ELEMENTS and their COMPOUNDS

SOME ELEMENT GROUPS have SPECIAL NAMES

 Group 1A = alkali metals

 Group 1B = coinage metals

 Group 2A = alkaline earth metals

 Group 2B = volatile metals

 Group 5A = pnictogens

 Group 6A = chalcogens

 Group 7A = halogens

 Group 8A = noble gases, or inert gases, or aerogens

GROUP I–A (ALKALI METALS)  sodium is the cation of extracellular fluids, whereas potassium is the cation of intracellular fluids  sodium is commonly the cation of choice to optimize pharmaceutical utility of organic medicaments  sodium salts are used with caution in the treatment of cardiac and renal conditions in which edema is a problem

GROUP I–A (ALKALI METALS)  potassium ion has diuretic effect  lithium carbonate and lithium citrate have been found valuable in the treatment of hypomanic and manic states; however, patients must be monitored carefully for blood lithium levels

GROUP I–B (COINAGE METALS)  small quantities of copper enhance physiological utilization of iron  copper occursin hemocyanin  radioactive 64Cu isotope is employed in mineral metabolism studies  cupric sulfate is the basis for Fehling’s and Benedict’s solutions

GROUP I–B (COINAGE METALS)  silver has oligodynamic action  silver compounds such as silver nitrate are employed to provide local germicidal action  cosmetic problems can result because of discoloration due to photosensitivity of silver ion  soluble silver salts are toxic; however, toxicity usually is limited

GROUP I–B (COINAGE METALS)  gold compounds are employed in the treatment of lupus erythematosus and rheumatoid arthritis  aurothioglucose and gold sodium thiomalate requires parenteral administration

GROUP I–B (COINAGE METALS)  auranofin is showing some success in oral treatment of rheumatoid arthritis  radioactive isotope 198Au is employed therapeutically in the treatment of certain malignancies  dimercaprol (BAL) is used as antidote if patients show signs of gold toxicity

GROUP II–A (ALKALINE EARTH METALS)  magnesium hydroxide is used as laxative  magnesium sulfate is used as laxative, as anticonvulsant, and topically as a bath  magnesium stearate is employed as lubricant in the preparation of compressed tablets  magnesium is the second most plentiful cation inside the cell and a natural calcium channel blocker

GROUP II–A (ALKALINE EARTH METALS)  successful absorption of magnesium from the gastrointestinal tract appears to depend on the nature of the magnesium salt  toxic manifestations following magnesium administration are relatively rare; calcium gluconate given intravenously is an effective antidote  soluble calcium salts undergo metathesis with soluble borates, carbonates, citrates, oxalates, phosphates, sulfates, and tartrates to yield insoluble calcium compounds

GROUP II–A (ALKALINE EARTH METALS)  calcium is the cation of hydroxyapatite, the major constituent (98%) of bones and teeth  calcium is frequently the cation of choice to carry therapeutically active anions  artificial radioactive 45Ca isotope has been employed in studies involving mineral metabolism  barium hydroxide often finds application in analytical and synthetic operations

GROUP II–A (ALKALINE EARTH METALS)  barium sulfate finds use as radiopaque  barium hydroxide lime is employed as carbon dioxide absorber  artificial radioactive isotopes of barium have been employed in pharmacokinetic investigations  most readily available antidote for barium ingestion is magnesium sulfate (Epsom salt)

GROUP II–B (VOLATILE METALS)  zinc has many therapeutic applications in the treatment of various external surfaces of the body and in wound healing, taste acuity, and various ophthalmic problems  zinc is an essential component of carbonic anhydrase and many other enzymes  artificial radioactive isotopes of zinc have been employed in studies of mineral metabolism

GROUP II–B (VOLATILE METALS)  zinc compounds soluble in water or in gastric fluid may be poisonous; the most readily available antidote is sodium bicarbonate (baking soda)  Itai–Itai disease is believed to be caused by drinking water contaminated with cadmium

GROUP II–B (VOLATILE METALS)  best antidote for mercury poisoning is sodium formaldehyde sulfoxylate; egg albumen may be used in an emergency if the poisoning is discovered shortly after ingestion  radioactive nuclides 197Hg and 203Hg are used in a diagnostic capacity

GROUP III–A  sodium borohydride is a valuable reducing agent  boron appearsto be involved in bone metabolism  boric acid in solution is used as eye wash  sodium borate is a frequent ingredient of cold creams, eye washes, and mouthwashes

GROUP III–A  common incompatibility in the use of borate buffers is the precipitation of insoluble borates from neutral or alkaline buffers  kaolin is used as adsorbent and demulcent  bentonite is useful as suspending agent  in paste form, elemental aluminum is employed topically as protective

GROUP III–A  deaths have been recorded from thallium cosmetic use  thallium compounds have been used in insecticides  gallium(III) binds to transferrin, and appears to be useful in treating cancer–related hypercalcemia  radioactive isotopes 67Ga, 111In, 113In, and 201Tl are used as diagnostic aids

GROUP III–B  cerium, as cerium(IV), is a widely used analytical reagent

GROUP IV–A  fine form of activated charcoal is used as adsorbent in the treatment of diarrhea  carbon dioxide is an effective respiratory stimulant  sodium bicarbonate and calcium carbonate find extensive use as gastric antacids  potassium bicarbonate is used as source of potassium ion in electrolyte replenishers

GROUP IV–A  ammonium carbonate is an effective reflex stimulant  silicosis is a lung condition that develops after long exposure to respirable dust  attapulgite has adsorptive properties like kaolin  talc is used as protective and lubricant

GROUP IV–A  talc must not be used on broken skin, wounds, or surgical incisions  talc is a useful filtering aid  magnesium trisilicate is employed as suspending agent  simethicone has found use as anti–flatulent in gastric bloating and in postoperative gaseous distention in the gastrointestinal tract

GROUP IV–A  bis–β–carboxyethyl germanium sesquioxide has immune system enhancing and antitumor effect  stannous fluoride is applied topically as dental prophylactic  susceptibility of stannous fluoride to oxidative and hydrolytic decomposition causes problems in the preparation and storage of suitable dosage forms  lead is a cumulative poison

GROUP IV–B  titanium dioxide is used as solar–ray protective  several basic aluminum–zirconium compounds are used as antiperspirants; however, prohibition against use of zirconium in aerosols where inhalation is possible is still in effect

GROUP V–A  nitrogen is employed as inert atmosphere in containers  nitrous oxide is an inhalational general anesthetic  sodium nitrite is used as antidote to cyanide poisoning; it also is a vasodilator  nitric oxide is an important neurotransmitter causing responsessuch as vasodilation

GROUP V–A  nitrite ion is toxic; it reacts with hemoglobin to form methemoglobin  nitrate ion is reducible to nitrite in the intestine and may cause methemoglobinemia  yellow phosphorus (white phosphorus) is poisonous, and causes severe, slow to heal burns; cupric sulfate is used as an antidote

GROUP V–A  red phosphorus is nonpoisonous and nonflammable in air, except at high temperatures  dibasic sodium phosphate is the active ingredient in various saline laxatives and enemas  phosphoric acid is used to form soluble salts of insoluble medicinal bases  dihydrogen phosphate–monohydrogen phosphate system is a valuable buffer in physiological ranges

GROUP V–A  hypophosphorous acid is an antioxidant  radioactive isotope 32P is employed therapeutically  hydroxyapatite constitutes the main inorganic component of bones and teeth  arsenic trioxide is used as antileukemic agent; treatment must be carefully supervised owing to possible serious adverse effects

GROUP V–A  sodium arsenate 74As is used as diagnostic aid  if arsenic is still in the gastrointestinal tract, freshly prepared mixture of ferric and magnesium hydroxides is administered orally as an antidote; if arsenic has already been absorbed, dimercaprol by intramuscular injection is effective  antimony compounds are potentially toxic

GROUP V–A  colloidal bismuth subcitrate is used in the treatment of peptic ulcer disease  hydrogen sulfide, from the breakdown of proteins in the gut, reacts with bismuthyl ion; as a result, stools appear black  soluble bismuth compounds are poisonous; intramuscular dimercaprol is an effective antidote

GROUP V–B  tantalum is used in sheet form for the surgical repair of bones; muscle tissue will attach to it as though it was a bone

GROUP VI–A (CHALCOGENS)  oxygen is employed in the treatment of conditions involving hypoxia  ozone, 𝑂𝟑, an allotropic form of oxygen, is a powerful oxidizing agent  ozonized air is used in various disinfecting and bleaching operations  hydrogen peroxide concentrate is the 30% solution; it is a powerful oxidant and must not be used on the skin

GROUP VI–A (CHALCOGENS)  hydrogen peroxide topical solution is the 3% solution; it is a mild, fast acting, oxidizing germicide  6% hydrogen peroxide is the only common bleach mild enough for use on hair  carbamide peroxide topical solution is preferable to hydrogen peroxide in treating oral and ear infections  as an ointment, precipitated sulfur is used as scabicide

GROUP VI–A (CHALCOGENS)  sulfur ointments and lotions are used as keratolytic; it also has fungicidal action  sulfur dioxide is used as antioxidant and preservative  sodium metabisulfite is used as antioxidant  sodium thiosulfate is used as an antidote for cyanide poisoning and is a valuable analytical reagent for the determination of iodine

GROUP VI–A (CHALCOGENS)  selenium sulfide is employed in the topical treatment of seborrheic dermatitis  hands must be cleansed thoroughly after using because selenium is toxic  selenium is an important trace element  selenomethionine 75Se injection is used in the diagnosis of pancreatic tumors and growth

GROUP VI–B  chromium and molybdenum are essential trace elements  radioactive isotope 51Cr is employed as biological tracer

GROUP VII–A (HALOGENS)  fluoride ion is being used over several decades as dental prophylactic  hydrochloric acid is a pharmaceutical necessity for purposes such as neutralizing, stabilizing, or solubilizing other substances  sodium, potassium, and calcium chlorides are employed in electrolyte replenishers  ammonium chloride is a systemic acidifying agent

GROUP VII–A (HALOGENS)  sodium hypochlorite solution (Dakin’s Solution) is an effective germicide, viricide, and deodorant because of the oxidizing power of hypochlorous acid  if the skin is exposed to bromine, the area should be washed immediately with a solution of sodium bicarbonate and treated with glycerin  bromide ion provides central depressant action

GROUP VII–A (HALOGENS)  excessive continued dosage may elicit brominism  iodine is an effective antimicrobial  iodine is essential for proper thyroid functioning  potassium iodide (in solution) is used to protect the thyroid when the possibility of accidental exposure to 131I is anticipated

GROUP VII–A (HALOGENS)  radioactive isotopes 125I and 131I have diagnostic and therapeutic applications  elemental iodine is toxic; corn starch and sodium thiosulfate are effective chemical antidotes

GROUP VII–B  gastric lavage using dilute permanganate solutions is antidotal for various alkaloids and other toxic substances that have been ingested in small amounts and are readily susceptible to oxidation  caution must be exercised to keep permanganate from contact with organic and other easily oxidized compounds; dangerous explosions may occur  manganese is necessary for the activation of a variety of enzymes such as pyruvate carboxylase

GROUP VII–B  radioactive technetium 99Tc is used diagnostically in various forms  rhenium has been employed as a catalyst for dehydrogenation

GROUP VIII–A (INERT GASES)  helium is used to prepare synthetic airs  argon is used as inert atmosphere for industrial processes in which nitrogen reacts with the materials present  krypton and xenon have been investigated for possible use as anesthetics  133Xe is used for diagnostic studies

GROUP VIII–A (INERT GASES)  radon is used in the treatment of certain types of cancer; sealed tubes containing the gas are embedded in the tissues to be treated  radon is a public health concern because it has been found in the basements of some private homes 45

GROUP VIII–B (IRON TRIAD)  iron is important in the transportation of oxygen by hemoglobin  iron functions in various cytochromes  sodium nitroprusside is a vasodilator  presence of traces of cobalt may catalyze the physiological utilization of iron

GROUP VIII–B (IRON TRIAD)  this led to the introduction of medicinal specialty products containing iron in association with cobalt for use in the treatment of iron deficiency anemias  radioactive isotopes 57Co and 60Co are used diagnostically and therapeutically

GROUP VIII–B (PLATINUM METALS)  platinum is used in cancer chemotherapy as cisplatin; carboplatin is another compound used in cancer therapy