Bromethalin rodenticide toxicosis Flashcards

1
Q

Whats the regulation of Bromethalin?

A

GUP

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2
Q

Sources of bromethalin

A

Bait

Possibly secondary poisoning in cats

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3
Q

Which animal is more susceptible and which is more sensitive?

A

Dogs are more susceptible.

Cats are more sensitive

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4
Q

What animals are resistant and why?

A

Guinea pigs because they lack N-demethylation

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5
Q

Where is it absorbed?

A

Orally

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6
Q

Where is the most concentration distributed in the body?

A

Fat and brain

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7
Q

Where is it metabolized and to what?

A

In the liver, N-demethylized to desmethylbromethalin (more toxic)

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8
Q

Where is it mainly excreted?

A

Bile and small amount in urine

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9
Q

Main MoA?

A

Inhibition of oxidative phosphorylation/ATP production
No energy for NaK ion channel pumps
Results in cerebral and spinal cord edema.

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10
Q

Lesions

A

Mainly in CNS
Cerebral edema
Diffuse white matter vacuolization

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11
Q

Lab tests?

A

Chemical analysis of Bromethalin in
Ante-morten: bait, stomach contents or vomit
Post-morten: liver, fat, kidney and brain

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12
Q

Best tx

A

Agressive early decontamination
Emetic
Activated charcoal
Saline cathartic

others:
Mannitol (brain edema)
Dexamethasone (brain swelling)
Diazepam or phenobarbital (seizures)

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