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Hazardous Chemicals Mainolfi
Diseases realted and levels. Mainolfi
58
Medical
Graduate
01/20/2012

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Term
Metabolities of Benzene
Definition
Chlorine and styrene
Term
Amphetamines
Definition
Causes the release of excess amts of neurotransmitters by interfering with reuptake of dopamine and norepinephrine. It also displaces NT from presynaptic nerve terminals causes an increase release.
Term
Opiates
Definition
Analgesics - depresses the CNS
Blocks the mu site receptors on nerve cells.
Term
PCP
Definition
NMDA receptor antagonist, which blocks the activity of the NMDA receptor and
Term
THC
Definition
Binds and activates THC receptors in the cerebellum and hipocampus. Inhibits Adenylate cyclase
Term
Ecstacy
Definition
Gamma-hydroxybutyrate / MDMA acts as a releasing agent of serotonin, norepinephrine, and dopamine
Term
Benzodiazepines
- pam flurazepam (rohypnol), diazepam(valium), aprazolam (xanax), chloridazapoxide (lithium) , clonazepam(ativan),
Definition
allosteric modification of a specific kind of neurotransmitter receptor, the GABAA receptor, which increases the conductance of this inhibitory channel; this results in the various therapeutic effects as well as adverse effects.

SXS: decreases BP, urinary retention, visual disturbances, memory impairment, dizziness, confusion,

Adverse effects: Resp failure, cardiovascular collapse

RX: Flumenazil
Term
Shrooms
Definition
Inhibits serotonin
Term
LSD
Definition
inhibition or displacces the NT serotonin
Term
Inhailants : chloroform, methylich, nitrates
Definition
Volitile organic compounds (aerosols with flurocarbons, alcohol, keytones) can potentially produce nerological, CV, and liver toxicity
Term
Cocaine
Definition
Blocks re-uptake of neurotransmitters Nerepinephrine, serotonin,dopamine,

Major metabolite = benzoylecogine, ergonine

With Alcohol forms = cocaethylene

Schedule II

SXS; increase HR, BP, muscle tension , increased temp.
Morbidity: MI, CVI, coronary vasospasm, cardiach arrythmis, seizure, resp depression.
Term
Cadmium poisoning
Definition
Cd found in fire detection systems, cables, ceramics, glass, batterie manufacturing.

acute sxs: irritation, dizzy, chills, fever , chest pain.

SXS: Proteinuria, stored in bones and causes bone pain. HTN,COPD, Lung cancer

Itai Itai disease
Term
Nickel
Definition
Occupational Asthma
Lung Cancer (squamous cell carcinoma)
Pulm Edema

Related jobs : Nickel Ore extraction, smelting, smelting, fossil fules
Term
Cobalt
Definition
Occupational Asthma
Term
Chloracne is caused by which chemicals
Definition
Halogenated hydrocarbons
Dioxin
Polychlorinated dibenzos
Tetrachorodibenzo
Term
Chromium
Definition
Occupational Asthma
Lung Cancer / nasal cavity
Nasal irritant
Fibrosis
Alergic dermatitis

Related Jobs; Paint proments , reduction of chromite ore, cement work
Term
Organochlorines
Definition
Depolarizes presynaptic nerve terminals causing repatitive firing and seizures

(DDt, lindane)

lipid soulable, low degration
Term
Vinyl chlorides
Definition
Inhailant
Liver cancer
Acroosteolysis= xray with finger tips of bones gone
Term
Benzene
Definition
Inhailant
Leukemia with dammage to bone marrow
Term
Styrene
Definition
Mentral irregularities
decreased fertility
Term
Nitrous oxides
Definition
Inhailant
Farmers Lung = fibrogenic process or pnemoconisosis

Also know as Broncholitis Obleterans which is a restrictive lung disease
Term
Fibrogenic Lung disease
Definition
fibrogenic process or pneumoconiosis.

Seen in pt exposed to NO, silica, asbestos, fiberglass.
Term
Chloroform
Definition
Inhailant
Narcotic effects
hepatotoxin
Term
Methylene CL --> CO
Definition
Inhailant
Neurotoxin

SXS; Angina Pectoris & Atherosclerosis
Term
Carbon Tetrachloride
Definition
Inhailant
neprotoxin
Term
Isocyantes
Definition
Inhailant
Sensitizers
interferes with cytocrome oxidase
Term
Cotton
Definition
Inhailant
Sensitizers. Byssinosis from cotton is due to sensitization reaction
interferes with cytocrome oxidase
Term
Chlorine
Definition
Green or Yellow with odor
HCl in airways causes a topical necrosis

In peripheral airways O2 free rads which react with sulfhydryl groups and dammage aveolar-cap membrane.

SXS; Irritation
Pulm Edema
Death due to Laryngospasm
Term
Carbon Monoxide
Definition
Causes ischemic anoxia (binds hem) & hypoxia. Also Cytotoxic (interfers with e- transfere). Resulting in vasospasms of the cerebral blood vessels and dammage to the blood barrier. Neronal loss occurs in thte basal ganglia & perkinji cells. (results in an autoimmune state)

SXS; confusion, ataxia, rigidity, encephalopathy, parkinson like state
Term
Organic Mercury
Definition
In-utero exposure: Necrosis of cells of the cerebral cortex resulting in a syndrom akin to cerebral palsy after in-utero exposure.

Neropathy by focal necrosis of neurons

Chronic Exposure; tremmor, parkinson-like, dysarthria, coma, protenuria, axatia, constricution of the visual feilds.

Acute exposure to Inorganic mercury: gastroenteritis, and acute tubular necrosis.

SXS;DMSA
Term
Elemental Mercury
Definition
When inhailed casues neuronopathy. safest unless inhailed
Chronic sxs: stamatiti, gingivitis, tremor,
acute sxs: pnuemonitits, pulm fibrosis, renal dysfunction

RX: BAl, DMSA
Term
Chlomphenical
Definition
Neronal loss, axon degeneration
decreased circulating leukocytes due to bone marrow dammage

SXS; optic neuritis
peripheral neuropathy
Term
Cyanide
Definition
Neuronal Degeneration affects cortical grey matter and white matter (globus pallidus)

Inhibits cytochrom oxidase and produces cellular or cytotoxic anoxia. (interferes with e- transfer)

- causes mitocondrial dysfunction
SXS; coma , confusion, dystonia, rapid death

RX: Sodium Nitirite
Term
Isoniazid
Definition
Causes spongy axonal degeneration and vacudization of cerebellum and peripheral nerves (pyridoxine protects)
occupational Asthma

peripheral neuropathy sensory
Ataxia in high doses
Term
Nicotine
Definition
neurotransmission- Associated Abnormalities

-Binds to Nicotinc cholinergic receptos

SXS; increased HR and BP
Term
Phosgene
Definition
chemical in the industrial production of isocynates, herbicides, pesticides, analin dyes, or combustion chlorinated hydrocarbons

Sxs: cough due to pulm edema or death due to laryngospasm.
Term
Carbon Disulfide
Definition
Used in the production of viscose rayon, cellophane, pesticides.

Interacts with free amine and sulfhydryl groups

SXS; psychosisis, parkinsons tremmor , polyneuritis,Angina Pectoris, Altherosclerosis


Causes: Axonopathy / neuronal degeneration in CNS, myelin Swelling and fragmentation in PNS
Term
Arsenic
Definition
SXS; acrocyanosis, and reynaud's , hyperpigmentation and gangreen. Black foot disease , Hemolytic anemia , jaundice , Lung cancer.
Term
Flurocarbons
Definition
Freon
Cardiach arrythmia and hypoxia.
Term
N-Hexane
Definition
N-hexane and n butyl Keytone
used in glues, shoes, fabrics

- swelling large axons
- Increase nerofillaments
- causes peripheral neuropathy
Term
Iron Oxide
Definition
Siderosis
Term
Magnese Toxicity
Definition
Degeneration of the striatum, globus pallidus

- visual and auditory HA
- parkinsons like syndrome
Term
Zinc
Definition
Metal fume fever
Term
Beryllium
Definition
Pulm Asthma , looks like sarcoidosis on xray
Term
Trichloroethylen & ethanol
Definition
Degreasers flush
Term
Anesthetic gasses
Definition
Spontaneous abortion, still birth
Birth defects
Term
Oxides
Definition
Metal Fume fever
no change on xray
Term
Organophosphates
Definition
axonal degredation

Anicholinesterases
Sxs; midriais, salivation, lacrimation, diarrhea, gastric, emesis

parkinsonism , peripheral neuropathies, cortical blindness.
Term
Silo Fillers Disease
Definition
high concentrations of NO2
Term
Metal Fume Fever
Definition
Headache, SOB, CP, fever in a patient who has been exposed to metal and zinc
Term
Methyly Bromide
Definition
Exposure with fruit and vegitable workers
Term
Calcium Oxilate
Definition
present in cement
- can cause caustic skin burns
Term
Benzidine
Definition
Bladder cancer
Term
Styrene
Definition
combustion products and plastics

- Breakdown products Mandelic and phenyglyoxlic acid
Term
Toluene
Definition
A gasoline and solvent
SXS: CNS dysfunction
Arrhythmia, Renal Tubual acidosis

Breakdown into hipparic acid and cresol
Term
Urine confirmation of heroine use
Definition
Morphine in blood and urine. codine or 6-MAM in the urine
Term
Xylene
Definition
Crude Oil, Coal Compustion
Breakdowns into methylhippuric acid
Term
Vanadium
Definition
Respiratory irritant and green coloration
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