2. Currently there are five gases in the USP.
Oxygen
Helium
Carbon dioxide
Nitrogen
Nitrous oxide
3. Oxygen (O2; Mol. Wt. 32)
Oxygen is necessary in the normal oxidative metabolism
for the production of useful energy.
Oxygen occurs as a colorless, odorless, tasteless gas,
which supports combustion more energetically than dose
air.
One liter at 0 degree centigrade and at a pressure of 760
mm of mercury weighs about 1.429 grams.
One volume dissolves in about 32 volumes of water and in
about 7 volumes of alcohol 20 degrees and at a pressure
4. Oxygen is stored in cylinders which are usually green-
colored ( WHO: white) or carry a green label.
Since oxygen supports rapid combustion, there should be
no smoking or open flames nearby
Precautions should be taken against ignition by sparks
from electrical appliances, clothing, or bedding.
5. Oxygen is commonly administered by nasal tubes, mask,
or in tents at atmospheric pressure in concentrations
ranging from 30-80 %.
Occasionally100 % oxygen is administered for short
periods of time.
Another method of administration is hyperbaric oxygen
therapy in which 100 % oxygen is given at 1.5 to 3
atmospheres absolute pressure.
6. This technique has been used for air embolism (air
bubbles in blood), carbon monoxide poisoning, gas
gangrene, crush injury, myocardial infraction, and
peripheral and cerebral vascular disease.
A pressure chamber is required.
7. Carbon dioxide (CO2; Mol. Wt.
44.01)
Carbon dioxide along with water, is the normal end product
of combustion, whether rapid as found in a burning flame
or very slow as found in the metabolism of all aerobic
organisms.
8. Carbon dioxide occurs as an odorless, colorless gas. Its
aqueous solutions are acid to litmus.
One liter at 0 degree centigrade and at a pressure of 760
mm of Hg weighs 1.977 g.
One volume dissolves in about one volume of water.
It is supplied in cylinders which are usually of gray metallic
color.
It is administered in concentrations up ti 7 % in oxygen.
It is also available as a 5% mixture with oxygen.
9. Use for medical purposes is limited.
It is used as respiratory stimulant since carbon dioxide is a
normal respiratory stimulant.
Carbon dioxide, 5 to 7 % is used in the treatment of carbon
monoxide poisoning as carbon dioxide increases both the
ventilatory exchange rate and the rate of dissociation of
carbon monoxide from carboxyhemoglobin.
10. The frozen form of carbon dioxide , dry ice, has been used
in the treatment of skin conditions as acne, angiomas (a
tumor made up of blood or lymph vessels), corns and
calluses, eczema, moles,psoriasis, and warts.
It is used to destroy tissue by freezing it.
11. Helium (He; Mol. Wt. 4.003)
Helium occurs as a colorless, odorless, tasteless gas,
which is not combustible and dosenot support combustion.
One liter at 0 degree centigrade and pressure of 760 mm
of Hg weighs not less than 178 mg and not more than 180
mg.
It is very slightly soluble in water.
Helium is usually supplied in brown cylinders and also as a
mixture containing 20 % or 40 % oxygen in brown/green
containers.
12. Helium is second lightest element, is used as a diluent in
oxygen administered during respiratory obstruction
(laryngeal edema, mucous plug abstructions) which cause
turbulent air flow.
Because helium has a much lower water and fat solubility
than nitrogen, helium-oxygen mixtures are used in high
pressure, underwater diving.
13. Nitrogen (N2; Mol. Wt. 28.01)
Nitrogen occurs as a colorless, odorless, tasteless gas.
It is nonflammable and dose not support combustion.
One liter at 0 degree centigrade and pressure of 760 mm
of Hg weighs about 1.251 g.
One volume dissolves in about 65 volumes of water and in
9 volumes of alcohol at 20 degrees and a pressure of 760
mm of Hg.
It is sold in black cylinders.
14. Nitrogen has little therapeutic use.
It is used as a diluent for pure oxygen and is official as a
pharmaceutic aid to displace air, usually to increase the
shelf life of an easily oxidized product.
Nitrogen is an important constituent of plant and animal
tissues, largely as amino acids and as proteins.
The determination of a patient’s nitrogen balance is an
important diagnostic parameter.
15. Nitrous Oxide (N20; Mol. Wt.
44.01)
Nitrous oxide is the only inorganic gas used as an
anesthetic.
It is called ‘laughing gas’ because of the delirium
associated with its use and has been abused.