neurotoxicants Flashcards

1
Q

Pyrethrins/Pyrethroids

A

Pyrethrins are derived from Chrysanthemum flowers
Pyrethroids are synthetic analogues

Na+ causes neurons to depolarize (fire) > neuronal excitation >

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2
Q

Type I vs type II pyrethrin toxicity

A

type I: nervous system stimulation
* Tremor syndrome

type II: Suppression of action potential and reduced ability of the nerve to fire
* Choreoathetosis/salivation syndrome

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3
Q

Which animals are sensitive to pyrethrins?

A

Cats are very sensitive to concentrated pyrethrin products > permethrin
fish and reptiles

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4
Q

Organophosphate and carbamate mechanism of action

A

insecticides inhibit the enzyme acetylcholinesterase
excessive stimulation of muscarinic, nicotinic and CNS cholinergic receptors
* Parasympathetic pathway overstimulation
* Sympathetic pathway stimulation
* CNS

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5
Q

organophosphate and carbamate toxicity signs

A

“SLUDDE” Signs (parasympathetic MUSCARINIC overstimulation)
S alivation
L acrimation
U rination
D efecation (GI hypermotility, diarrhea)
D yspnea (Bronchial secretions and constriction)
E mesis

Nicotinic Acetylcholine Receptor Overstimulation:
* Stimulatory Phase: Muscle fasciculations & tremors initially, Muscle stiffness
* After Stimulatory Phase: Followed by flaccid paralysis > weakness due to muscle fatigue

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6
Q

ANTIDOTE for organophosphate and carbamate toxicity

A

MUSCARINIC SIGNS =Atropine Sulfate (Antidote!)

Non-competitive antagonist that blocks muscarinic receptors from acetylcholine overstimulation

No effect on nicotinic acetycholine receptors

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7
Q

Selective Serotonin Reuptake Inhibitors (SSRIs) mechanism

A

Block reuptake of serotonin > build-up of serotonin at presynaptic membrane

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8
Q

Clinical Signs of “Serotonin Syndrome”

A

Agitation, tremors, seizures, hyperactive
Hyperthermia
Mydriasis
Vomiting/diarrhea
Hypersalivation
Tachycardia, hypertension
Hyperventilation

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9
Q

antidote for “serotonin syndrome”

A

Acepromazine/Chlorpromazine
* Blocks serotonin and dopamine receptors

Cyproheptadine
* Serotonin antagonist

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10
Q

Sources of Tremorigenic Mycotoxins

A

Ingestion of moldy food or decomposing organic matter
Dairy foods, walnuts/peanuts, spaghetti, compost

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11
Q

2 most common mycotoxins

A

Penitrem A – produced by Penicillium crustosum

Roquefortine – produced by Penicillium roqueforti

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12
Q

clinical signs of Tremorigenic Mycotoxins

A

30 minutes to 3 hours post-ingestion

  • Tremors, seizures
  • Ataxia
  • Tachycardia
  • Vomiting
  • Hyperthermia
  • Depression
  • Hyperexcitability
  • Hypersalivation
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13
Q

why medical edibles (“medibles”) and medical cannabis pose more of a risk for toxicity

A

higher concentrations of THC

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14
Q

how marijuana causes nervous system depression

A

Increases gamma-amino-butyric acid (GABA) causing CNS depression

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