydration and minimize nausea and vomiting.
- Saline cathartics are generally safe for short-term use, but prolonged use can lead to dependence.
- Constipation can be caused by various factors like resisting the urge to defecate, intestinal atony, spasm, emotions, drugs, and diet.
- Stimulant laxatives act by locally irritating the intestinal tract, stimulating peristalsis.
- Bulk-forming laxatives swell with water, increasing intestinal bulk and stimulating peristalsis.
- Emollient laxatives function as lubricants or stool softeners, facilitating the passage of compacted fecal material.
Saline Cathartics
- Sodium Biphosphate, Sodium Phosphate, Sodium Sulfate, and Potassium Sodium Tartrate are saline cathartics containing sodium.
- Magnesium salts should be avoided for patients with renal impairment because some magnesium is absorbed and it has a central nervous system depressant effect.
- Sodium Biphosphate is a colorless or white powder that is slightly deliquescent and acid to litmus.
- Sodium Biphosphate dissociates into ions when dissolved in water: NaH2PO4 → Na+ + H2PO4⁻
- It is used as a cathartic in Phospho-Soda, Vacuetts, and Sal Hepatica.
- Sodium Phosphate is a colorless or white granular salt with an alkaline solution.
- Sodium Phosphate dissociates into ions when dissolved in water: Na2HPO4 → 2Na+ + HPO4²⁻
- It is used as a saline cathartic in Fleet Enema and Phospho-Soda.
- Dried Sodium Phosphate is a nearly anhydrous white powder that readily absorbs moisture.
- Dried Sodium Phosphate is used in Effervescent Sodium Phosphate which is a mixture of Sodium Bicarbonate, Tartaric Acid, and Citric Acid.
Topical Agents
- Topical drugs are applied to body surfaces and primarily act at the surface of application.
- Some topical drugs can penetrate deeper tissues and lead to systemic effects such as toxicity or allergic reactions.
- Topical agents can be categorized into three types: protective agents, antimicrobial agents, and astringent compounds.
Protective Agents
- Protectives are applied to the skin to protect certain areas from irritation.
- Protective agents should be insoluble and chemically inert.
- Protective agents are biologically inactive and should not be absorbed by the skin.
- Many protectives act as adsorbents and absorb moisture from the skin's surface.
- Protectives are commonly used as powders, ointments, or suspensions.
Talc
- Talc is a hydrous magnesium silicate that is a very fine, white or grayish white powder.
- Talc is unctuous, adheres readily to the skin, and is free from grittiness.
- It is odorless, tasteless, and insoluble in water, dilute acids, and dilute bases.
- Talc has low adsorptive properties.
- Talc can be synthesized through reacting magnesium oxide or a magnesium salt with silica at elevated temperatures and pressures.
- It is used as a lubricating, protective dusting powder to prevent irritation due to friction.
- It is used in preparations that may be perfumed for cosmetic purposes or medicated with antimicrobial agents.
Zinc Oxide
- Zinc Oxide is a very fine, odorless, amorphous, white or yellowish white powder.
- It is insoluble in water and alcohol and will gradually absorb carbon dioxide from the air to form basic zinc carbonate.
- Zinc Oxide reacts with dilute acids and aqueous solutions of ammonium compounds to form water-soluble products.
- Zinc Oxide is used as a mild astringent and a weak antimicrobial compound due to the release of a small amount of zinc ion from hydrolysis in the acidic moisture on the skin.
- It is used as an astringent and topical protective in ointments in the treatment of skin ulcerations and other dermatological problems.
- Zinc Oxide is the primary ingredient in Calamine.
Calamine
- Calamine is zinc oxide with a small proportion of ferric oxide.
- The presence of ferric oxide gives Calamine a pink color.
- Calamine is insoluble in water and soluble in mineral acids.
- Calamine is a topical protective and is used in dusting powders, ointments, and lotions for its soothing, absorbent, and protective properties.
Antimicrobial Agents
- Antimicrobial agents are chemicals used to prevent and/or reduce infection caused by microorganisms.
- The term antimicrobial agent includes antiseptics, germicides, and disinfectants as well as -stat agents.
- Antiseptic: A substance that kills or inhibits the growth of microorganisms, usually applied to living tissues (e.g., skin) to prevent infection.
- Germicide: A substance that kills microorganisms outright.
- -stat: Refers to agents that do not kill microorganisms, but inhibit their growth.
- Disinfectant: A chemical used to kill microorganisms on inanimate objects, such as instruments or surfaces.
- Sterilization: A process that completely removes or kills all microorganisms from an object.
- The mechanisms of action of inorganic antimicrobial agents can be divided into three general categories: oxidation, halogenation, and protein precipitation.
Oxidation
- The effective oxidative action of oxidizing compounds involves the reducing groups present in most proteins, e.g., the sulfhydryl (-SH) group in cysteine.
- Oxidizing antiseptics form disulfide bridges in proteins, altering their confirmation and function.
Halogenation
- Halogenation occurs with antiseptics of the hypohalite type and hypochlorite, OCl⁻.
- Halogenation can result in the substitution of chlorine atoms for hydrogen atoms, which changes the forces responsible for the proper conformation of the protein molecule.
Protein Precipitation
- Protein precipitation involves the interaction of proteins with metallic ions having large charge/radius ratios or strong electrostatic fields.
- The interaction of metal ions with protein is nonspecific and at sufficient concentration will react with host as well as microbial protein.
- The presence of the metal "ties up" important functional groups at the active site on the enzyme
Hydrogen Peroxide
- Hydrogen Peroxide is a clear, colorless liquid which may have an odor resembling that of ozone.
- It is unstable and decomposes upon standing or agitation.
- Hydrogen Peroxide is unstable on prolonged exposure to light.
- Hydrogen Peroxide solutions may be stabilized with acids, complexing agents, or adsorbents.
- Hydrogen Peroxide is an oxidizing agent and decomposes into two oxide ions, O²⁻.
- The primary use of Hydrogen Peroxide Solution is as a mild oxidizing antiseptic.
- It can be used as a gargle or mouthwash for the treatment of bacterial infections of the throat and mouth.
Sodium Hypochlorite
- Sodium Hypochlorite is clear, pale greenish-yellow liquid having an odor of chlorine.
- It is affected by light.
- The Diluted Sodium Hypochlorite Solution is prepared by diluting the original sodium hypochlorite solution and adjusting the pH to 8.3 or lower.
- Sodium Hypochlorite solutions are strong oxidizing agents.
- Diluted Sodium Hypochlorite solution is used as an antibacterial agent for tissues.
- It can be used as a foot bath in the prevention of various fungal infections.
- Its antibacterial effectiveness can be increased by acidifying the solution.
Iodine Solution
- Iodine Solutions are transparent, reddish-brown liquids with a characteristic odor of iodine.
- Iodine Solutions contain the same concentrations of ingredients, with only the solvent being different.
- Both Iodine Solution and Iodine Tincture are prepared with purified water.
- Both formulations contain approximately 50% alcohol as the final solvent.
- Iodine Solution is preferred for application to wounds because the alcohol in the Tincture is very irritating to open tissue.
- Povidone-Iodine is a complex of iodine with carrier organic molecules serving as a solubilizing agent.
- Iodophors slowly liberate iodine in solution and have less tissue irritation, making them useful for sensitive areas and mucous membranes.
Silver Nitrate
- Silver Nitrate occurs as colorless or white crystals which become gray or grayish-black on exposure to light in the presence of organic matter.
- It is very soluble in water, sparingly soluble in alcohol, and freely soluble in boiling alcohol.
- Silver Nitrate is used as an antibacterial agent.
- The chemistry and pharmacological action of Silver Nitrate is related to the silver ion.
- The protein precipitant action of Silver Nitrate is not selective and will precipitate both bacterial and human protein.
- Extended use of silver preparations may cause a darkening of the skin due to the deposition of free silver below the epidermis. This condition is termed argyria and is essentially irreversible.
Silver Nitrate Uses
- Silver nitrate is used as an antibacterial agent in solutions ranging from 0.01% to 10%.
- Higher concentrations of silver nitrate can be astringent and irritant to tissues.
- A 1% solution of silver nitrate is used in the eyes of newborns to prevent ophthalmia neonatorum, an infection caused by gonococcal organisms.
- A 0.5% aqueous solution of silver nitrate is used as a wet dressing on third-degree burns.
Astringents
- Astringents are compounds that cause protein precipitation on cell surfaces, leading to coagulation of proteins and tissue constriction.
- They typically act on small blood vessels and are applied topically.
- Astringents have limited penetration, resulting in mild antimicrobial effects and restricted blood flow, but they do not cause cell death.
Uses of Astringents
- Styptic action: Stop bleeding from small cuts by promoting blood coagulation and constricting capillaries.
- Antiperspirant: Decrease sweat secretion.
- Constrict mucous membranes: Reduce inflammation by limiting blood flow to the surface.
- Topical actions: Remove unwanted tissue or restrict protein action. Higher concentrations can be corrosive.
Aluminum Chloride
- It is a Lewis acid, highly soluble in water, alcohol, and glycerin.
- It is used in aqueous solutions (10% to 25%) as an astringent and mild antiseptic.
- Can cause tissue irritation due to hydrolysis, which forms hydrochloric acid (HCl).
- Initially used as an antiperspirant but was too irritating and damaged clothing.
Aluminum Hydroxy Chloride
- Two forms exist: monohydroxy chloride and dihydroxy chloride.
- Both forms are acidic but less soluble in water than aluminum chloride.
- Less irritating and commonly used in commercial antiperspirants.
- Used in deodorants, creams, and solutions at approximately 20% concentration.
Zinc Chloride
- Solutions are acidic due to hydrolysis forming hydrochloric acid (HCl) and basic zinc chloride.
- Must be filtered through asbestos or glass wool to prevent dissolving substances like paper and cotton.
- Forms zinc oxychloride when mixed with zinc oxide, creating a hard mass used in some dental cements.
Uses of Zinc Chloride
- Astringent & antiseptic: Strong protein precipitant, acting as a strong astringent and mild antiseptic.
- Escharotic action: Aids in tissue sloughing and scar tissue formation, promoting healing.
- Nasal spray & sinus treatment: In low concentrations (0.5 to 2%), applied to mucous membranes or used as nasal sprays to aid sinus drainage.
- Dentin desensitizer: 10% solution applied to teeth to desensitize dentin.
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