Chapter 2

Foundations of chemistry

Atoms to reactions, and how chemists work

Human Biology for the Medical Maker

Why this chapter exists

  • Everything you make is a chemical system — it reacts with disinfectant, sweat, saline, oxygen, heat
  • Measurement in medicine is overwhelmingly chemical — most tests measure a concentration
  • The workshop is a chemical environment — solvents, adhesives, fluxes, resins

Chapter three applies these ideas to the molecules of life and to your materials.

Atoms and the periodic table

Protons define the element; outer electrons decide the chemistry

Inside an atom

  • Nucleus: protons (positive) and neutrons; almost all the mass
  • Electrons: almost all the volume; about 1/1836 of a proton's mass
  • Atomic number — the proton count — defines the element
  • Chemistry is the behaviour of the outer electrons
  • Atoms lose, gain, or share electrons to reach a full outer shell

Ions and isotopes

Ions — electrons gained or lost

  • Cations: sodium, potassium, calcium, hydrogen
  • Anions: chloride, bicarbonate, phosphate
  • Their gradients run nerves and muscle

Isotopes — different neutrons

  • Same chemistry, different mass
  • Fluorine-18: PET tracer, half-life about 110 minutes
  • Technetium-99m: nuclear medicine workhorse

The body handles a radioactive isotope just like the stable one — the whole trick of nuclear medicine.

The periodic table is a map of electrons

  • Rows add a shell; atoms get bigger going down
  • Columns share valence electrons, so they behave alike
  • Group 1 forms +1 ions; group 17 forms −1 ions; group 18 barely reacts
  • Metals left and centre, non-metals right

The elements of the body, and of devices

The body

  • Oxygen, carbon, hydrogen, nitrogen: about 96 percent of mass
  • Calcium and phosphorus: bone, ATP, DNA
  • Trace: iron, zinc, copper, iodine, selenium

Devices

  • Iron, chromium, nickel, molybdenum: stainless steel
  • Titanium; cobalt-chrome; silver; platinum
  • Iodine, barium, gadolinium: contrast agents
  • Lithium: batteries

The gas laws

  • PV = nRT — temperature always in kelvin
  • Boyle: expand the chest, pressure falls, air flows in
  • Dalton: each gas contributes its share of the pressure
  • Oxygen in dry air at sea level: about 159 mmHg; in the warm, wet trachea about 149
  • Henry: dissolved gas is proportional to partial pressure

The mole: counting atoms in batches

  • One mole = 6.022 × 10²³ particles
  • Mass of one mole in grams = molecular mass
  • Water 18 g/mol · sodium chloride 58.4 · glucose 180
  • Reactions care about moles, not grams

Concentration units, and why medicine uses so many

UnitMeaningWhere you meet it
mmol/LMoles per litreElectrolytes; glucose outside the US
mg/dLMass per volumeGlucose and cholesterol in the US
% w/vGrams per 100 mL0.9% saline is 9 g/L
% v/vVolume per 100 mL70% alcohol disinfectant
ppmParts per millionChlorine strength; about 1 mg/L
mOsm/kgDissolved particlesTonicity; IV fluid design
UnitsBiological activityInsulin, heparin

Two conversions worth doing by hand

Glucose

  • 5.0 mmol/L × 180 g/mol = 900 mg/L
  • = 90 mg/dL
  • Factor of about 18 between the units

Normal saline

  • 9 g/L ÷ 58.4 g/mol = 154 mmol/L
  • Two particles each: about 308 mOsm/L
  • Close to plasma — that is why 0.9%

Dilution: C1 × V1 = C2 × V2. 354 mL of 99% isopropanol makes 500 mL of 70%.

Energy in reactions

  • Exothermic: releases heat — epoxy curing, respiration
  • Endothermic: absorbs heat — instant cold packs
  • Activation energy: the barrier to climb first
  • A catalyst lowers the barrier; it changes speed, not destination

Rates and the 10 °C rule

×2

roughly, the rate of many reactions for every 10 degree rise near room temperature

First-order kinetics: a constant fraction disappears each interval — decay, drug elimination, microbial kill.

Equilibrium: the body's carbon dioxide buffer

  • Forward and reverse rates equal; composition steady
  • Le Chatelier: disturb it and it shifts to partly counteract
  • CO₂ + H₂O ⇌ H₂CO₃ ⇌ H⁺ + HCO₃⁻
  • Breathe off CO₂ → pH rises; retain it → pH falls
  • Never mix cleaners: bleach plus acid releases chlorine gas

Redox and the electrochemical cell

  • Oxidation is loss of electrons; reduction is gain
  • Anode oxidises and dissolves; cathode reduces
  • Zinc against copper: about 1.1 volts
  • Disinfection, corrosion, batteries, respiration

Electrochemistry in medical devices

DevicePrinciple
Glucose meters and CGMsEnzyme oxidises glucose; electrode measures current
Blood gas analyserspH glass electrode; oxygen reduced at platinum
ECG electrodesSilver and silver chloride for a stable skin interface
Breath alcohol testersFuel cell oxidises ethanol
Hearing aid cellsZinc–air, about 1.4 volts
Implant corrosionUnwanted galvanic cells at crevices and dissimilar metals

Batteries and thermal runaway

  • Energy is roughly voltage × capacity: 3.7 V × 2 Ah ≈ 7.4 Wh
  • Lithium-ion: high energy density, needs protection circuitry
  • Lithium iron phosphate: lower density, more thermally stable
  • Coin cells: a serious swallowing hazard
  • Thermal runaway is a positive-feedback loop

Organic chemistry in one sitting

Functional groups to recognise

  • Hydroxyl: alcohols, sugars
  • Carboxyl, amine: every amino acid
  • Ester, amide: polyesters, nylon, proteins
  • Isocyanate: a potent respiratory sensitiser

Chirality

  • Mirror-image molecules, like hands
  • Identical in a bottle, different in a body
  • Thalidomide is the cautionary example

Chemical safety in your own workshop

SubstanceHazardControl
Acetone, isopropanolHighly flammable vapourSmall quantities, ventilation, no ignition
Two-part epoxySkin sensitiserNitrile gloves, no skin contact
PolyurethanesIsocyanates cause occupational asthmaAvoid spraying; extraction
Solder flux fumeRespiratory sensitiserFume extraction at the iron
BleachCorrosive; toxic gas with acids or ammoniaNever mix
Hydrofluoric acidPenetrates skin; can be fatalDo not use outside a proper lab

An irritant hurts and stops. A sensitiser changes your immune system — often for life.

Four calculations worth owning

Cylinders and ageing

  • 2 L cylinder at 200 bar ≈ 400 L of gas; about 3 hours at 2 L/min
  • Accelerated ageing at 55 °C versus 25 °C: factor 8
  • One year simulated in about 46 days

Faraday and batteries

  • m = QM / nF
  • 1 microamp of corrosion for a year ≈ 9 mg of iron
  • Concentrated at a crevice, enough to perforate

The field in practice

What chemists do, and the tools they use

The branches of chemistry that touch health

BranchReal-world useTypical tools
AnalyticalWhat is it, and how much?HPLC, GC, mass spec, spectroscopy
Clinical chemistryThousands of patient samples a dayAutomated analysers, ion-selective electrodes
PharmaceuticalDesign, formulate, manufacture, test every batchSynthesis, HPLC, dissolution, stability
Materials and polymerQualify materials; leachables; failure analysisFTIR, DSC, TGA, SEM with EDS
ElectrochemistrySensors, batteries, corrosionPotentiostats, battery cyclers
Water and environmentDialysis water, Legionella controlConductivity, TOC, ICP-MS
RadiopharmacyTracers made within their half-livesCyclotrons, hot cells, dose calibrators

The analytical workflow

  • Question — what must we know, and how well?
  • Sample — collect, label, store, chain of custody
  • Prepare — weigh, dissolve, dilute, extract
  • Separate — chromatography, centrifugation, filtration
  • Detect and quantify — against calibration standards and controls
  • Report — result, units, uncertainty, traceability

A result's quality belongs to the whole chain, not the instrument at the end.

The instruments: what each one tells you

InstrumentMeasures
UV-visible spectrophotometerLight absorbed; concentration by Beer–Lambert
FTIRBond vibrations — identifies an unknown plastic in a minute
HPLC and GCSeparates mixtures; purity, residual solvents
Mass spectrometerMolecules sorted by mass — trace drugs and leachables
ICP-MSElements at trace level — metal leaching from implants
XRFAlloy composition, non-destructively
DSC, TGAGlass transition, melting, moisture, filler

Handling, data, and software

Lab infrastructure

  • Balance, volumetric glassware, micropipettes
  • Fume hood — protects the user, not the sample
  • Glovebox and Schlenk line for sensitive reagents
  • LIMS and ELN: samples, results, audit trail

Software

  • PubChem, NIST WebBook: free references
  • RDKit, Open Babel: cheminformatics in Python
  • Ketcher, Avogadro, PyMOL: draw and view
  • Pint: units carried through calculations

From molecule to medicine

StageWhat happens
Target and discoveryA disease-linked protein; screening and design of lead molecules
PreclinicalLab and animal safety, dose, pharmacokinetics
Phase ITens of people: safety and dose
Phase IIHundreds: does it work?
Phase IIIThousands: compared with standard care
ApprovalThe regulator reviews the evidence
Manufacture and QCEvery batch tested; stability; post-market surveillance

Ten to fifteen years from target to approval; most candidates fail along the way.

Where a maker contributes

  • Teaching instruments: LED colorimeters, conductivity and pH loggers
  • Open-source potentiostats for teaching and research
  • Lab fixtures and racks: machined, sheet metal, moulded, laser-cut — chemically compatible
  • Scientific glassblowing and custom apparatus
  • Lab automation and instrument-to-LIMS data scripts

Best first build: an LED colorimeter — Beer–Lambert, calibration, and noise in one afternoon.

Worked example: a dispenser for chlorine tablets

  • Tablet: 1.5 g available chlorine; policy 1,000 ppm = 1 g/L → 1.5 L per tablet
  • The real product: an unambiguous fill mark, not a mixer
  • Solution decays — show when it was made up
  • Polypropylene or HDPE; not aluminium
  • Distinct shape and colour so it is never used for acids

Perhaps best of all — propose a pre-made product. Then measure whatever is built.

Workshop exercise and exit criteria

  • Build a calibration curve from a food-dye dilution series
  • Clinical arithmetic with units: saline, dextrose, glucose, alcohol
  • Make a zinc–copper cell; watch a galvanic couple corrode
  • Identify plastics by density; note what FTIR would add
  • Audit five workshop substances from their safety data sheets

What this chapter does not establish

  • You are literate in chemistry, not a chemist
  • A straight calibration line is a teaching instrument, not a validated method
  • Reading an SDS is not a risk assessment for someone else's workplace
  • Accelerated ageing supports a claim; it is not shelf-life proof

Next — Chemistry and molecular biology for the maker.