Trace elements/toxins Flashcards

1
Q

Essential elements definition

trace elements

ultratrace elements

often have?

A

if a deficient impares a biochem process and replacement of the element corrects the impairemtn

trace elements: needed in mg
ultra trace: ug

often have cofactors

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2
Q

Non essential
trace elements….

A

trace elements are of interest becasuee many are toxic

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3
Q

Instruments/methods
attention to?
prevent?
tube tops?

A

attention to detail, measures to prevent contam

royal blue tubes

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4
Q

Atomic emission spectroscopy
quant of elem by measuring intensity….

A

quant of elem by measuring intensity of radiation from aerosolized samples

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5
Q

Atomic absoprtion spectro
or….fa…gp

A

determ of elem quantity through absorpt of optical radiation by free atoms in gas phase

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6
Q

AAS
what type of light source?
lamps?
elements?
most common??
what measures liquid and solid samples?

A

HCL light source
EDL lamps
copper/iron/zinc

flame most common

GFAAS measures liquid and solid samples

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7
Q

Interference
spect…

A

spectroscopic/non

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8
Q

Elemental speciation
toxicity…

A

toxicity of elements depends on form, hyphenated

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9
Q

Alt techniques
A/AD/I/G

A

ASV,ADSV,IC,Gas chrom

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10
Q

Aluminum
most abund
color
excreted by?

conduct….

interferes with?
causes?

routes?

A

most abund metal in earths crust
silver white
95% excret by urine

heat/electrical conduction

interferes with enzymes
anemia bone disease and dementia

Ingestion, inhalation, parental absorption

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11
Q

Arsenic
forms?
found in?

largest source of exposure?

low doses?
most common?
toxic forms?

A

metallic/non metallic
pesticides, manufacturures

largest source of exposure is foods

fatal at low doses
most common posion in hxt

INORGANIC/METHYLATED IS TOXIC

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12
Q

Cadmium
soft….
locations?
mode of aquosition?
higher in?
no role?

A

soft blue white metal

industry/soil/rice

ingestion/inhalation

higher in females and smokers

no role in human physiology

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13
Q

Chromium
st
aquizition?
CR3+
CR6+
causes?
bound?

A

stainless steel
ingest/inhalation/adsorpt dermals

CR3+ insulin action
CR6+ oxidizing agent

transport bound to albumin and transferrin

lung irritation/dermatitis

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14
Q

Copper
m
h/e

important….critical for

excreted in bile how much %

important for

what disease? causes

A

malluble
heat/electrical conduction

important cofactor and critical for reduction of iron in heme synth
exc in bile 98%

import for metalloenzymes

WILSONS DISEASE (increase urine iron)

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15
Q

Iron
fe+3 must…
important for…

de/o
bound?

iron def %

A

FE+3 must be reduced to be reabsorbed
imporant for hgb/mgb/enzymes

deficiencies/overloads
transport bound to proteins ferritin

iron de 15% population world wide

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16
Q

Serum iron

Transferrin

Percent sat

Ferritiin

A

S: fe+3 iron bound, early morning sample

Transferrin: Iron transport protein UIBC

P: serum iron to UIBC

F: iron storage, most sensitive/reliable

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17
Q

Lead
mall….white duc
found in

primary route

no …

high absorbance in. ….and

A

malluble blue/white ductile
gas/paint

primary injestion/inhalation

no human role

high absorbance in children

highest abs in bone

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18
Q

Maganese
production of
route?
found in?

important for?

deficiency?
toxicity?

A

production of steel
ingestion
fat and bone

import for metalloenzymes/enzyme activiation

deficiency: Clot issues
Toxcicity: crying/laughing mania

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19
Q

Mercury
also called?
Hg…..(3)

most common route?

toxicity where? damages?

A

quicksilver, liquid at rt
Hg0, HgH, Hg2+

inhalation most common

CNS/PNS toxicity, damages organs before sympt occur

20
Q

molybdenum
abs by….
bound to…

main excretion?
important?
rare?

A

abs by ingestion
bound to A2-macro

main urinary excretion

important cofactor
deficiency/toxicity rare

21
Q

Selenium
found in? e/d
a/ts

card…C

A

electronics dandruff

antioxidant and thyroid synth

cardimyopathy CNS

22
Q

Zinc
blue white listrous….
air exposure?

most common route?

located in?
excreted?

what enzyme activity?
def causes?

A

blue white listrous covered in white with air exposure

ingestion most common

muscle and bones
fecal excretion

enzyme activity DNA/RNA

def causes growth inhibition/testicular atrophy

23
Q

Vitamin deficiency

A

causes by poor diet or competeing organisms like parasites

24
Q

Vitamin insuficiency
increased metabolism…..

A

increased metabolism mandates intake/absorption of greater than normal levels

25
Vitamin toxicity caused by? damages?
abnormaly high intake hepatic and kindey damage
26
Thiamine
B1 beriberi
27
Riboflavin
B2 magenta tongue
28
Niacin
B3 red tongue
29
B5
pano... not seen
30
Biotin
B7
31
B12 | cy
Cyano...
32
Folate: Vit C Vit A Vit D Vit E Vit K | p, s,r,r,rbc,c
F: prenatal C: scurvy A: retinol D: ricketts E: rbc bruise K: brusing/coag
33
Solubility of Vit A Vit D Vit E Vit K
A: Vit C D: Vit B1 E: B3 K: B4
34
How are vitamins studied
easily with hydrophobicity
35
Fat soluble vitamins dissolved in requires what breaks it down examples? increased toxicity with?
dissolve in fats requires bile acid lipase breaks it down LDL VIT D Storage = increased toxicity
36
Water soluble vitamins
dissolv in water not stored in body re-supply needed less toxic except renal
37
Vitamin metabolism location what about large intestine?
small intestines B12/K metabolism in the large intestines
38
Folate
most common vitamin def megaloblastic anemia neural tube defect/artheroscleorosis
39
Vit B12 aborption based on anemia? transported by?
absopt based on intrinsic factor megaloblastic anemia transcolobalamin transports
40
Vit D found in? locations? inactive form is in? what does the active form need?
UVB and foods parathyroid/bone/renal from diet/skin = inactive form Active form needs kidney
41
Macronutrient deficiencies marasmus kwashikor negative outcomes?
Marasmus: starvation Kwashikor: decreased protein negative outcomes: increased mortality impared healing infections
42
Nutritional status determination
pt hxt, eval of symtoms
43
Antheropomorphic measurment
height/weight, skin thickness, body fat...etc
44
Most useful nutritional status testing selected.... t p (t) R-V a A
Selected protein markers Transferrin pre-alb (T4) RBP - vit A transport Alb AA
45
What is used in conjugation with acute phase reactants like CRP p CRP normal with low Transcolobalamin =?
Plasma markers CRP normal with low transco = protein malnutrition
46
Total parenteral nutrition (TPN)
Anorexia treatment, forced enteral nutrition can lead to electrolyte imbalance/acid based imbalance