Podcast
Questions and Answers
Why is silver nitrate used in medicine?
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?
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?
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?
What is a key use of silver nitrate in a medical setting?
What happens when silver nitrate reacts with sodium chloride (NaCl)?
What happens when silver nitrate reacts with sodium chloride (NaCl)?
What is a significant contraindication to the use of silver nitrate?
What is a significant contraindication to the use of silver nitrate?
What is a potential adverse effect of silver nitrate?
What is a potential adverse effect of silver nitrate?
What is a characteristic physical property of iodine?
What is a characteristic physical property of iodine?
Which of the following describes the solubility of iodine?
Which of the following describes the solubility of iodine?
What occurs when iodine is heated to decomposition?
What occurs when iodine is heated to decomposition?
What is the primary method for determining iodine levels in the body?
What is the primary method for determining iodine levels in the body?
What role has iodization played?
What role has iodization played?
What condition can result from iodine deficiency?
What condition can result from iodine deficiency?
Which radioactive iodine isotope is used in cancer treatment?
Which radioactive iodine isotope is used in cancer treatment?
What is the recommended daily allowance of iodine for pregnant women?
What is the recommended daily allowance of iodine for pregnant women?
What medication is typically prescribed for hypothyroidism?
What medication is typically prescribed for hypothyroidism?
What is a potential effect of excessive iodine intake?
What is a potential effect of excessive iodine intake?
What is a characteristic property of hydrogen peroxide?
What is a characteristic property of hydrogen peroxide?
Which of the following describes pure hydrogen peroxide?
Which of the following describes pure hydrogen peroxide?
What concentration of hydrogen peroxide can cause burns and eye damage?
What concentration of hydrogen peroxide can cause burns and eye damage?
What is the result of the decomposition of hydrogen peroxide?
What is the result of the decomposition of hydrogen peroxide?
What effect does hydrogen peroxide have on Fe2+ in acidic solutions?
What effect does hydrogen peroxide have on Fe2+ in acidic solutions?
What is the main use of ferrous gluconate?
What is the main use of ferrous gluconate?
What can interfere with its absorption?
What can interfere with its absorption?
What is a common use of boric acid?
What is a common use of boric acid?
Flashcards
Silver Nitrate (AgNO3)
Silver Nitrate (AgNO3)
An inorganic silver salt used in medicine; exhibits astringent, antibacterial, and caustic activity.
Silver Nitrate Color
Silver Nitrate Color
Silver nitrate's color change when exposed to air or light.
Silver Nitrate Use
Silver Nitrate Use
A common use for silver nitrate due to its broad spectrum antiseptic properties.
Iodine Appearance
Iodine Appearance
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Goiter
Goiter
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Iodized Salt
Iodized Salt
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I-MIBG
I-MIBG
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Povidone Iodine
Povidone Iodine
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Potassium Iodide (KI)
Potassium Iodide (KI)
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Erythrosine
Erythrosine
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Hydrogen Peroxide (H2O2)
Hydrogen Peroxide (H2O2)
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H2O2 Use
H2O2 Use
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H2O2 acne usage
H2O2 acne usage
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Ferrous Gluconate
Ferrous Gluconate
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Ferrous Gluconate pregnancy usage
Ferrous Gluconate pregnancy usage
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Ferrous Gluconate treatment
Ferrous Gluconate treatment
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Boric Acid (H3BO3)
Boric Acid (H3BO3)
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Boric Acid Use
Boric Acid Use
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Boric acid treatment
Boric acid treatment
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Boric acid minor cuts
Boric acid minor cuts
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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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