Silver Nitrate (AgNO3) Properties and Uses

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Questions and Answers

Why is silver nitrate used in medicine?

  • It acts as a hemostatic agent
  • It is an antipyretic
  • It possesses astringent, antibacterial, and caustic properties (correct)
  • It is a cough suppressant

What happens to silver nitrate when exposed to air or light?

  • It deliquesces and becomes watery
  • It becomes more photosensitive
  • It changes color to grey or greyish black (correct)
  • It becomes more hygroscopic

With which substances is silver nitrate incompatible?

  • Organic materials, alkalis, halogen acids, tannins, phosphates, and benzalkonium chloride (correct)
  • Acids and bases
  • Sugars and starches
  • Ethers and esters

What is a key use of silver nitrate in a medical setting?

<p>Management of infections in burn wounds and epidermal necrolysis (D)</p> Signup and view all the answers

What happens when silver nitrate reacts with sodium chloride (NaCl)?

<p>It produces a white precipitate of silver chloride (AgCl) (D)</p> Signup and view all the answers

What is a significant contraindication to the use of silver nitrate?

<p>Hypersensitivity (A)</p> Signup and view all the answers

What is a potential adverse effect of silver nitrate?

<p>Burning and skin irritation (A)</p> Signup and view all the answers

What is a characteristic physical property of iodine?

<p>Bluish-black or dark purple solid with a pungent odor (D)</p> Signup and view all the answers

Which of the following describes the solubility of iodine?

<p>Very slightly soluble in water, soluble in aqueous solutions of iodides (B)</p> Signup and view all the answers

What occurs when iodine is heated to decomposition?

<p>It emits toxic fumes of hydrogen iodide and various iodine compounds (D)</p> Signup and view all the answers

What is the primary method for determining iodine levels in the body?

<p>Measuring the amount in urine samples (C)</p> Signup and view all the answers

What role has iodization played?

<p>Iodinization of water supply and use of iodized salt has been the mainstay of treatment (C)</p> Signup and view all the answers

What condition can result from iodine deficiency?

<p>Goiter (C)</p> Signup and view all the answers

Which radioactive iodine isotope is used in cancer treatment?

<p>Iodine-131 (D)</p> Signup and view all the answers

What is the recommended daily allowance of iodine for pregnant women?

<p>220 µg (D)</p> Signup and view all the answers

What medication is typically prescribed for hypothyroidism?

<p>Levothyroxine (B)</p> Signup and view all the answers

What is a potential effect of excessive iodine intake?

<p>Hypothyroidism (D)</p> Signup and view all the answers

What is a characteristic property of hydrogen peroxide?

<p>It is a strong oxidizing agent (D)</p> Signup and view all the answers

Which of the following describes pure hydrogen peroxide?

<p>A clear liquid with a slightly sharp taste and slightly more viscous than water (C)</p> Signup and view all the answers

What concentration of hydrogen peroxide can cause burns and eye damage?

<p>Above 6% (C)</p> Signup and view all the answers

What is the result of the decomposition of hydrogen peroxide?

<p>Water and oxygen (A)</p> Signup and view all the answers

What effect does hydrogen peroxide have on Fe2+ in acidic solutions?

<p>Oxidizes it to Fe3+ (B)</p> Signup and view all the answers

What is the main use of ferrous gluconate?

<p>An iron supplement (A)</p> Signup and view all the answers

What can interfere with its absorption?

<p>It must not be taken with milk, antacids, cereals and grains as these foods reduces the absorption of iron (A)</p> Signup and view all the answers

What is a common use of boric acid?

<p>An antifungal treatment (D)</p> Signup and view all the answers

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Flashcards

Silver Nitrate (AgNO3)

An inorganic silver salt used in medicine; exhibits astringent, antibacterial, and caustic activity.

Silver Nitrate Color

Silver nitrate's color change when exposed to air or light.

Silver Nitrate Use

A common use for silver nitrate due to its broad spectrum antiseptic properties.

Iodine Appearance

Term for Iodine at room temperatue?

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Goiter

A result of iodine deficiency that can lead to choking and difficulty breathing.

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Iodized Salt

A common use of iodine to prevent thyroid issues.

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I-MIBG

A radioactive iodine compound used for imaging and treating certain tumors.

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Povidone Iodine

A iodine antiseptic used for cleaning wounds and post-operative stitches.

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Potassium Iodide (KI)

An iodine compound used at radiation therapies to avoid loss of thyroid gland.

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Erythrosine

A iodine compound used as a food coloring agent, in printing inks, a biological stain and denta plaque disclosing agent.

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Hydrogen Peroxide (H2O2)

Simplest peroxide with oxygen-oxygen single bond, colorless weak acid with bleaching properties.

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H2O2 Use

A common use of hydrogen peroxide due to it's antimicrobial properties.

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H2O2 acne usage

Used in anti-acne treatments and for the cleaning of superficial wounds.

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Ferrous Gluconate

An iron salt used as a substitute when ferrous sulfate isn't tolerated, and also a food additive.

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Ferrous Gluconate pregnancy usage

Iron supplement used during pregnancy

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Ferrous Gluconate treatment

Used to treat low blood levels of iron and hypochromic anemia.

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Boric Acid (H3BO3)

Weak acidic hydrate of boric oxide, water soluble, appears as a odorless, white crystalline solid.

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Boric Acid Use

A common use of boric acid, as an alternative for other antiseptics.

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Boric acid treatment

Treats bacterial vaginosis due to excessive alkalinity.

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Boric acid minor cuts

Antiseptic commonly used for minor burns, cuts and is sometimes used in dressings.

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Study Notes

Silver Nitrate (AgNO3)

  • Silver nitrate is a frequently used organic silver salt in medicine.
  • It exhibits astringent, antibacterial, and caustic activity.
  • It is an odorless, white crystalline powder or transparent colorless crystals.
  • Silver nitrate has a bitter metallic taste.
  • It decomposes at 444°C into metallic silver, nitrogen, oxygen, and nitrous oxide.
  • Silver nitrate is toxic and corrosive.
  • Its solubility in water and alcohol increases with temperature.
  • It is not photosensitive in its pure form, but turns grey or grayish black when exposed to air or light.
  • Silver nitrate is not hygroscopic.
  • It is incompatible with organic materials, alkalis, halogen acids and their salts, tannins, phosphates, and benzalkonium chloride.
  • Silver nitrate is not available in any combination preparations.
  • It gives black stains on skin, tissues, and fabric, so avoid direct contact.
  • Crystals can be produced by dissolving silver metal in nitric acid and evaporating the solution.
  • Silver nitrate is used in organic synthesis.
  • It is used as a stain in scanning electron microscopy.
  • Pharmaceutical uses include management of infections in burn wounds and epidermal necrolysis.
  • Silver nitrate is used for cauterization of warts.
  • It is used for prophylaxis of gonococcal ophthalmia neonatorum.
  • Silver nitrate is used for treatment of eczematous reaction.
  • It can be used for prophylaxis of genito-urinary tract infections.
  • It functions as a disinfectant, astringent, and caustic agent.
  • It is an antiseptic with a broad spectrum, especially against organisms that invade burn wounds; thus, it is successfully used in managing severe burns.
  • AgNO3 is a precursor to many silver compounds.
  • Previously called 'lunar caustic' because silver was called luna (moon) by ancient scientists.
  • AgNO3 reacts with NaOH to give dark grey silver oxide: 2 AgNO3 + 2NaOH -> Ag2O + 2NaNO3 + H2O.
  • It reacts with halides (Cl, Br, I) to give insoluble silver halides: Ag(+) + X(-) (aq) -> AgX.
  • Its aqueous solution gives white precipitates with sodium chloride: AgNO3 (aq) + NaCl (aq) -> AgCl(ppt).
  • Contraindications include Hypersensitivity and avoiding prolonged contact with skin due to staining.
  • Silver nitrate may irritate skin & mucous membranes.
  • Do not irrigate eye after application of 1% solution. Chemical burns may result from inappropriate use.
  • Skin contact time with applicators should be minimal when used in thin delicate skin or neonates.
  • It is an Antiseptic that denatures proteins, acting on the surface of bacteria and causing substantial changes in cell wall and membrane.
  • Adverse drug reactions (ADRs) include burning and skin irritation, staining of the skin, methemoglobinemia (presence of methemoglobin in RBCs; hemoglobin containing ferric form instead of ferrous), vomiting, diarrhea, shock, metallic taste, and coma.

Iodine (I₂)

  • Atomic symbol: I
  • It is bluish black or dark purple with a pungent odor and sharp acrid taste.
  • It is corrosive in nature.
  • It sublimes at room temperature, forming violet corrosive vapors.
  • It is very slightly soluble in water but soluble in aqueous solutions of iodides.
  • The name iodine comes from the Greek word 'ioeides,' which means violet or purple.
  • When heated to decomposition, it emits toxic fumes of hydrogen iodide and various iodine compounds.
  • Only one of the 37 known isotopes is stable (127I).
  • The optimal method to determine iodine (I2) levels is to measure the amount in urine samples.
  • Iodinization of water supply and the use of iodized salt have been the mainstay of treatment.
  • Iodine reacts with water to form hypoidoite: I2(l) + H2O(l) -> OI-(aq) + 2H+(aq) + I-(aq).
  • Iodine reacts with fluorine to form Pentaflouride Iodine: I2 + 5 F₂ → 2 IF₅ .
  • It reacts with bromine to form very unstable low MP solid: an inter-halogen specie, iodine (1)bromide: Br₂(l) + I₂(s) → 2IBr(s).
  • With hot conc. Nitric acid, it forms iodic acid: 3I₂(s) + 10HNO₃(aq) → 6HIO₃(s) + 10NO(g) + 2H₂O(l).
  • It reacts with hot aqueous alkali to produce iodate, IO3-: 3I₂(g) + 6OH-(aq) → IO₂-(aq) + 5I-(aq) + 3H₂O.
  • It's a strong oxidizing agent.
  • The RDA of iodine is 150 µg for adult males/females and 220 µg during pregnancy and lactation.
  • The body does not make iodine since it is needed for the production of thyroid hormone.
  • I2 deficiency can cause goiter (patient may experience choking and difficulty in swallowing and breathing).
  • Hypothyroidism may develop because of deficiency.
  • It can cause problems during pregnancy like miscarriages, stillbirth, and congenital abnormalities are linked.
  • The pharmaceutical applications include its presence in almost all body sterilization products.
  • As a wound cleaner, it helps to purify water in tablet or liquid form.
  • It helps in preventing goiter.
  • Iodine tonic is helpful as a throat gargle for cough (1%).
  • Helps in treating many eye conditions and works as a protectant against UVB radiation.
  • Present in 131I-metaiodobenzylguanidine (131I-MIBG) for imaging and treating pheochromocytoma (tumor of adrenal gland tissue) and neuroblastoma.
  • Used in diagnostic scanning, treatment of hyperthyroidism and radiootherapy for treating thyroid cancer.
  • Potassium iodide (KI) is given during radiation therapies to avoid excess loss of the thyroid gland in thyroid cancer treatment.
  • Tincture of iodine is used as an antiseptic and disinfectant to help treat bacterial infections, minor burns, and cuts (2-7%).
  • Povidone iodine is an antiseptic containing 9-12% iodine, which is used for cleaning wounds and post-operative stitches.
  • Levothyroxine - is the drug of choice for hypothyroidism
  • Iodine compound erythrosine, also known as Red No.3 E127, is used as a food coloring agent, printing inks, a biological stain, and a dental plaque disclosing agent.
  • Excessive iodine intake can lead to problems like stomach and mouth issues, including abdominal pain, metallic taste, and a burning feeling in the throat.
  • Hypothyroidism can occur when excess iodine interferes with the manufacturing of thyroid hormones, resulting in low thyroid hormone levels, weight gain, fatigue, and dry skin.
  • Using potassium iodide and lithium together may cause hypothyroidism.
  • When taken with ACE inhibitors, Potassium salts of iodine causes an increased level of potassium in the body
  • Use of potassium iodide with warfarin makes warfarin less effective.

Hydrogen peroxide (H2O2)

  • Hydrogen peroxide is the simplest peroxide with an oxygen-oxygen single bond.
  • It is a colorless, weak acid with bleaching properties.
  • It can produce burns and irritation on the skin.
  • It can cause severe damage to the eyes when used above 6%.
  • In pure form, it is a clear liquid with a slightly sharp taste, slightly more viscous than water.
  • Soluble in water and ethyl alcohol and insoluble in petroleum ether
  • Hydrogen peroxide is a strong oxidizing agent.
  • It possesses anti-microbial properties and is used as a sporicidal sterilant and deodorant disinfectant.
  • It softens ear wax.
  • It is also used in anti-acne treatments
  • It helps clean wounds.
  • Hydrogen peroxide is also an ingredient in mouth washes to relieve minor mouth and gum irritations.
  • A 1.5% solution can be used in gargles to treat acute mouth ulcers.
  • H2O2 is thermodynamically unstable and decomposes to form water and oxygen: 2H2O2 → 2H2O + O2.
  • In acidic solutions, Fe2+ is oxidized to Fe3+ : 2 Fe2+(aq) + H2O2 + 2 H+ 2 Fe3+ (aq) + 2 H2O
  • In basic solution H2O2 will reduce kmno4 to prepare O2: 2 KMnO4 + 3H2O2 → 2 MnO2 + 2 KOH + 2H2O + 3O2
  • It is prepared by the direct action of oxygen and hydrogen: 2H2 + O2 -> 2H2O2.
  • Formed by the action of barium peroxide with sulphuric acid: BaO2 + H2SO4 ----> H2O2 + BaSO4.
  • Can be generated from electrolysis of water: O2 + 2H+ +2e -> H2O2.
  • Hydrogen peroxide is created through the oxidation of isopropyl alcohol: (CH3)2CHOH + O2--> (CH3)2CO +H2O2 by anthraquinole process

Ferrous gluconate (C₁₂H₂₄FeO₁₄)

  • Ferrous gluconate is less irritating to the GIT than other hematinics.
  • Is is a substitute when ferrous sulfate cannot be tolerated.
  • It serves as an iron supplement and food additive, existing as the iron(II) salt of gluconic acid.
  • It has two 6-carbon chains with 5 hydroxyl groups each, attached at carbon positions 2,3,4,5,6.
  • The chains are linked by an Fe2+ ion, attracted to the carbon chains.
  • Is soluble in hot water and glycerin.
  • It is practically insoluble in ethanol.
  • It decomposes upon heating
  • Is stable under normal temperatures and pressures.
  • The side effects include constipation, diarrhea, nausea, vomiting, heartburn, and stomach pain.
  • Can cause dark-colored stools or urine; and temporary staining of the teeth
  • It appears between brown to greenish yellow granular with the presence of a slight caramel odor.
  • Its color depends on pH, being light yellow at pH 2, brown at pH 4.5, and green at pH 7.
  • The iron rapidly oxidizes at higher pH levels.
  • It is incompatible with strong oxidizers.
  • The treatment targets low blood levels of iron and hypochromic anemia.
  • Ferrous gluconate is also used during pregnancy.
  • Is a color retention agent and stabilizer
  • Used to enhance iron nutrition in grain products, beverages, baby foods, and candies.
  • It is contraindicated in people with iron overload disorder, hemochromatosis, or hemosiderosis.
  • It is contraindicated in people with certain medical conditions, people that regularly consume alcohol, have a liver problem, stomach or intestinal problem, or diabetes
  • Chewable tablets may contain aspartame; restrict aspartame intake if a person has phenylketonuria (PKU) or any other condition.
  • It should not be taken with milk, antacids, cereals, and grains, as these foods reduce the absorption of iron.

Boric acid (H₃BO₃)

  • Boric acid is a weak acidic hydrate of boric oxide, its water soluble, and appears as an odorless, white crystalline solid.
  • The mineral form is called sassolite.
  • It is also known as ortho boric acid, boracic acid, trihydroxyborane and boron trihydroxide.
  • It exhibits mild antiseptic, antifungal, and antiviral properties.
  • It is generally cytotoxic to all cells.
  • Boric acid is used in the treatment of yeast infections and cold sores.
  • Boric acid and its salts are found in seawater and in plants, including almost all fruits.
  • TThe toxicity of boric acid depends upon the amount of boron it contains.
  • Boric acid solutions when used as an eyewash or on abraded skin are especially toxic to infants given their slow elimination rate.
  • Long-term exposure can cause kidney damage and eventually kidney failure.
  • Boric acid can be prepared by reacting borax (sodium tetraborate decahydrate) with HCl: Na₂B₄O₇⋅10H₂O + 2 HCl → 4 B(OH)₃ + 2 NaCl + 5 H₂O.
  • It is also formed as a by-product of hydrolysis of boron trihalides and diborane: B₂H₆ + 6 H₂O → 2 B(OH)₃ + 6 H₂; BX₃ + 3 H₂O → B(OH)₃ + 3 HX (X = Cl, Br, I).
  • Is an antiseptic for minor burns or cuts.
  • It is sometimes used in dressings.
  • It is applied in a very dilute solution as an eye wash.
  • Dilute boric acid can be used as a vaginal douche to treat bacterial vaginosis due to excessive alkalinity.
  • Serves as an anti-bacterial compound, which can also be used as an acne treatment.
  • Prevents athlete's foot when inserted as a powder in socks or stockings.
  • It is a treatment for otitis Externa.
  • Used as a preservative in urine sample bottles.
  • It serves as an insecticide and flame retardant and is a precursor to other chemical compounds.
  • It was used for cleaning and preserving food in ancient times.
  • It's a constituent of many naturally occurring minerals like borax and boracite.

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