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9 Cards in this Set

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  • Back
What is the source of zinc toxicosis?
-ingestion of zinc containing pennies
-accidental ingestion of excessive zinc from food and beverages
-galvanized wire
-plumbing nuts
-batteries
-zinc oxide ointment
-overdose by dietary zinc supplements
What is the toxicity of zinc?
acute LD 50 is about 100mg/kg
subacute toxicosis is caued by ingestion of about 5 pennies
Chonic toxxicity can be caused by over 2000 ppm in diet
What is the toxicokinetics of zinc?
acid environment enhances zinc release and absorption
2/3 bound to albumin
accumulates in the pancreas, liver, kidney, spleen and male reporductive organs
excreted in bile, saliva, sweat
What is the mechanism of action of zinc?
unknown

irritant to GI mucosa
may interfere with certain enzymes
may cause direct damage to cell membrane and organelles
interferes with coper and iron absorption
causes hemolytic anemia
What are the signs of zinc toxicosis?
vomiting, anorexia, lethargy, abdominal pain and pica

hemolytic anemia, icterys and hemoglobinuria

lameness and stiffness are prominant in foals
What are the lesions associated with zinc?
gastritis
gastric ulcers
liver damage
tubular casts
How do you laboratory diagnose zinc toxicosis?
chemical analysis of the serum, liver, kidney and urine
hemolytic anemia, icterus and hemoglobinuria
azotemia, hypercreatinemia and hyperphosphatemia
decreased copper in liver in chronic toxicosis

may see foreign objects on abdominal radiographs
What are differential diagnoses of zinc toxicosis?
copper toxicosis
naphthalene toxicosis
onion poisoning
red maple
cotton seed (gossypol)
mustard poisoning
IMHA
hypophosphatemia
phenolics
DMSO
Guaifenesin overdose
How do you treat zinc toxicosis?
decontamination
-cathartics, surgical or endoscopic removal

supportive care
-blood transfusion
-O2
-fluids
-furosemide, mannitol or dopamine for acute renal failure
Chelation - after correcting dehydration