Basic Principles of Toxicology (2) Flashcards
T/F: Everything is toxic at the right dose
TRUE
Is a lethal dose (LD50) of ethyl alcohol (10,000 mg/kg) more lethal than a dose of nicotine lethal dose of 1 mg/kg?
nicotine: takes way less to reach the lethal dose
What is NOAEL?
no observed adverse effect level
What is LD50 or LC50?
lethal dose/concentration that kills 50% of a test population
What is MTD?
minimum toxic dose
What is MLD/MLC?
minimum lethal dose/concentration
Of NOAEL, LD50, MTD, and MLD/MLC is likely of most clinical use?
MTD - at what point would we need to treat therapeutically?
T/F: Cats are just small dogs regarding toxicity
FALSE
there are species specific values for toxicity
Exposure [does / does not] equal intoxication
does not
Why doesn’t exposure equal toxication?
the toxin must be absorbed and reach its site of action at a HIGH enough concentration and for a sufficient period of time to cause a toxic effect
What is the first thing we need to worry about with exposure to a toxin?
absorption
need to try and get it before it penetrates
What are the basic events with toxicokinetics?
ADME
Absorption
Distribution
Metabolism
Excretion
What is the most critical event of toxicokinetics?
metabolism - can convert a dangerous toxin to safer
OR
moderately dangerous to worse (like aspirin)
Regarding absorption and toxicokinetics, how can a toxin get into the body?
orally/ingestion
dermal exposure
injection
IV, SQ, IM, IP
inhalation
Can we minimize absorption? If so, how?
yes - decontaminate like throwing up or cleaning skin
you’re SOL if it’s been injected though
Regarding toxicokinetics and distribution, where does it go?
- fat solubility vs water solubility
- protein binding
- pH of tissues and compartments - blood and rumen
etc
Regarding toxicokinetics and distribution, what happens when it gets there?
biotransformation (metabolites more readily excreted) - often converted to a more water-soluble product
BIG SPECIES DIFFERENCE
Regarding toxicokinetics and excretion, how does it get out of the body?
- urinary
- biliary/fecal
- also milk, sweat, saliva