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27 Cards in this Set

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What are the 3 primary methylxanthines?
1) Theobromine
2) Caffeine
3) Theophylline
What is the predominate source of theobromine?
Coca beans
What is the predominant source of theophylline?
Predominantly in tea
What is the predominant source of caffeine exposure?
Coffee
What are 2 sources of methylxanthines in general?
1) Natural occurring xanthine alkaloids (feed materials- cacao bean mulch)
2) Synthetic pharmaceuticals
-NoDoz tabs- 100-200 mg caffeine
What is the mechanism of action of methylxanthine toxicity?
NOT WELL UNDERSTOOD
- stimulation of the release of catecholamines from the adrenal medulla
What are the 5 primary systems affected by methylxanthines?
1) Cardiovascular
2) GI
3) Musculoskeletal
4) Renal
5) Endocrine
What are 3 of the cardiovascular effects of methylxanthines?
Tachycardia, hypertension, VPCs
What are the endocrine effects of methylxanthines?
Hypokalemia
What are the 3 primary clinical signs of methylxanthines?
CNS effects, GI & diuretic effects
-vomiting & diarrhea (esp w/ chocolate)
-Diuresis or urinary incontinence
-Hyperactivity
What can cause death in animals that ingest methylxanthines?
Cardiac arrhythmias &/or respiratory failure- hypoxia
-may see death w/ no premonitory signs
What is the toxic dose of theobromine?
Quite variable**
Why do methylxanthines have a half life of 17.5 hours in a dog?
Enterohepatic recirculation
What product has the highest methylxanthine content?
Cacao beans
What is chocolate comprised of?
80-85% theobromine
15-20% caffeine
What is the toxic dose of milk chocolate for a 40 lb dog? Semi-sweet chocolate? Theobromine (unsweetened) chocolate?
Milk chocolate-20 oz
Semi-sweet- 7 oz
Theobromine- 5 oz
**How much caffeine is in a 12 oz cup of starbucks coffee?
216 mg
*What is the lethal dose of caffeine in a dog or cat?
140 mg/kg
What animals are susceptible to methylxanthine toxicity?
all animals, even birds
What is the most common circumstance of methylxanthine toxicity?
In dogs via chocolate, caffeine tablets and cacao bean mulch
What is the toxic dose of milk chocolate for a 40 lb dog? Semi-sweet chocolate? Theobromine (unsweetened) chocolate?
Milk chocolate-20 oz
Semi-sweet- 7 oz
Theobromine- 5 oz
**How much caffeine is in a 12 oz cup of starbucks coffee?
216 mg
*What is the lethal dose of caffeine in a dog or cat?
140 mg/kg
What animals are susceptible to methylxanthine toxicity?
all animals, even birds
What is the most common circumstance of methylxanthine toxicity?
In dogs via chocolate, caffeine tablets and cacao bean mulch
What are the 2 main ways to diagnose methylxanthine toxicity?
1) History**
2) Chemical analysis
**Frozen plasma, serum, urine
**What are the 4 components to treating methylxanthine toxicity?
1) Decontaminate
-emesis, gastric lavage, activated charcoal
2) Seizure/ tremor control
3) Monitor ECG
4) Fluids