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SAS 1 LECTURE NOTES of entering chemical change and is a

combination of atoms of the same kind or


ANALYTICAL CHEMISTRY- is a
different atoms.
measurement science consisting of a set of
powerful ideas and methods that are useful ELEMENT - simplest particle of matter
in all fields of science, engineering, and which is incapable of being divided and can
medicine. enter chemical combination. It cannot be
decomposed into simpler materials by
CHEMISTRY - it is defined as the science
ordinary processes.
that deals with the study of the changes in
composition which matter undergoes and MIXTURE - is a mass if ingredients with a
the transformation of energy accompanying variable proportion.
these changes.
a. HETEROGENOUS MIXTURE - is a
MATTER - is anything that has weight and combination of 2 or more substances
occupies space (Solid, Liquid and Gas) which can be separated one from the
other by mechanical means
PROPERTIES OF MATTER
(Filtration, floatation, centrifugation,
PHYSICAL - it is how the matter appears in distillation, fractional distillation,
nature fractional distillation, fractional
crystallization, chromatography).
a. INTRINSIC - (AKA intensive)
b. HOMOGENOUS MIXTURE - is a
properties are properties that are
combination of 2 or more substances
within the substance. These
which cannot be separated from one
properties do not depend on the
another by mechanical means, even
amount of material that you have.
by filtration and decantation.
Examples: Melting point, boiling
point, density, odor, and color COMPOUND - is a combination of two or
more elements at a definite proportion. It
b. EXTRINSIC - (AKA extensive) must conform to a general law that a
properties are properties that depend compound would always have definite
on the amount of the substance you composition at a definite proportion.
have. All size measurements depend
COMPOUND CHARACTERISTICS
on amount, so all size measurements
are extrinsic properties. • They cannot be separated into their
Examples: Mass, volume, and heat component substance by chemical
content means.
• They are homogenous in composition.
CHEMICAL - the property that enters
chemical reactions • They have definite proportion by
weight of the substance from which
PHYSIOLOGICAL - the physiological they were made
behavior when taken into the body
CLASSIFICATION OF COMPOUND
CHANGES OF MATTER
ACCORDING TO THE NUMBER OF
PHYSICAL - involves in the changes in ELEMENTS PRESENT
form and appearance, but without affecting
their chemical nature. • Binary (2)
• Ternary (3)
CHEMICAL - involves the change in its • Quaternary (4)
composition
ACCORDING TO FORM
CLASSIFICATION OF MATTER
1. ISOMORPHOUS - termed applicable
ATOM - the smallest particle of an element if the different compounds crystallize
which enters a chemical combination, in the same form which is also known
composed of a nucleus and around it as isomorphism.
revolves the electrons. Examples: Potassium permanganate
MOLECULE - is the smallest particle of & potassium chlorate
matter that can exist in a free state capable
2. POLYMORPHOUS - compounds with the prefix hydro. The stem of
forming 2 or more different types of the anion has the suffix –ic and it
crystals also known as is followed by the word acid. (ex.
polymorphism. H2S=hydrosulfuric acid and HF =
Examples: Carbon hydrofluoric acid) or all binary
3. METAMORPHOUS - the same acids have a prefix of –hydro and
compound but they can be changed a suffix of –ic.
into one form to another. 2. When the anion ends in –ite, like
Examples: Chalk—which can be sulfite, the acid name is the name
changed to marble, having the same of the anion with the suffix –ous
chemical formula as calcium fillowed by the word acid. (ex.
carbonate (CaCO3) H3PO3 where X=phosphite =
4. ISOMERIC - a class of organic Phousphorous acid).
compounds in which compounds 3. If the anion name ends in –ate
having the same molecular formula such as nitrate, the acid name is
but differs in physical and chemical the anion with the suffix –ic,
properties and the phenomenon is followed by the word acid. HNO3
termed as isomerism. X=nitrate = Nitric acid).
Examples: ethyl alcohol and
BASE – a substance that produces
dimethyl ether
hydroxide ion when dissolved in water.
5. POLYMER - is a class of organic
Ionic compounds that are bases are named
compounds in which two or more
as any other compounds: the name of the
compounds have the same
cation is written first allowed by the name
percentage of elements present in the
of the anion.
compound. If the molecules of the
compound is taken twice, it is termed PROPERTIES OF BASE
as Monomer, if more than twice it is
termed as polymer and the • Bitter in taste
phenomenon is termed • Neutralizes acids
polymorphism. • Proton acceptor
• pH above 7
ACCORDING TO ITS BEHAVIOR AS • It feels smooth
ACIDS, BASE AND SALTS • Soothing and slippery skin is
ACIDS - is a substance that produces breaking
hydrogen ion when dissolved in water. • Turn red litmus paper to blue
(formula=HX; where X is a monoatomic
SALTS - defined as a substance whose
or polyatomic anion.
water solution contains a positive ion other
BRONSTED – LOWRY THEORY - an than the hydrogen ion and a negative ion
acid is a proton donor other than the hydroxide ion.

LEWIS ELECTRONIC THEORY - an ATOM

acid is an electron acceptor • It is defined as the smallest particle


of an element that retains its
PROPERTIES OF ACIDS chemical identity
• Sour in taste • It was Democritus (460-370 BC, a
• Neutralizes base Greek philosopher who proposed
• Donor of proton that all matter is composed of tiny
• pH below 7 indivisible particles and called these
• Feels like water on normal skin particles atomos which meant
but it stings indivisible or indestructible.
• turn red litmus paper to red • Atom has three subatomic particles,
the electron, proton and neutron.
RULES IN NAMING ACIDS • An atom has a small, dense nucleus
1. When the name of the anion (X) that contains protons and neutrons.
ends in –ide, the acid name begins • Most of the mass of the atom is
concentrated in the nucleus.
• Collectively, the protons and by electrons which are travelling in
neutrons are called nucleons. The circular orbits called orbitals.
electron is found in the region ERWIN SCHRODINGER
surrounding the nucleus. • Developed the “Quantum Mechanical
• Protons (+) and electrons (-) are Model” and this is considered the
electrically charged particles, and the modern atomic structure.
neutron has no charge.
DIVISION OF CHEMISTRY
• Mass number (A) is the number of
protons + number of neutrons PURE
while Atomic number (Z) is the
• Inorganic
number of protons equal to the
• Organic
number of electrons.
• Physical
JOHN DALTON’S ATOMIC THEORY • Analytical
• Also known as the Law of APPLIED
Conservation of Mass
• Atom cannot be created or destroyed • Industrial
• Each element is composed of • Pharmaceutical Chemistry
extremely small particles called THE ROLE OF ANALYTICAL
atoms CHEMISTRY
• All atoms of a given element are
identical to one another in mass • Analytical chemistry is applied
other properties, but the atoms of throughout industry, medicine, and
one element are different from the all the sciences.
atoms of the other elements • Quantities of hydrocarbons, nitrogen
• The atoms of one element cannot be oxides, and carbon monoxide present
changed into atoms of a different in automobile exhaust gases are
element by chemical reactions; measured to determine the
atoms are neither created nor effectiveness of emission-control
destroyed in the chemical reactions devices.
• Compounds are formed when atoms • Quantitative measurements of
of more than one element combine a ionized calcium in blood serum help
given compound always has same diagnose parathyroid disease in
relative number and kind of atoms. humans. Quantitative determination
OTHER ATOMIC THEORIES of nitrogen in foods establishes their
JOSEPH JOHN THOMSON protein content and thus their
• Proposed that atom is sphere of nutritional value.
positive (+) particles to which are • Quantitative analytical
embedded with negative particles. measurements also play a vital role
• He developed the Raisin-Bread Model in many research areas in chemistry,
or Plum-Pudding Model. biochemistry, biology, geology,
ERNEST RUTHERFORD physics, and the other sciences.
• He disproved Thomson’s model by • Analytical chemistry has a similar
using “Gold Foil/Film Experiment” in function with respect to the many
which he concluded that atom is just other scientific fields listed in the
an empty space diagram. Chemistry is often called
the central science; its top center
• The nucleus accounts for the positive
position and the central position of
charge & mass of the atom then
analytical chemistry in the figure
electrons are scattered around the
emphasize this importance.
nucleus.
• The interdisciplinary nature of
• He developed the Nuclear Model
chemical analysis makes it a vital
NEILS BOHR
tool in medical, industrial,
• Developed the ‘Planetary Model’ of
government, and academic
atom in which he proposed that atom
laboratories throughout the world.
consists of nucleus and surrounded
QUANTITATIVE ANALYTICAL • A second consideration related to
METHODS economic factors is the number of
• We compute the results of a typical samples that will be analyzed.
quantitative analysis from two 2) ACQUIRING THE SAMPLE
measurements. One is the mass or • The second step in a quantitative
the volume of sample being analyzed. analysis is to acquire the sample. To
• The second measurement is of some produce meaningful information, an
quantity that is proportional to the analysis must be performed on a
amount of analyte in the sample sample that has the same
such as mass, volume, intensity of composition as the bulk of
light, or electrical charge. This material from which it was taken.
second measurement usually 3) PROCESSING THE SAMPLE
completes the analysis, and we • The third step in an analysis is to
usually classify analytical methods process the sample. Under certain
according to the nature of this final circumstances, no sample
measurement. processing is required prior to the
• In gravimetric methods, we measurement step.
determine the mass of the analyte ➢ Preparing a Laboratory Sample
or some compound chemically ➢ Defining Replicate Samples
related to it. ➢ Preparing Solutions: Physical
• In a volumetric method, we measure and Chemical Changes
the volume of a solution containing 4) ELIMINATING
sufficient reagent to react completely INTERFERENCES
with the analyte. • Once we have the sample in solution
• In electroanalytical methods, we and converted the analyte to an
measure electrical properties such as appropriate form for measurement,
potential, current, resistance, and the next step is to eliminate
quantity of electrical charge. substances from the sample that
• In spectroscopic methods, we may interfere with measurement.
explore the interaction between 5) CALIBRATING AND
electromagnetic radiation and MEASURING CONCENTRATION
analyte atoms or molecules or the • All analytical results depend on a
emission of radiation by analytes. final measurement X of a physical or
• In a group of miscellaneous methods, chemical property of the analyte, as
we measure such quantities as shown in Figure 1-2. This property
mass-to-charge ratio of ions by mass must vary in a known and
spectrometry, rate of radioactive reproducible way with the
decay, heat of reaction, rate of concentration cA of the analyte.
reaction, sample thermal 6) CALCULATING RESULTS
conductivity, optical activity, and • Computing analyte concentrations
refractive index. from experimental data is usually
relatively easy, particularly with
A TYPICAL QUANTITATIVE
computers. These computations are
ANALYSIS
based on the raw experimental data
1) CHOOSING A METHOD collected in the measurement step,
• The essential first step in any the characteristics of the
quantitative analysis is the selection measurement instruments, and
of a method the stoichiometry of the analytical
• One of the first questions that must reaction.
be considered in the selection 7) EVALUATING RESULTS BY
process is the level of accuracy ESTIMATING RELIABILITY
required. • Analytical results are complete only
• The selected method usually • when their reliability has been
represents a compromise between estimated. The experimenter must
the accuracy required and the time provide some measure of the
and money available for the analysis. uncertainties associated with
computed results if the data are to SAS 2 LECTURE NOTES
have any value.
ELECTROLYTES & BLOOD CHEMISTS -
FEEDBCAK LOOP – the cycle of are usually the first set of laboratory tests
measurement, comparison, and control ordered upon initial patient presentation
FEEDBACK SYSTEM – the process of BASIC METABOLIC PANEL (BMP)
continuous measurement and control
• Sodium (Na)
QUALITATIVE ANALYSIS - reveals the • Potassium (K)
identity of the elements and compounds • Chloride (Cl)
in a sample • Carbon dioxide (CO2)
QUANTITATIVE ANALYSIS - indicates • Glucose
the amount of each substance in a • Blood urea nitrogen (BUN)
sample • Creatinine

ANALYTES - are the components of a COMPREHENSIVE METABOLIC PANEL


sample that are determined (CMP)

ASSAY - is the process of determining how • Albumin


much of a given sample is the material by • Alkaline phosphatase
its indicated name • Alanine Aminotransferase (ALT),
• Aspartate aminotransferase (AST)
REPLICATE SAMPLES/REPLICATES- are
• total bilirubin
portions of a material of approximately the
• Calcium
same size that are carried through an
analytical procedure at the same time and OTHER BIOCHEMICAL PROFILE
in the same way
• SMA – 6
INTERFERENCE/INTERFERENT- s a • SMA – 12
species that causes an error in an analysis • Chem Profile 20
by enhancing or attenuating (making
smaller) the quantity being measured GRAVIMETRIC METHOD – determine the
mass of the analyte or some compound
SAMPLE MATRIX/MATRIX- is the chemically relate to it.
collection of all the components in the
sample containing an analyte ➢ Precipitation– substance to be
determined is converted to an
CALIBRATION - is the process of insoluble precipitate which is
determining the proportionality between collected and weighed
analyte concentration and a measured ➢ Volatilization – analyte r its
quantity decomposing products are volatized
a, collected and weighed
VOLUMETRIC/ TRITIMETRIC
METHOD – measure the volume of the
solution containing sufficient reagent to
react completely with the analyte (e.g.
Acid-Base and Redox).
ELECTROANALYTICAL METHOD –
involve the measurement of such
electrical properties as potential,
current, resistance and quantity of
electrical charge
➢ Voltammetry – measurement of
current as a function of the
applied voltage and reveals the
reduction potential of an analyte
➢ Coulometry -- measurement of the same basic principles as
current and time needed to Radioimmunoassay (RIA) except that
complete an electrochemical enzyme activity rather than
reaction and reveals radioactivity is measured. This assay
concentration of an analyte. is commonly used in serologic tests
➢ Potentiometry – measurement to determine antibodies directed
of potential of an ion electrode in against a wide range of antigens such
equilibrium with an ion to be as rheumatoid factor, hepatitis B
determined and reveals antigen, other bacterial and viral
concentration of an analyte. antigen (e.g. cytomegalovirus, HIV…)
in the serum
SPECTROSCOPIC METHODS – it is ENZYME MULTIPLIED
based on the measurement of the IMMUNOASSAY (EMIT) – it is a
interaction between electromagnetic homogeneous EIA in which the
radiation and analyte atoms or enzyme is used as a label for a
molecules or on the production of specific analyte especially in testing
such radiation by analytes. general chemistries (e.g. albumin,
BUN, creatinine, glucose,
ION-SELECTIVE ELCTRODES (ISE)
cholesterol, bilirubin, total protein),
– ionization of molecules introduced
enzymes (e.g. acid and alkaline
into a Mass Spectrometry (MS)
phosphatase, amylase, creatinine
involves ionization of molecule in the
kinase), coagulation factors (e.g.
gas phase according to their mass to
antithrombin III, fibrinogen,
charge ration (m/z). This assay is
degradation products, heparin,
commonly used to test for
plasminogen) and some drugs for
electrolytes.
therapeutic drug monitoring (e.g.
GAS CHROMATOGRAPHY (GC) – it aminoglycosides, vancomycin,
is use to identify and quantify volatile digoxin, antiepileptics,
substances such as alcohols. For antiarrhythmics, theophylline) and
toxicological screening of organic for drug level toxicology (e.g.
acids, and drugs (e.g. steroids, acetaminophen, salicylate,
benzodiazepines and tricyclic barbiturates, TCAs, amphetamines,
antidepressant). Has similar cocaine, opiates).
principle with thin layer
FLUORESCENT POLARIZATION
chromatography but instead of
IMMUNOASSAY (FPIA) -- the most
solvent, GC utilizes an inert gas (e.g.
common form of immunoassay, is
helium, nitrogen) as a carrier for the
used to measure concentrations of
volatile substance.
many serum analytes such as BUN
HIGH PERFORMANCE LIQUID and creatinine. This assay is
CHROMATOGRAPHY (HPLC) – it is commonly used for therapeutical
widely used, especially in forensic drug monitoring of some drugs (e.g
laboratories, for toxicological aminoglycosides, vancomycin,
screening, amino acids and drugs antiepileptics, antiarrhythmics,
(e.g. indomethacin, anabolic theophylline, methotrexate, digoxin,
steroids, cyclosporine). It has similar cyclosporine), general chemistries
principle with GC but it is useful in and enzyme (e.g., thyroxine,
non-volatile or heat sensitive triiodothyronine, cortisol, amylase,
substance but instead of gas, HPLC BUN, lactate dehydrogenase,
utilizes a liquid solvent (mobile creatinine, glucose, cholesterol and
phase) and a column packed with a iron).
stationary phase (e.g. silica base).
POLYMERASE CHAIN REACTION
ENZYME-LINKED (PCR) – is the most frequently is the
IMMUNOSORBENT ASSAY (ELISA) most frequently used in Nucleic Acid
– it is a heterogeneous Enzyme Amplification. This is also used
Immunoassay (EIA) which employs principally for detecting
microbiological organisms and • The normal daily diet contains 8-15 g
genetic disease including chlamydia, (130-260mmol) of NaCl, and the body
cytomegalovirus, Epstein-Barr virus, only requires 1-2 mmol/day, and the
human immunodeficiency virus, excess is excreted by the kidneys,
mycobacterium, and herpes simplex which are the ultimate regulators of
virus. the amount of sodium in the body.
ELECTROLYTES PRECAUTIONS
• Electrolytes are classified as either • Sodium promotes water retention in
anions (negatively charged) that the tissues thus should be given in
moved toward an anode, or cations caution in patient with cardiac and
(positively charged) ions that moved renal condition in which edema is a
toward the cathode. problem
• Physiological electrolytes include • Excess levels of sodium/salt may
Na+, K+, Ca2+, Mg2+, Cl-, HCO3-, indicates:
HPO4-, H2PO42-, SO42-, and some ➢ High blood pressure
organic anions (e.g., Lactate). ➢ Stroke
• The intracellular fluids contain K+, ➢ Heart failure
Mg2+, and PO4 -,2- ions, whereas ➢ Osteoporosis
extracellular fluids (interstitial and ➢ Stomach Cancer
plasma-vascular fluids) holds the ➢ Kidney Disease and kidney
sodium, chloride, and bicarbonate stones
ions. In case an imbalance • Sodium citrate (Na3C6H7O5) can
concentration occurs, products like incorporated in blood sample
electrolytes, acids, base, blood collection tube to avoid blood
products, carbohydrates, proteins, corpuscle adhering to inner wall and
and amino acids can be found. maximum reduction of blood sample
• Electrolyte determination can be haemocytolysis.
obtained from blood collected by • Sodium Chloride (NaCl) in the most
venipuncture into an evacuated common salt that is use as an
tube. Serum electrolyte electrolyte replenisher
concentrations are among the most
OTHER INFORMATION
commonly used laboratory tests by
clinicians for assessment of a • Specimens assayed for sodium include
patient’s clinical condition and serum, heparinized plasma, whole
disease state. blood, sweat, urine, feces or
SODIUM gastrointestinal fluids.

NORMAL VALUES: 135-147 mEq/L POTASSIUM

PROPERTIES NORMAL VALUES: 3.5-5.2 mEq/L

• This ion belongs in Group IA (Alkali • It is derived from Kalium “the calcined
metal / Soluble group) in the periodic ashes”; which originally meant potash,
table together with Li, K, Rb, Cs, Fr an alkali extracted in a pot from the ash
• Found abundantly and widely of burnt wood or tree leaves
distributed in nature, but always in • Easily oxidized (kept in kerosene,
combination benzene, or liquid petrolatum)
• A component of many minerals, and • Makes glass amber-colored or light
an essential element for animal life resistant
• “Dietary inorganic macro-mineral” PHARMACOLOGICAL ACTIONS
• Predominant cation in the
extracellular fluid • Predominant intracellular cation
• Common cation of choice to optimize necessary for cell growth and
the pharmaceutical utility of organic function
medicaments • possesses an osmotic diuretic effect
➢ Order of diuretic efficiency: sensitivity of the muscle to
nitrate > chloride > ACh)
bicarbonate = acetate = citrate • Antidote: Calcium
• Potassium supplements should not • Natural calcium blocker
be administered by rapid IV injection • Saline laxative
• Deficiency of K • Magnesium sulfate heptahydrate is
(hypokalemia/hypopotassemia) may one of the most important compound
occur by: of Magnesium that is use as Saline
➢ diarrhea cathartic, Antidote for barium and
➢ hemorrhage barbiturate poisoning
➢ diabetic coma
➢ vomiting Anticonvulsant in eclampsia (IM),
Depressant in seasickness, HTN,
SYMPTOM/S: muscle weakness tetanus spasm, and convulsions (as IV
or IM), Used in paroxysmal auricular
REMEDY: KCl (IV), Darrow’s solution (KCl
and ventricular tachycardia (IV)
+ NaCl with Na lactate)
CALCIUM
• Excess K NORMAL VALUES: 8.5-10.8mg/dL
(hyperkalemia/hyperpotassemia):
diastolic arrest • Never found free in nature
• Present inside the cell but most
REMEDY: IV injection of NaCl, CaCl2, abundant outside the cell
calcium gluconate, or dextrose • Present in bones and teeth as apatite
OTHER INFORMATION (Ca3(PO4)2)
• Specimens assayed for sodium • In nonluminous flame, imparts a brick
analysis are generally applicable to red color (reddish-yellow color)
those for K+ analysis. PHARMACOLOGICAL ACTIONS
• Essential in the maintenance of normal
MAGNESIUM body functions:
➢ Important cation for the normal
NORMAL VALUES: 1.5-2.6 mg/L functioning of the ANS
• A group IIA (Alkali Earth metals: ➢ Important factor in cardiac
Be,Mg, Ca, Sr, Ba, Ra) ion which function
came from the origin, magnesia ➢ Factor in blood coagulation
➢ Structural basis of the skeleton
• Widely and abundantly distributed in
• Absorbed in the upper portion of the
nature
intestinal tract
• Second most abundant cation
intracellularly • Possesses a cardiac action similar to
digitalis
• Element present in chlorophyll
➢ High Ca concentrations increase
• Occurs in bones (as Mg3(PO4)2)
toxicity of digitalis
• A component of “Flash-light”
• Excess Ca: systolic arrest (while excess
powders (a mixture of powdered Mg
K: diastolic arrest)
and K chlorate or barium peroxide)
• Absorption is enhanced with Vitamin D
➢ Used in pyrotechnics, tracer
• Controls and relieves various allergic
bullets, fire-bombs, and night
flares manifestations (e.g. eczema, pruritus,
urticaria)
PHARMACOLOGICAL ACTIONS • Insoluble Ca salts are used as antacids
(e.g. CaCO3, tribasic Ca3(PO4)2)
• CNS depressant in obstetrics,
convulsant states, and symptoms of • Calcium chloride (Muriate of Lime) is a
tetanus components of Ringer’s & Lactated
Injection which are used as electrolyte
➢ Exerts blocking action to
acetylcholine at the • It is can also decrease blood clotting
neuromuscular junction time.
(similar to curare: depresses
• Calcium citrate • Element present in all acids
• Burns in air with a pale-blue,
nonluminous flame
CHLORINE
PHOSPHOROUS
NORMAL VALUES: 95-106mEq/L
• Occurs in combination as calcium
• From chloros meaning “greenish-
phosphate (aka phosphorite or
yellow”
phosphate rock)
• Aka dephlogisticated marine acid or
• Occurs in bones and teeth (58%
dephlogisticated muriatic acid
calcium phosphate), blood, urine, and
• It is a Halogen ( F, Cl, Br, I, At) which
in nervous, muscle, and brain tissue
also referred as salt forming group.
(as phosphoproteins)
• It is the most abundant anion
• Lethal poison (large doses)
outside the cell.
• Antidote for P poisoning: CuSO4 or
• Hydrochloric acid (Gastric acid,
blue vitriol
Muriatic acid) is the only acid found
in the GIT. Achlorhydria is a OXYGEN
condition associated to the
• Also called:
absence of HCl in the GIT.
➢ Empyreal air (Scheele) – only
known supporter of
PHOSPHATES: Hydrogen Phosphate
combustion
(-HPO4-2), diHydrogen Phosphate
➢ Fire air (Scheele)
(-H2PO4-)
➢ Dephlogisticated air
(Priestley) - oxygen does not
PHOSHATE is important and widely
burn, it only supports
distributed in human body. In blood,
combustion
organic phosphate esters are located
➢ Acid former (Lavoisier) – once
primarily within cells and
thought as a constituent of all
incorporated into nucleic acids,
acids
phospholipids, phosphoproteins and
• Most abundant essential element in
high-energy compounds such as
adenisone thriphosphate (ATP) . the universe
Inorganic phosphate is a major USES:
components of hydroxyapatite in
bone. • Pharmaceutical inhalant – used in
pathological conditions (e.g.
OTHER INFORMATION pneumonia, angina, asthma,
• Inorganic phosphate is the fraction bronchitis, conditions accompanied
measured in serum and plasma in by cyanosis and dyspnea)
clinical laboratories. • Component of “artificial air” (20%
Oxygen and 80% Helium) – used to
HYDROGEN alleviate difficult respiration
• Recognized by Paracelsus • For oxidation
• Produced by Cavendish by the action reactions/combustion – required for
of dilute HCl and H2SO4 and called burning
it inflammable air TRACE ELEMENTS - are inorganic
• Named by Lavoisier as hydrogen micronutrients present at very low
which means water-former concentrations in body fluids and tissue.
SELENIUM
PROPERTIES • From the Greek selene meaning
“moon”
• Lightest gas and the lightest of all
• It belongs in group VIA together
elements
with oxygen, sulfur, tellurium and
• Powerful reducing agent
polonium
• Combustible but does not support
combustion
• Rarely occurs in its elemental state • 3rd most malleable metal
in nature • excellent conductor of heat and
• Uses: electricity
➢ Used in glass industry to • 3rd best conductor of electricity
make red-colored glass • essential trace element
➢ Essential trace element • occurs in the respiratory pigment,
➢ Antioxidant, synergistic with hemocyanin
Vitamin E • Hemocyanin – bluish pigment
• ---Deficiency of Se will result to found in the blood of some
Keshan disease; If the deficiency is arthropods and mollusks that
also associated with iodine, it will transports oxygen to tissues
result to Kashin-Beck disease.
PHARMACOLOGICAL ACTIONS
IODINE
• essential to the metabolic process
• From iodes meaning “violet” • potential aid to iron assimilation
• Bluish-black rhombic plates that • enhances physiological utilization
stains the skin brown of iron
• Normal constituent of the thyroid • emesis (due to irritant action)
gland Wilson’s disease – a rare
• Uses: hereditary disease resulting from
➢ Essential for thyroid function the inability to metabolize copper
➢ Antiseptic leading to the deposition of toxic
➢ Expectorant (iodide ion) amounts of copper in various
➢ Iopanoic acid, USP – tissues (e.g. eye, liver, brain,
visualization of gall bladder kidney)
• Preparation: Treatment: Penicillamine
➢ henolated iodine solution (Cuprimine) –promotes urinary
(Boulton’s solution) – excretion of excess copper
antibacterial and irritant USES:
➢ Polyvinylpyrrolidone + Iodine • Protein precipitant (astringent to
(Povidone-Iodine, Betadine®) mucous membranes)
– antiseptic • Effective fungicide in minute
• Iodides (e.g. NaI, KI) – enhance the amounts
solubility of iodine • Algaecide
• Antidote for iodine toxicity: • Bacteriostatic antiseptic
cornstarch and sodium thiosulfate
FLUORIDE ZINC
• present in ores
• From Greek fluo meaning “flow” ➢ sphalerite or zinc blende (ZnS)
• Most electronegative element ➢ smithsonite (ZnCO3)
• Most reactive among the halogens • bluish-white metal
• Strongest oxidizing agent • when a zinc salt is heated with any
• Essential element present in teeth cobalt salt → cobalt zincate
and bones in minimal quantities (Rinmann’s green)
• Used as anticariogenic agent
PHARMACOLOGICAL ACTIONS
• Compounds:
➢ Fluorides – anticaries agent • Present in highest concentrations
a. Sodium fluoride (NaF) – for in testes, hair and nails, bone, and
dental prophylaxis pigmented tissues of the eye
*dental fluorosis/mottled enamel – • Present in carbonic anhydrase
excess fluoride consumed (enzyme in blood cells that aids in
the transfer of carbon dioxide from
COPPER the tissues to the lungs)
• Reddish-colored metal that
belongs in COINAGE metal group.
• Possesses emetic action and • Mucosal block – best known of the
strong local astringent action three hypotheses on iron absorption
when ingested • Ferritin – iron-carrying protein;
• Antidote for zinc poisoning: stores iron
NaHCO3 • Transferrin or siderophilin –
transports iron
CHROMIUM • Hemochromatosis – too much iron
• Group VIB transition metal builds up in the body
• A glucose tolerance factor – used
IRON PREPARATIONS
for improving blood sugar control
in diabetic people; acts as a • Ferrous salts are indicated for the
physiological enhancer of insulin treatment of “secondary anemias”.
activity, binding to insulin and • Secondary anemias are also
potentiating its action classified as “hypochromic
microcytic anemias” indicating a low
MANGANESE hemoglobin content and small size
• Essential trace element (traces cells.
occur in almost all organs of both ➢ Ferrous Sulfate
man and animals)  aka Green Vitriol,
• Cofactor involved in protein Copperas
synthesis, phosphorylation, and  stable form of iron
fatty acid & cholesterol synthesis  most economical and
• Possible synergistic action with most satisfactory form of
iron iron in the market
• Permanganates – powerful  hematinic (increases
oxidizing agents (0.02%-0.1% for blood hemoglobin)
urethral injections)  oxidizes readily on
• Used in the manufacture of glass, exposure to moist air
colored bricks, dryer in paints and forming crystals coated
varnishes with brownish-yellow
basic ferric sulfate
MOLYBDENUM
• Group VIB transition metal which COBALT
is a silvery-white, high-melting • Pure cobalt – pinkish-white metal
metal • Cobaltous salts – pink (hydrated);
• • Potentiates the uptake of iron in blue (anhydrous)
the body • Essential in the development of
• • A cofactor of several mammalian erythrocytes and hemoglobin (small
enzymes (sulfite oxidase, xanthine quantities)
dehydrogenase and aldehyde • Stimulates the bone marrow
oxidase) • Present in Vitamin B12
IRON (Cyanocobalamin)
• Used in the manufacture of beer
• It is an important constituent of the (stabilize foaming quality)
blood (hemoglobin) and oxidases • In the 1960s, some breweries added
(cytochrome oxidase) cobalt salts to beer to stabilize the
• absorption is enhanced with Vitamin foam (resulting in exposures of 0.04–
C 0.14 mg cobalt/kg).
• Hematite – most important source of • Cobalt (II) chloride or cobaltous
iron chloride (CoCl2) – aka Sympathetic
PHARMACOLOGICAL ACTIONS/USES ink or Lover’s ink; indicator in silica
gel beads
• Externally: Protein precipitant and
astringent (ferric salts)
• Internally: Formation of hemoglobin
SAS 3 LECTURE NOTES KIDNEY – No urine production
INTESTINAL – Diarrhea
METAL TOXICITY/METAL POISONING –
is the toxic effect of certain forms and does • Elements in groups IB, IIB, IIIA, IV
on life. in rows six and seven – which are
referred as HEAVY METALS are
• Some metals are toxic when they form
usually have greater potential to
POISONOUS SOLUBLE COMPOUND.
INDUCE TOXICITY.
• Definition of toxic metals includes at
least the following: METALS – are measured in biological
➢ Thallium fluids using:
➢ Cadmium
➢ Atomic absorption
➢ Manganese
spectrometry with flame (AAS-
➢ Lead
F)
➢ Mercury
➢ Electrothermal atomization
➢ Radioactive Metals
furnace (AAS-ETA)
RADIOACTIVE METALS – have both ➢ Inductively coupled plasma-
radiological and chemical toxicity. optical emission spectrometry
(ICP-OES)
• METALS in an oxidation state ➢ Inductively coupled plasma-
abnormal to the body may also become mass spectrometry (ICP-MS)
toxic ➢ High performance liquid
• CHROMIUM (III) is an essential trace chromatography-mass
element spectrometry (LC-MS)
• Whereas CHROMIUM (VI) is a
carcinogen PHOTOMETRIC ASSAYS – are
also possible but require large
HEAVY METALS – are dangerous because volumes of a sample and have
they tend to bioaccumulate limited analytical performance
BIOACCUMULATION – means an increase CHELATION THERAPY – an
in the concentration of a chemical in a option for treatment of metal
biological organism over time, compared to poisoning
the chemical’s composition in the
environment. BERYLLIUM

PHYSIOLOGIC EFFECT OF SOME • ALKALINE EARTH METALS


METAL INTOXICATION together with Mg, Ca, Sr, Ba and
Ra
SYSTEMATIC ➢ Magnesium, Calcium,
➢ Chills Strontium, Barium, and
➢ Fever Radium)
➢ Pain • Called GLUCINUM because of the
sweet taste of its salts.
EYE – Yellowing • Differentiated from magnesium by
MOUTH - Metallic taste adding quinalizarin + bromine
water
MUSCULAR - Weakness ➢ Be: PERSISTENCE of blue
LIVER – Decreased function color
➢ Mg: DISAPPERANCE of blue
SKIN – Yellowing color
CIRCULATORY – Anemic/Shock MOST TOXIC METAL
➢ Inhibits carbohydrate metabolic
GASTRIC cycle by preventing breakdown of
➢ Vomiting phosphorus compounds
➢ Nausea ➢ Disturbs respiration,
➢ Abdominal pain circulation, and temperature
➢ Burning sensation ➢ No specific antidote is known
• Never used in medicine • It may inhibit potassium flux across
• Used in the fluorescent lighting industry biologic membranes by binding to Na-K
• Metallic, Alloys and ceramics of Be are ATP transport enzymes
widely used in dental appliances, • Primarily use as RODENTICIDE
wheelchairs, nuclear power and neutron
CLINICAL PRESENTATION
modulator.
• Chronic Beryllium disease (CBD) is a ACUTE EFFECTS CHRONIC EFFECTS
CHRONIC RESPIRATORY CONDITION ❖ Abdominal ❖ Painful
due to CHRONIC BERYLLIUM exposure pain, nausea, peripheral
that is characterized by the formation of vomiting, and neuropathy,
GRANULOMAS resulting from immune diarrhea myopathy,
reaction to Be in the lungs. (sometimes with chorea,
hemorrhage) stomatitis and
ALUMINUM
❖ Shock may ophthalmoplegia
• MOST ABUNDANT METAL & 3rd result from ❖ Hair loss and
MOST ABUNDANT ELEMENT massive fluid of nail dystrophy
blood loss (mees’ lines)
PHARMACOLOGICAL ACTIONS ❖ Within 2-3 days, may appear
delirium, after 2 – 4
• may constrict the blood vessels when seizures, weeks.
applied topically respiratory
• astringent (inherent) failure and
• antiseptic death may
• antiperspirant occur
DIAGNOSIS
ALUMINUM POWDER – used as an
inhalation in the treatment of SILICOSIS SPECIFIC LEVELS OTHER USEFUL
LABORATORY
ALUMINUM FOIL - used in burn STUDIES
treatment; protects the burn/ conserves ❖ URINARY ❖ CBC
fluid/ stimulates the tissue growth THALLIUM ❖ ELECTROLYTES
normally less ❖ GLUCOSE
LOW PARATHYROID HORMONE (PTH) - - than 0.8mcg/L. ❖ BLOOD UREA
Aluminum overload may replace calcium in Concentrations NITROGEN
bone disrupting normal osteoid formation higher than 20 (BUN)
and may be reflected diagnostically with mcg/L provide ❖ CREATININE
low parathyroid hormone (PTH). evidence of ❖ HEPATIC
excessive TRANSMINASES
exposure and
THALLIUM may be (Since thallium is a
associated with RADIOPLAQUES,
• It is a soft metal that quickly oxidizes subclinical plain abdominal x-
upon exposure to air. It is a minor toxicity during rays may be useful
workplace after ACUTE
constituent in a variety of ores. exposures. INGESTION.
➢ Ores is a natural or sediment rock ❖ BLOOD
• Thallium salt used in the manufacture THALLIUM
of jewelry, semiconductors, and optical LEVELS are not
devices. considered
reliable measures
• From thallos meaning “green twig” of exposure
• This can also be a by-product of lead except after large
smelting which can be very toxic. exposures.
❖ HAIR LEVELS
MECHANISM TOXICITY are of limited
value, used
• It is not known mainly in
• It appears to affect a variety of enzyme documenting past
systems resulting in GENERALIZED exposure and in
CELLULAR POISONING forensic cases.
TREATMENT • It is a metal commonly found in the
environment (eg. Ceramics at home,
• Emergency and supportive measures
paint, leaded gasoline, water pipes
• Specific drugs and antidotes
soldered with lead, soil)
➢ Prussian blue (ferric ferrocyanide)
• Absorption is slow but action is
➢ Activated charcoal
cumulative; accumulates and stored in
➢ BAL (Dimercaprol)
bones.it can be ingested, inhaled or
• Decontamination
through dermal contact.
➢ Gastric lavage – consider for large
• Toxicity will result to impaired growth
recent ingestions
and mental development, decrease
• Enhanced elimination
vitamin D and hemoglobin synthesis,
SILICON nephropathy, encephalopathy and
death
• The 2nd MOST ABUNDANT ELEMENT ANTIDOTE
next to oxygen ➢ Chelation of BAL
COMPOUNDS OF SILICON ➢ Dimercaprol

• COLLOIDAL SILICON DIOXIDE MECHANISM TOXICITY


➢ Used as adsorbent, desiccant, • The multisystem toxicity of lead is
thickener mediated by several mechanisms,
• AMORPHOUS OXIDE OF SILICON including inactivation or alteration of
➢ Inhalation of asbestos enzymes and other macromolecules
➢ Containing dust leads asbestosis, by binding to sulfhydryl, phosphate,
deposition of asbestos fiber in the or carboxyl ligands and interaction
pulmonary alveoli with essential cations, most notably
➢ Example: Asbestos calcium, zinc, and iron. Pathologic
• METHYLATED POLYMERS OF alterations in cellular and
SILICON mitochondrial membranes,
➢ Silicon implants have come to neurotransmitter synthesis and
public attention. function, heme synthesis, cellular
➢ Silicon appears to induce a redox status, and nucleotide
response from polymorphonuclear metabolism may occur.
cells and macrophages that bind • Pharmacokinetics. Inhalation of lead
small particles of silicon and fume or other fine, soluble
transport them to lymph nodes particulate results in rapid and
where they can accumulate. extensive pulmonary absorption, the
➢ Example: Silicone major though not exclusive route of
SILICOSIS – a lung condition resembling exposure in industry.
CHRONIC TUBERCOLOSIS TOXIC DOSE
LEAD ➢ Dermal absorption
• It is a soft, malleable metal that is ➢ Ingestion
obtained chiefly by the primary smelting ➢ Inhalation
and refining of natural ores or by the TREATMENT
widespread practice of recycling and
secondary smelting of scrap lead • Emergency and supportive measures
products • Specific drugs and antidotes.
• Lead is used for weights and radiation ➢ Encephalopathy
shielding, and lead alloys are used in the ➢ Symptomatic
manufacture of pipes; cable sheathing; ➢ Asymptomatic children with
brass, bronze, and steel; ammunition; elevated blood lead levels
and solder (predominantly electrical ➢ Asymptomatic adults
devices and automotive radiators). ➢ Blood lead monitoring during
• Lead compounds are added as chelation
pigments, stabilizers, or binders in
paints, ceramics, glass, and plastic
SILVER PHARMACOLOGICAL ACTIONS
• Protoplasmic poison
• Also called noble metal because of its
• Effective in polycythemia vera
use in making articles of value (e.g.,
(represses the bone marrow which
coins, ornaments, jewelry)
overproduces RBC)
• May be precipitated by HCl
• Was once used as antisyphilitic agent
PHARMACOLOGICAL ACTIONS and still currently present in some
insecticides.
• Protein precipitant
ANTIDOTES
• Antiseptic, astringent, and corrosive to
• Freshly prepared Iron (III) and
tissues
Magnesium hydroxide (if still in the GI
• Possesses oligodynamic action tract)
• Treatment of burn (silver sulfadiazine) • Dimercaprol (aka 2,3-
TOXICITY dimercaptopropanol, British Anti-
Lewisite or BAL) via IM injection
• Discolors skin (argyria) which may SPECIAL TEST TO DETERMINE THE
result to growth retardation, PRESENCE OF ARSENIC
hemopoiesis, cardiac enlargement, ➢ Gutzeit test
degeneration of the liver, destruction of ➢ Marsh test
renal tubules. ➢ Reinsch test
ANTIDOTE ANTIMONY
• 6% Na2S2O3 + 1% K4Fe (CN)6 • Is widely used as a hardening agent
subcutaneously but requires several in soft metal alloys and alloys of lead;
injections into the affected area for compounding rubber; as a major
ARSENIC flame-retardant component of
plastics and as a coloring agent in
• Steel-gray brittle solid with a distinct dyes and varnishes, paints and
metallic luster glazes.
• It is widely known to be toxin that • Compared to arsenic, it is less readily
gained notoriety from its extensive use absorbed and produces topical
by Renaissance and was known as irritation
Poison of Kings and King of Poisons. • More caustic to the skin than arsenic
• It is listed as number one toxicant in causing papular eruptions which
US. develop into vesicular and pustular
• It is also a known carcinogenic agent sores
MECHANISM OF TOXICITY • Exhibits expectorant and nauseant
action orally in small quantities
• Arsenic compounds may be organic or • Exposure to Sb dust over a period of
inorganic and may contain arsenic in years leads to pneumoconiosis; It
either a: may also cause cardiac arrhythmias,
➢ pentavalent (arsenate) spontaneous abortion, and
➢ trivalent (arsenite) dermatitis and inability of the blood
• Arsenicals exert their toxic effects to clot.
through multiple mechanisms, MECHANISM OF TOXICITY
including inhibition of enzymatic • Compounds of probably act by
reactions vital to cellular metabolism, binding to sulfhydryl groups,
induction of oxidative stress, and enhancing oxidative stress, and
alteration in gene expression and cell inactivating key enzymes.
signal transduction • Ingested antimonial are also
• Arsenite and arsenate undergo in vivo corrosive to mucosal membranes.
biotransformation to less toxic
pentavalent monomethyl and dimethyl CLINICAL PRESENTATION
forms, there is evidence that the • Acute ingestion of antimony causes
process also forms more toxic trivalent nausea, vomiting, hemorrhagic
methylated compounds. gastritis, and diarrhea
("cholerastibie"). Hepatitis and renal in nickel-cadmium batteries. Cd
insufficiency may occur. Death is solder in water pipes and Cd pigments
rare if the patient survives the initial in pottery can be sources of
gastroenteritis. Cardiac contamination of water and acidic
dysrhythmias (including torsade), foods.
pancreatitis, and arthralgias have • It is a member of volatile metal group
been associated with the use of the MECHANISM OF TOXICITY
organic antimonial compounds for • Inhaled Cd is at least 60 times more
treatment of parasitic infections (e.g., toxic than the ingested form.
leishmaniasis). • Fumes and dust may cause delayed
chemical pneumonitis and resultant
• Chronic exposure to antimony dust pulmonary edema and hemorrhage.
and fumes in the workplace is the • Cd is a known human carcinogen
most common type of exposure and (IARC Group 1).
may result in headache, anorexia, • Ingested Cd is a GI tract irritant.
pneumonitis, peptic ulcers, and Once absorbed, Cd is bound to
dermatitis (antimony spots). Sudden metallothionein and filtered by the
death presumably resulting from a kidney, where renal tubule damage
direct cardiotoxic effect has been may occur.
reported in workers exposed to ITAI-ITAI DISEASE
antimony trisulfide. Based on • Also known as the “ouch-ouch
evidence of in vitro genotoxicity and disease”
limited rodent carcinogenicity • First documented occurrence of mass
testing, antimony trioxide is a cadmium poisoning in the world due
suspected carcinogen. to mining in Toyama Prefecture;
TREATMENT contracted from drinking water and
eating rice contaminated with
• Large-volume intravenous fluid cadmium
resuscitation may be necessary for SYMPTOMS
shock caused by gastroenteritis (see ➢ Weak and brittle bones
Hypotension). Electrolyte ➢ Spinal and leg pain
abnormalities should be corrected, ➢ Anemia
and intensive supportive care may be ➢ Kidney failure
necessary with multiple organ failure.
TREATMENT
OFFICIAL COMPOUND
• Emergency and supportive measures
• Antimony potassium tartrate ➢ Inhalation
(KSbOC4H4O6) ➢ Ingestion
➢ aka Tartar Emetic • Specific drugs and antidotes
➢ formerly used as emetic and ➢ There is no evidence that
expectorant chelation therapy (eg, with
➢ used as anti-schistosomal BAL, EDTA, or penicillamine)
agent (IV) is effective, although various
chelating agents have been
CADMIUM used

• It is found in sulfide ores, along with PHARMACOLOGICAL ACTIONS


zinc and lead. Exposure is common • Closely resembles zinc in action but
during the mining and smelting of is more toxic
zinc, copper, and lead. • Behaves like mercury systemically
• The metallic form of Cd is used in and after absorption, produces death
electroplating because of its by arresting respiration; -its toxicity
anticorrosive properties, the metallic results to renal dysfunction with
salts are used as pigments and proteinuria with slow onset.
stabilizers in plastics, and Cd alloys
are used in soldering and welding and
MERCURY cerebral cortex necrosis.
ANTIDOTES
• It is a naturally occurring metal that
• Egg white or milk
is mined chiefly as HgS in cinnabar
➢ to inactivate mercury ions by
ore. It is converted to three primary
coagulation followed by extensive
forms, each with a distinct toxicology:
gastric lavage
elemental (metallic) mercury (Hgo),
• Sodium formaldehyde sulfoxylate
inorganic mercury salts (eg, mercuric
➢ for the bichloride
chloride [HgCl2]), and organic (alkyl
• Dimercaprol
and aryl) mercury
➢ agent of choice; given via IM or
(eg,methylmercury).
Penicillamine that would
• Also called liquid silver or quicksilver
mobilize and excrete Hg in the
with low boiling point and melting
urine
point
• Cinnabar (HgS) is a mineral source of MERCURY THERAPEUTIC USES
mercury; aka Aethrop’s mineral
• Diuretic – mercurial diuretics bring
• Mercury that falls into cracks and
about sodium and water diuresis by
difficult to clean places is removed
inhibiting the reabsorption of sodium
best by covering with powdered
• Antiseptic – mercuric ion is a protein
sulfur, allowing several days to for
precipitant
conversion to sulfide then vacuumed.
• Antisyphilitic – mercury and its salts
• Elemental mercury (Hg 0) can be
have been used in the prophylaxis
converted chemically or biologically to
and treatment of syphilis (Calomel
its toxic form (Hg +,2+) and or the
ointment)
methylated or alkyl Hg which will
result kidney failure. • Cathartic
• Mercury and its compounds are • Parasiticide and fungicide – used
inherently toxic in the treatment of impetigo and
MECHANISM OF TOXICITY ringworm infections in the form of
Ammoniated
• Mercury reacts with sulfhydryl (SH)
groups, resulting in enzyme inhibition • Mercury Ointment
and pathologic alteration of cellular
membranes. NICKEL
• Elemental mercury and • It is was once known as “Old Nick’s
methylmercury are particularly toxic copper” or “Kupfernickel”
to the CNS. Metallic mercury vapour • It is use favorably as alloying metal
is also a pulmonary irritant. (eg. jewelry) due to its anticorrosive
Methylmercury is associated with and hardness property.
neurodevelopmental disorders. • It can be used in nickel-based
• Inorganic mercuric salts are corrosive batteries, catalyst in the
to the skin, eyes, and GI tract and are hydrogenation of oil.
nephrotoxic. ALLOY
• Inorganic and organic mercury
compounds may cause contact • Raney Nickel – nickel-aluminum alloy
dermatitis. • German Silver – nickel, zinc, and
MINAMATA DISEASE copper alloy
• Acquired through ingestion of • Nickel carbonyl (Ni[CO]4) – used in
contaminated fish, shellfish and sea pertroleum refining is the most toxic
mammals in Minamata Bay, Japan chemical known to humans.
SYMPTOMS OF POISONING • Exposure and toxicity may cause
• Initial: burning metallic taste, thirst, contact dermatitis, pulmonary
sore throat, visual field constriction, congestion, inability to oxygenate
hearing loss, hemoglobin especially if lesion in
• Latter: salivation, sore gums, bloody present in liver, kidney, adrenal
diarrhea, severe gastric pain, and gland, and speen.
SAS 4 LECTURE NOTES COLLIGATIVE PROPERTIES OF A
SOLUTION
IMPORTANCE OF PH AND BUFFER
• Directly related to the total
SYSTEMS IN ANALYTICAL CHEMISTRY
number of solute particles per
• Many chemical reactions upon which an mass of solvent
analytical procedure is based require ➢ VAPOR PRESSURE LOWERING
optimum pH conditions for the reaction ➢ BOILING POINT ELEVATION
to proceed to completion. ➢ FREEZING POINT
• Analysis based on neutralization DEPRESSION
reactions the pH of the solution at the ➢ INCREASED OSMOTIC
equivalence point determines which PRESSURE
indicator is to be used for analytical
OSMOTIC PRESSURE
determination
pH • Most important colligative
• The measurement of the alkalinity and property
the acidity of a product or a substance. • Biological systems are made of
• The pH value of a solution reflects the different membranes which
relative concentration of hydrogen ions vary in pore size thus has
(H+) or protons to the concentration of different ability to select
hydroxide ions (OH-) in a solution molecules of different size and
• Dictates on how a specific drug product shape.
is absorbed in our system • Differences in the
• Acidic drug substances are absorbed in concentrations of osmotically
the stomach thus if the drug product is active molecules that are
desired to be absorbed on that site, drug unable to cross a membrane
company must design the product to move to establish an osmotic
become acidic. equilibrium.
• pH also is considered in products for the • Osmotic pressure generally
parenteral preparations. pH governs the movement of
computation and adjustment is needed solvent (water in biological
for this type of delivery system. pH systems) across membranes
computation and adjustment is needed that separate two solutions.
for this type of delivery system.
• Cells must maintain a constant pH so
that the enzymes and processes taking
place inside the cells will continue as
needed. Chemical and enzymatic
reactions are typically dependent on a
specific pH range. Thus, it is important
to understand pH and be able to
determine the pH of various solutions
SORENSEN PH SCALE OSMOTIC PRESSURE IS
EXPRESSED THROUGH:
• Osmolality: expresses
concentrations relative to
mass of the solvent (1
Osmol/kg H2O)
• Osmolarity: expresses
concentrations per volume of
solution (1 Osmol/L solution).
• Osmolality is what the
clinical laboratory measures.
OSMOMETRY - The technique used for plasma. The partial pressure of a gas in
measuring the concentration of solute a gas mixture is defined as the
particles that contribute to the osmotic substance fraction of gas (mole fraction)
pressure of the solution times the total pressure.
ARTERIAL BLOOD GAS (ABG) TEST
FREEZING POINT DEPRESSION
• An arterial blood gas (ABG) test is a
• Another colligative property that can be blood test that requires a sample from
also used commonly for the an artery in your body to measure the
measurement of osmolality in clinical levels of oxygen and carbon dioxide in
laboratory. your blood.
• Simple to use. • Arterial blood gas tests can help
• Freezing point depression, unlike vapor healthcare providers interpret
pressure is dependent of the changes in conditions that affect your respiratory
ambient temperature. system, circulatory system and
metabolic processes (how your body
VAPOR PRESSURE OSMOMETER transforms the food you eat into energy),
• Related directly not to a change in vapor especially in emergency situations.
pressure (in millimetres of mercury) but • In blood gas work, the standard
to the decrease in dew point measurements of partial pressure are
temperature of the pure solvent (water) always made at Body Temperature
caused by the decrease in vapor (usually 37 °C), at P(Amb/ Atmospheric
pressure of the solvent by the solutes Barometric Pressure),and in the
presence of Saturated water vapor (SVP)
VAPOR PRESSURE OSMOMETER vs. the PH2O = 47 mm Hg
FREESING POINT DEPRESSION
OSMOMETER
• An important clinical difference between
the vapor pressure technique and the
freezing point depression osmometer is
the failure of the former to include in its
measurement of total osmolality any
volatile solutes present in the serum
thus use of this type of osmometer is not
recommended or most clinical
laboratories.
BLOOD GAS
• Blood gases are a measurement of how
much oxygen and carbon dioxide are in
your blood. They also determine the
acidity (pH) of your blood.
• Clinical management of respiratory and
metabolic disorders depends on rapid,
accurate measurements of oxygen and
carbon dioxide gas in blood.
• Determination of blood gases also plays
an important part in the detection of
acid base imbalances.
• The partial pressure (tension) of a gas
dissolved in blood is equal to the partial
pressure of the gas in an imaginary ideal
gas phase in equilibrium with the blood.
At equilibrium, the partial pressure of a
gas is the same in erythrocytes and
plasma, so that the partial pressure of a
gas is the same in whole blood and
DIFFERENT GAS LAWS • At a blood ctO2 of 9 mmol/L, the O2
associated with hemoglobin as
• Boyle’s law
oxyhemoglobin (O2Hb or oxygen gas in
➢ The volume of an ideal gas at a
hemoglobin) is 8.86 mmol/L. The O2Hb
constant temperature varies
is defined as erythrocyte hemoglobin
inversely with the pressure exerted
with O2 reversibly bound to Fe2+ of its
to contain it.
heme group. Each mole of haemoglobin
• Charles’ (Gay-Lussac’s) law
-Fe2+ binds 1 mol of O2.
➢ The volume of an ideal gas at a
• The affinity of hemoglobin for O2 may
constant pressure varies directly
depends on the following actors: (1)
with its absolute temperature.
temperature, (2) pH, (3) PCO2, (4)
• Avogadro’s hypothesis
concentration of 2,3-diphosphoglycerol
➢ Equal volumes of different ideal
(2,3-DPG).
gases at the same temperature and
PULSE OXIMETER - commonly use to
pressure contain the same number
continuously monitor saturation factor
of molecules.
of oxygen in haemoglobin (SO2Hg)
• Dalton’s law because it is more reliable.
➢ The total pressure exerted by a TRANSCUTANEOUS MONITORING -
mixture of ideal gases is the sum of PCO2 and PO2 is a noninvasive
the partial pressure of each of the continuous monitoring approach that
gases in the mixture. has particular value and general
• Henry’s law success especially in neonatal and
➢ The amount of a sparingly soluble pediatric care
gas dissolved in a liquid is ACID – BASE PHYSIOLOGY
proportional to the partial pressure • The normal human diet is almost
of the gas over the liquid. neutral.
BICARBONATE • Metabolic process in the body result in
the production of relatively large
• Total Carbon Dioxide amounts of carbonic acid, phosphoric
• Colorless and harmless gas. acid, and other acids.
• Respiratory stimulant usually with • Acid-base balance involves in an
507% oxygen. accounting of the carbonic acid (H2CO3,
• Total carbon dioxide is measured in the HCO3, CO3 and CO2) and non-carbonic
clinical laboratory by acids and conjugate bases in terms of
➢ (1) acidification of a serum or plasma input (intake plus metabolic production)
sample and measurement of carbon and output (excretion plus metabolic
dioxide released by the process conversion) over a given period of time.
➢ (2) alkalinisation and measurement • Acidemia (Acidosis) is defined as an
of total bicarbonate. arterial blood pH <7.35 and alkalemia
• Methods used or total CO2 (Alkalosis) indicates an arterial blood pH
measurement: >7.45.
➢ (1) indirect electrode-based • Acid-base balance is the homeostatic
methods: the amount of released maintenance of acids and bases within
gaseous CO2 after acidification is the body to achieve a physiological pH of
determined by a PCO2 electrode. approximately 7.40.
➢ (2) enzymatic methods or CO2: the THE STEPS IN ACID EXCREATION IN
specimen is first alkalinized to THE KIDNEY ARE AS FOLLOWS:
convert all CO2 and carbonic acid to 1. Through glomerular filtration,
HCO3 – sodium salts of mineral and organic
OXYGEN IN BLOOD acids are removed from the plasma.
2. Once transferred from the renal
• The total O2 content (ctO2 or filtrate or tubular fluid, sodium
concentration of total oxygen gas) of a reacts in the tubule cells with
blood sample is the sum of the carbonic acid formed by the
concentrations of hemoglobin-bound O2 carbonic anhydrase-catalyzed
and of dissolved O2. reaction of carbon dioxide and water
in a chemical process called the • Increase plasma Cl− concentration,
sodium-hydrogen exchange: Na + similar to increase Na+ concentration,
H2CO3 NaHCO3 + H occurs with dehydration, prolonged
3. The sodium bicarbonate then return diarrhea with loss of sodium
to the plasma, having excreted from bicarbonate, and overtreatment with
the lungs as CO2, now the protons normal saline solutions, which have a
enter the tubular fluids, forming Cl− content of 154 mmol/L. It may also
acids of the anions of the sodium be seen in respiratory alkalosis because
salts. of renal compensation for excreting
• Many pathological conditions are HCO−3
accompanied by acid –base and BIOCARBONATE
electrolyte disturbances in the blood. • The total carbon dioxide (CO2) content
Abnormalities in acid-base status of the of plasma consists of carbon dioxide
blood are always accompanied by dissolve in an aqueous solution (CO2),
characteristic changes in electrolyte CO3 loosely bound to amine groups in
concentrations in the plasma. Hydrogen proteins (carbamine compounds), HCO3
ions cannot accumulate without −, and very small quantities of CO3 2 −
concomitant accumulation of anions ions and carbonic acid (H2CO3).
(such as, Cl− or lactate), or without
exchange or cations (such as, K+ or Na+) • Acid-base disturbances are traditionally
SODIUM classified as
• Disorders of Na+ homeostasis can occur ➢ metabolic acidosis
because of excessive loss, gain or ➢ metabolic alkalosis,
retention of Na+ or because of excessive ➢ respiratory acidosis
loss, gain, or retention of H2O. ➢ respiratory alkalosis
• When kidneys are hypoperfused (when • Acidosis only occurs as the result of one
renal volume decreases), the distal (or a combination) of three mechanisms:
tubules, under the influence of ➢ increase addition of acid
aldosterone reclaim Na+ ➢ decrease elimination of acid
• Water regulation in the kidney occurs ➢ increased loss of base
from the distal tubule through the • Alkalosis occurs only by
collection duct where tubular ➢ increase addition of base
permeability to H2O is under the ➢ decreased elimination of base
influence of antidiuretic hormone ➢ increased loss of acid.
(ADH).
• The body’s mechanism for restoring Na+
/H2O homeostasis is H2O.
POTASSIUM
• Disturbances in potassium homeostasis
has serious consequences.
• Hypokalemia is associated with serious
neuromuscular symptoms, tachycardia
that may lead to cardiac arrest.
• Hyperkalemia causes mental CONDITIONS RESULTING TO
confusion, flaccid paralysis of the METABOLIC ACIDOSIS
extremities, bradycardia, severe 1. Methanol ingestion
vascular collapse, and cardiac arrest. 2. Renal failure
CHLORIDE 3. Diabetes (Ketoacidosis)
• In the absence of acid -base 4. Paraldehyde Toxicity
disturbances, Cl− concentrations in 5. Ischemia
plasma generally will follow those of 6. Lactic acidosis
Na+. In respiratory acidosis, it is 7. Ethylene glycol ingestion
accompanied by increase HCO− 3, is 8. Salicylate intoxication
another common cause of decrease Cl− 9. Diarrhea (severe)
with normal Na+.
CONDITIONS RESULTING TO APPLICATION OF HENDERSON -
METABOLIC ALKALOSIS HASSELBALCH EQUATION
1. Prolonged vomiting • Acids: donate protons (H+ ions) in
2. Upper duodenal obstruction solution
3. Prolonged diuretic therapy (loop • Bases: accept protons.
diuretic) • The pH of the solution is defined as the
4. Cystic fibrosis negative logarithm of the hydrogen ion
5. Mineralocorticoid (primary and activity (pH= -log aH+).
secondary hyperaldosteronism, • The pK is the pH at which an acid is half
Bilateral adrenal hyperplasia, dissociated, existing as equal
6. Glucocorticoid excess (Primary adrenal proportions of acid and conjugate base.
adenoma or Cushing syndrome and Thus, acids have pK values <7.0,
disease, exogenous cortisol therapy, whereas bases have pK values >7.0.
excessive licorice ingestion, Barterr • The lower the pK, the stronger the acid
syndrome is, and the higher the pK, the stronger
7. High doses of bicarbonate, sodium the conjugate base is.
citrate, antacids, carbenicillin or • The pH of plasma may be considered to
penicillin be a function of two independent
CONDITIONS RESULTING TO variables:
RESPIRATORY ACIDOSIS ➢ (1) the PCO2, which is regulate by
1. Overdose of narcotics and barbiturates the lungs an represents the acid
2. Central nervous system trauma, component of the carbonic
tremors and degenerative disorders acid/bicarbonate buffer system
3. Infection in the CNS (encephalitis and ➢ (2) the concentration of titratable
meningitis) base which is regulate by the
4. Comatose patient secondary to kidneys.
cerebrovascular accident caused by • Acid-base balance or actual bicarbonate
intracranial hemorrhage is not measured but rather calculated
5. Chronic obstructive disease using Henderson- Hasselbalch
6. Pulmonary fibrosis equation.
7. Status asthmaticus (severe) • In 1916. Hasselbalch showed a
8. Pulmonary infection logarithmic equation that adopted today
9. Neurological disorders affecting the as:
muscles in respiration
10. Abdominal distention as in
peritonitis and ascites
11. Extreme obesity
12. Sleep apnea
FACTORS CAUSING RESPIRATORY
ALKALOSIS
1. Anxiety
2. Gram-negative septicemia
3. Metabolic encephalopathy
4. Meningitis and Encephalitis
5. Intracranial surgery
6. Severe anemia leading to hypoxia • When pK and α for a normal plasma at
7. Overuse of salicylates, catecholamines 37oC are inserted, the equation will take
and progesterone (increase progesterone as follows:
esp. in 3rd trimester)
8. Hyperthyroidism
9. Pneumonia
10. Asthma
11. Pulmonary emboli
12. Congestive heart failure
BUFFER SYSTEMS SAS 5 LECTURE NOTES
• A buffer is a mixture of a weak acid and QUALITATIVE QUANTITATIVE
a salt of its conjugate base that resists ANALYSIS ANALYSIS
changes in pH when a strong acid or ➢ establishes ➢ determines the
base is added to the solution. the chemical relative
• Generally, buffers work best at resisting identity of the amount of
pH changes in the interval ±1 pH unit of species in the these species
its pK, (buffers work best when the ratio sample or analytes, in
numerical
of acid /base is within the range of 10:1
terms.
to 1:10).
• Buffers are also more effective at higher
• We can compute the results of a typical
concentrations
quantitative analysis from two
Efficient buffer systems utilized by the body measurements:
to maintain pH are found in: ➢ Mass of the volume of a sample
being analyzed.
1. Bicarbonate/Carbonic acid (HCO3 /
➢ Some quantity that is
H2CO3), in the plasma and kidneys;
proportional to the amount of
➢ It is the most buffer of plasma. Normal
analyte in the sample such as
bicarbonate/d CO2 ratio is 20:1. The
mass, volume, intensity of light
effectiveness of the bicarbonate buffer is
or electrical charge.
based on the fact that the lungs are able
to readily dispose of or retain CO2 while NOTE: This second measurement
the renal tubules are able to increase or usually completes the analysis, and
decrease the rate of reclamation of we usually classify analytical
bicarbonate from the glomerular filtrate. methods according to the nature of
2. Phosphate Buffer [Monohydrogen this final measurement.
phosphate/dihydrogen phosphate
• GRAVIMETRIC METHOD - determines
(HPO4/H2PO4)], in the cells and
the mass of the analyte or some
kidneys.
compound chemically related to it.
➢ The total concentration of this buffer in
both erythrocytes and plasma accounts • VOLUMETRIC METHOD - measures
for about 5% of the nonbicarbonate the volume of a solution containing
buffer value of plasma. Organic sufficient reagent to react completely
phosphate (2,3-diphosphoglycerate) with the analyte.
present in erythrocytes, accounts for • ELECTROANALYTICAL METHOD -
about 16% of the nonbicarbonate buffer measures electrical properties such as
value of erythrocytes. potential, current, resistance, and
3. Plasma Protein and Hemoglobin Buffer quantity of electrical charge
➢ Hemoglobin and proteins (esp. • SPECTROSCOPIC METHOD - explores
albumin), account for the greatest the interaction between
portion (>90%) of the non-bicarbonate electromagnetic radiation and analyte
buffer value of plasma. It is the most atoms or molecules or the emission of
effective system for buffering the radiation by analytes
carbonic acid produced during SI UNITS
metabolic processes. • Scientists throughout the world have
adopted a standardized system of units
known as the International System of
Units (SI).
• This system is based on the seven
fundamental base units shown in the
table.
• Numerous other useful units, such as
volts, hertz, coulombs, and joules, are
derived from these base units.
• To express small or large measured particles, or specified groups of such
quantities in terms of a few simple particles as represented by a chemical
digits, prefixes are used with these base formula.
units and other derived units. • It is the amount of the specified
substance that contains the same
number of particles as the number of
carbon atoms in exactly 12 grams of
12C.
• Avogadro’s number NA 5 6.022 3
1023.
• The molar mass M of a substance is
the mass in grams of 1 mole of that
substance.
IMPORTANCE OF SI UNITS IN • We calculate molar masses by
ANALYTICAL CHEMISTRY summing the atomic masses of all the
• In determining the amount of chemical atoms appearing in a chemical
species from mass measurements formula.
metric units of kilograms (kg), grams SOLUTIONS AND THEIR
(g), milligrams (mg), or micrograms (μg) CONCENTRATIONS
are used. • MOLARITY (M)
• Volumes of liquids are measured in ➢ Molarity = moles of solute/liters
units of liters (L), milliliters (mL), of solution
microliters (μL), and sometimes ➢ Measurement of the moles in the
nanoliters (nL). total volume of the solution
• The liter, the SI unit of volume, is • MOLALITY (m)
defined as exactly 1023 m3. The ➢ molality = moles of
milliliter is defined as 1026 m3, or 1 solute/kilograms of solvent
cm3. ➢ Measurement of the moles in
relationship to the mass of the
MASS WEIGHT solvent.
 Mass is an  Weight is the • NORMALITY (N)
invariant force of ➢ Normality = number of mole
measure of the attraction equivalents/1 L of solution
quantity of between an ➢ Like molarity, normality relates
matter in an object and its the amount of solute to the total
object. surroundings,
volume of solution; however,
principally the
normality is specifically used for
earth.
acids and bases.
 Mass is how  Weight is a force
much matter exerted on a • When water is the solvent and the
an object mass by a concentration of the solution is low,
contains gravity these differences can be negligible (d =
 Mass is a  Weight is not a 1.00 g/mL). However, when the
constant for a constant. It density of the solvent is significantly
body and does changes from different than 1 or the concentration of
not change with place to place. the solution is high, these changes
location become much more evident.
 The kilogram is  The Newton is a • Example: Compare the molar and
a unit of mass unit of weight molal volumes of 1 mol of a solute
MOLE dissolved in CCl4 (d = 1.59/mL).
• For a 1 Molar solution, 1 mol of solute
• Abbreviated as ‘mol’
is dissolved in CCl4 until the final
• SI unit for the amount of a chemical
volume of solution is 1 L.
substance
• For a 1 molal solution, 1 mol of solute
• Always associated with specific
is dissolved in 1 kg of CCl4.1 kg
microscopic entities such as atoms,
of CCl4 × (1,000 g/1 kg) × (mL/1.59 g)
molecules, ions, electrons, other
= 629 mL CCl4

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