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Kimberly Ann A.

Vipinosa Clinical Toxicology Laboratory

Expt 1: Ethanol/Ethyl Alcohol/Grain Expt 2: methanol/ methyl alcohol/


Alcohol/Wine, Neutral Or Rectified denatured alcohol/ wood alcohol
Spirit Methanol properties
Ethanol properties • Molecular formula ch4o
 Molecular formula c2h6o • Molar mass 32.04 g·mol −1
 Molar mass 46.07 g·mol −1 • Appearance colorless liquid
 Density 0.789 g/cm 3 (at 25°c) • Density 0.7918 g·cm −3 0.7925
 Melting point −114 °c (−173 °f; 159 g·cm −3 @20°c [2]
k) • Melting point −97.6 °c (−143.7
 Boiling point 78.37 °c (173.07 °f; °f; 175.6 k)
351.52 k) • Boiling point 64.7 °c (148.5 °f;
 VD: 0.5-0.7l 337.8 k)
 Lethal dose: 300-400 pure ethanol; • vd: 0.6-0.77 l/kg
1 ½ pint of whiskey • fatal dose: 20-240 ml
• use: denaturant, anti freeze,
 Use: wine,disinfectant
formalin synthesis
 Effect: cns depression
• effect: blindness
 Antidote: fomepizole, disulfiram
• antidote: fomepizole, ethanol
Tests
• mechanism of toxicity: alcohols
 Berthelot’s test sx -> + few
are metabolised via alcohol
drops benzyl cl -> + excess
dehydrogenase to their toxic
10% naoh (+) aromatic odor
metabolites. Methanol is slowly
 Chromic acid test sx -> 2 drops
metabolised to formaldehyde
k dichromate -> + 4 drops
which is rapidly metabolised to
h2so4 (+) green solution with
formate, the metabolite mainly
chico odor
responsible for methanol
 Ethyl acetate test sx-> + 3ml
toxicity. Formate metabolism
conc. H2so4 -> + few na
depends upon the folate pool
acetate crystals-> warm (+)
which is small in primates
plastic balloon odor
compared with other animals.
 Lieben’s iodoform test sx-> 1 ml
Therefore, formate accumulates
lugol’s solution, then warm -> +
in primates during methanol
koh solution-> cool (+) yellowish
intoxication and is mainly
white precipitate
responsible for the metabolic
 vitali’s test sx in evap dish -> +
acidosis in the early stage of
3 drops cs2, evaporate-> + koh
intoxication. In late stages
pellet (+) red solution
lactate may also accumulate,
mainly due to formate inhibition
of the respiratory chain.
Tests
a. Oxidation tests
• glowing copper wire -> sx
in porcelain dish ->
plunge glowing cu spiral
Kimberly Ann A. Vipinosa Clinical Toxicology Laboratory

into solution -> heat (+) change -> acidify with acetic
bluish green with acid (+) red to orange; when
formalin odor heated: green
• with kmno4 sx -> + 10  lieben’s iodoform test sx-> +1
drops conc. H2so4 (+) ml lugol’s solution -> warm
decolorized gently -> + koh (+) yellowish
• with k2cr2o7 sx-> +2 white precipitate
drops k2cr2o7 -> + 10  reynold’s test sx-> +2 ml
drops h2so4 (+) green mercuric cl-> +1 ml of alcoholic
b. Phloroglucinol test mix 2 ml koh -> shake and filter-> 5
0.1% phloroglucinol in 1 ml koh drops nh4s to clear filtrate ->
solution -> + sx (+) pink to red observe (don’t shake) (+) black
c. Rimini’s phenylhydrazine test zone
sx-> +10 drops of
penylhydrazine hcl -> + 2 drops Expt 4: formaldehyde/ formalin/
0.5% na nitroprusside -> +10 formol/ methanal/ methyl aldehyde
drops of 20%/6n naoh (+) violet Formaldehyde properties
• Molecular formula ch2o
Expt 3: acetone/ b-keto propane/ 2- • Molar mass 30.03 g·mol −1
propanone/ dimethylketone • Appearance colorless gas
Acetone properties • Density 0.8153 g/cm³ (−20 °c)
• Molecular formula c3h6o • Melting point −92 °c (−134 °f;
• molar mass 58.08 g·mol −1 181 k)
• Appearance colorless liquid odor • Boiling point −19 °c (−2 °f; 254
pungent, irritating, floral k)
• Density 0.791 g cm −3 • lethal dose: 30 ml
• Melting point −95 °c; −139 °f; 178 • use: embalming agent
k • effect: metabolic acidosis, eye
• Boiling point 56 °c; 133 °f; 329 k irritation
• lethal dose: 50 ml • treatment: folic acid, nahco3
• uses: solvent, nail polish remover • mot: the exact mechanism of
• effect: cns depression action of formaldehyde toxicity
• no antidote ( neutralization with is not clear, but it is known that
milk or water) it can interact with molecules on
• mot: ketones contain acetone and cell membranes and in body
travel through the bloodstream tissues and fluids (e.g., proteins
until they are broken down in the and dna) and disrupt cellular
liver. Acetone poisoning can occur functions. High concentrations
when an abnormally high amount cause precipitation of proteins,
of ketones is present. which results in cell death.
Tests: Absorption from the respiratory
 legal’s test sx-> 5 drops of 0.5% tract is very rapid; absorption
na nitroprusside -> +6n naoh from the gastrointestinal tract is
solution -> observe color also rapid, but may be delayed
Kimberly Ann A. Vipinosa Clinical Toxicology Laboratory

by ingestion with food. Once Expt 5: phenol/ carbolic acid/


absorbed, formaldehyde is hydroxybenzene
metabolized to formic acid, Phenol properties
which may cause acid-base • Molecular formula c6h6o
imbalance and a number of • Molar mass 94.11 g·mol −1
other systemic effects. • Appearance transparent crystalline
solid odor sweet and tarry
Tests: • Density 1.07 g/cm 3
a. General aldehyde rxn • Melting point 40.5 °c (104.9 °f;
 silver nitrate test sx-> + few 313.6 k)
drops ammoniacal agno3-> • Boiling point 181.7 °c (359.1 °f;
heat to boiling (+) silver mirror 454.8 k)
 fehling’s test sx -> + 5 drops • lethal dose: 2g
fehling’s reagent (+) brick red • use: drug precursor, disinfectant
precipitate (protoplasmic poison)
 nessler’s test sx-> + few drops • effect: burning sensation
nessler’s reagent-> heat to • tx: gastric lavage and activated
boiling (+) gray precipitate charcoal
b. Hehner’s test sx-> +2 ml fresh • mot: cellular uptake of phenol is
unboiled milk & 7 ml 25% hcl-> due to its lipophilic character. It
+ few drops fecl3-> boil gently denatures proteins. Phenol is
(+) purple ring at junction known to disrupt disulphide
c. Hexamethylene tetraamine test bridges inp keratin in the skin
sx-> + nh3-> evaporate slowly Tests
(+) white precipitate  bromine water test sx-> +
d. Phloroglucinol test sx-> + excess strong br water (+)
unequal qtty of 15% hcl -> yellowish white precipitate
sprinkle a pinch of  ferric cl test sx-> + very dilute
phloroglucinol (+) red fecl3 (drop by drop) -> + diluted
e. Resorcinol test sx-> + mixture hcl or h2so4 (+) blue violet
of equal vol. Of 5% resorcinol  hypochlorite test sx-> + few
&40% naoh (+) red drops nh4oh -> + 2-4 drops
f. Rimini’s phenylhydrazine test freshly prep. Na/ca hypochlorite
sx-> +10 drops of 0.5% (+) blue
phenylhydrazine hcl -> +2 drops  melzer’s benzaldehyde test sx->
of 5% na nitroprusside )-> +10 +2 ml conc. H2so4 -> heat for
drops 10% naoh (+) deep blue 2mins. -> +10 ml water in
cooled solution-> + koh (+)
violet-blue
 millon’s test (plugge’s rxn) sx->
+ few drops millon’s reagent->
heat (+) red
Kimberly Ann A. Vipinosa Clinical Toxicology Laboratory

Expt 6: chloroform/ Tests


trichloromethane/ methyl trichloride  isocyanide test sx-> + 1-2 drops
Chloroform properties aniline & few drops alcoholic/aq
• Molecular formula chcl3 koh-> warm for 2 mins. (+) very
• Molar mass 119.38 g·mol −1 penetrating repulsive odor
• Appearance colorless liquid odor  shwartz’s resorcinol test dissolve
heavy, ethereal odor 0.1g resorcinol in 2ml water -> +
• Density 1.564 g/cm 3 (-20 °c) few drops naoh-> + sx -> heat to
1.489 g/cm 3 (25 °c) 1.394 g/cm 3 boiling (+) yellowish
(60 °c) redprecipitate
• Melting point −63.5 °c (−82.3 °f;  lustgarten’s naphthol test sx-> +
209.7 k) few drops a-naphthol solution (+)
• Boiling point 61.15 °c (142.07 °f; blue to green to brown
334.30 k) decomposes at 450 °c  fujiwara’s pyridone test mix 2 ml
• fatal dose: 10 ml of pyridine with 3 ml 10% naoh
• use: freon solution-> heat to boiling -> + sx
• effect: hepatic and renal damage, (+) red/purple
cns depression, arrhythmia reduction test
• tx: n-acetylcysteine a. Fehling’s test sx-> + few drops
• mot: chloroform causes fehling’s reagent (+) red
progressive depression of the precipitate
central nervous system, ultimately b. Tollen’s test excess nh4oh
producing deep coma and solution to agno3-> sx -> heat
respiratory centre depression. It is to boiling (+) silver mirror
also hepatotoxic and nephrotoxic,
although liver and kidney damage
can be influenced by various
treatments which affect hepatic
drug- metabolizing enzymes;
induction of hepatic enzymes with
barbiturates, ddt or ethanol
potentiates hepatic cell necrosis
and kidney damage (niosh,
1979b). The reactive intermediates
of chloroform metabolism
(phosgene, carbene and cl) which
bind covalently and irreversibly to
cellular macromolecules are
believed to account for cellular
damage within the liver and
kidney.
Kimberly Ann A. Vipinosa Clinical Toxicology Laboratory

Expt 7: carbon tetrachloride/  lustgarten’s naphthol test sx-> +


etrachloromethane/ pyrine/ carbona few drops a-naphthol solution
Carbon tetrachloride properties (+) brown
• Molecular formula ccl4
• Molar mass 153.82 g·mol −1 Expt 8: carbon disulfide
• Appearance colourless liquid odor Carbon disulfide properties
ether-like odor • Molecular formula cs2 molar
• Density 1.5867 g cm −3 (liquid) mass 76.14 g·mol −1
1.831 g cm −3 at −186 °c (solid) • Appearance colorless liquid
1.809 g cm −3 at −80 °c (solid) impure: light-yellow odor
• Melting point −22.92 °c (−9.26 °f; chloroform (pure) foul
250.23 k) (commercial)
• Boiling point 76.72 °c (170.10 °f; • Density 1.539 g/cm 3 (-186°c)
349.87 k) 1.2927 g/cm 3 (0 °c) 1.266 g/cm
• lethal dose: 3-5 ml 3 (25 °c)
• use: propellant, antifreeze • Melting point −111.61 °c
• effect: lung, liver, heart and kidney (−168.90 °f; 161.54 k)
toxicity • Boiling point 46.24 °c (115.23 °f;
• tx: n-acetylcysteine 319.39 k)
• mot: ccl4 is activated by • lethal dose: 0.1mg/ml
cytochrome (cyp)2e1, cyp2b1 or • use: metal rust remover,
cyp2b2, and possibly cyp3a, to fumigant, pesticide
form the trichloromethyl radical, • effect: cns depression, peripheral
ccl3*. This radical can bind to neuropathy, hemolysis and
cellular molecules (nucleic acid, methemoglobinemia
protein, lipid), impairing crucial • tx: methylene blue
cellular processes such as lipid • mot: the mechanisms of carbon
metabolism, with the potential disulfide toxicity can be divided
outcome of fatty degeneration into two categories;
(steatosis) nonmicrosomal and microsomal.
Tests: The nonmicrosomal pathway
 fujiwara’s pyridine test mix 2 ml involves nonenzymatic
pyridine with 3ml 10% naoh spontaneous reaction of carbon
solution-> heat to boiling-> + sx disulfide with amino or thiol
(+) red groups that leads to formation of
 isonitrile rxn sx-> + 2 drops dithiocarbamates or gsh
aniline & few drops of conjugates as well as inhibition of
alcoholic/aq koh-> warm for 2 certain enzymes such as
mins (+) foul odor dopamine beta-hydroxylase.
 schwartz’s resorcinol test These reactions primarily lead to
dissolve 0.1g resorcinol in 2 ml neurotoxic effects. The second
water-> + few drops naoh mechanism of carbon disulfide
solution-> +sx (+) red toxicity involves its metabolism by
hepatic microsomal enzymes to
Kimberly Ann A. Vipinosa Clinical Toxicology Laboratory

two reactive sulfur atoms that Expt 9: aniline/


bind covalently to cell phenylamine/aminobenzene/blue oil
macromolecules causing Aniline properties
hepatotoxicity. This oxidative • Molecular formula c6h5nh2
metabolism of carbon disulfide • Molar mass 93.13 g/mol
has been suggested to be • Appearance colorless to yellow
responsible for much of the liver liquid density 1.0217 g/ml, liquid
pathology and impairment of liver • Melting point −6.3 °c (20.7 °f;
metabolism of other endogenous 266.8 k)
substrates as well as exogenous • Boiling point 184.13 °c (363.43 °f;
compounds entering the body. 457.28 k)
Tests • lethal dose: 15-30g
 lead acetate test sx-> few drops • use: drug precursor, explosive,
lead acetate solution -> observe- herbicide, synthetic dyes
> + koh & heat to boiling (+) black • effect: methemoglobinemia,
ppt (with hcl: white precipitate) convulsions
 sulfocyanate test sx-> 5 drops • tx. Methylene blue
nh4oh -> +5 drops ethanol -> • mot: it is proposed that
heat to concentrate its volume to compound-derived toxicity to
1 ml -> acidify with dil. Hcl -> + erythrocytes results in
few drops fecl3 (+) deep red color scavenging of damaged red
 xanthogenate test sx-> shake blood cells by the spleen,
with 3 ml sat. Koh in absolute initiating a series of events which
alcohol -> acidify mixture with2 may contribute to the
ml diluted acetic acid and 2 drops development of spleen tumours
copper sulfate solution (+) yellow Tests
precipitate  hypochlorite test sx-> + drop by
drop aq na/ca hypochlorite-> + aq
phenol solution containing few
drops nh3 (+) blue
 phenyl isocyanide test sx-> heat
with few drops of chloroform and
koh (+) repulsive odor
 bromine water test sx-> + few drops
of strong bromine solution-> shake
(+) flesh precipitate
 chromic acid test rub in porcelain
dish a trace of pure, absolute
aniline-> + 4-5 drops of conc. H2so4
& few drops of aq k dichromate (+)
deep blue
Kimberly Ann A. Vipinosa Clinical Toxicology Laboratory

Expt 10: picric acid/ 4,4,6- Expt 11: naphthalene/ moth ball/
trinitrophenol/ phenoltrinitrate albocarbon/ tar camphor
Pocric acid properties Naphthalene properties
• Molecular formula c6h3n3o7 • Molecular formula c10h8
• Molar mass 229.10 g·mol −1 • Molar mass 128.17 g·mol −1
• Appearance colorless to yellow • Appearance white solid crystals/
solid flakes
• Density 1.763 g·cm −3 , solid • Odor strong odor of coal tar
• Melting point 122.5 °c (252.5 °f; • Density 1.145 g/cm 3 (15.5 °c) [1]
395.6 k) 1.0253 g/cm 3 (20 °c) [2] 0.9625
• Boiling point > 300 °c (572 °f; 573 g/cm 3 (100 °c)
k) explodes • Melting point 78.2 °c (172.8 °f;
• fatal dose: 1-3g po 351.3 k) 80.26 °c (176.47 °f;
• use: explosive, dyes, fixatives 353.41 k) at 760 mmhg
(forensic) • Boiling point 217.97 °c (424.35 °f;
• effect: sensitization dermatitis, 491.12 k) at 760 mmhg
yellow skin • lethal dose: 1-2g (4-8 moth balls)
• tx: methylene blue, activated • use: moth repellant, toilet
charcoal deodorizer
Tests • effect: cns stimulation, hemolysis
a. Acidify sx with hcl -> extract 5 & methemoglobinemia
ml ether-> place drop by drop of • tx: methylene blue, activated
ether in a piece of linen-> wash charcoal
linen & moistened w/ little Tests
ammonium sulfide (+) yellow a. Sx-> +h2so4 (+) clear/colorless
stain b. Sx-> + few drops chlorinated
b. Sx-> + lead acetate & h2so4 -> lime & few drops conc. Hcl->
extract with 5 ml chloroform-> observe-> + few drops 1%
mix with 1 ml chloroform & solution of resorcinol & few
enough nh4oh to form 2nd drops nh3-> observe-> + few
layer-> + 0.5 ml of solution of 2g drops nitric acid (+) blood red
ferrous sulfate & 10g tartaric bottom
acid in 100ml dw (+) yellow
upper layer & red lower layer
c. Sx-> + few drops methylene
blue (+) green solution with
black residue
Kimberly Ann A. Vipinosa Clinical Toxicology Laboratory

Expt 12: aspirin/acetylsalicylic acid created during the


(asa)/ 2-acetoxybenzoic acid metabolism of glucose in the
Aspirin chemical data electron transport chain as
• Formula c9h8o4 heat, so salicylate poisoned
• Molecular mass 180.157 g/mol patients may become febrile
• Physical data Tests
• Density 1.40 g/cm 3  Heat 0.5g aspirin -> +2 ml naoh
• Melting point 136 °c (277 °f) -> cool in ice water-> + 5 drops
• Boiling point 140 °c (284 °f) h2so4-> divide into 2 portions
(decomposes) crystallized portion -> + fecl3 (+)
• Solubility in water 3 mg/ml (20 violet (salycylic acid) aqueous
°c) portion -> + few drops alcohol &
• acute ingestion 5 drops conc. H2so4 (+) white
• mild intoxication: 150-200 (acetic cid)
mg/kg
• severe intoxication: 300-500 Expt 13: salycylic acid
mg/kg Salycylic acid properties
• chronic intoxication: • Molecular formula c7h6o3
100mg/kg/day • Molar mass 138.12 g·mol −1
• use: antiplatelet, analgesic, • Appearance colorless to white
antipyretic, anti-inflammatory crystals
• effect: salicylism (tinnitus, • Odor odorless
decrease hearing, vertigo, • Density 1.443 g/cm 3 (20 °c)
vomiting) • Melting point 158.6 °c (317.5 °f;
• tx: iv na bicarbonate, iv 431.8 k)
crystalloid solution • Boiling point 200 °c (392 °f; 473
• mot k)
o interferes with aerobic • Decomposes 211 °c (412 °f; 484
metabolism by means of k) at 20 mmhg
uncoupling of mitochondrial • use: keratolytic
oxidative phosphorylation. • effect: burning of skin, salicylism
o interruption of a series of Tests
enzyme‐mediated a. Sx-> +0.6 ml 30% crystalline na
mitochondrial functions and carbonate solution-> + 1ml 1n
increased anaerobic iodine solution-> heat (30
metabolism with cellular mins.)-> remove excess iodine
conversion of pyruvate to with little thiosulfate solution (+)
lactate and rapid violet
development of lactic b. Sx-> +0.5 ml h2so4 -> + 3 ml
acidosis ether -> ether layer: shake with
o the inefficiency of anaerobic dw containing 1 dropof neutral
metabolism results in less fecl3 solution (+) light violet at
energy being used to create lower layer
atp and release of the energy
Kimberly Ann A. Vipinosa Clinical Toxicology Laboratory

Expt 14: acetanilide


Acetanilide properties
• Molecular formula c8h9no
• Molar mass 135.16 g·mol −1
• Odor odorless
• Density 1.219 g/cm 3
• Melting point 114.3 °c (237.7 °f;
387.4 k)
• Boiling point 304 °c (579 °f; 577
k)
• use: h2o2 decomposition
inhibitor, for synthesis of camphor
• effects: methemoglobinemia
• tx: methylene blue
Tests
 indosalycylic rxn. Sx-> heat with
25% of its vol of hcl ->
neutralize with chalk-> extract
with ether and evaporate-> take
residue with 25% hcl-> +5 drops
3% aq salycylic acid-> +5 drops
hydrogen peroxide-> observe->
small amount-> + small amount
of nh3 (+) bluish purple

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