Blood chloride

The twins were referred subsequently to a metabolic specialist because of the suspicion of an inborn error of metabolism. Biochemical testing revealed each had a hyperchloremic (increased blood chloride concentration) metabolic acidosis that was more profound in Elizabeth. Serum levels of glucose and liver transaminases were normal. Urinary organic acids revealed modestly increased concentrations of lactate and ketone bodies. Blood samples and fibroblasts from skin biopsies from both girls were sent to an established diagnostic laboratory for genetic mitochondrial diseases. Tests of respiratory chain complex enzymatic activities were normal. 

The standard deviation established for the determination of blood chloride by coulometric titration is 0.5 meqTL. What is the 95% confidence limit for a triplicate determination ... 

The blood chloride levels are reduced in some forms of alkalosis—for example, when chronic vomiting occurs—as in pyloric stenosis or other types of obstructions. 

Chloride ions in the body are from the same source as sodium chloride. Thus, the source of sodium differs from that of chloride since sodium may be ingested in the form of nonchloride salts. Researchers have proposed that this difference in the sources of sodium and chloride is responsible for the relatively high sodium concentrations in the blood as compared to blood chloride concentrations. 

Because of their coulometric origin, if the end point is well determined, all these methods are absolute and do not need any calibration. Some clinical instruments, such as blood chloride meters, use such Ag generated coulometries. 

Sodium and Hypertension. Salt-free or low salt diets often are prescribed for hypertensive patients (57). However, sodium chloride increases the blood pressure in some individuals but not in others. Conversely, restriction of dietary NaCl lowers the blood pressure of some hypertensives, but not of others. Genetic factors and other nutrients, eg, Ca " and K", may be involved. The optimal intakes of Na" and K" remain to be estabUshed... 

Based on tests with laboratory animals, aniline may cause cancer. The National Cancer Institute (NCI) and the Chemical Industry Institute of Toxicology (CUT) conducted lifetime rodent feeding studies, and both studies found tumors of the spleen at high dosage (100 —300 mg/kg pet day of aniline chloride). CUT found no tumors at the 10—30 mg/kg per day feeding rates. The latter value is equivalent to a human 8-h inhalation level of 17—50 ppm aniline vapor. In a short term (10-d) inhalation toxicity test by Du Pont, a no-effect level of 17 ppm aniline vapor was found for rats. At high levels (47—87 ppm), there were blood-related effects which were largely reversible within a 13-d recovery period (70). 

Direct. Some radionucHdes are packaged in solution for direct sampling (qv) via a septum and injection into the patient. GalHum-67 is a marker of inflammation, infection, and various tumor types. Its half-life is 78.3 h and it is suppHed as the gallium citrate salt. Indium-111 chloride is suppHed for the labeling of white blood ceUs. The In chloride is mixed with oxine (9-hydroxyquinoline) to form a lipophilic, cationic In oxine complex, which enters the white blood ceU. The complex dissociates within the ceU, and the cationic In " ion is trapped within the ceU, owing to its charge. 

Strontium-89 chloride is a calcium analogue that rapidly clears from the blood and is taken up into bone mineral, particularly in areas of active osteogenesis, as weU as primary bone tumors and metastases. It is used for reHef of bone pain in patients having painful skeleton bone metastases. It is suppHed in an injectable solution. 

Silver diethyldithiocarbamate [1470-61-7] is a reagent commonly used for the spectrophotometric measurement of arsenic in aqueous samples (51) and for the analysis of antimony (52). Silver iodate is used in the determination of chloride in biological samples such as blood (53). 

A deterrnination that carbon monoxide might be a metaboUte of methylene chloride in humans (33) suggests that unacceptable levels of carboxyhemoglobin would exist in the blood of persons exposed to methylene chloride vapors at concentrations greater than 500 ppm for extended periods of time. These conditions are rarely encountered in most industrial appHcations. However, as with any organic solvent, adequate ventilation should be provided to ensure compliance with all industrial and governmental regulations. 

Several nonoccupational health problems have been traced to cobalt compounds. Cobalt compounds were used as foam stabilizers in many breweries throughout the world in the mid to late 1960s, and over 100 cases of cardiomyopathy, several followed by death, occurred in heavy beer drinkers (38,39). Those affected consumed as much as 6 L/d of beer (qv) and chronic alcoholism and poor diet may well have contributed to this disease. Some patients treated with cobalt(II) chloride for anemia have developed goiters and polycythemia (40). The impact of cobalt on the thyroid gland and blood has been observed (41). 

Methybcanthine Diuretics. The mild diuretic effect of drinking coffee, from caffeine, and tea, mainly from theophylline, has been recogni2ed for along time. But the methylxanthines (Table 5) are of very limited efficacy when used as diuretics. The excretion of sodium and chloride ions are increased, but the potassium excretion is normal. Methylxanthines do not alter the urinary pH. Even though the methylxanthines have been demonstrated to have minor direct effects in the renal tubules, it is beUeved that they exert their diuretic effects through increased renal blood flow and GER (71). 

Ion-selective electrodes are available for the electro analysis of most small anions, eg, haUdes, sulfide, carbonate, nitrate, etc, and cations, eg, lithium, sodium, potassium, hydrogen, magnesium, calcium, etc, but having varying degrees of selectivity. The most successful uses of these electrodes involve process monitoring, eg, for pH, where precision beyond the unstable reference electrode s abiUty to deUver is not generally required, and for clinical apphcations, eg, sodium, potassium, chloride, and carbonate in blood, urine, and semm. 

Thiirane is more bactericidal than oxirane, and derivatives of 2-mei captomethylthiirane inhibit tuberculosis. The following pharmacological uses have been reported for compounds derived from thiirane derivatives gold complexes of the adducts of diethylphosphine and thiirane (antiarthritic), adducts of thiiranes and malononitrile (antibacterial, blood vessel dilators, muscle relaxants, sedatives), thermolysis products of thiirane 1-oxides and adducts of thiirane 1-oxides with sulfenyl chlorides (antibacterial), adducts of 2,3-diarylthiirene 1,1-dioxides with ynamines (antibacterial, parasiticidal), adducts of 2,3-diarylthiirene 1,1-dioxides with enamines (antifertility), adducts of p-aminophenylacetic esters with thiirane (immunosuppressants), adducts of amines and thiiranes (radioprotective drugs). 

Oil-soluble derivatives of testosterone itself predate those of its 19-nor congener these agents too are used to administer depot injections so as to provide in effect long-term blood levels of drug. Thus, acylation of testosterone with propionyl chloride in the presence of pyridine yields testosterone propionate (76a)acylation by means of decanoic anhydride yields testosterone decanoate (76b).Finally, reaction of 75 with 3-cyclopentylpropionyl chloride affords testosterone cypionate (76c)This last undergoes hydrolysis unusually slowly because of the presence of two substituents at the 5 position (see Newman s Rule of 6). ... 

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