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82 Cards in this Set

  • Front
  • Back

Essential Ions

any number of element required by a living organism to ensure normal growth, development and maintenance



not synthesized by the body and must be included in our diet

Trace Ions

ions that are required for normal functioning but in small amounts only

Non-essential Ions

ions that are generally not needed in body funtions but some may have beneficial pharmacologic action in appropriate dosage

Iron

it is present in animals, wherever respiration occurs

Constituent of Hemoglobin

Principal metabolic function of Iron

hemoglobin, myoglobin, REDOX enzymes

Iron is essential component of several metalloproteins such as __________, __________, and many __________

◾ electron carrier


◾ responsible in the transport of molecular oxygen

What are the functions of Iron in the respiratory chain?

liver, bone marrow, spleen

Extra iron is stored in the __________, __________ and __________

Diet

primary source of iron

Duodenum (acidic)

where most iron absorption takes place

Ascorbic Acid

during iron supplementation, ___________ is given concomitantly

Hypochromic microcytic anemia

Deficiency in Iron can lead to __________

◾ Listlessness


◾ Palpitation on exertion


◾ Sore throat & Angular stomatitis


◾ Dysphagia


◾ Koilonychia (spoon nails)

Manifestations of Hypochromic microcytic anemia

◾ Males — 8 mg/day


◾ Females — 18 mg/day

Recommmended Daily Allowance (RDA) of Iron:


Males — (?)


Females — (?)

Hemochromatosis

Toxicity of Iron; resulting from excessive tissue accumulation

Ferrous fumarate

resistant to oxidation in air

◾ Ferrovit®


◾ Fergesol®

Brand names of Ferrous fumarate

Ferrous gluconate

has a good bioavailability

Fergon®

Brand name of Ferrous gluconate

approximately 12%

Content of elemental iron in Ferrous gluconate

◾ United Home Ferrous sulfate®


◾ Feosol®


◾ Ferglobin®


◾ Sorbifer® durules

Brand names of Ferrous sulfate

20%

Content of elemental iron in Ferrous sulfate

Iron-Dextran Injection

used in patients who cannot take orally iron preparations



◾ administered IM only

33%

Content of elemental iron in Ferrous fumarate

ferric hydroxide, hydrolyzed LMW dextran

Iron-Dextran Injection is a sterile colloidal solution of __________ in complex with partially __________ in water injection.

Ferrous sulfate, USP

◾ pale, bluish green crystals or granules (odorless)



◾ effloresces in dry air



◾ oxidizes in moist air to form brownish yellow ferric sulfate

Iron sulfate, copperas, Green vitriol, Iron vitriol

Other names of Ferrous sulfate, USP

treated mineral pyrite (fool's gold or iron pyrite, and FeS2)

Ferrous sulfate, USP is obtained from __________

hematinic (increases the amount of hemoglobin in blood)

Ferrous sulfate, USP is used as _________

triiodothyronine (T3)


◾ thyroxine (T4)

Principal metabolic function of Iodine: Synthesis of two hormones __________ and __________ (produced by the thyroid gland)

fibrinolytic agent; syphilis, leprosy

Iodine is used as __________ in __________ and __________

Iron Sorbitex Injection

◾ can cause dark urine due to iron sulfide



◾ administered IM only

hyperthyroidism

Iodine is used as an ameliorating agent in __________

iodide salt

Iodine is usually administered in an __________

◾ Males — 140 mcg/day


◾ Females — 100 mcg/day

Daily dose of Iodine


◾ Males — (?)


◾ Females — (?)

cretinism & goiter (enlargement of the thyroid gland)

Deficiency in Iodine can lead to __________ and __________

◾ Salt water fish


◾ Shellfish


◾ Iodized salt


◾ Milk

Sources of Iodine

Iodism

Toxicity of Iodine; may happen in individuals with too much intake of iodine

NaCl (Sodium chloride)

may aid in the rapid elimination of iodine

Povidone iodine

an antiseptic to prevent or treat infections in wounds

Potassium Iodide

an expectorant to liquefy thick and tenacious sputum in several lung conditions

Constituent of Vitamin B12 (cyanocobalamin)

Principal metabolic function of Cobalt

Pernicious anemia

Deficiency of Cobalt; lack of Vitamin B12

Zinc

know to play a central role in the immune system

Constituent of insulin and carbonic anhydrase

Principal metabolic function of Zinc

◾ Males — 11 mg/day


◾ Females — 8 mg/day

RDA of Zinc


◾ Males — (?)


◾ Females — (?)

Stunted growth


Parakeratosis (thick, inflamed, scaly skin)


Hypogonadism (in males)

Deficiency in Zinc

Metal Fume Fever

Toxicity of Zinc

900 mcg/day

RDA of Copper

Formation of Hemoglobin (increases the utilization of iron)


◾ Constituent of oxidase enzymes

Principal metabolic function of Copper

Copper

functions in the absorption and utilization of iron, electron transport, connective tissue metabolism and development of the nervous system

◾ most common: hypochromic anemia


others: growth depression, skeletal defects, degeneration of the nervous system etc.

Deficiency syndromes of Copper

Wilson's disease (hepatolenticular degeneration)

Toxicity of Copper; excessive storage of Cu

Penicillamine

DOC for Copper's toxicity

Fluoride

widely used as an anticariogenic (inhibition of dental cavity development)

NaF (Sodium Fluoride)

Compound form of Fluoride

Tooth decay

Deficiency in Fluoride

Fluorosis (Motting of teeth)

Toxicity of Fluoride

Bromide

causes CNS depression in small doses (0.2 to 2 g)



◾ in large doses (4 to 8 g), depresses all reflexes and used as a medication for epileptic seizures

NaBr, KBr, NH4BR

Bromide compounds

Bromism

Toxicity of Bromide; characterized by insomnia, restlessness, dizziness and weakness

Arsenic

used as rat poison component and a protoplasmic poison

trypanosomiasis, amoebiasis

Arsenic is used as protoplasmic poison for __________ and __________

Arsenicals

used in leukemia

Potassium arsenite (Fowler's solution) — solution of As2O3 and KHCO3

Compound of Arsenic

Mees' lines; leukonychia

Toxicity of Arsenic; development of __________ (white spots) in the fingernails

Lithium

mood stabilizer in manic-depression psychosis



◾ depressant to the CNS and to the circulation



◾ has a diurteic effect

Lithium carbonate

Compound of Lithium

Gold

used as a cure for rheumatoid arthritis and non-disseminated lupus erythematosus

◾ Gold sodium thiomalate


◾ Aurothioglucose

Gold compounds

Alum, chlorine, sulfate

Soluble salts of Aluminum; used as astringets

Phosphate and hydroxide

Insoluble salts of Aluminum; used as gastric antacids

Silver

Used as styptic and as a protein precipitant

Toughened silver nitrate

Silver compound

Argyria (discoloration of the skin)

Silver toxicity

Diuretic, germicide, antiseptic

Uses of Mercury

mercurous chloride, ammoniated mercury, yellow mercuric oxide

Mercury compounds

diuretic mercurial

chief use of __________ is to rid the body of excess fluid due to cardiac edema

Hydrargyria (an acute poisoning)

Mercury toxicity

Strontium bromide

Strontium is used as a sedative in the form of __________

Strontium lactate

used as treatment for osteoporosis (Strontium)

diabetes insipidus

Lithium toxicity