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What are the two factors that determine whether something is poison or medicine?
intent & dose
Does natural means something is safe?
no
What are the effects caused by a dose that is too low called?
subtherapeutic
What is the response to the correct dose of a medicine called?
therapeutic
What are the effects of a too-high dose of something called?
supra-therapeutic
What are distinct patterns of signs and symptoms that result from poisoning or exposure to toxic substances?
toxidromes
What are the 5 types of toxidromes?
sympathomimetric, anticholinergic, hallucinogenic, opioid, cholinergic
What do sympathomimetics do?
hypervigilance & paranoia
Sympathomimetics increase what in the body?
increased temperature, heart rate, respiratory rate, and blood pressure
What do sympathomimetics cause physically?
moist skin & dilated pupils
What are two examples of sympathomimetics?
cocaine and ephedrine
Why were sympathomimetics banned?
they were being abused
What do anticholinergics do?
hypervigilance, hallucinations, mumbling speech
What do anticholinergics do to the inside of the body?
increased temperature, heart rate, and respiratory rate, normal or increased blood pressure
What do anticholinergics cause physically?
dry and flushed skin, dilated pupils, dry mucus membranes, decreased bowel mobility
What do hallucinogenics do?
cause hallucinations and visual distortions
What do hallucinogens do to the inside of the body?
normal or increased temperature, heart rate, respiratory rate, and blood pressure
What do hallucinogens cause physically?
moist or dry skin, dilated pupils
What do opioids cause?
sedation, coma
What do opioids cause inside the body?
decreased to normal temp, heart rate, and blood pressure, and respiratory rate
What do opioids cause physically?
moist or dry skin & pinpoint pupils
What do cholinergics cause?
sedation and confusion
What do colinergics cause internally?
normal temperature, low heart rate, decreased or increased respiratory rate, decreased or normal blood pressure
What do cholinergics cause physically?
moist skin, constricted pupils
What are the four signs of a cholinergic overdose?
urination, defecation, gi distress, emisis
What were the 4 cholinergics discussed in class?
nicotine, organophosphate, insectasides, pilocarpine
What are the 5 psychoactives discussed in class?
khat, kava, ebena snuff, ayahuasca, peyote
Where is khat commonly used by business men after meetings & where 30-40% of their water supply?
Yemen
What class of drug is Khat classified as in the US?
Schedule 1
What are the characteristics of Schedule 1 drugs?
no current medical use in the Us, addictive, lacks safety of use standards
Kava comes from what plant root?
piper methysticum
What does Kava do?
causes feelings of peace and acts as a mild pain reliever
Ebena snuff is a mixture of plants involved in what?
healing ceremonies
What is believed to happen when people use ebena snuff?
leave their body to talk with the happy spirits to heal people
How is ebena snuff made?
syrup is made from the plant, dry it, and make it into powder
Ayahuasca is called what in equador?
vine of the soul
What are the two plants in Ayahuasca?
banisteripsis caapi, psychotria viridis
The leaves of the psychotria viridis have dmt, but has to be paired with banisteriopsis caapi. Why?
the body cannot break it down on its own
Ayahuasca indusces what and is used at healing ceremonies?
nausea & vomiting
What is the scientific name of peyote?
lophophora williasii
Why were the Spanish against peyote?
because it gave the natives strength and they wanted to colonize
In the Umatac Village there was an illness called the Guam illness where there was a replaement of brain tissues with piles of ___ ___.
tau proteins
About how much of the brain tissue was replaced in the Guam illness?
50%
What did they find out was the cause of the Guam illness?
they were eating flying foxes that had eaten cycat seeds which contained BMAA
What reduces the effects of BMAA?
serine