Nitric acid Nitric acid can oxidize non-active metals such as copper and silver. With these non-active or less electropositive metals the products depend on temperature and the acid concentration. For example, copper reacts with dilute nitric acid at ambient temperatures with a 3:8 stoichiometry: The nitric oxide produced may react with atmospheric oxygen to give nitrogen dioxide. With more concentrated nitric acid, nitrogen dioxide is produced directly in a reaction with 1:4 stoichiometry: Upon reaction with nitric acid, most metals give the corresponding nitrates. Some metalloids and metals give the oxides; for instance, Sn, As, Sb, and Ti are oxidized into SnO,
Acid perfusion test hoarseness, chronic cough, then 24 hr pH monitoring should be considered. Acid perfusion test Acid perfusion test, also called the Bernstein test, is a test done to reproduce the pain when the lower esophagus is irrigated with an acid solution in people with GERD (gastroesophageal reflux disease). There will be a negative result in normal people, but a false positive reading may be seen in up to 15% of people. Bernstein test is obsolete nowadays. 24 hour pH monitoring is the gold standard for GERD. However, the initial management is with proton pump inhibitors. If the patient does not respond