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12 Cards in this Set

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What are organophosphates?
animal and plant insecticides that are wiidely used for dusting or spraying animals or animal premises

most not very persistent in the environment

penetrates intact skin and waxy coatings of leaves and fruits
What are the MOA for Organophosphates?
acute toxicosis

-irreversible inhibition of cholinesterases
-increase Ach
-Muscarinic receptors most sensitive, then nicotinic
See neuromuscular stimulation followed by depression
What are the muscarinic effects of organophosphates in acute toxicity?
-increased salivation
-lacrimation
-nasal discharge
-coughing
-increased resp sounds (bronchoconstriction)
-excess bronchial secretions
-vomiting
-colic
-diarrhea
-bradycardia
-miosis
-sweating
-frequent urination
What are the nicotinic effects of organophosphates in acute toxicity?
muscle fasciculations, tremors, twitching, spasms and hypertonicity causing stiff gait
What are the CNS signs of organophosphates in acute toxicity?
-anxiety
-restlessness
-hyperactivity (may or may not become clonic or clonic-tonic convultions in sm animals and horses - not in ruminants)
What is delayed toxicity of organophosphates?
seen in animals that survive acute poisoning
-may suffer neurotoxic reaction
see muscle weakness, ataxia in rear limbs
reversible or irreversible paralysis
What lesions are associated with organophosphates?
no lesions in animals that die quickly

see pulmonary edema, congestion, cyanosis, edema of various organs and muscle necrosis

delayed neurotox - degeneration and demyelination of peripheral and spinal motor neurons
How do you diagnose organophosphate poisoning with a lab?
deteccted in stomach or rumen contents
hair and skin samples for derma exposure

test Ach levels in whole blood
How do you diagnose organophosphate toxicity?
-history of exposure
-clinical signs
-lesions
- lab diagnosis
-response to therapy
What are differential diagnoses for organophates?
-Pyrethrins and pyrethroids
-Chlorinated hydrocarbon insecticides
-do not cause parasympathetic signs
-produce more excitment and hyperthermia
How do you treat organophosphate toxicity?
Atropine sulfate at 0.2 mg/kg in small animals
give 1/4 dose IV and the remainder IM or SQ

2-PAM chloride every 12 hours discontinue if uneffective after 3 doses

Diphenhydramine to antagonize nicotinic effects

no specific treatment for CNS effects
What is the prognosis of organophosphate toxicosis?
long recovery
in high doses animal has a rapid death