153. Plants, Herbal Medications, and Mushrooms Flashcards

(11 cards)

1
Q

How long should you observe a patient who has ingested an unknown mushroom

A

6 to 8 hours

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2
Q

Describe the primary clinical manifestations of the ammanita phylloides

A

Hepatic failure and kidney failure, often leading to foul and liver toxicity. This person is a transplant candidate.

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3
Q

Name the primary clinical manifestation of amanita muscaria

A

 Agitation, hallucinating, i.e. CNS

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4
Q

What is the name of the active toxin made by poison ivy plants

A

Urushiol

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5
Q

Name five plants containing cardiac glycosides, i.e. digoxin Like molecules

A

Lily-of-the-valley
Fox club
Common/pink/white Oleander
Yellow Oleander
Dogbane
Milkweed.
Rhododendron

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6
Q

What happens if you eat a mother-in-law’s tongue plant i.e. dracana

A

Rash, emesis, diarrhoea secondary to SAPONINS which is a chemical. Won’t kill you, but will be uncomfortable. Rashides family a plant with little pokey things that will hurt you on the way down.

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7
Q

Name three pharmacologically active molecules found in anticholinergic plants

A

Scopolamine
Atropine
Hyocyamine

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8
Q

Name five plants with anticholinergic properties

A

Jimson weed
Angels trumpet.
Deadly nightshade.
Black henbane
Mandrake

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9
Q

What receptor does the toxin and poison Hemlock agonize?

A

Nicotinic acetylcholine

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10
Q

How does poison hemlock talks and kill you?

A

cholinergic toxicity at neuromuscular Junction secondary to alkaloids which caused respiratory failure
Due to their effect at the diaphragm

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11
Q

What is the clinical presentation of water hemlock poisoning?

A

Intractable seizures
In some cases may have to do a phenobarbital infusion to bypass the GABA receptors given these will be saturated. Phenobarbital will affect the chloride channels.

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