Dipyridyl Herbicides (Paraquat and Diquat) Flashcards

1
Q

T/F: Paraquat is a RUP and is most toxic.

A

TRUE

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2
Q

T/F: Diquat is a GUP and is not as toxic.

A

TRUE

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3
Q

What are these herbicides soluble/insoluble in?

A

Soluble: water
Insoluble: hydrocarbon solvents

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4
Q

What enhances the toxicity of paraquat?

A

Vitamin E/Se deficiency, depletion of tissue glutathione and oxygen therapy

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5
Q

T/F: Diquat is poorly absorbed from the GI tract.

A

True

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6
Q

What are two routes of absorption for paraquat?

A

GI and Skin

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7
Q

This herbicide has significant sequestration in what organ?

A

Lungs- pulmonary fibrosis causing respiratory deficiency

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8
Q

T/F: Paraquat is excreted in urine unchanged within 24 hrs.

A

TRUE- not lipid soluble

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9
Q

What reduces these herbicides into a single oxygen molecule?

A

Nicotinamide-adenine dinucleotide phosphate (NADPH)

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10
Q

These herbicides produce what that causes membrane damage, cellular degeneration and necrosis (predilection for lungs)?

A

Free radical production

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11
Q

What are the major lesions associated with these herbicides?

A

Respiratory lesions- pulmonary congestion, hemorrhage, fibrosis and failure of lungs to collapse

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12
Q

What might you notice in the oral cavity of a patient poisoned by these herbicides?

A

Lingual ulcers

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13
Q

What might you notice about the liver, kidney and spleen on post-mortem exam?

A

Congestion and enlargement

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14
Q

What is the perferred adsorbent?

A

Activated charcoal

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15
Q

What supportive therapy is contraindicated early due to increased lung damage?

A

Oxygen therapy

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16
Q

What are some biochemical antagonists?

A

Orgotein, acetylcysteine, ascorbic acid and niacin/riboflavin