RAHUL MOTIRAM JONDHALE V/10/056 SOME COMMON TOXIC PRINCIPLES & THEIR TREATMENT SR.NO. TOXIC PRINCIPLE 1 Arsenic TYPE Metal TREATMENT BAL (Dimercaprol, British Anti- Lewisite : Warfare agent) inj. @ 4-5 mg/ kg IM tid for 3 days, Thiooctic acid ( Lipoic acid ) @ 50 mg/kg as 20 % solution IM tid, Mineral oil orally, Gastric lavage, Demulcents LA 3 mg/kg SC/IM, SA 2.5-5 mg/kg SC/IM 2 Mercury ( Minamata disease 1953-1960 & Nigata disease 19641965 in small towns of JAPAN ) Metal BAL ( Dimercaprol, British Anti- Lewisite ) inj. @ 4-5 mg/ kg IM Tid for 3 days, D- Penicillimase 15-20 mg/kg orally, Thiooctic acid ( Lipoic acid ) @ 50 mg/kg as 20 % solution IM tid, Mineral oil orally, Gastric lavage, Demulcents LA 3 mg/kg SC/IM, SA 2.5-5 mg/kg SC/IM 3 Copper ( Deep GREEN colour diarrhoea ) ( Haemolytic crisis in Ruminants only because they store Cu in RBC & Liver ) Metal BAL ( British Anti- Lewisite ) inj. @ 4-5 mg/ kg IM tid for 3 days, Vit. C ( Ascorbic acid ), Daily feeding of Ammonium molybdate@ 50-500 mg & Sodium sulphate @ 250-1000 mg /animal for 3-6 weeks. 4 Lead Metal Cal- Na2 EDTA 110 mg/kg/day IV & repeat after 2 days, BAL inj. 2-3 mg/kg IM, Thiamine 2-4 mg/kg/day IM, D- Penicillimase 110 mg/kg/day for 2 weeks , Calciumphosphogluconate @ 250-500 ml IV 5 Cadmium (Itai-Itai disease or Ouch-Ouch disease) Molybdenum ( also called as Molybdenosis, Peat scour, Teart disease, Spectacle disease, Pacing disease, Enzootic ataxia, Sway back disease ) ( Ideal ratio of Cu : Mb in ration is 6 : 1 but toxic if less than 2 : 1 ) Metal Calcium sodium EDTA as chelating agent. Metal For scouring 1 gm CuSO4 /day in calves, 2 gm CuSO4 /day in adults cattle. 6 RAHUL MOTIRAM JONDHALE 7 Selenium (Subacute : Blind stagger, Chronic : Alkali disease, Sloughing of hooves,shedding of tail hairs called as BOB or CIGAR TAIL ) ( Sources : A)Obligate Se accumulator or Se indicator or Se convertor plants : They need Se for growth , Se content high as 10000 ppm, Ex. Astragalous, Onopsis, Stanleya, Xylorrhiza spp. B) Facultative Se accumulator : Do not require for growth but store as 100 ppm, Ex. Aster, Astriplex,Castillega spp. C) Passive Se accumulator : all plant growing in Se rich areas accumulate Se upto 25 ppm. Metal 8 Iron Metal 9 Fluoride Chronic fluorosis has two types a) Dental fluorosis causes chalkiness or Mottling (black, yellow, green brown spots on teeth ) b) Skeletal fluorosis / Osteofluorsis it causes Exostoses Non-Metal V/10/056 No specific Antidote. Acute : Saline purgatives, Treatment of pulmonary oedema & shock, removal of cause. Subacute & chronic : Sodium arsenite 5 % or 2.5 % Sodium arsenate in water. Precautions : BAL is not used because it increases enal damages. Vit. E should not be given because it has synergistic with Selenium. Deferoxamine. Adrenaline, antihistaminics Dogs desferrioxamine 1-2 gm IM, Orally milk of magnesia, large oral dose of Vit. C (Ascorbic acid ) Aluminium sulphate, & calcium carbonate @ 30 gm/ animals orally, dietery supplementation of calcium, phosphorous, Vit. D. RAHUL MOTIRAM JONDHALE V/10/056 10 Nitrate & Nitrite Non-Metal 11 Oxalates Non-Metal 12 Salt ( Hypernatremia : Excessive thirst due to stimulation of Osmoreceptors ) Urea (Alkalies ) Non-Metal Fluid therapy, Sedative. Non-Metal 14 Carbamate containing pesticide ex. Carbaryl, Propoxur Insecticides 15 Organochlorine insecticides Chlorinated hyrocarbons/ Insecticides/ Pesticides, Ex. DDT, Aldrin, Lindane, Endosulfan, Dicofol Insecticides 5% Acetic acid ( Vinegar ) orally, Demulcents, Analgesic,sedative to quieten the animal Atropine 0.2-0.5 mg/kg for Cattle 0.2-2 mg/kg for Dog in physiological saline (1/4th dose is given as IV, rest as SC/IM), Diuretics. Babiturate, Saline purgatives, Gastric lavage, Activated charcoal ( 2kg stat ; 1 kg daily for 2 weeks) 16 Organophosphorous compounds like, insecticide, Pesticides, Ex. Malathion, Parathion, Coumphos, Dichlorvos, DFP. Insecticides 2-PAM (Cholinesterase reactivator) Atropinte sulphate in double dose Cattle @ 0.50 mg/kg , Sheep , Goat 2 mg/kg, Dog 0.4-4 mg/kg, Pralidoxime 1 gm/kg , Supportive therapy like Emetics, Respiratory stimulants, Sedatives. 17 Warfarin Rodenticides Vit. K LA @ 0.5-1 mg/kg IM SA @ 5 mg/kg IV, Sedative & tranquilizers, Blood transfusion @ 20 mg/kg. 18 Phosphorous ( Yellow & White : Toxic, Red : Non-toxic ) Rodenticides Gastric lavage with KMNO4 0.01 % or 0.5% CuSO4, Saline purgative. 19 HCN Poisoning ( Cynide containing plants Ex. Sorfum vulgar’s JOWAR. young shoots contain DHURRIN ) Plants Sodium nitrite 5 mg/kg as slow IV, Sodium thiosulphate 600 mg/kg as slow IV, ( 20% Solution 40-80 ml ) 13 Methylene blue 15 slow IV in isotonic saline Cattle & sheep 10 mg/kg & other species 5 mg /kg 25% Dicalcium phosphate orally in salt ration RAHUL MOTIRAM JONDHALE 20 Bracken fern ( Pteridium aquilinium ) (Toxic principle : Thiaminase , ptaquiloside : Carcinogenic glycoside & Aplastic anaemia factor ) Plants 21 Sweet clover or dicumorol Plants 22 23 Coal tar Acids Dust 24 Atropine Drug Most effective is blood transfusion 0.4 L in young animals, 1-4 L in adult animal with 3% Sodium citrate followed by second transfusion of half of above quantity. DL Batyl alcohol ( Erythopoietic bone marrow stimulant) 2gm IV/SC for 4 to 5 days, Thiamine LA 100 mg-1gm IV/IM, SA 5-10 mg/kg IV/IM, Toluidine blue ( 1 gm/ litre of serum ) @ 1-2 litre/day IV Slow, 1% Sodium chloride ( 100 ml ) by slow IV. Vit. K LA @ 0.5-1 mg/kg IM SA @ 5 mg/kg IV, Sedative & tranquilizers, Blood transfusion @ 20 mg/kg. Removal of cause, Gastric lavage. 2% sodium bicarbonate orally, Demulcents, Analgesic,sedative to quieten the animal Gastric lavage with KMNO4 , Activated charcoal, Emetics, Neostigmine, Saline purgative. Universal Antidote A)Powdered Charcoal 2 parts+ Kaolin ( absorb poison ) 1 part+ Tannic acid (precipitate alkaloid & metallic poison) 1part+ Magnesium oxide ( causes purgation ) 1 part. B) ATROPINE SULPHATE, C) CALCIUM BOROGLUCONATE. V/10/056