Toxicology: Pharmacology - Heavy metal toxicology Flashcards

1
Q

Five toxic effects of heavy metals

A
  1. Interfere with function of essential cations
  2. Cause enzyme inhibition
  3. Generate oxidative stress
  4. Alter gene expression
  5. Perturb cell signalling
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2
Q

Five toxic effects of arsenic

A
  1. CV: shock, arrhythmia
  2. CNS: encephalopathy, peripheral neuropathy
  3. Gastroenteritis
  4. Pancytopaenia
  5. Cancer
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3
Q

Distribution of inorganic oxides and salts of lead

A

> 90% redistributed to skeleton

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4
Q

Six toxic effects inorganic oxides and salts of lead

A
  1. CNS deficits
  2. Peripheral neuropathy
  3. Anaemia
  4. Nephropathy
  5. HTN
  6. Reproductive toxicity
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5
Q

Toxic effect of organic (tetra-ethyl) lead

A

Encephalopathy

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6
Q

Five toxic effects of elemental mercury

A
  1. CNS: tremor, erethism
  2. Gingivo-stomatitis
  3. Peripheral neuropathy
  4. Acrodynia
  5. Pneumonitis
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7
Q

Three toxic effects of inorganic mercury

A
  1. ATN
  2. Gastroenteritis
  3. CNS effects (rare)
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8
Q

Two toxic effects of organic mercury

A
  1. CNS defects
  2. Birth defects
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9
Q

Chelator for arsenic poisoning

A

Dimercaprol
Succinator
Unithiol

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10
Q

Chelator for lead poisoning

A

EDTA

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11
Q

Chelator for zinc poisoning

A

EDTA

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12
Q

Chelator for manganese poisoning

A

EDTA

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13
Q

Chelator for mercury poisoning

A

Unithiol

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14
Q

Chelator for copper poisoning

A

Penicillamine

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15
Q

Chelator for iron poisoning

A

Deferoxamine
Deferasirox
Deferiprone

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16
Q

Chelator for radioactive caesium and thallium poisoning

A

Prussian blue (ferric hexacyanofurate)

17
Q

Indications for EDTA

A

Divalent and trivalent heavy metal toxicity (including lead, zinc, manganese)

18
Q

Indications for unithiol

A

Arsenic and mercury toxicity

19
Q

Indications for penicillamine

A

Copper toxicity (including Wilson’s disease)
Severe RA

20
Q

Indications for Prussian blue

A

Univalent cations including radioactive caesium and thallium toxicity