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19 Cards in this Set

  • Front
  • Back
What determines the effects of environmental chemicals
Absorption - pulmonary, GI, dermal

Distribution - fat vs. water soluble

Metabolism

Excretion - fat vs water soluble
Hypersensitivity
Acquired/adaptive immune response in which the response results in tissue damage

Variability in disease production

Irregular time lag

No dose dependency

Lack of reproducibility
Toxic effects
Acute and chronic effects

Predictable dose related effects

Predictable time delay

Predictable target organ response
Chloroform
Targets liver and CNS
Carbon Tetrachloride
Targets liver and CNS
Trichloroethylene
Targets CNS

Liver effect is minimal
Benzene
Acute exposure leads to affect on CNS - respiratory failture

CHronic exposure leads to effect on Bone marrow - aplastic anemia, leukemia, multiple myeloma
2,4-dihlorophenoxyacetic acid
Agricultural chemical linked to hematopoietic malignancies in farmers
TCDD
Aromatic Halogenated Hydrocarbon

Act on receptor found on all cells

Have the ability to increase/decrease expression of genes in animals
PCB
Aromatic Halogenated Hydrocarbon

Banned due to liver cancer and malignant melanoma and immune system effects
Pollutant
Those that are inhaled leads to lung diseases and cardiovascular diseases
Source of Air Pollutants
Sulfur dioxide - power plants

Ozone, nitrogen - action of light on vehicular exhaust

Carbon monoxide - action of light on vehicular exhaust
Carbon Monoxide
Affinity for hemoglobin 240x that of oxygen

Forms carboxyhemoglobin

Prevents oxygen from dissociating from hemoglobin in tissues

Results in severe hypoxia
Carbon Monoxide: Concentration and Symptoms
<10% - None
Acceleration of angina
ECG changes in patients

Up to 30%: headache
mild exertional dyspnea

30-50%: confusion
lethargy

>50% - coma and convulsions

>60% Fatal
Lead
Absorbed through lungs and GI

Portion of blood lead remains and enters bones, teeth, nails, hair, brain, liver kidneys and bone marrow

Excreted by kidneys

Very narrow margin between safety and risk of toxicity
Lead Toxicity
Effect on Nervous System
Children: irritability and ataxia
Adults: peripheral neuropathy

Effect on Hemopoietic System
Anemia
Leads to disrupted heme synthesis in bone marrow erythroblasts

Inhibits ferrochelatase that incorporates iron into porphyrin ring

Effects Kidneys (nephropathy)
Results in aminoaciduria, glycosuria and hyperphosphaturia
Mercury
Organic mercury is absorbed but inorganic is not

Targets kidney and brain
Mercury Toxicity
Nephrotoxicity
Causes proteinuria and globerulonephritis

Neurotoxicity
Causes Minamata disease where there is constriction of visual fields, paresthesias, ataxia, cerebral and cerebellar atrophy
Minamata disease
Causes by neurotoxicity from Mecrucy

Leads to constriction of visual fields

Paresthesias

Ataxia

Cerebral and cerebellar atrophy