Lecture 8 Flashcards

1
Q

Difference between venom and posion

A

Venomous animals actively inject toxins into victim

Poisonous animals secrete poisons passively

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2
Q

What are the three classes of venom compounds and what do they cause

A

Lmw substances- pain, inflammation, hypotension

Peptides- direct toxic effects and allergies

Enzymes- cause toxicity and allergy

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3
Q

What are the organisms in hymenoptera

A

Bees, wasps, hornets, fire ants

*envenomate with stinger, bees sting once, wasps and hornets sting repeatedly, worry about swarms

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4
Q

MOA of bee venom

A

50% melittin acts as a detergent and hemolytic, causes pain and histamine release
12% phospholipase destroys membranes

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5
Q

MOA of wasps/hornets

A

Some contain neurotoxins
Alarm pheromones alert the swarm to an intruder
Kinins produce pain

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6
Q

MOA of ant venom

A

Piperidine causes dermal necrosis
Formic acid causes burning sensation and pain

Both have cytotoxic, hemolytic, fungicidal, insecticidal, and bactericidal properties

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7
Q

Clinical signs of hymenoptera

A

Local swelling and reds at site of sting
Anaphylaxis (common cause of death)
Systemic toxicity from delayed allergic reaction (shock, hemolysis, rhabdomyolysis, hepatic and renal injury)

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8
Q

Treatment of hymenoptera

A

Remove stinger by scraping
Cold compress
Antihistamines and corticosteroids
Monitor for anaphylaxis

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9
Q

What toxin is produced by ticks and what is the MOA

A

Holocyclotoxin from salivary gland

Impairs acetycholine release at NMJ resulting in weakness and paralysis. May also act on Na channels

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10
Q

Clinical signs from tick

A

Appear 6-14 days after attachment of tick

Loss of appetite and voice, incoordination, ascending flaccid paralysis, excessive saliva and vomiting, resp distress, death from resp paralysis

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11
Q

How to diagnose ticks

A

Find dermacentor or ixodes ticks

Ascending paralysis and loss of voice

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12
Q

Treatment of ticks

A
Supportive care
Atropine sulfate
Anti emetics
Fluids
Oxygen
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13
Q

What poisonous toad are commonly lethal

A

B. Marinus (cane toad/ giant toad) in FL
B. Alvarius in arizona/ california

Eggs and tadpoles are also toxic

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14
Q

Toad MOA

A

Biogenic amines cause vasocontriction, hypotension, hallucination, GI effects

Bufogenins inhibit Na/K atpase like cardiac glycosides

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15
Q

Diagnosis of toad

A
Immediate hypersalivation and/or foaming at mouth, head shaking, vomiting
Hyperemic gums
Arrhythmias
Neurologic signs
Hyperkalemia
Death can occur in as little as 15 min!
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16
Q

Treatment of toads

A
Oral decontamination with water lavage
Activated charcoal
Treat seizures and arrhythmias
Fluids
Treat neurologic signs/ hyperkalemia with digoxin
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17
Q

Describe black widow toxins

A

Has red hourglass on abdomen
Only females are toxic
Venom contains alpha-latrotoxin which creates pores in the membranes allowing Ca entry

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18
Q

Clinical signs of black widows

A
Muscle cramping and spasms
Rapid weight loss
Abdominal rigidity
Restlessness, writhing
Vocalization
Hypertension
Tachycardia, resp collapse
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19
Q

Who is most sensitive to black widow venom

A

Cats

20
Q

Treatment of black widows

A

Control muscle spasms and pain
Calcium gluconate
Anti venom is the only proven treatment
Supportive care

21
Q

Describe the brown recluse venom

A

Contain necrotizing enzymes like sphingomyelinase D

*dogs are most susceptible

22
Q

Clinical signs of brown recluse

A

Inital bite causes little to no pain
3-8 hours after bite the site becomes red, swollen, tender, forms a bullseye

Hemolytic anemia, fever, weakness, leukocytosis

23
Q

Treatment of brown recluse

A

Dapsone for dermal lesion
Fluids, anti inflammatorys, glucocorticoids
Analgesics

24
Q

What families contain basically all the venomous snakes

A

Elapidae or crotalidae

25
Q

Who are the most common victims of snake envenomation

A

Dogs and horses

26
Q

What causes death with snake venom

A

Resp paralysis

27
Q

Describe the eastern coral snake

A

Red, yellow, and black
Small fangs and small heads
Round pupils

28
Q

MOA of coral snake

A

Venom has bungarotoxin (neurotoxin)

Prevent binding of acetylcholine causing paralysis

29
Q

Clinical signs of coral snake envenomation

A

Local tissue necrosis
Hemolysis in dogs
Myoglobinemia in cats
Salivation, dyspnea, hyporeflexia, CNS depression, paralysis

30
Q

Treatment of coral snakes

A

Administer anti venom if neurologic signs develop
Monitor resp signs
Antibiotics and symptomatic wound care

31
Q

What are some examples of pit vipers

A

Copperhead, cottonmouth, rattlesnake

32
Q

Clinical sign of pit vipers

A
Distinct fang marks
Immediate swelling and bruising
Hypotension, shock, tachycardia, tachypnea
Anticoagulation
Tissue necrosis
33
Q

Treatment of snakes

A

Every case is different

Only proven therapy is anti venom

34
Q

Why should you not cute, ice, or tourniquet a snake bite

A

Don’t localize the venom to one area

35
Q

What are enterotoxins

A

Binds to intestinal epithelium, increases permeability and causes fluid loss and decreased absorption of nutrients

36
Q

What are examples of enterotoxins

A

Salmonella, E coli, bacillus, strep, C. Perfringens

37
Q

Clinical signs of enterotoxins

A

Vomiting, diarrhea, abdominal pain, stasis with gas accumulation and bowel distension

38
Q

What is an endotoxin

A

Lipopolysaccharide from gram negative walls

39
Q

What do endotoxins cause

A

Inflammatory processes and causes release of prostaglandins and histamine

40
Q

Clinical signs of endotoxins

A

Circulatory collapse, pancreatitis, activation of clotting cascade, uncoupling of oxidative phosphorylation in the heart

Lethargy, fever, hypothermia, diarrhea, abdominal pain, shock bad smelling poop

41
Q

Treatment of enterotoxins and endotoxins

A

Emesis
CV function
Correct fluid and electrolyte imbalances
Antibiotics

42
Q

Where does botulism come from

A

Clostridium botulinum

43
Q

What does botulism do

A

Prevents Ach release at NMJ causing paralysis

44
Q

Clinical signs of botulism

A

Decreased tongue and tail tone
Dropping food from mouth, salivation
Weakness, weak vocalization, progressive paresis, bradycarida, constipation, urinary retention

45
Q

What should you differentiate botulism from

A

Anticholinesterases. Ionophores, lead, nitrate

46
Q

Treatment of botulism

A
Supportive therapy and IV fluids
Resp support
Oxygen therapy
Warm water enemas and bladder expression
Antibiotics
Antitoxins as long it is not in neurons yet