Toxicology Flashcards
What is Sam - E used for - give an example
Liver supplement to help detoxify and have antioxidant effects on the liver - can be used as a hepatoprotectant for a toxic ingestion like xylitol in dogs
Describe what happens with xylitol toxicity in dogs
Leads to a rapid release of insulin I causing hypoglycemia and signs like vomiting, weakness, ataxia, seizures snd coma
How do you treat xylitol toxicity in dogs
Fluids with added dextrose I monitor liver values and coats
How do you treat bleach toxicity and what do you not do
Dilute stomach with milk - do not induce emesis, add in GI protectants
Describe clinical signs do you see from a black widow spider bite
Recumbency, vocalizing, pain, respiratory and cardiac depression leading to rapid death - can also see ascending motor paralysis
What is the species none for the black widow spider
Lactrodectus mactans
What rodenticides are anticoagulants - what do you do und what do you monitor
Warfarin and brodifacum - give vitamin K and monitor prothrombin time
What would you expect with cholecalciferol ingestion and why
Can cause fatal hypercalcemia - converted to active vitamin D which increases absorption of calcium
What happens with ethylene glycol toxicity
Toxic metabolites made in the liver get excreted in the kidney , causing a severe metabolic acidosis and renal tubular damage
What is treatment of ethulere glycol toxicity aimed at
Alcohol dehydrogenase - an enzyme in the liver that helps metabolize ethanol and other toxic metabolites
What are 2 treatments for ethylene glycol toxicity - which is better
4 - methylpyrazole and ethanol - 4 map has less side effects than ethanol which can cause cns depression, metabolic acidosis
What signs might you see indicating ethylene glycol toxicity
Metabolic acidosis , azotemia, oliguria or Anuria, calcium oxalate crystals in the urine
How do organophophates cause toxicity
Inhibit acetylcholinesterase causing muscarinic signs like hypersalivation, incoordination and bloat
How do you treat organophosphate toxicity
2 Pam (pralidoxime - reactivates cholinesterses to break down ACH) combo with atropine to block muscarinic associated effects
What can occur due to a fleet enema and why
Usually high in phosphorus so leads to hypocacemia causing weakness, tremors, seizures - also causes hyperatremin and Hyperphosphatemia, sometimes hypokalemia
How do you treat organophosphate toxicity
Calcium gluconate (because of the hypocalcemia) and phosphorous binders (aluminum hydroxide, calcium carbonate, etc)
What is strychnine, what does it cause and how to you treat it
Snail bait - inhibits glycine leading to a loss of impulse contractility in the spinal cord, leading to convulsions, that with methocarbomal
What within chocolate causes toxicity and what clinical signs can you see
Methylxanthinines like theobromine and caffeine - causes signs like CNS excitation, tachycardia and vasoconstriction
What type of chocolate has the highest concentration of toxins
Unsweetened baking chocolate
How do pyrethrins cause toxicity - what signs might you see
Alter activity of sodium channels leading to longer length of depobrization (more continuous contractions) - can see depression, hypersalivation, ataxia, muscle tremors
Treatments are toxic to- and should be treated with -
Toxic to cats, treat with methobormool and a bath (usually topical)
What could you see in cats affected by acetaminophen toxicity
Methemoglobinemia (dark brown blood due to oxidative injury to hemoglobin), Heinz bodies
Why are cats sensitive to acetaminophen toxicity
Lack glutathione and glucoronyl transferase - entires that help body metabolic and eliminate toxins
How do you treat acetaminophen toxicity
N-acetylcysteine
What are some causes of Heinz body anemia
Zinc Pennies, onions, red maple leaves in horses, methylene blue, rye grass
What is Heinz body anemia
Oxidative damage to hemoglobin in red blood cells casing premature cell death - leads to signs like hemoglobinemia, hemoglobinuria , icterus
What toxin is on your differential list in a work that is icteric and showing signs of colic
Red maple leaves - acer rubrum
Which types of Lillies can cause renal failure in cats
Tiger Lilly, stargazer Lilly, Easter Lilly, day Lilly
Which species is affected by zealalonone and what does it cause
Affects pigs - causes a pseudo pregnancy and hyperestrogenidm
Where does zearalone come from
Toxic metabolite from a fungus
What lesion occurs with salt poisoning in large animals
Perivascular infiltration of eosinophils
Describe the pathogenesis of salt poisoning in large animals and what is the bodies response
Too much blood sodium increases omolority causing water in brain to rush into the vasulature , causing hemolysis because of water rushing into RBC - response in to form hyper molar molecules to draw water back in
What clinical signs do you see with salt poisoning
Head pressing / stargazing, blindness, seizures
Which species is most susceptible to copper toxicity and how are they exposed usually
Sheep - cattle and horse feed are high in copper
What occurs with copper toxicity in sheep
Causes hemolytic anemia in sheep due to build up of copper in the liver which suddenly releases causing hemolusis and icterus, methemoglobinemia, hemoglobinuria
What species is affected by copper deficiency and what occurs
Sheep - enzootic ataxia and swayback 1 either congenital Or secondary
What is enzootic ataxia
Copper deficiency in lambs 1-2 months old
What is swayback
Copper deficiency - congenital or in young lambs with progressive ascending paralysis
What clinical signs are caused by phalaris/canary grasses
Stiff legged gait, hyperexcitability, nystagmus, head tremors
Hypomagnesia from lush pastures leads to what clinical signs
Restlessness, staggers, convulsions, death
Black walnut causes what in horses
Laminitis