Exam three Flashcards
What are some properties of propylene glycol?
colorless, odorless, spooks like mineral oil, GRAS
What are some sources of propylene glycol?
antifreeze, coolants, tobacco, electronic cigarettes
What species are susceptible to propylene glycol toxicity?
dogs, *cats, cattle, horses
Which is safer, propylene glycol or ethylene glycol?
propylene glycol
How is propylene glycol absorbed?
via GI and inhalation
How is propylene glycol metabolized?
in liver by alcohol dehydrogenase > lactaldehyde > lactic acid > pyretic acid
How is propylene glycol excreted?
partly unchanged in urine
What is the MOA of propylene glycol?
osmotic diuresis, CNS depression, encephalopathy, heinz body anemia in cats
What are the clinical signs of propylene glycol toxicity?
ataxia and CNS depression, HB anemia in cats, muscle twitching
What is seen on lab diagnosis of propylene glycol toxicity?
metabolic acidosis, hyperosmolarity, increased AG, hypoglycemia, low urine SG, HB anemia
What is the treatment of propylene glycol toxicity?
emesis, activated charcoal, supportive treatment
What are the sources of ethanol?
ingestion of beverages, rotten fruit, fermented bread dough, shampoo
What is the source of methanol?
car windshield fluid antifreeze or paint remover
What are the properties of ethanol/methanol?
volatile, irritant, highly lipid soluble
How is ethanol/methanol absorbed?
PO and distributed in CNS - food delays absorption
How is ethanol metabolized?
hepatic alcohol dehydrogenase > acetaldehyde > acetate > acetyl CoA > CO2 > water
What is the MOA of ethanol/methanol
CNS depression, vasodilatior, emesis, metabolic acidosis, inhibits ADH, irritant of MM
What are the clinical signs of ethanol toxicity?
CNS depression, abnormal behavior, vomiting, breath odor, hypothermia, tremor, ataxia, congested MM, PD, dehydration, death by respiratory failure, kidney and liver damage
What lesions are seen with ethanol toxicity?
congestion go GI mucosa, liver, kidney, lungs
What is seen on bloodwork of ethanol toxicity?
high blood alcohol levels, hypoglycemia
What is the treatment for ethanol toxicity?
emetics, gastric lavage, NO AC, supporitve tx, monitor temp
What is the antidote for methanol toxicity?
ethanol and fomepizole
What are the uses of phenolic compounds?
disinfectants, household cleaners, antiseptics, lysol, derived from coal tar
What species is more sensitive to toxicity of phenolic compounds?
cats due to deficiency of conjugation to glucuronic acid
How are phenolic compounds absorbed?
mostly from GIT, poorly from intact skin
How are phenolic compounds metabolized?
in liver by conjugation to glucaronic acid
How are phenolic compounds excreted?
metabolites in urine - can cause green or black urine
What is the MOA of phenolic compounds?
phenols denature and precipitate cellular proteins > direct irritation > coagulative necrosis - hepatotoxic, nephrotoxic, neurotoxic - stimulate respiratory center causing hyperventilation +/- respiratory alkalosis
What are the clinical signs to phenolic compound toxicity?
coagulative necrosis and ulceration on oral mucosa/skin, corneal ulcerations, ataxia, weakness, tremors, coma, methemoglobinemia, icterus, phenolic odor in breath/skin
What lesions are common in phenolic compound toxicity?
ulceration/necrosis of GI mucosa/skin, liver and kidney changes
What is seen in the lab diagnosis of phenolic compounds?
detected in urine, mixed with ferric chloride turns purple, hemolysis, methemoglobin, respiratory alkalosis, proteinuria, elevated serum liver enzymes
What is the detoxification of phenolic compounds?
emertics & gastric lavage is CONTRAINDICATED, use milk,egg whites followed by activated car coal and saline cathartics
What is used for decontamination of phenolic compounds?
PEG or glycerol and dish soap, flush eyes with isotonic, isothermic saline
What is used for supportive treatment of phenolic compounds?
NAC, methylene blue, ascorbic acid, fluids
What are the toxicity levels of different detergents?
lower > higher = nonionic, anionic, cationic detergents
What is the MOA of detergents?
direct irritation, corrosive, systemic toxicity by NM block > paralysis
What are the clinical signs with detergent toxicity?
nausea, vomiting, diarrhea, colic, shock, collapse, irritation
What is the treatment for detergent toxicity?
rinse with water, milk, egg whites, activated charcoal, supportive care – emesis & gastric lavage CONTRAINDICATED
What is the toxic component in bleach?
sodium hypochlorite
What is the MOA of bleach toxicity?
release of chlorine or chloramine gas and hypochlorus acid > severe respiratory and eye irritation, corrosive to MM, oxidizing
What are the clinical signs of bleach toxicity?
oropharyngeal, GI, respiratory irritation, smell of chlorine
What is the treatment for bleach toxicity?
milk or water, wash dermal exposure with soap, supportive
What are the properties of xylitol?
sugar alcohol that looks and tastes like sugar
What are the uses of xylitol?
gum, candy, dental care, meds
Why should you not use human oral hygiene products in animals?
FDA doesn’t require xylitol be listed on the label
What species are susceptible to xylitol toxicity?
dogs
How is xylitol absorbed?
GIT > glucose > glycogen in liver
What is the MOA of xylitol?
promotes insulin release resulting in hypoglycemia, large dose see liver failure, GI hemorrhage, DIC
What are the clinical signs of xylitol toxicity?
hypoglycemia w/i 30-60min, weakness, ataxia, collapse, seizures, lethargy, vomiting, liver failure, coagulopathy
What lesions are noted in xylitol toxicity?
none in hypoglycemic cases, in liver failure see petechial, ecchymotic or GI hemorrhages, hepatic necrosis
What is seen on lab work in xylitol toxicity?
hypoglycemia, high liver enzymes, prolonged PT/PTT, thrombocytopenia
How do you treat xylitol toxicity?
induce vomiting, 50%dextrose in 5% infusion, oral feeding of high carbs, fluids, liver protectants, transfusions for clotting factors
Where do methylxanthines come from?
caffeine, chocolate, coffee, tea, theophylline(tea), theobromine (cocoa beans)
What species are most susceptible to methylxanthine toxicity?
dogs mostly, cats too
How are methylxanthines absorbed and distributed?
from GI, distributed throughout body including CNS
How are methylxanthines metabolized?
by the liver > enterohepatic recycling
How are methylxanthines excreted?
in urine, unchanged and as metabolites
What is the MOA of methylxanthines?
phosphodiesterase inhibition > raise cAMP and competitive inhibition of adenosine receptors
cerebral cortical stimulation, seizures, myocardial contraction, smooth muscle relaxation and diuresis
caffeine stimulates release of catecholamines from adrenal medulla, respiratory, vasomotor and vagal centers
How long to clinical signs of methylxanthine toxicity last?
12-72 hours
What are the clinical signs of methylxanthine toxicity?
restlessness, hyperactivity, PU/PD, urinary incontinance, vomiting, tachycardia, hypertension, cardiac arrhythmias, respiratory failure, terminal seizures
What are the clinical signs of theophyline toxicity?
nausea, vomiting, abdominal pain, mild acidosis, tachycardia
When do the clinical signs of caffeine/theobromine start?
within 2 hours - can be delayed with chocolate ingestion
What are the signs of caffeine/theobromine toxicity?
restlessness, hyperactivity, panting, vomiting, tachycardia, weakness, ataxia, muscle tremors, hyperthermia, clonic convulsions, progression to arrhythmias, muscle rigidity, hyperreflexia, terminal seizures, coma
What lesions are seen in methylxanthine toxicity?
chocolate of caffeine products in GIT, gastroenteritis, congestion of organs
What is seen in lab diagnosis of methylxanthine toxicity?
low K, phis, Mg and elevated GLU - can detect in stomach contents, plasma, serum, urine, liver
How do you treat methylxanthine toxicity?
induce vomiting w/i 2-6 hours, activated charcoal up to 72hrs, IV fluids, empty bladder, supportive care
What are the non-toxic household chemicals?
silica gel packs, toilet water, lipstick, deodorant, conditioners, lotions, bath oils, children’s toys
What are the sources of ammonia?
decomposing manure in confined animal houses, burning nylon/plastic, leaking hoses that spray ammonia
What properties does ammonia have?
sharp odor, heavier than air, soluble in water
What species are most susceptible to ammonia toxicity?
swine, poultry
What are the exposure amounts of ammonia?
smell 10ppm, eyes burn at 25-35ppm, 50ppm in animal housing, acute death at 5000ppm
How is ammonia absorbed and distributed
ammonia > ammonia hydroxide in contact with water (mm) also can be inhaled and distributed to tissues
What is the MOA of ammonia?
irritates mm, more resp infections, decreased growth, pulmonary edema, alkalosis and compensatory acidosis, inhibits TCA cycle, death by asphyxia
What are the clinical signs of ammonia toxicity?
red mm, lacrimation, sneezing, nasal discharge, eyes shut, decreased growth rate, dyspnea, cyanosis, clonic convulsions
How is chemical analysis made with ammonia toxicity?
no chemical analysis with gases
How do you treat ammonia toxicity?
remove source or free animals, soothing ointments, diuretics for pulmonary edema, treat secondary infections
Where does hydrogen sulfide come from?
decomposition of urine and feces in high volume farms, coal pits, gas wells, sulfur springs
What are some properties of hydrogen sulfide?
colorless, rotten egg odor, heavier than air, flammable, irritant
What happens when hydrogen sulfide comes in contact with mm?
H2S -> sulfuric acid -> sodium sulfide
What happens with hydrogen sulfide in the tissues and GI?
reacts to form balck/dark compounds
Where in liquid manure holding pits is hydrogen sulfide found?
retained in liquid and released when agitated
What are the concentrations of hydrogen sulfide?
smell 0.025, ocular irritation 20ppm, severe symptoms 50ppm, olfactory accommodation 200ppm, fatal 400ppm-1000ppm
How is hydrogen sulfide absorbed?
through lungs and GI, converted to alkali sulfides in blood
How is hydrogen sulfide excreted?
oxidized to sulfate and excreted in urine and feces
If hydrogen sulfide doesn’t get excreted what happens to it?
trapped by natural disulfides (glutathione) in blood
What is the MOA of hydrogen sulfide?
irritates mm, inhibits cellular respiration by inhibiting cytochrome oxidate, stimulates chemoreceptors of carotid body interfering with respiratory drive
What are the clinical signs of hydrogen sulfide toxicity?
sudden collapse, cyanosis, dyspnea, death, irritation to mucosa
What lesions are noted in hydrogen sulfide toxicity?
blood dark and doesn’t clot, dark black/green tissues, sewage odor
How do you treat hydrogen sulfide toxicity?
remove source, oxygen therapy, sodium nitrite IV, disulfides
Where does carbon monoxide come from?
CO by fires, space heater, propane powered stuff, automobile exhaust in confined space
What are the properties of carbon monoxide?
odorless and colorless
What species are more susceptible to CO toxicosis?
small animals as sentinels, fetus more sensitive
What is the MOA of CO toxicity?
combines with hemoglobin > carboxyhemoglobin which can’t carry oxygen and interferes with release of oxygen carried by normal hemoglobin > hypoxia, death, competes with oxygen for binding sites on myoglobin, interfere with cellular respiration at mitochondrial level
What are the clinical signs of carbon monoxide toxicity?
sudden death, hypoxia, drowsiness, incoordination, dyspnea, coma
What lesions are seen with CO toxicity?
bright red blood, mm pink, brain edema, hemorrhage or necrosis > deafness
How can you diagnose CO toxicity in the lab?
measure CO in the air or % of carboxyhemoglobin in blood (stable in fridge for days) or fetal thoracic fluid
How do you treat CO toxicity?
oxygen, 5%CO2, blood transfusion, fluids for acidosis
What is the source of nitrogen oxide gas?
produced by incomplete reduction of nitrates during fermentation of silos
What are the properties of NO2 gas?
NO2 red/brown, N2O4 colorless, mixture of two is yellow/brown, heavier than air, forms layer on silage then settles down shute, gases form nitric acid and nitric oxide, smog converts NO and oxygen to NO2 and ozone
What are the levels of NO2 toxicity?
smell 1-3ppm, 50-150ppm irritation, 250-310ppm death in swine after 20mins
What happens when NO contact mm?
NO2 and N2O4 –> nitric acid that cross respiratory mucosa and cause cellular damage
What is the MOA of nitrogen oxide gases?
direct irritation, passes thru URT and causes damage in lungs, death by hypoxia
What are the clinical signs to nitrogen oxide toxicity?
respiratory signs
What lesions are seen in nitrogen oxide toxicity?
pulmonary edema, hemorrhage, emphysema and inflammation of bronchioles, cyanosis, methemoglobinemia and necrosis of skeletal muscles
How do you treat nitrogen oxide toxicity?
supportive - oxygen, diuretics, antioxidants, methylene blue IV
What is the source of sulfur oxide?
industrial pollutant
What are some properties of sulfur oxide?
irritant, coughing, choking and suffocation
What is the MOA of sulfur oxide?
irritant, bronchoconstriction, lung damage, death by hypoxia