Disaster Medicine · MU Plovdiv

40. Disaster Medical Support to Area of Damage caused by Organo-phosphate compounds

Inside: 6 sections · 3 min

Topic 40 of 46 in the MU Plovdiv syllabus for Disaster Medicine (Medicine, Year 3). The free AceMed note covers it in 6 sections, about 361 words (3 min of reading).

In this note

  1. Organo-phosphate compounds- toxicology. Characteristics. Medical Activities
  2. General characteristics:
  3. Routes of exposure are all incl:
  4. Pathophysiology
  5. Clinical symptoms:
  6. Medical Activities:

Organo-phosphate compounds- toxicology. Characteristics. Medical Activities

Written by Anam Hussain

General characteristics:

  • Organo-phosphates are neuroparalytic toxic materials
  • Widely used in agriculture as insecticides
  • Can be solid, liquid or gas
  • Always heavier than air
  • Different colour: from colourless to yellow
  • Are either odourless or do not have a specific smell

Routes of exposure are all incl:

  • Inhalation
  • Ingestion
  • Dermal absorption

Pathophysiology

  • Target: enzyme acetylcholinesterase
  • Inhibits the activity of this enzyme in the synapses of neurones
  • This inhibition occurs due to irreversible binding between active sites of enzyme and OP
  • Cholinesterase has 2 active sites to which acetylcholine binds to one of them
  • The result is dissociation of acetylcholine to acetyl and choline.
  • Ops usually bind to the other, however new Ops can bind to both creating a bigger inhibiting effect
  • This inhibition leads to pathological excess of acetylcholine in body
  • This leads to blocking of Muscarinic and Nicotinic receptors
  • Leads to impairment of nerve signal transmission
  • Consequently, OPs intoxication is dominated by two syndromes: Muscarinic and Nicotinic syndrome

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