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72 Cards in this Set

  • Front
  • Back
poison used as mild analgesic

converted to reactive NAPQI in the liver

causes hepatotoxicity
acetominophen
antidote of acetominophen
N-acetylcysteine
Strong nucleophile that causes type II hypersensitivity reactions

eye and skin irritants
acid anhydrides
poison that oxidizes hemoglobin to methemoglobin

acts directly on hemoglobin

causes cyanosis, nausea, vertigo, vomiting, colapse, tachycardia, tachypnea, coma, convulsions, death
amyl nitrite/ benzocaine/ metoclopramide/primaquine/sulfonamides/trinitrotoluene/nitrites
antidote of amyl nitrite/benzocain/metoclopramide/primaquine/sulfonamides/trinitrotoluene/nitrites/nitroglycerin
methylene blue
drug that acts on steroid receptors

Cause lipoprotein disturbances, cardiac disease, hepatoma, psychiatric disturbances, and hypogonadal states
anabolic steroids
dye that oxidizes hemoglobin to methemoglobin

acts on hemoglobin receptors

causes cyanosis, nausea, vertigo, vomiting, collapse, tachycardia, tachypnea, coma, convulsions, death
aniline dyes
antidote for aniline dyes
methylene blue
antidote that causes Type III hypersensitivity reaction and serum sickness
antivenins
poison that replace phosphate in several reactions

binds cysteine residues in proteins

alters DNA methylation, oxidative stress

alters cell proliferation, tumor promoter

carcinogen of skin, lung, liver
arsenic
antidote of arsenic
dimercaprol
inhaled fibers that lodge in alveoli, elicit iron deposition, adn attract macrophages

cause inflammatory reaction that results in collagen formation

pulmonary fibrosis, lung cancer, mesothelioma, possibly GI cancer
asbestos
Antagonist at cholinergic receptors (muscarinic)

Glaucoma and tachycardia
atropine
atropine antidote
physostigmine
substance that is converted to reactive phenols and polyphenols in the liver

CNS depression, bone marrow depression, leukemia
benzene
inhaled particles can elicit granuloma formation

chemical pneumonitis, suspected carcinogen, lung hypersensitivity
Beryllium
toxin that blocks release of acetylcholine

acts on synaptobrevin or synapse-associated proteins

muscular paralysis
botulinum toxin
poison that prevents clotting factor synthesis by inhibiting Vit K regeneration

acts on epoxide reductase

bleeding
brodifacoum/diphacinone/warfarin
pharmological action to counteract brodifacoum/diphacinone/warfarin
Vitamin K, fresh frozen plasma
metal that inhibits synthesis of alpha-1-antitrypsin; causes proteinuria

Carcinogenic, vomiting, pulmonary edema, emphysema, renal failure, osteomalacia
cadmium
antidote for cadmium
succimer
Caustic agent that causes chemical burns
calcium hydroxide
Gas that binds to hemoglobin, preventing oxygen transport; shifts oxygen saturation curve to left

prevents oxygen unloading

acts on hemoglobin

headache, cardiac ischemia, lactic acidosis, neurologic symptoms-> seizures, coma, death
Carbon Monoxide
antidote to carbon monoxide
hyperbaric oxygen
chemical converted to reactive trichloro radical in the liver

hepatotoxicity and renal toxicity
carbon tetrachloride
acetylcholinesterase inhibitor

acts directly on acetylcholinesterase and indirectly on receptor by increasing concentration of acetylcholine at the synapse and neuromuscular junction

nausea, vomiting, diarrhea, hypersalivation, muscle paralysis, bradycardia
chlorpyrifos/diazinon/ fenthion/ malathion/parathion/sarin/soman/tabun/VX
antidote fo chlorpyrifos/diazinon/fenthion/malathion/parathion/sarin/soman/tabun/VX
atropine and pralidoxime
chemical carcinogenesis in particulate and gas phase

lung cancer, oropharyngeal cancer, other cancers, emphysema, cardiovascular disease
cigarette smoke
fine particles that irritate the lungs and mucous membranes

pulmonary irritation, pneumoconiosis
coal dust
metal that generates free radicals

hepatotoxicity, cerebellar dysfunction, hematuria, proteinuria, oliguria, and/or uremia
Copper
antidote for copper
penicillamine, trientine
poison that binds to cytochrome c oxidase, preventing reduction of oxygen to water, halting the ETC

lactic acidosis, irregular respirations, convulsions, coma, death
cyanide
antidote for cyanide
amyl nitrite, sodium nitrite, sodium thiosulfate
substance that increases intracellular Ca++ concentration

acts on Na+/K+ ATPase

ventricular extrasystole, AV block
digoxin
antidote for digoxin
digoxin Fab
substance that causes type II hypersensitivity reactions

atypical asthma, respiratory irritation
diisocyanates
substance tht induces P450 aryl hydrocarbon receptor

possible carcinogenesis, porphyria

cutanea tarda

chloracne
dioxin
substance that stimulates GABA receptors, inhibits glutamate receptors

nutritional deficiencies

metabolized to toxic intermediates (acetaldehyde)

CNS depression, hepatic cirrhosis, cardiomyopathy, terratogenous effects
ethanol
alcohol that is converted to oxalic acid

calcium oxalate in kidney

acute renal failure
ethylene glycol
antidote for ethylene glycol
ethanol, fomepizole
direct nephrotoxin

kidney and liver damage
glycol ethers
substance that alters liver proteins to elicit autoimmune reaction

autoimmune hepatitis
halothane
dust/spores that causes type I and III hypersensitivity

allergic rhinitis, asthmatic bronchoconstriction, hypersensitivity pneumonitis
hay dust/mold spores
antidote to hay dust/mold spores
antihistamine, glucocorticoids
substance that causes autoimmune reaction by inducing autoantibodies against myeloperoxidase

lupus-like syndrome
hydralazine/isoniazid/procainamide
strong acid that causes chemical burns
hydrochloric acid/sulfuric acid
strong acid that leaches bones and causes hypercalcemia

chemical burns
hydrofluoric acid
antidote for hydrofluoric acid
treatment for hypercalemia
metal that generates free radicals

accumulates in cardiac tissue with hemosiderin, causing cellular degeneration and fibrosis

hepatotoxicity, cardiotoxicity
iron
antidote for iron
deferoxamine
metal that binds to cysteine residues in proteins, destroys the BBB,

interferes with voltage-dependent calcium channels, neuronal cell-cell signaling, and neurotransmitter function

inhibits hemoglobin synthesis

acts on ALA-D

hypochromic anemia, developmental delays, encephalopathy, probable human carcinogen, renal toxicity, peripheral neuropathy
lead
antidote to lead
edetate calcium disodium

dimercaprol

succimer
alkyl compounds are direct neurotoxins, salts bind cysteine residues in proteins, causing changes in protein structure

interstitial pneumonitis, membranous colitis, psychotic reactins, renal failure, muscle tremors, dementia, cerebral palsy, mental retardation, teratogen
mercury
antidote for mercury
dimercaprol, succimer
converted to formaldehyde in the liver and formic acid in the retinal cells

blindness
methanol
antidote of methanol
ethanol, fomepizole
cause of autoimmune reaction

hemolytic anemia
methyldopa
opioid agonist

act on opioid receptors

respiratory depression, constipation, nausea, vomiting, sedation, euphoria, peripheral vasodilation, urinary retention, miosis, drug dependance
morphine
antidote for morphine
naloxone
substance converted to MPT+, a neurotoxin

parkinsonian symptoms
MPTP
Causes type I hypersensitivity reaction

asthmatic bronchconstriction
nitric acid
alkylate DNA

skin blistering, carcinogenesis
nitrogen mustards
Causes type IV hypersensitivity reaction

contact dermatitis
pentadecatechol
crosslinks IgE, causes type I hypersensitivity

allergic rhinitis, asthma
pet dander
antidote for pet dander
antihistamines, glucocorticoids
crosslinks IgE, causes type I hyersensitivity reaction

asthmatic bronchoconstriction
platinum chloride, sulfur dioxide
inhaled, fine particles of crystalline deposited in the lungs, eliciting inflammatory reaction

pulmonary fibrosis, lung cancer, scleroderma
silica
inhaled particles cause granuloma formation

pulmonary fibrosis
Talc
Converted to reactive species via action of cytochrome P450 enzyme

CNS depression, possible carcinogenesis
tetrachloroethylene
Quinidine like effect on sodium channel, lengthen QRS interval

acts on sodium channels

ventricular arrhythmias, hypotension, heart block, bradyarrhythmias, asystole
tricyclic antidepressants
causes type I hypersensitivity

contact dermatitis
urushiol
antidote for urushiol
glucocorticoids