Lecture 4 Flashcards

1
Q

Mercury is:

A

-A natural occurring element in crust. found in air, water, and soil
-Liquid at Room temperature (heavy odorless silver liquid)
-Vapor is hazardous

Inorganic Mercury: Hg 2+
Organic Mercury: MeHg
Elemental Mercury

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2
Q

Inorganic Mercury

A

-illegal in US
-Combination of mercury with other elements (sulfur, oxygen)
-can occur naturally
-used in some industrial processes (skin care or cosmetics in some countries)

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3
Q

Organic mercury

A

-formed when mercury combines with carbon
-Found in soil and water organisms (MeHg = methylmercury)
-There is also ethylmercury and dimethylmercury)
-Found in fish, some antiseptics, but not in vaccines anymore

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4
Q

Mercury can do what in the environment?

A

Biomagnify and bioaccumulate:build up through organisms lifetime

Mercury is present in blood and urine of most of the population

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5
Q

What are some factors that impact the health effects and severity of mercury exposure?

A

-All humans are exposed to some level of mercury (low levels through food and high levels through acute exposure)

Health effects and severity are based on:
* Dose
* Duration
* Age /developmental stage
* Exposure route
* Type of mercury

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6
Q

Exposure routes of Mercury:

A

1) Air (inhalation)
2) Water (ingestion and dermal absorption)
3)Soil (Ingestion and Dermal absorption)
4) Food (ingestion)

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7
Q

Chronic exposure of Elemental mercury mainly impacts the:

A

Nervous system
-Tremors
-Erethism (memory loss, insomnia, depression…)

inhaled vapor for weeks or years

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8
Q

Acute exposure of Elemental Mercury mainly impacts:

A

Lungs
-cough
-chest tightness and shortness of breath
-bronchitis and pneumonia

inhaled vapor once

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9
Q

Common symptoms of Inorganic Mercury poisoning:

A

Chronic Exposure: (skin application) Renal system: kidney failure

Acute exposure: (Ingestion of corrosive salts) Renal system: Decreased urination and kidney failure

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10
Q

Organic Mercury Toxicokinetics:

A

-Efficiently taken up by the GI tract (95%)
-Can cross BBB
-Accumulates in hair

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11
Q

Organic Mercury chronic exposure:

A

-Via food (high fish diet)
-Nervous system: paresthesia, ataxia, weakness, vision and hearing loss, tremors

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12
Q

Major difference between ethyl-Hg and methyl-Hg

A

-ethyl-Hg has a faster conversion to inorganic
-ethyl-Hg is less severe than methyl-Hg (methyl-Hg has a higher 1/2 life)
-ethyl is more renal injury and lower brain concentration

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13
Q

Diagnosis of Mercury poisoning

A

Blood test
Urine test
Hair levels

50 ug/L urine
10-20 ug/L blood

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14
Q

Treatment of mercury poisoning

A

-Start asap
-Monitor vital organs
-IV fluid replacement therapy for ingestion of inorganic mercury (endoscopic examination, GI decontamination)
-Lowering Hg concentration through hemodialysis and chelating agents

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15
Q

Chelating agents

A

DMSA and DMPS

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16
Q

Minamata Bay Disaster

A

-Japan
-fish were dying and plant life floating in water
-young girl admitted to hospital for neurological symptoms

-Serious brain disorder (inability to speak or eat, ataxia, numbness of limbs…)

Factory, Chisso, was producing high levels of Hg.

“dancing cats”: experimented on stray cats acting weird so fed fish to cats and they were getting the minamata symptoms

symptoms persisted long after exposure

17
Q

Dimethylmercury

A

-more toxic than methylmercury
-Highly volatile, flammable, colourless liquid
-One of the strongest neurotoxins known

18
Q

What is dangerous about mercury poisoning?

A

-There is a long latency period so people do not know they are exposed which delays treatment
-fetus is affected greatly
-Organic mercury is a lot more toxic