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Chapter 8 Toxicology
Chapter 8 Toxicology
CHAPTER 8: TOXICOLOGY
Objectives:
a) Understand the principle of toxicology and the specialized
fields under it.
b) Distinguish the different classification of poisons
c) Increase understanding in posology and the dose concept
PRINCIPLES OF TOXICOLOGY
❖ Importance of Toxicology
o To verify if it is a case of poisoning
o To be able to treat as the occasion demands
o To forward justice
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CLASSIFICATION OF POISONS
❖ Classification of Poisons
• According to the Source of Origin
1. Animal Toxin – poison produced by living organism stimulates through the
production of antibodies. The toxins are usually transferred through
bites and stings of venomous terrestrial or marine animals. (e.g.
poisonous snakes, scorpions, ants, jellyfish and stingrays)
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TYPES OF POISONING
• Acute Exposure: is the condition wherein the animal is exposed to a chemical for less than
24 hours usually in a single dose or in divided doses with 13 hours; for the inhalational route,
exposure is continuous for 4 hours.
• Subacute Exposure: involves repeated daily exposure of the animal to the chemical for less
than one month (usually 21 days) by a specific route.
• Sub Chronic Exposure: involves repeated daily exposure of the animal to the chemical for
90 days or three months
• Chronic Exposure: the animal is exposed to the chemical throughout its lifetime: for 2 years
in rats and mice, or even longer for dogs and non-human primates.
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4. Mode of administration – usually poisons are less rapidly absorbed when taken orally.
The intravenous route produces more rapid effects
5. Dose – as a rule, the grater size, the grater the
effect. This is not always true. Arsenic in large
doses irritates the stomach causing vomiting
and prompt injection of the poison so that few
or no symptoms result. In small doses,
absorption occurs and terminates fatally.
6. Association with other poisons – this may
increase the effect as morphine and chloral
together has a greater effect than alone.
Sometimes, combining poisons decreases
their effects.
7. Condition of the surface where applied –
where the blood supply is greater, absorption
is more rapid. Thus, it is more rapid in muscles
than into skin. Food in the stomach may delay
absorption for it hinders absorption or reacts
with the poison.
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• Types of Dose
1. Safe dose – is one that do not cause harmful effects. Sometimes, however, it may be too
small to produce the desired effects.
2. Minimum dose – is the smallest amount of
medicine that can produce the desired therapeutic effect
without causing harm.
3. Maximum dose – the largest amount of that will
cause no injury but at the same time can produced the
desired therapeutic effect.
4. Toxic or poisonous dose – is one that is
harmful both to the healthy and the sick
5. Lethal or fatal dose – dose that kills.
❖ Antidotes is any agent that neutralize a poison or otherwise counteracts or opposes its
effects.
❖ To act as an antidote, it may:
1. Remove the poison from the body: emetic
2. It may mechanically prevent its absorption (demulcent): cathartic
3. It may change the physical state or chemical composition
4. It may act upon the functions of the body as so to overcome the effects of its absorption.
❖ Kinds of Antidotes
1. Chemical or true or specific – antidote is one that makes the
poison harmless by chemically altering it.
2. Mechanical antidote or antidotal measure – is an agent that
removes the poison without changing it, or so coats the surface
of the organ that absorption is prevented.
3. Physiological antidote or antagonist or symptomatic
antidote – an agent that acts upon the system so as to
counteracts the effect of the poison.
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• Kinds of Emetic
1. Local emetics – are those agents that produce their
effects by irritating the terminal nerve filaments of the parts they
come in contact.
2. Systemic emetics
References:
http://www.medterms.com/script/main/art.asp?articlekey=30714
http://en.wikipedia.org/wiki/idiosyncrasy
Viccelio, Peter, Emergency Toxicology, 2nd edition Lippincott – Raven Publisher, Philadelphia, 1998
Poison and Poison Investigation, New York.
Eckert, William G, Introduction to Forensic Sciences, The Elsevier Science Publishing Co; Inc and CRC Press
LLC, New York. 1992 and 1997.
Sunico, Lorenzo A, Forensic Toxicology, NBI Manila
Sunico, Lorenzo A, Forensic Chemistry, NBI Manila
LINKS
Toxicology https://www.youtube.com/watch?v=A0NNyjVvnYo&t=86s
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