Bromethalin Rodenticide Flashcards

1
Q

Is bromethalin a general use or restricted use pesticide?

A

general use

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2
Q

What species is more sensitive to Bromethalin poisoning?

A

Cats are more sensitive than dogs Dogs are more susceptible as they are more likely to ingest it

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3
Q

What species are resistant to Bromethalin poisoning?

A

Guinea pigs they lack the correct metabolic enzymes for lethal synthesis

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4
Q

Is bromethalin lipophilic or water soluble?

A

Lipophilic - readily absorbed orally

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5
Q

Where is Bromethalin distributed in the highest amount in the body?

A

Fat and brain

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6
Q

What is the metabolism of Bromethalin ?

A

metabolized by N-demethylation in the liver to a MORE TOXIC metabolite: Desmethylbromethalin ***lethal synthesis

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7
Q

What is the half life of Bromethalin and how is it excreted?

A

Half life in the rat = 5-6 days mainly excreted in the bile, small amount in the urine *likely undergoes enterohepatic recirculation

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8
Q

What is the MOA of Bromethalin ?

A

Anticoagulant / Uncoupling of oxidative phosphorylation (both parent and metabolite)

= lack of adequate ATP and insufficient energy for Na/K ion pumps

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9
Q

What are the primary targets or tissues affected by Bromethalin toxicosis?

A

Brain and Spinal cord

*these rely heavily on oxidative phosphorylation *further tissue damage may occur through lipid peroxidation

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10
Q

T/F: Signs for Bromethalin toxicosis are always acute

A

FALSE acute or delayed *acute is less common

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11
Q

What clinical signs are associated with acute Bromethalin toxicosis?

A

1) occurs 2-36hrs post ingestion LOWER dose- “convulsant syndrome

HIGHER dose CNS excitatory signs - severe muscle tremors, hyperthermia, running fits and hyper excitability - that may be precipitated by light or noise (may note CNS depression in end stage)

-1-4 days - MORE COMMON - Paralytic syndrome Develops within the first few days and progresses over 1-2 weeks

Death may occur due to respiratory failure

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12
Q

What is the prognosis of Bromethalin Convulsive syndrome?

A

POOR difficult to treat

Mild cases - signs may resolve over several weeks

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13
Q

What are the clinical signs associated with subacute Bromethalin toxicosis?

A

onset 1-4 days - MORE COMMON - Paralytic syndrome Develops within the first few days and progresses over 1-2 weeks hind limb ataxia, proprioceptive deficits, paresis, can progress to paralysis and loss of deep pain CNS depression Other: vomiting, anorexia, nystagmus – may progress to sz late stage Death may occur due to respiratory failure

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14
Q

What lesions are associated with Bromethalin toxicosis?

A

Cerebral edema (intramyelinic edema)

Diffuse white matter vacuolization in the white matter

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15
Q

Paralytic syndrome is usually associated with what kind of Bromethalin dose?

A

Lower dose Convulsive syndrome = high doses

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16
Q

What are the most important factors for diagnosing Bromethalin toxicosis?

A

History and clinical signs theres nothing very striking in blood work besides a mild hyperglycemia Chemical analysis is expensive and takes a long time

17
Q

What is essential to prevent further CNS damage due to Bromethalin ?

A

Decontamination!! Emetic is only successful if it is done within 1-2hours post ingestion since it is quickly absorbed

*Activated charcoal with sorbitol - needs to be repeated *want to avoid cathartics with magnesium

18
Q

What is sorbitol?

A

A cathartic - will act as an osmotic agent to pull fluid into the colon

Should do one dose of toxiban with sorbitol and repeat doses without sorbitol to prevent hypernatremia

19
Q

What is the treatment for Bromethalin toxicosis?

A

*l_ipid emulsion therapy_ should be considered*

Supportive and symptomatic when signs are present - mannitol, furosemide, anticonvulsants, Gingko biloba

20
Q

What is the prognosis of Bromethalin toxicosis?

A

Mild cases - signs may resolve over several weeks Severe cases = grave