153. Plants, Herbal Medications, and Mushrooms Flashcards
(11 cards)
How long should you observe a patient who has ingested an unknown mushroom
6 to 8 hours
Describe the primary clinical manifestations of the ammanita phylloides
Hepatic failure and kidney failure, often leading to foul and liver toxicity. This person is a transplant candidate.
Name the primary clinical manifestation of amanita muscaria
 Agitation, hallucinating, i.e. CNS
What is the name of the active toxin made by poison ivy plants
Urushiol
Name five plants containing cardiac glycosides, i.e. digoxin Like molecules
Lily-of-the-valley
Fox club
Common/pink/white Oleander
Yellow Oleander
Dogbane
Milkweed.
Rhododendron
What happens if you eat a mother-in-law’s tongue plant i.e. dracana
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.
Name three pharmacologically active molecules found in anticholinergic plants
Scopolamine
Atropine
Hyocyamine
Name five plants with anticholinergic properties
Jimson weed
Angels trumpet.
Deadly nightshade.
Black henbane
Mandrake
What receptor does the toxin and poison Hemlock agonize?
Nicotinic acetylcholine
How does poison hemlock talks and kill you?
cholinergic toxicity at neuromuscular Junction secondary to alkaloids which caused respiratory failure
Due to their effect at the diaphragm
What is the clinical presentation of water hemlock poisoning?
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.