Pulmonary agents characteristics

Some pulmonary agents are stored and shipped as concentrated solutions to facilitate handling and stabilize the agents. Odors will vary depending on the characteristics of the solvent(s) used and concentration of pulmonary agent in the solution. 

While the process of identifying pulmonary agents is complicated by their sheer diversity, most may be distinguished on the basis of their characteristic appearance and odor (Table 25.10). 

To a large extent, therefore, the toxicities of esters tend to be those of their hydrolysis products. Two physical characteristics of many esters that affect their toxicities are relatively high volatility, which promotes exposure by the pulmonary route, and good solvent action, which affects penetration and tends to dissolve body lipids. Many volatile esters exhibit asphyxiant and narcotic action. As expected for compounds that occur naturally in foods, some esters are nontoxic (in reasonable doses). However, some of the synthetic esters, such as allyl acetate, have relatively high toxicities. As an example of a specific toxic effect, vinyl acetate acts as a skin defatting agent. 

In terms of ADMET, following oral administration about half of the atenolol dose is absorbed. Plasma-protein binding is minimal (3-5%). Peak plasma concentrations, as well as peak action, are reached in 2-4 h. Atenolol has low lipid solubility, and only small amounts cross the blood-brain barrier. Thus, atenolol s CNS side effects are less than with other beta-blockers [75]. Atenolol is excreted mainly by the kidneys, with little or no hepatic metabolism. It crosses the placenta, and concentrations in breast milk can be similar or even higher than those in maternal blood [76]. Atenolol is not recommended in asthma, even though its high beta-1 selectivity makes it safer in obstructive pulmonary disease than nonselective beta-blocking agents. Atenolol s important ADMET characteristics are listed in Tab. 8.2. 

In addition to symptoms and physical findings, diagnostic clues for inhalational exposure may include bilateral pulmonary infiltrates on chest X-ray, arterial hypoxemia, neutrophilic leukocytosis and a bronchial aspirate rich in protein compared to plasma, characteristic of high permeability pulmonary edema (39). Unlike many biologic agents, ricin intoxication wonld progress despite treatment with antibiotics. 

A. Characteristics. Ricin is a glycoprotein toxin from the seed of the castor bean plant. Altering ribosomal RNA blocks protein synthesis, thereby killing infected cells. Ricin s significance as a potential biological warfare agent relates to its availability worldwide, ease of production, and extreme pulmonary toxicity when inhaled. 

The most common agents in modern arsenals are vesicants and nerve agents. Cyanides and pulmonary toxicants are thought to be represented in some stockpiles, but are typically less toxic and more difficult to employ because of their physical characteristics. Some cyanides and pulmonary toxicants have specific characteristics that make them appropriate for military use, such as rapid rate of action, very low persistency, and the ability to penetrate or damage protective equipment. 

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