Trace elements Flashcards

1
Q

What elements are trace elements?

A
Arsenic, 
Cadmium,
 Lead, 
Mercury, 
Chromium, 
Copper,
 Iron,
 Manganese,
 Molybdenum,
 Selenium,
 Zinc
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2
Q

What are two common methods of trace element analysis?

A

Atomic absorption

Atomic emission

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3
Q

How does atomic absorption measure trace elements?

A

Quantitates elements through absorption of optical radiation by free atoms in a gas phase
-Spectra of atoms is specific to absorbing elements

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4
Q

How does atomic emission measure trace elements?

A

Liquid sample w/ element is converted into an aerosol and delivered to a source where it receives energy and emits radiation
-Radiation is measured and is correlated to concentration of analyte ( basis of quantitation )

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5
Q

Which trace elements are non-essential?

A

Arsenic
Mercury
Lead
Cadmium

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6
Q

Which trace elements are essential?

A
Iron
Zinc
Copper
Manganese
Chromium
Selenium
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7
Q

Where does arsenic commonly occur?

A

natural substance in soil w. many industrial uses

  • Burning of fossil fuels such as coal, used in metal production, timber and agricultural use
  • Ag use release most arsenic
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8
Q

What are the three forms of arsenic?

A
  • Inorganic ( high toxicity ) – found in rock, soil, groundwater
  • Methylated ( mild toxicity ) – Metabolite of inorganic arsenic – in foods
  • Organic ( non-toxic ) – Fish, seaweed, shellfish
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9
Q

What are the symptoms of arsenic poisoning?

A

GI symptoms – nausea, pain, emesis
Bone marrow – pancytopenia, basophillic stippling
Cardiovascular, CNS, Renan and Hepatic problems

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10
Q

What are normal, chronic, and acute values of arsenic in the body?

A

<23 ug/L
Chronic – 100-500 ug/L
Critical acute – 600-9300 ug/L

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11
Q

What population has higher levels of cadmium?

A

Smokers have 2X the Cd as non-smokers

Absorption higher in females – related to Fe stores

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12
Q

Who stole mitch’s generator?

A

fat old white guy drinking buddy

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13
Q

How does cadmium poisoning manifest?

A
  • Acute exposure affects lungs and lead to respiratory -distress
  • Renal dysfunction
  • Also affects liver, bone, Immune and nervous systems
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14
Q

how is cadmium primarily absorbed?

A

food

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15
Q

How is cadmium measured?

A

Measured in random/24 hr urine, blood

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16
Q

What are normal levels of cadmium in urine and blood?

A

Random urine - <2.6 ug/L
24 hr - <3.3 ug/24 hr
Blood - <5.0 ug/L

17
Q

What does mercury react with in the body and bind?

A

reacts with sulfylhydryl groups and binds cysteine in proteins

18
Q

Which forms of mercury are toxic and non toxic?

A
  • Liquid environmental mercury – non-toxic, but is toxic in vapor form
  • Inorganic mercury is non-toxic
  • Organic mercury is toxic – highly selective for lipid –rich neurons
19
Q

What are the signs and symptoms of mercury poisoning?

A

Inhaled vapor – Affects nervous, digestive and immune systems
Inorganic exposure – Skin, eyes, Gi symptoms, kidneys

20
Q

What are normal values of mercury in urine and blood?

A

-Urine, random - <35 ug/g crea
-Urine, 24 hrs – 0-15 ug/day
-Blood – 0-60 ug/L
-High seafood - >50 ug
Toxic - >150 ug in urine

21
Q

What is the most common heavy metal in the environment?

22
Q

What samples are commonly taken for lead poisoning testing?

A

Venous whole blood most commonly used – hair and nails also used

23
Q

What are the signs and symptoms of lead poisoning?

A
  • CNS symptoms – clumsy/abnormal gait, HA, Seizures
  • Neuropathy
  • Anemia – 94% is transferred to RBC in blood and is bound to hgb
24
Q

Where is lead primarily exposed to the body?

A

Exposure primarily via GI and respiratory tracts

25
what are normal values, high values, and critical values for lead?
``` Overt toxicity - >60ug/L WB - <10 ug/L – children WB - <30 ug/L – non-pregnant adults Urine - <80 ug/L / 24 hrs Critical - >125ug/L / 24 hrs ```
26
Where is copper commonly distributed in the body?
distributed widely in body ( Liver, kidney, heart, brain )
27
Where is 95% of copper contained in the body?
Alpha-2 globulin – contains 95 % of copper in body
28
What is coppers role in the body?
Vitally important in regulating ionic state of Fe ( oxidize Fe2 to Fe3 ) – allows Fe to enter transferrin w/o forming toxic Fe products
29
How will plasma look if copper is significantly increased in the body?
greenish
30
What are signs and symptoms of copper deficiency?
Seen in premature infants, malabsorption/malnutrition, chronic diarrhea Neutropenia, hypochromic anemia ( see early ) Osteoporosis, decreased skin pigments and pallor Neurologic abnormalities in later stages Extreme cases – Menkes Disease – Fatally progressive brain disease Appears at 3 months – death at 5 years Peculiar hair – kinky-Steely ; growth retardation
31
What disease is copper toxicity associated with?
Wilson’s disease Genetic condition results in accumulation of copper. Copper gets deposited in tissues See at 6-40 years Results in neurological and liver dysfunction S/S – Kayser-Fleischer rings – Green-brown discoloration of cornea Early detection = effective treatment or cure
32
What are serum, urine, and rbc values for copper?
Serum – 700-1500 ug/L Urine – 15-60 ug/24 hr RBC – 90-150 ug/L