Key Takeaways

  • Chemical reactions involve the breaking and forming of chemical bonds, producing new substances with different properties
  • The law of conservation of mass states that matter cannot be created or destroyed — equations must be balanced
  • Types of reactions: synthesis (A+B→AB), decomposition (AB→A+B), single replacement, double replacement, combustion
  • Reaction rate is affected by temperature, concentration, surface area, and catalysts
  • Acids donate H+ ions (pH < 7), bases accept H+ ions or donate OH- (pH > 7), and buffers resist pH changes
  • A solution consists of a solute (dissolved substance) and a solvent (dissolving substance, usually water)
  • Concentration can be expressed as molarity (mol/L), percent composition, or parts per million
  • Oxidation is the loss of electrons; reduction is the gain of electrons (OIL RIG: Oxidation Is Loss, Reduction Is Gain)
Last updated: February 2026

Chemical Reactions & Solutions

Chemical reactions and solution chemistry are directly relevant to nursing. From understanding how medications interact in the body to interpreting lab values and managing IV fluids, these concepts have daily clinical applications.


Types of Chemical Reactions

TypeGeneral FormExample
SynthesisA + B → AB2H2 + O2 → 2H2O
DecompositionAB → A + B2H2O → 2H2 + O2
Single replacementA + BC → AC + BZn + CuSO4 → ZnSO4 + Cu
Double replacementAB + CD → AD + CBNaCl + AgNO3 → NaNO3 + AgCl
CombustionFuel + O2 → CO2 + H2OCH4 + 2O2 → CO2 + 2H2O

Balancing Chemical Equations

The law of conservation of mass states that matter cannot be created or destroyed. In a balanced equation, the number of atoms of each element must be equal on both sides.

Steps to balance an equation:

  1. Write the unbalanced equation
  2. Count atoms of each element on both sides
  3. Add coefficients (numbers in front of formulas) to equalize
  4. Check that all elements are balanced
  5. Ensure coefficients are in the lowest whole-number ratio

Example: Balance: H2 + O2 → H2O

  • Unbalanced: H=2, O=2 on left; H=2, O=1 on right
  • Add coefficient: 2H2 + O2 → 2H2O
  • Check: H=4, O=2 on both sides ✓

Factors Affecting Reaction Rate

FactorEffect
TemperatureHigher temperature → faster reaction (more kinetic energy)
ConcentrationHigher concentration → faster reaction (more collisions)
Surface areaGreater surface area → faster reaction (more exposure)
CatalystLowers activation energy → faster reaction (not consumed)
PressureHigher pressure → faster reaction (gases only)

Acids, Bases & pH

PropertyAcidBase
pHLess than 7Greater than 7
H+ ionsDonates H+Accepts H+
OH- ionsLow concentrationHigh concentration (donates OH-)
TasteSourBitter
FeelSlippery
LitmusTurns blue litmus redTurns red litmus blue
ExamplesHCl, H2SO4, vinegarNaOH, KOH, ammonia

Neutralization reaction: Acid + Base → Salt + Water

  • HCl + NaOH → NaCl + H2O

Buffers are substances that resist changes in pH. In the body, the bicarbonate buffer system (H2CO3/HCO3-) is the primary buffer that maintains blood pH between 7.35 and 7.45.


Solutions

A solution is a homogeneous mixture of a solute (substance being dissolved) and a solvent (substance doing the dissolving):

TermDefinitionExample
SoluteSubstance dissolvedSugar, salt, medication
SolventSubstance doing the dissolvingWater (universal solvent)
ConcentrationAmount of solute per amount of solution0.9% NaCl (normal saline)
DiluteLow ratio of solute to solvent
ConcentratedHigh ratio of solute to solvent
SaturatedMaximum solute dissolved at a given temperature

Concentration Units

UnitFormulaExample
Percent (w/v)(mass of solute / volume of solution) x 1005% dextrose = 5 g per 100 mL
Molarity (M)moles of solute / liters of solution1 M NaCl = 1 mol NaCl per liter
Parts per million (ppm)mg/L or mg/kgFluoride in water: ~1 ppm

Clinically Important Solutions

SolutionCompositionUse
Normal saline (NS)0.9% NaClIsotonic IV fluid
D5W5% dextrose in waterProvides calories and free water
Lactated Ringer's (LR)NaCl, KCl, CaCl2, lactateIsotonic IV fluid for resuscitation
Half-normal saline0.45% NaClHypotonic IV fluid

Oxidation-Reduction (Redox) Reactions

  • Oxidation: Loss of electrons (OIL: Oxidation Is Loss)
  • Reduction: Gain of electrons (RIG: Reduction Is Gain)
  • OIL RIG is the mnemonic for remembering this concept
  • In every redox reaction, one substance is oxidized and another is reduced
  • Example: Cellular respiration is a redox reaction — glucose is oxidized, oxygen is reduced
Test Your Knowledge

The reaction 2H2 + O2 → 2H2O is an example of:

A
B
C
D
Test Your Knowledge

A solution with a pH of 3 is:

A
B
C
D
Test Your Knowledge

In a solution, the substance being dissolved is called the:

A
B
C
D
Test Your KnowledgeFill in the Blank

The law of conservation of _____ states that matter cannot be created or destroyed in a chemical reaction.

Type your answer below

Test Your Knowledge

What is the product of a neutralization reaction between an acid and a base?

A
B
C
D
Test Your KnowledgeMatching

Match each type of chemical reaction to its general form.

Match each item on the left with the correct item on the right

1
Synthesis
2
Decomposition
3
Single replacement
4
Combustion
Test Your Knowledge

Which factor does NOT increase the rate of a chemical reaction?

A
B
C
D