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Experiment 5
Tests to Detect Phenol
Bromine water Melzer’s Millon’s test
Ferric chloride test Hypochlorite test
test benzaldehyde test (Plugge’s reaction)
(+) yellowish white (+) blue-violet (+) blue (+) violet-blue (+) red
precipitate
Phenol Also known as hydroxybenzene, carbolic acid
Colorless or white crystal, can also occur as pure
liquid. Has an sweet, acrid, tarry odor
USES
● Antiseptic and disinfectant
● Drug precursor
● Industrial purposes (production of resin, coating,
dyes, adhesive, perfume, textiles, lubrication oil)
2
4 0
Phenol MOT
● Cardiac effects may be due to sodium channel
blockage
● Phenol is known to disrupt disulfide bridges in
keratin in the skin
● At 5% concentration, it can denature protein
ADR
● Hypotension
● Tachycardia
● CNS depression
● Nephritis
Phenol S/S of OVERDOSE
● Burning sensation
● Cyanosis (due to methemoglobinemia)
● Bleached white skin (with red, white, or brown
discoloration)
● Urine discoloration (dark, brown, green)
● Hematuria
● Hypothermia
● Nephritis
● Seizures
● Wheezing
● Encephalopathy
Phenol TOXICOKINETICS
● Cellular uptake of phenol is due to its lipophilic
character
● A: Readily absorbed through the lungs (60% to
88%), orally (90%), through mucous membranes,
and dermally ( 0.35 m3/hour)
● D: Not known
● M: Hepatic hydroxylation and sulfate
conjugation
Half-life: 13.86 hours (dermal
exposure) Conjugated phenol: 1 hour
● E: 1 – 4.5 hours
● LETHAL DOSE: 2 g
Phenol TREATMENT
Decontamination
● Oral: Ipecac is contraindicated; lavage within 1
hour with water or polyethylene glycol;
activated charcoal is useful for gastric
decontamination
● Dermal: Remove clothing, wash exposed skin
with isopropyl alcohol, polyethylene glycol, or
industrial methylated spirits
● Inhalation: Remove from source and provide
oxygen
● Ocular: Flush eyes with copious amounts of
water (if exposed);
Phenol TREATMENT
Supportive therapy
● I.V. sodium bicarbonate (1-2 mEq/kg) can be
used to treat acidosis
Enhanced elimination
● Charcoal hemoperfusion has been used
successfully and can be considered for blood
phenol levels 175 mcg/mL (associated with a
0.44 mg/kg exposure)
Antidote
● Methylene Blue
Poison Antidote
Agricultural Poisons
Parathion Pralidoxime
DDT Barbiturate
Nitrogen Compounds
Aldehyde
Hydrocarbons
Corrosives
Ammonia Formaldehyde
Metallic Poisons
Cu BAL, penicillamine
P CuSO4
Na formaldehyde sulfoxylate
Hg
BAL, DMSA, Penicillamine
Alkaloids
Atropine Physostigmine
Nicotine Diazepam
Quinidine NAHCO3
Antiseptics
Mushrooms Penicilline
Scorpions Antiserum
Poison Antidote
Poisonous Gases
Cosmetics
Bromates Na thiosulfate
Food poisoning
Sulfite Epinephrine
Poison Antidote
Medicinal Poisons
Warfarin Vitamin K
Benzodiazepines Flumazenil
β-blockers Glucagon
Digitalis KCl
Poison Antidote
Medicinal Poisons
Bromides NaCl
Amphetamine Chlorpromazine
MgSO4 Ca gluconate
Isoniazid Pyridoxine
Chloroform
Experiment 6
Tests to Detect Chloroform
Chloroform ● Also known as Formyl Trichloride; Freon 20;
Methane Trichloride; TCM; Trichloroform;
Trichloromethane
USES
● Solvent, grain fumigant, found in emulsions,
spirits, tinctures; has been used as an
anesthetic agent, refrigerant, and aerosol
propellant
0
2 0
Chloroform MOT
● A direct depressant on the respiratory center in
the brain stem
● Interferes with gangliosides in neuronal
membranes and phospholipids on surfactant
layer in lungs
● Can cause lipid peroxidation
Chloroform ● S/S of OVERDOSE
● Bradycardia, CNS depression, dizziness,
drowsiness, dry mouth, fibrillation, nausea,
headache, hemolysis, hepatitis, hepatomegaly,
hypotension, tachycardia (ventricular), vomiting
● Burning, corneal injury, conjunctivitis, and
urticaria may occur with eye exposure.
● Acetone breath, cardiac arrest, cardiac
arrhythmias, mydriasis, and nystagmus have
been reported.
Chloroform ● Chemical pneumonitis, pulmonary edema, and
respiratory depression may occur.
● Chronic use may produce degenerative brain
changes and psychotic behavior.
Chloroform TOXICOKINETICS
● A: Well through inhalation, oral, and dermal
exposure
● D: Vd: 2.6 L/kg; throughout and soluble in
adipose tissue
● M: To chlormethanol, hydrochloric acid,
phosgene, chloride, and CO2
● E: Primarily from lungs in the form of chloroform
and CO2
Chloroform TREATMENT
● Decontamination: Emesis within 30 minutes,
lavage (within 1 hour)/ activated charcoal.
Remove from area of exposure and remove
clothing; wash thoroughly.
● Atropine
● Acetylcysteine