Potassamide, discovered in 1811, is obtained as an olive green or brown mass by gently heating the metal in ammonia gas, or as a white, waxy, crystalline mass when the metal is heated in a silver boat. It decomposes in moist air, or with water, giving caustic potash and ammonia, in the latter case with con siderable evolution of heat. For the nitrite, see NITROGEN ; for the nitrate, see SALTPETRE ; and for the cyanide, see PRUSSIC ACID ; for other salts see the articles wherein the corresponding acid receives treatment.
Toxicology.—Poisoning by caustic potash may take place or poisoning by pearl ash containing caustic potash. A caustic taste in the mouth is quickly followed by burning abdominal pain, vomiting and diarrhoea, with a feeble pulse and a cold clammy skin. The treatment is washing out the stomach or giving emetics
followed by vinegar or lemon juice and later oil and white of egg.
Therapeutics.—Externally : Caustic potash is a most powerful irritant and caustic ; it is used with lime in making Vienna paste, which is occasionally used to destroy morbid growths. Liquor potassae is also used in certain skin diseases. The permanganate of potash is an irritant if used pure. Its principal action is as an antiseptic and disinfectant. If wet it oxidizes the products of decomposition. It is used in the dressing of foul ulcers. The 1% solution is an antidote for snake-bite.
Internally : Dilute solutions of potash, like other alkalis, are used to neutralize the poisonous effects of strong acids. In the stomach potassium salts neutralize the gastric acid, and hence small doses are useful in hyperchlorhydria. Potassium salts are strongly diuretic, acting directly on the renal epithelium. They are quickly excreted in the urine, rendering it alkaline and thus more able to hold uric acid in solution. They also hinder the formation of uric acid calculi. The acetate and the citrate are valuable mild diuretics in Bright's disease and in feverish condi tions, and by increasing the amount of urine diminish the patho logical fluids in pleuritic effusion, ascites, etc. In tubal nephritis they aid the excretion of fatty casts. The tartrate and acid tar trate are also diuretic in their action and, as well as the sulphate, are valuable hydragogue saline purgatives. Potassium nitrate is chiefly used to make nitre paper, which on burning emits fumes useful in the treatment of the asthmatic paroxysm. Lozenges of potassium chlorate are used in stomatitis, tonsilitis and pharyngi tis; it can also be used in a gargle, io gr. tor fl.oz. of water. Its therapeutic action is said to be due to nascent oxygen given off, so it is local in its action. In large doses it is a dangerous poison, converting the oxyhaemoglobin of the blood into methae moglobin. Internally the permanganate is a valuable antidote in opium poisoning. The action of potassium bromide and potas sium iodide has been treated under bromine and iodine (q.v.). All potassium salts if taken in large doses are cardiac depressants; they also depress the nervous system, especially the brain and spinal cord. Like all alkalis if given in quantities they increase metabolism.