Blakley Flashcards
How are organochlorines absorbed
Well absorbed through skin and MM
Poorly absorbed through lungs and GIT
Distribution of organochlorines
Accumulate in lipid tissues; Readily detectable in liver, kidney brain and fetus
metabolism of organochlorines
dechlorinated slowly in the liver; many metabolites are highly toxic
how are organochlorines excreted
through the bile; enterohepatic recycling occurs
what is organochlorines mechanism of action
K efflux is hindered and Na depolarization is prolonged –> decreasing transmembrane resting potential (decreased firing threshold)
other mechanisms of action for organochlorines
increased synaptic activity, increased neurotransmitter release from presynaptic terminals and inhibition of GABA
what is the susceptibility of cats to organochlorines
5 times more susceptible than most species
what are the clinical manifestations of organchlorines
behavioral abberations (anciety, apprehension, head between legs, licking excessively), nervous phenomena (hypersensitivity, muscle twitching, jaw clamping, clonic tonic convulsions, opisthotonus), autonomic manifestations (minimal but do occur – salivation, diarrhea, dyspnea), locomotor disturbance (stiff gait, ataxia, incoordination)
PM findings with organochlorines
non-specific; GIT (hemorrhage and congestion), mild fatty degeneration of liver and kidney, degenerative changes in thyroid, pancreas, testis and adrenal glands
Treatment of organochlorines
Wash off skin, gastric lavage, activated charcoal, mineral oil (to force through and bind), sedation, IV lipid emulsion
residue concerns of organochlorines
milk and meat residues are a major concern due to reproductive, carcinogenic and immunosuppresive effects
diagnosis of organochlorines
analyze fat, milk, liver, kidney and GI contents
3 major groups of anticholinesterase compounds
organophosphates insecticides, carbamate insecticides and nicotinoid insecticides
residue concerns with anticholinesterase compounds
not a concern because rapidly degraded with short half life
absorption of anticholinesterase compounds
well absorbed by all routes including dermal and respiratory
distribution of anticholinesterase compounds
rapidly to all tissues; no accumulation in fat
excretion of anticholinesterase compounds
excreted rapidly in a few days
mechanism of action of anticholinesterase compounds
inhibition of acetylcholinesterase prevents break down of acetylcholine
enzymes affected by anticholinesterase compounds
pseudo(plasma) cholinesterase (non-specific) and true (RBC) cholinesterase (80%)
specific mechanism of action of organophosphate
forms a stable enzyme-organophosphate complex that is practically irreversible
specific mechanism of action of carbamates
carbamate enzyme complex is not as stable so enzyme inhibition is reversible
nicitinoid compound mechanism of action
binds to nicotinic receptors therefore no inhibition of acetylcholinesterase BUT need extreme high doses to bind a sufficient number of receptors to cause signs
clinical manifestations of anticholinesterase compounds
excessive muscarinic and nicotinic stimulation starting 5 minutes to 1-2 hours after exposure; diarrhea, vomiting, salivation, dyspnea due to bronchoconstriction, decreased HR, pupil constriction
with what anticholinesterase compound does delayed neurotoxicity occur with
organophosphates