Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Theoretically, absorption of an ingested dose of paraquat may be reduced by gastric lavage, induced emesis, whole-gut lavage or by the oral administration of absorbent substances. Animal experiments suggest that paraquat is absorbed poorly from the stomach and absorbed incompletely (less than 5%) from the small intestine over a 1-6 h period. Although gastric lavage would therefore seem a logical way to ameliorate the toxicity of an ingested dose of paraquat, peak plasma concentrations are attained rapidly and evidence for the efficacy of gastric lavage in man is poor. In 1977, a potent emetic (PP796) was added to liquid and solid formulations of paraquat because experiments in primates had demonstrated a fivefold reduction in toxicity. In man, ingestion of formulations containing an emetic is more likely to cause spontaneous vomiting within 30 min than non-emetic preparations. However, definite evidence of benefit, as judged by improved patient prognosis, has yet to be established. Gut lavage has been shown to remove only a small proportion of an ingested dose of paraquat. At the flow rates employed in man (75 ml/min), approximately 0.5-1.0 litres of lavage fluid/h may be absorbed across the intestinal wall. Since there is a theoretical risk of increasing paraquat absorption, the use of whole-gut lavage cannot be recommended. Bipyridilium herbicides are absorbed by soil and clay minerals, and montmorillonite in particular has been shown to be a strong binding agent in vitro. Accordingly, the use of Fuller's Earth (calcium montmorillonite) and Bentonite (sodium montmorillonite) for the treatment of poisoning has been investigated in animal models.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Treatment of paraquat poisoning in man: methods to prevent absorption. 354 86

Data from post-mortem and field studies were obtained that discussed poisoning in ostriches following ingestion of toxic plants. From the notes, all plants studied caused death in ostriches and there was systemic organ damage. Poisoning from Sarcostemma viminale (Melktou) resulted in beak patting, muscular tremors and head flopping, followed by collapse and violent kicking before death. Ingestion of Combretum oatesii (Red wings) seeds from plants in free grazing pastures resulted in vomiting, restlessness, eyelid flicking, collapse and kicking movements. Dichapetalum cymosum (Gifblaar) killed an ostrich after episodes of shaking legs, rapid respiration and bradycardia and hyperaemia of the lungs, liver and kidneys. Poisoning from Senecio sceleratus (Ragwort) caused skin haemorrhages and bleeding in tracheal mucous membranes, the pericardium, diaphragm and interperitoneal membrane. Consumption of drupes from Melia azedarach (Syringa berry) caused muscle tremors, kicking movements and respiratory distress. Lantana camara (Cherry pie) poisoning resulted in extremely inflamed eyes with copious yellow exudates extending down their beaks and onto their necks. Bentonite was administered by gavage at a dose of 5 g/kg. Poisoning in these cases is usually associated with the farmer allowing his/her birds to roam free-range in paddocks in which toxic plants are growing. Toxic plants should be removed from grass cut for hay.
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PMID:Poisoning in ostriches following ingestion of toxic plants--field observations. 1796 75