Biomonitoring and opioid use disorder Flashcards

1
Q

What are the 3 categories of biomarkers

A
  1. exposures
  2. effect
  3. susceptibility
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2
Q

what is PFAS and the difference between legacy and emerging PFAs

A

legacy = used for decades and lasts forever

emerging = short carbon chain = leaks into water sources

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3
Q

what Phthalates can be seen in personal care products and what do they cause

A

DEHP and DINCH - disrupts thyroid hormones

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4
Q

definition of exposomes

A

exposure to humans through lifetime - diet, lifestyle, occupation

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5
Q

what is best to measure internal dose (how much exposure humans get)

A

biomonitoring

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6
Q

How do we determine if a chemical is lipophillic or not

A

Log Kow

Kow = Octanol/water

higher Kow = lipophillic (stays in body longer)

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7
Q

what are the routes of administration and what is the fastest

A

Inhalation or skin = fastest

Liver = first pass effect

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8
Q

what happens after the toxin is administered

A

ADME

absorption
distriution
metabolism
excretion

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9
Q

why are biomonitoring in children different than adult

A

exposure size to baby volume vs adult volume is different

placenta and breast milk exposures

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10
Q

what chemical can penetrate the palcenta

A

DDT aka POPs (persistent organic pollutants)

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11
Q

what is biomonitoring data used for

A

risk assessment

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12
Q

what are limitations of biomonitoring (3)

A
  1. does not indicate what health effects occur
  2. absencce of chemical does NOT mean no exposure in lifetime
  3. Does not tell what route of exposure
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13
Q

what drugs are most commonly found at death

A

methamphetamine and fent

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14
Q

how does buprenoprhine work

A

partial agonist for mu-opiod receptor

used to treat OUD and for easier withdrawls

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15
Q

how does Methadone work

A

full agonist of mu-opioid receptors

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16
Q

whats a limitation of methadone

A

increase risk of death 2-4 weeks in

17
Q

how does Kadian (slow release oral morphine) work

A

full agonist
steady state in 2 hrs
first pass mechanism applies

capsules ingested

18
Q

what are SROM used for

A

herion addicts

same as methadone but with less cravings

19
Q

3 stigmas with OUD

A
  1. self -shame
  2. social - family/friends
  3. structural - workplace / policies
20
Q

what is a common device used for drug checking

A

paper spray mass spec