Part 2: Areas of Toxicology to Differences Flashcards
Deals with investigation of the toxic effect
of the substance on the biological system
Experimental Toxicology
most commonly used living organism in toxicology
Guinea pig
animals used living organism in toxicology
mice, rat, rabbit
Smallest dose that kills 50% of the population
LD50 (Median Lethal Dose)
Smallest concentration that kills 50% of the population
LC50 (Medium Lethal Concentration)
Maximum amount of drug considered safe
TLV (Threshold Limit Value)
Dose which produces the desired effect in 50% of subjects
ED50 (Median Effective Dose)
Measure of safety
Therapeutic Index
Therapeutic Index is the ratio of
LD50 to ED50
Involves the diagnosis/treatment
(antidote) of poisoning cases with emphasis on medical sciences, including signs and symptoms (toxidromes)
Clinical/Medical Toxicology
Toxidrome of Anticholinergics
- Dry as a bone (dry mucosa)
- Hot as a hare (hyperthermia)
- Blind as a bat (mydriasis)
- Mad as a hatter (delirium)
- Red as a beet (flushed skin → due to vasodilation to eliminate body heat)
Example of Anticholinergic
Atropine
Toxidrome of Cholinergics
DUMBBELSS / SLUDGE
meaning of DUMBBELSS
Diarrhea, Urination, Micturition, Bradycardia, Bronchoconstriction, Emesis, Lacrimation, Salivation, Sweating
Example of Cholinergics
Organophosphate Carbamates
Toxidrome of Sympathomimetics
- Mydriasis, Tachycardia
- Hypertension, Hyperthermia, Seizures
Example of Sympathomimetics
Amphetamine Cocaine
Toxidrome of Opiates
TRIAD: Miosis (pinpoint), Hypotension, Coma
Hyperventialation, Bradycardia
example of Opiates
Morphine Heroin
Deals with deleterious effects and impact
of chemicals (usually from air, soil, water), present as toxins of the environment, to the living organism
Environmental Toxicology
Specialized area within environment
toxicology that focuses more specifically on the impacts of toxic substances on population dynamics in an ecosystem
Ecotoxicology
Concerned with sampling and toxicity
testing which provide information for safety evaluation and regulatory requirements
Regulatory Toxicology
Deals with the medical and legal aspects
of poisoning
Forensic Toxicology
Deals with the mechanisms by which
chemicals exert their toxic effects on
organisms
Mechanistic Toxicology
Deals with the chemicals found in the
workplace
Occupational Toxicology
Major route of poisoning in Occupational Toxicology
inhalational
Concerned directly with toxicity testing
Descriptive Toxicology
An area of professional emphasis in the
realm of medical science that is concerned with diseases caused by or uniquely associated with toxic substances
Clinical Toxicology
something that can cause
harm
Hazard
chance, high or low, that any
hazard will actually cause somebody harm
Risk
Include virus, bacteria, insects, animals
that can cause harm
Biological Hazards
Chemical Hazards: The nature of a chemical hazard will
depend on the _____________ of the chemicals
used and stored on the premises
properties
Result of physical factors that can lead to
musculoskeletal injuries
Ergonomic Hazards
Result of environmental factors and
include heights, vibration, radiation, and
pressure
Physical Hazards
Include hazards that can have an adverse
effect on an individual’s mental health or
wellbeing
Psychological Hazards
Hazards that create unsafe working
conditions
Safety Hazards
the likelihood of a person being injured or receiving an adverse health effect due to a hazard occurrence
RISKS
should only be used as a last resort when all other controls have been exhausted
PPE
CHARACTERISTICS OF EXPOSURE
- Type of effect 2. Dose
- Length
Major Routes
GIT, Lungs, Skin, Parenteral
Severity of routes and sites of exposure
IV > Inhalational > IP >SQ>IM>ID>PO > Dermal
DURATION AND FREQUENCY OF EXPOSURE Categories
Acute, Subacute, Subchronic, Chronic
exposure to chemical for less
than 24h
Acute
usually single administration,
repeated exposures may be given within a 24-h period for some slightly toxic or practically non-toxic chemicals
Acute
continuous exposure for less than 24 h, most frequently for 4 h
Acute exposure by inhalation
repeated exposure to chemical for 1 month or less
Subacute
1 to 3 months
Subchronic
more than 3 months
Chronic
The impression made by the poison is to
the body part it made contact with
Local Effects
Effect is confined to the area of
administration
Local Effects
Acids such as H2SO4 are _________ and can cause _________
corrosives; coagulative necrosis (solidification)
Alkalis such as NaOH are _________ and can cause
Caustic; liquefactive
The effect is produced in an area other than the site of application
Remote Effects
Poison possesses both local and remote effects
Combined Effects
Irritants causes _____________; examples are
tissue necrosis; Acids and alkalis
Neurotics affects _______; examples are
CNS; hallucinogens
Stimulate proliferation of cancer cells
Carcinogenic
Nitrosamines, aflatoxin
Carcinogenic
CO, methane gas
Asphyxiants
Cause dyspnea; cause complete suspension of respiration
Asphyxiants
Stimulate flow of tears from lacrimal glands
Lacrimators
Cholinergics, carbamates, organophosphates
Lacrimators
Stimulate excessive sneezing
Sternutators
Strychnine, veratrine
Sternutators
Produce muscular weakness; “exhaustives”
Asthenics
Tubocurarine, NM blockers
Asthenics
Opioids
Narcotics
Produce mental weakness and depression, stupor, coma, respiratory depression
Narcotics
main target organ; site of
metabolism and where enzymes are
situated
Liver
concentration of a substance that may produce a toxic effect
Dose
effect that a dose can produce (positive or negative)
Response
Types of Dose Response Rel.
- Individual Dose-Response Relationship
- Quantal Dose-Response Relationship
Describes the response of the organism to varying doses of a chemical (referred to as “graded” response)
Individual Dose-Response Relationship
continuous over a range of doses
Individual Dose-Response Relationship
“all or none”
Quantal Dose-Response Relationship
Normal or Gaussian distribution
Quantal Dose-Response Relationship
represents normal frequency
curve in Quantal-Dose RR
Bell Shaped Curve
represent the percentage of animals that responded at each dose minus the percentage that responded at
the immediately lower dose
Bars
As the dose is increased, the response
also increases
Cumulative Quantal Dose-response
In Cumulative Quantal Dose-response, a __________ curve will be formed
Sigmoidal curve
Mortality is in probit units to form a straight line
Probit Quantal Dose-response
________________ is achieved by drawing a line at the probit unit 5 which is the 50% response point to the dose effect line
Median Effective Dose (ED50)
indicates that a large change is needed to
a significant change in response
“fat” dose response
small changes in dosage will cause a large change in response
“steep” dose response
Some non-nutritional toxic substances may also impart beneficial or stimulatory effects at low doses but at higher doses, they produce adverse effects
HORMESIS
Same chemical, different response
SELECTIVE TOXICITY
Identifying the mechanistic basis for species differences in response to chemicals established the relevance of animal data to human response
SPECIFIC DIFFERENCES
Even within a species, large interindividual differences in response to a chemical can occur because of subtle genetic differences (referred to as genetic polymorphisms)
INDIVIDUAL DIFFERENCES
This contributes for the idiosyncratic reactions to chemicals and for interindividual differences in toxic responses
INDIVIDUAL DIFFERENCES