B2 Identification, Assessment and Evalutation Of Hazardous Substances Flashcards

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1
Q

Basic description of the Respiratory system

A

Air enters the nose and passes through the nasal cavity, there it is warmed and moistened by water from the mucus membranes.

It passes out of the nasal cavity, through the pharynx (back of the throat) and then down the trachea (wind pipe)

The trachea carries air down into the thoracic cavity (chest) and divides into the two bronchi, the bronchus branches into bronchioles which branch into progressively smaller and smaller tubes.

These tubes lead to the aveoli (small looking grapes) where the moist oxygen meets the blood, this is the gas exchange where the inhaled oxygen passes into the bloodstream and carbon dioxide leaves the bloodstream and is exhaled.

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2
Q

Routes of entry

A

Inhalation
Ingestion
Skin contact/ injection/ absorption
Eyes

Others
Ear
Aspiration

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3
Q

Body defences (innate, non specific)

A
Skin - physical barrier 
Tears - Dilution
Blinking
Coughing 
Hairs in nose
Mucocilary escilator 
Stomach acid
Phagocytes 
Detoxification in the liver
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4
Q

Senses

A
Touch
Smell
Sound/ noise
Taste
Heat
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5
Q

Types of effect

A

Acute = single exposure, sudden on set short term.

Chronic = repeated exposure, delayed onset long term.

Systematic = Widespread throughout body eg bloodstream.

Localised = point of contact with substance ie burn.

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6
Q

Legislation controlling the use of chemicals in the work place.

A

Coshh Regulations
Control of lead at work Regulations
Control of asbestos regulations

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7
Q

Target organs and systems

A
Kidney (Urinary) = cadmium, carbon tetrachloride
Bladder = napthylamine 
Skin = cement, latex, nickel
Blood = arsenic, benzine 
Lungs = Asbestos, coal dust, isocynates
Liver = chloroform, trichloroethane 
Nervous system = mercury, 
Reproductive
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8
Q

Four stages of the digestive system

A

INGESTION = through mouth with mastication (chewing) and swallowing.

DIGESTION = the breakdown of foodstuffs by enzymes secreted into it by the mouth, stomach and duodenum (first part of the intestine).

ABSORPTION = of breakdown products of digestion in the small and large intestine.

EXCRETION = of undigested food and waste through the rectum and anus.

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9
Q

Parts of the gastrointestinal tract

A

Mouth - Chews food, mixing food stuffs with saliva containing enzymes, start of digestion.

Oesophagus - swallowed food is squeezed by muscular contractions down this tube.

Stomach - acidic gastric juices are secreted from the stomach wall into the food. Digestion is full swing, food remains in stomach for some time.

Small intestine - Food from the stomach passes through the first part of the small intestine, the duodenum where further enzymes and bile are added, further digestion takes place.
- the food passes to another part of the small intestine, the ileum where the breakdown products of digestion (sugars, amino acids and fatty acids) are absorbed into the bloodstream.

Large intestine - water is absorbed from the remaining material which is then collected in the rectum prior to excretion.

Large intestine -

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10
Q

Circulatory system

A

Suppliers oxygen and removal of waste

Consists of heart, valves, blood vessels and blood.

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11
Q

Blood

A

Blood is 45% blood cells and 55% plasma

Plasma = straw coloured and high in salts

Blood cells
Erythrocytes (red cells) = these contain haemoglobin which allows the oxygen to be transported around the body.

Leukocytes (white cells) = there are three main types

  • Granulocytes - these ingest harmful micro organisms such as bacteria by a process known as phagocytosis.
  • Lymphocytes - production of antibodies which neutralise the effect of recognised foreign matter.
  • Monocytes - change into macrophages and have a similar ingesting role as granulocytes.
  • Thrombocytes (platelets) - main function is to clot the blood
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12
Q

Make up of the skin

A

EPIDERMIS = outer layer of skin made up of the horny layer, dead cells constantly being shed and the Germinal zone which is the living cells that reproduce to form the horny zone

DERMIS = thick layer of tissue which contains

  • blood vessels = supply oxygen and help loose heat to the skin
  • sweat glands = excrete sweat to help loose heat
  • nerve endings = sensory stimulation and pain receptors
  • hair follicles =
  • sebaceous gland = oil glands to help suppress bacteria

Skin is impervious to water but can be permeated by other liquids such as organic solvents.

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13
Q

Nervous system

A

Brain and spinal cord

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14
Q

Respiratory system defences

A

Initial filtration of particles larger than 10 microns takes place in nasal cavity. INHALE ABLE

Smaller particles and aerosols between 7 to 10 microns are trapped in mucus lining the conducting airways and bronchi, bronchioles and transport up by the mucociliary escalator to the pharynx where it can be swallowed or expectorated (spat out). INHALEABLE

Smaller particles between 0.5 and 7 microns can pass into the Gas exchange region of the bronchioles and alveoli, here they may be ingested as foreign bodies by macrophages. RESPIRABLE

Below 5 microns remain airborne and are exhaled.

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15
Q

Two defence types

A

Innate (non specific) immune response
This is the response we are born with, it provides a rapid response but is non specific.
- Inflammation
- specialised white blood cells such as macrophages

Adaptive (acquired) immune response
This is targeted at a specific invader and takes time to develop
- specialist blood cells

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16
Q

Physical forms of substances

A

Solids

  • Massive form ie lead ingot
  • Dust
  • Fibres
  • Fumes

Liquids

  • Fluid
  • Mist

Gases
-Vapour

17
Q

CLP labels must contain

A

Name, address and telephone number of supplier

Product identifiers such as product name, CAS Number

Hazard pictograms and signal words such ass danger

Hazard statements and applicable precautionary statements

Supplemental information

18
Q

Safety data sheets

A

REACH requires suppliers to provide safety data sheets containing information under 16 headings

  • Supplier details
  • Components and overall hazards
  • What to do if things go wrong (first aid, fire fighting and accidental release)
  • How to stop things going wrong
  • Basic properties ie physical, chemical and toxicological.
  • Disposal and transportation.
  • label and regulatory information
  • Anything else
19
Q

Steps of a coshh Assessment

A
Information about the substance 
Evaluate the risk to health 
Decide on control measures 
Record assessment 
Review and update as necessary
20
Q

Factors to consider when assessing health risk

A
COSHH Assessment 
Hazardous properties of the substance 
Type and level of exposure 
Duration and frequency of exposure 
Number of people 
Effect of mixtures
Unusual activities 
WELS
Existing controls 
Health surveillance/ monitoring 
Individual suseptabilites 
Review
21
Q

Toxicology and epidemiology

A

Toxicology = the study of adverse effects of chemicals on living organisms

Epidemiology = study of patterns of ill health in populations (identify link between exposure and illness)

22
Q

Hierarchy of controls for carcinogens

A
  • Eliminate
  • Substitution
  • Engineer out
  • Control at source
  • Use organisational measures to control numbers exposed, level, duration
  • Control the working environment
  • Prohibition of eating/ drinking/ smoking in potentially contaminated areas
  • Clean surfaces
  • Design potentially contaminated areas and use warnings
  • Use safe storage, handling and disposal methods
  • PPE as last resort
  • Health surveillance for exposed workers
  • Develop Emergency spillage procedures
23
Q

Case control study

A

Retrospective study, beginning with a definition of a group of cases (people with the disease known as the case) and comparing these to a group without the disease (the control).

Looking at past exposure history to try to draw a conclusion

Drawback = hard to gain an accurate exposure history of the two groups and may need to go as far back as 40 years.

24
Q

Prospective cohort study

A

This is a case controlled study following two groups forward in time.

Comparing those exposed and those who are not, to determine possible links between exposure (cause) and possible incidents (effect)

Drawback = can take a long time, there can be a loss of the study groups death by other causes etc. Can be expensive

25
Q

Retrospective cohort study

A

Similar to the prospective cohort only this starts with the disease and no diseased cohorts and then looks back at the exposure history.

26
Q

Animal testing (toxicity tests)

A
Acute toxicity = single exposure, testing for short term effects 
Skin sensitisation = testing for potential contact dermatitis 
Repeat does (28 day) toxicity = multiple exposures, testing for medium term effects.
Sub chronic repeat dose (90 days) toxicity = multiple exposure, longer term onset.
Chronic toxicity = long term effects following life time multiple exposures.
Mutagenicity = testing to determine if substance has the ability to cause genetic damage 
Carcinogenicity = if mutagenic tests prove positive the animal is exposed to a lifetime exposure of the substance and post-mortem carried out to detect tumours
Reproductive toxicity = examine effects of substance or embryo or foetus to identify abnormalities
27
Q

Advantages of animal testing

A
  • Can be quicker and cheaper than epidemiology studies
  • Doesn’t rely on exposing people to chemicals and substances so preventing human pain and suffering
  • Gives good quality of information about effects of exposure that can not be determined by other studies.
  • Allows long term effects of exposure to low doses to be studied, replicating what workers may experience
28
Q

Limitations of animal testing

A
  • Responses vary between species, so may not represent effects on a human
  • Testing on animals raises ethical questions
  • Not representative of human life styles which could have effect of diseases such as cancers.
  • May take a long time and be expensive
29
Q

Alternatives to animal testing

A

In-vitro studies = test tube or Petri dish, test uses bacteria etc. Ames test for mutagens using a defective histidine gene.

Predictive studies - grouping and read across, looking at related chemicals and their effects. This data would still require further vitro or in vitro testing to prove data but would reduce the need for animal testing.

Quantitative , structure - activity relationship QSAR uses a computer modelling to predict how substances will act/ effect the human body. Will still require further testing to prove data.