Cardiac and hemostatic toxins, heavy metals Flashcards
Toxicants that cause Cardiotoxicity
Beta-Blockers
Calcium Channel Blockers
Zinc/Aluminum Phosphide
Sodium Monofluoroacetate (1080)
Yew Plants
toxicants that cause RBC hemolysis
Onions/Garlic (Dogs)
Red Maple (Horses)
Chlorates
Copper
Zinc
Snake Envenomation
toxins that cause Methemoglobinemia
Acetaminophen
Onions/Garlic (Dogs)
Phenol Disinfectants
Chlorates
Zinc/Aluminum Phosphide
Nitrates (Ruminants)
Know what toxin is present in yew plants that is responsible for their cardiotoxicity and Explain how the toxins in yew plants affects the heart rate in poisoned animals
Taxines
Ca+2 and Na+ channel antagonists/blockers
* Increases cytoplasmic calcium > decreased calcium in cardiomyocytes and in arteries
* Decreased smooth muscle contraction decreased heart contractility, increased vasodilation & hypotension
* Bradycardia, vasodilation
Explain how red maple leaves cause hemolysis in horses
Bacteria in ileum convert gallic acids/tannins to pyrogallol > oxidizing agent
RBC membrane damage = hemolysis (acute hemolytic anemia)
Oxidation of hemoglobin = Heinz body anemia (denatured hemoglobin) with or without methemoglobinemia
Know the mechanism of toxicity of anticoagulant rodenticides and antidote
vitamin K antagonists
* Inhibit vitamin K-epoxide reductase (VKOR) in the liver
* Depletion of active vitamin K-dependent clotting factors: Factors II, VII, IX, X, Protein C, Protein S
antidote= vitamin K
Know what clinical laboratory tests that should be performed to assess exposure to and recovery from anticoagulant rodenticide toxicity and which is best for early detection
PT: early detection (factor 7-extrinsic depletes fastest)
PTT
ACT
Explain why ruminants are susceptible to nitrate toxicity
and recommended treatments
Rumen microflora converts: Nitrate > Nitrite > Ammonia > Protein
Intake of nitrate and conversion to nitrite exceed microflora capacity to reduce nitrite
* Nitrites absorbed into blood and oxidize hemoglobin (Fe+2 > Fe+3)
* Methemoglobin and RBCs cannot release oxygen to tissues
* Vasodilation, methemoglobinemia, hypoxia
Treatment: IV 1 % - 2 % Methylene blue, Vitamin C
Know what distinguishes a venom from poison
Poison: A toxin/toxicant that enters the body through being ingested, absorbed through the skin, inhaled
Venom: A toxin that enters the body through injection
Know the 4 types of enzymatic proteins in pit viper venom
Coagulants: use up clotting factors
hemorrhagins/hemolytics: damage blood vessels
mycotoxins: destruction of muscle
cytotoxins: necrosis and breakdown of proteins
Know the 2 types of pit vipers most commonly found in Virginia
Copperheads
Timber rattlesnakes
Know what part of the body that animals, particularly dogs and horses, are most commonly bitten by pit vipers
face, extremities
Describe the clinical presentation of diarrhea associated with some arsenic cases
Movement of fluids in to GI mucosa causes swelling
Loss of GI mucosa = “bloody rice water” diarrhea: huge loss of fluids, hypovolemia & shock
Know the most common source of arsenic poisoning in animals
water/soil, commercial products, pesticides
cattle: Ashes from burned, treated wood
arsenic mechanism
Inhibits ATP synthesis
makes reactive oxygen species= damage to DNA, RNA, proteins