PNS and Skeletal Muscle Flashcards
2 Types of Acetylcholine Receptors
- Muscarinic
- Nicotinic
Nicotinic Ach Receptors
found in autonomic ganglia, brain, skeletal muscles
Muscarinic Ach Receptors
found in brain, heart, exocrine organs, GI, smooth muscle
4 Possible MOAs for Ach Receptor Toxicants
- Acetylcholinesterase Inhibitors
- Cholinergic antagonists (Anticholinergics)
- Muscarinic agonists
- Cholinergic agonists
Muscarinic Agonists
- Muscarinic Mushrooms
- Slaframine
- Solanaceous Plants
Cholinergic Agonists
- Tobacco (Nicotine)
- Poison Hemolock
2 Acetylcholinesterase Inhibitors
- Organophosphates (OPs)
- Carbamate
(bonus: blue-green algae acts as a natural OP)
SLUDDE signs
Salivation
Lacrimation
Urination
Diarrhea
Dyspnea
Emesis
OP and Carbamate clinical signs
Muscarinic: SLUDDE, miosis, bradycardia
Nicotinic: fasciculation, tremors, tetany
CNS (mixture): depression, hyperstimulation, seizures
miosis
excessive pupil constriction
atropine
high dose effective antidote for MUSCARINIC effects of OPs/carbamates
2-PAM
antidote for NICOTINIC effects; complexes with OPs and releases AChE
Tx for OP/Carbamates
decontaminate, atropine, 2-PAM for OPs, supportive care
Common OPs/Carbamates
insecticides, nerve gas
Blue-Green Algae (Cyanobacteria) Syndromes (3)
- Microcystins (hepatotoxins)
- Anatoxin-a
- Anatoxin-a(s)
Anticholinergic Pharmaceuticals (3)
- Atropine
- Scopolamine
- Hyocyamine
Anticholinergic Plants
- Solanaceae family
- Belladonna/nightshade
- Jimson weed
- Henbane
- Angel’s Trumpet
Anticholinergic Signs
vasodilation, tachycardia, urinary retention, dry mouth, ileus, myadriasis, altered mental status, fever, seizures (CNS and PNS signs)
Anticholinergic Antidote?
physostigmine
Muscarinic Mushroom Signs
SLUDDE signs
Muscarinic Mushroom Tx
atropine
Slaframine Source?
red clover infected with a specific fungus
Slaframine Clinical Signs
SLOBBERS (EXCESSIVE salivation)
Main species affected by slaframine?
horses (but sometimes cattle and sheep too)
Slaframine Tx?
remove from forage (atropine only effective if asymptomatic)
Solanaceous Plants
green potatoes, tomatoes, different nightshades
Clinical Signs of Solanaceous Plants
mainly GI, but can cause weakness and ataxia as well
Tobacco
cholinergic agonist
can be found in cigarettes, cigars, snuff, gum, vape fluid
Low Dose Tobacco (Nicotine) Signs
stimulatory (SLUDDE) signs
High Dose Tobacco (Nicotine) Signs
depression, weakness, paralysis, cardiac arrest, death
Tobacco Tx
symptomatic
Poison Hemlock Signs
plant that acts like high dose nicotine
weakness, tremors, ataxia, drooling, mydriasis, death
Ionophore Cardiac Signs are seen in what two species?
horse and cattle
paleness/streaking of endocardium –> endocardial hemorrhage
Ionophore Skeletal Muscle Signs are seen in what three species?
pigs, dogs, sheep (also paleness/streaking/hemorrhage)
Ionophore Toxicity Tx
can decontaminate if asymptomatic but otherwise its only supportive care
Macadamia nuts are only toxic to what species?
DOGS
Macadamia Nut Clinical Signs
hindlimb weakness (progressive) but then goes away after ~24-48 hours, dogs make full recovery
Hops affects what species?
DOGS
Hops Clinical Signs
SEVERE hyperthermia (108+), also myoglobinuria, agitation, tachypnea
Hops Antidote?
dantrolene (direct-acting skeletal muscle relaxant)
Hybrid Sudan Grass
skeletal muscle toxicant in horses
Equine cystitis-ataxia syndrome
chronic cyanide intoxication
Active compound in hybrid Sudan grass?
cyanide
Hybrid Sudan Grass MOA
cyanide converted to beta-cyanoalanine and degenerates the myselin shelths in the longest nerves in the body
Hybrid Sudan Grass Clinical Signs
ATAXIA, paralysis of urinary bladder, urine scald, cystitis, paralysis of perineum, vaginitis
Hybrid Sudan Grass Tx
antibiotics and supportive care
Widow Spiders MOA
six neuroactive proteins, but primarily alpha-latrotoxin causes release then depletion of Ach and NE (norepinephrine) at postganglionic sympathetic synapses
Widow Spider Clinical Signs
myalgia, pain (Charlie horse like) –> hypertension, tachycardia
myalgia
muscle cramps
Widow Spider Tx
control pain, muscle relaxers, should resolve within 72 hours
Coral Snake Clinical Signs
back-to-front paralysis (no matter the bite location), hypotension, vomiting
Coral Snake Tx
supportive care (intubate/ventilate as needed)
snakey phrase for north america
red on yellow kill a fellow
red on black friend of Jack
Larkspur
plant of pretty purple flowers that affects cattle by blocking nicotinic receptors
Larkspur Clinical Signs
constipation, bloat, oral irritation, muscle tremors, stiffness, collapse, convulsions, respiratory paralysis, death within 3-4 hours
Larkspur Tx
turn the cows uphill (to relieve bloat), also physostigmine