Lecture 8 Flashcards

(46 cards)

1
Q

Difference between venom and posion

A

Venomous animals actively inject toxins into victim

Poisonous animals secrete poisons passively

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three classes of venom compounds and what do they cause

A

Lmw substances- pain, inflammation, hypotension

Peptides- direct toxic effects and allergies

Enzymes- cause toxicity and allergy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the organisms in hymenoptera

A

Bees, wasps, hornets, fire ants

*envenomate with stinger, bees sting once, wasps and hornets sting repeatedly, worry about swarms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

MOA of bee venom

A

50% melittin acts as a detergent and hemolytic, causes pain and histamine release
12% phospholipase destroys membranes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

MOA of wasps/hornets

A

Some contain neurotoxins
Alarm pheromones alert the swarm to an intruder
Kinins produce pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

MOA of ant venom

A

Piperidine causes dermal necrosis
Formic acid causes burning sensation and pain

Both have cytotoxic, hemolytic, fungicidal, insecticidal, and bactericidal properties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Clinical signs of hymenoptera

A

Local swelling and reds at site of sting
Anaphylaxis (common cause of death)
Systemic toxicity from delayed allergic reaction (shock, hemolysis, rhabdomyolysis, hepatic and renal injury)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Treatment of hymenoptera

A

Remove stinger by scraping
Cold compress
Antihistamines and corticosteroids
Monitor for anaphylaxis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What toxin is produced by ticks and what is the MOA

A

Holocyclotoxin from salivary gland

Impairs acetycholine release at NMJ resulting in weakness and paralysis. May also act on Na channels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Clinical signs from tick

A

Appear 6-14 days after attachment of tick

Loss of appetite and voice, incoordination, ascending flaccid paralysis, excessive saliva and vomiting, resp distress, death from resp paralysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How to diagnose ticks

A

Find dermacentor or ixodes ticks

Ascending paralysis and loss of voice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Treatment of ticks

A
Supportive care
Atropine sulfate
Anti emetics
Fluids
Oxygen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What poisonous toad are commonly lethal

A

B. Marinus (cane toad/ giant toad) in FL
B. Alvarius in arizona/ california

Eggs and tadpoles are also toxic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Toad MOA

A

Biogenic amines cause vasocontriction, hypotension, hallucination, GI effects

Bufogenins inhibit Na/K atpase like cardiac glycosides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Diagnosis of toad

A
Immediate hypersalivation and/or foaming at mouth, head shaking, vomiting
Hyperemic gums
Arrhythmias
Neurologic signs
Hyperkalemia
Death can occur in as little as 15 min!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment of toads

A
Oral decontamination with water lavage
Activated charcoal
Treat seizures and arrhythmias
Fluids
Treat neurologic signs/ hyperkalemia with digoxin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe black widow toxins

A

Has red hourglass on abdomen
Only females are toxic
Venom contains alpha-latrotoxin which creates pores in the membranes allowing Ca entry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Clinical signs of black widows

A
Muscle cramping and spasms
Rapid weight loss
Abdominal rigidity
Restlessness, writhing
Vocalization
Hypertension
Tachycardia, resp collapse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Who is most sensitive to black widow venom

20
Q

Treatment of black widows

A

Control muscle spasms and pain
Calcium gluconate
Anti venom is the only proven treatment
Supportive care

21
Q

Describe the brown recluse venom

A

Contain necrotizing enzymes like sphingomyelinase D

*dogs are most susceptible

22
Q

Clinical signs of brown recluse

A

Inital bite causes little to no pain
3-8 hours after bite the site becomes red, swollen, tender, forms a bullseye

Hemolytic anemia, fever, weakness, leukocytosis

23
Q

Treatment of brown recluse

A

Dapsone for dermal lesion
Fluids, anti inflammatorys, glucocorticoids
Analgesics

24
Q

What families contain basically all the venomous snakes

A

Elapidae or crotalidae

25
Who are the most common victims of snake envenomation
Dogs and horses
26
What causes death with snake venom
Resp paralysis
27
Describe the eastern coral snake
Red, yellow, and black Small fangs and small heads Round pupils
28
MOA of coral snake
Venom has bungarotoxin (neurotoxin) | Prevent binding of acetylcholine causing paralysis
29
Clinical signs of coral snake envenomation
Local tissue necrosis Hemolysis in dogs Myoglobinemia in cats Salivation, dyspnea, hyporeflexia, CNS depression, paralysis
30
Treatment of coral snakes
Administer anti venom if neurologic signs develop Monitor resp signs Antibiotics and symptomatic wound care
31
What are some examples of pit vipers
Copperhead, cottonmouth, rattlesnake
32
Clinical sign of pit vipers
``` Distinct fang marks Immediate swelling and bruising Hypotension, shock, tachycardia, tachypnea Anticoagulation Tissue necrosis ```
33
Treatment of snakes
Every case is different | Only proven therapy is anti venom
34
Why should you not cute, ice, or tourniquet a snake bite
Don’t localize the venom to one area
35
What are enterotoxins
Binds to intestinal epithelium, increases permeability and causes fluid loss and decreased absorption of nutrients
36
What are examples of enterotoxins
Salmonella, E coli, bacillus, strep, C. Perfringens
37
Clinical signs of enterotoxins
Vomiting, diarrhea, abdominal pain, stasis with gas accumulation and bowel distension
38
What is an endotoxin
Lipopolysaccharide from gram negative walls
39
What do endotoxins cause
Inflammatory processes and causes release of prostaglandins and histamine
40
Clinical signs of endotoxins
Circulatory collapse, pancreatitis, activation of clotting cascade, uncoupling of oxidative phosphorylation in the heart Lethargy, fever, hypothermia, diarrhea, abdominal pain, shock bad smelling poop
41
Treatment of enterotoxins and endotoxins
Emesis CV function Correct fluid and electrolyte imbalances Antibiotics
42
Where does botulism come from
Clostridium botulinum
43
What does botulism do
Prevents Ach release at NMJ causing paralysis
44
Clinical signs of botulism
Decreased tongue and tail tone Dropping food from mouth, salivation Weakness, weak vocalization, progressive paresis, bradycarida, constipation, urinary retention
45
What should you differentiate botulism from
Anticholinesterases. Ionophores, lead, nitrate
46
Treatment of botulism
``` Supportive therapy and IV fluids Resp support Oxygen therapy Warm water enemas and bladder expression Antibiotics Antitoxins as long it is not in neurons yet ```