Module 4-5 Midterm Flashcards

1
Q

refers to a class of liquid organic chemicals
of variable lipophilicity and volatility, small molecular size, and lack of charge.
- Ready absorption: lung, skin, GIT
- Most are refined petroleum
- Classified according to mol. structure or functional grp

A

Solvent

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2
Q

Main Determinants of a solvent’s inherent toxicity:

A

C atoms
1,2,3 bonds bet. adjacent C atoms
Configuration
Halogenated
Presence of functional grp

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3
Q

is characterized by nonspecific symptoms (e.g., headache, fatigue, and sleep disorders) with or without changes in neuropsychological function.

A

CSE - chronic solvent encephalopathy

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4
Q

whether adverse health effects occur from solvent exposure is dependent on several
actors:

A

(1) toxicity/carcinogenicity
(2) exposure route
(3) amount or rate of exposure
(4) duration of exposure
(5) individual susceptibility
(6) interactions with other chemicals

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5
Q

reversible form of CSE, consists of symptoms only. “mild” and “severe” forms are accompanied by objective signs of neuropsychological dysfunction that may or may not be fully reversible.

A

neurasthenic syndrome

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6
Q

Types of solvents:

A

Inhalants
Solvent
VOC

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7
Q

a unique exposure situation, in that participants repeatedly subject
themselves to vapor concentrations high enough to produce effects as extreme as unconsciousness.

A

Solvent Abuse

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8
Q

they are volatile substances that can be inhaled to induce a psychoactive or mind-altering effect with vapor concentrations high enough to produce effects that resemble alcohol intoxication and may lead to unconsciousness.

A

Inhalants

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9
Q

breathed in through the nose or the mouth

A

“sniffing” or “snorting”

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10
Q

inhaling vapors from substances inside plastic or paper bags

A

“bagging”

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11
Q

solvent-soaked rag stffed into the mouth

A

“huffing”

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12
Q

occurs when the body is deprived of oxygen

A

Asphyxiation or suffocation

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13
Q

solid form but volatilize, mostly found in aerosol propellants, paint thinners, cleaners, and soil fumigants

A

VOC

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14
Q

2 important properties of solvents that govern their absorption and deposition in the
body:

A

Volatility & Lipophilicity

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15
Q

VOC
Absorption - alveoli; GIT
-> blood: air partition coefficients (PCs)

Transport, Distribution, Elimination
->Hepatic 1st-pass elimination
->Pulmonary 1st-pass elimination

Metabolism
->Bioactivation - can modulate the toxicities of solvents.
->CYP2E1 - catalyzes the oxidation
of halogenated and aromatic hydrocarbons causing cytotoxicity and/or mutagenicity.

A

N/A

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16
Q

is a “wasting” disorder that causes extreme weight loss and muscle wasting, and can include loss of body fat.

A

cachexia

17
Q

Endogenous Factors:

A

Children
Elderly
Gender
Genetics

18
Q

Exogenous Factors:

A

P450 Inducers & Inhibitors
Physical activity
Diet

19
Q

Common name of Methanol
RoT: Ingestion

A

wood alcohol

20
Q

MoT: 2 enzymes - Methanol > ? Formaldehyde >? Formic acid

A

alcohol dehydrogenase & aldehyde dehydrogenase

21
Q

the presence of myoglobin in the urine, which usually results from rhabdomyolysis or muscle injury.

A

Myoglobinuria

22
Q

ocular toxicity also known as? 18-48hrs

A

like standing in a snowfield

23
Q

Treatment to Methanol (formic acid (FA) poisoning)

A

Fomepizole/Ethanol; Leucovorin/Folic Acid (vit. B9), w/i 30-60mins gastric aspirate, HD

24
Q

this type of glycol is used as an antifreeze,
RoT: dermal, ingestion
CP:
- period of inebriation
- cardiopulmonary stage
- renal toxicity stage

A

Ethylene Glycol

25
Q

Treatment for Ethylene glycol toxicity

A

emergency & supportive measures
Fomepizole/Ethanol; Pyridoxine, Folate, if recent - Thiamine lavage, HD

26
Q

Generally considered safe by FDA
lactaldehyde-> lactate (acidosis)

A

Propylene Glycol

27
Q

the ultimate toxicants
-alkoxy acetic acids
^alkyl chain = decreased reproductive & developmental toxicity; ^hematotoxicity

A

Glycol Ethers

28
Q

major uses are in the production o rayon fiber, cellophane, and CCl4, and as a solubilizer or waxes and oils.
RoT: occupational

A

Carbon Disulfide (CS2)

29
Q

Atropa, Datura, Hyoscyanmus, Solanum

A

Antimuscarinic - Blockade of muscarinic cholinoceptors

30
Q

Adenium, Digitalis, Convallaria, Nerium

A

Cardiotoxic - Inhibition of cellular Na+ ,K+ -ATPase increases contractility, enhanced vagal effect

31
Q

Anemone, Conium, Labrunum, Nicotinia, Ranunculus

A

Convulsants - Blockade of gamma-aminobutyric acid (GABA) receptor on the neuronal chloride channel, alteration of acetylcholine homeostasis, mimic excitatory amino acids, sodium channel alteration, hypoglycemia

32
Q

Eriobotrya, Hydrangea, Prunus

A

Cyanogenic - Gastric acid hydrolysis o cyanogenic glycosides releases cyanide

33
Q

Acotinum, Rhododendron, Veratrum

A

Dysrhythmia - Sodium channel activation

34
Q

Conium, Laburnum, Lobelia, Nicotinia

A

Nicotinic - Stimulation of nicotinic cholinoceptors

35
Q

Crotalaria, Heliotropium, Senecia

A

Pyrrolizidine - Pyrroles injure endothelium of hepatic or pulmonary vasculature leading to veno-occlusive disease and hepatic necrosis

36
Q

Abrus, Ricinus

A

Toxalbumin - Protein synthesis inhibitors leading to multiple organ system failure

37
Q

Toxic effects on skin:

A

Irritant contact dermatitis - Trichomes
Urtica sp
*mucuna pruriens (cow itch) *- mucinian

Allergic contact dermatitis
poson ivy
philopndendron scandens
Rhus sp.

Photosensitivity
Hypericum perfora (St. John’s wort) - hypericin

38
Q

Toxic effects Respiratory Tract:

A

Allergic Rhinitis
Poa sp.
Festuca sp
Asteraceae family
Cough Reflex
Capsicum annuum & Casicum frutescens - Capsaicin & Dihydrocapsaicin

39
Q

Toxic effects Gastrointestinal System:

A

Direct Irritant effects - NVD
Buffalo beans - quinolizidine alkaloids
Aesculus hippocastanum & Aesculus glabra - esculin
Antimitotic effects
Podophyllum peltatum - podophyllotoxin
Protein Synthesis inhibition
Euphorbiaceae
Ricinus communis
- ricin I and II