Spasm

Hydrogen chloride in air is an irritant, severely affecting the eye and the respiratory tract. The inflammation of the upper respiratory tract can cause edema and spasm of the larynx. The vapor in the air, normally absorbed by the upper respiratory mucous membranes, is lethal at concentrations of over 0.1% in air, when exposed for a few minutes. HCl is detectable by odor at 1—5 ppm level and becomes objectionable at 5—10 ppm. The maximum concentration that can be tolerated for an hour is about 0.01% which, even at these levels, causes severe throat irritation. The maximum allowable concentration under normal working conditions has been set at 5 ppm. 

Ca " concentration, termed hypocalcemia, excitabihty increases. If this condition is not corrected, the symptoms of tetany, ie, muscular spasm, tremor, and even convulsions, can appear. Too great an increase in Ca " concentration, hypercalcemia, may impair muscle function to such an extent that respiratory or cardiac failure may occur. 

Other Calcium Disorders. In addition to hypocalcemia, tremors, osteoporosis, and muscle spasms (tetary), calcium deficiency can lead to rickets, osteomalacia, and possibly heart disease. These, as well as Paget s disease, can also result from faulty utilization of calcium. Calcium excess can lead to excess secretion of calcitonin, possible calcification of soft tissues, and kidney stones when combined with magnesium deficiency. 

Verapamil. Verapamil hydrochloride is a pbenyl alkyl amine and is considered the prototype of the Class I calcium channel blockers. Verapamil is also a potent inhibitor of coronary artery spasm and is useful in Prinzmetal s angina and in unstable angina at rest. Verapamil produces negative chronotropic and inotropic effects. These two actions reduce myocardial oxygen consumption and probably account for the effectiveness of verapamil in chronic stable effort angina (98,99). Moreover, verapamil is an effective antihypertensive agent. 

Infusion devices have been used for diabetes, cancer chemotherapy, pain control (patient-controUed analgesia, ie, PGA), infection, Alzheimer s disease, Parkinson s, nausea, thalassemia, thromboembolism, and to treat severe spasms resulting from spiaal cord iajury (140—143). 

Serious coughing, bronchial spasms, <30 min exposure may be fatal Serious oedema, strangulation, asphyxia Fatal almost immediately... 

Health Hazards Information - Recommended Personal Protective Equipment Goggles or face shield dust mask Symptoms Following Exposure Inhalation of dust may causes irritation of nose and throat. Contact with eyes or skin causes irritation. Ingestion has been observed to cause tremors and muscle spasms in test animals General Treatment for Exposure INHALATION move to fresh air. EYES flush with water for at least 15 min. SKIN flush with water wash with soap and water. INGESTION get medical attention Toxicity by Inhalation (Thresholdlimit Value) Data not available Short-Term Inhalation limits Data not available Toxicity by Ingestion Grade 2 oral LDjq = 3,800 mg/kg (rat) Late Toxicity Causes cancer in rats Vapor (Gas) Irritant Characteristics Data not available liquid or Solid Irritant Characteristics Data not available Odor Threshold Not pertinent. 

SPASM Fault tree or reduce tern equation, component failure data Combination (similar to BOUNDS) Lxignormal Works in conjunction with WAMCUT ... 

Nasal vasculature may offer some insight into this question, though research to date has been equivocal. Nasal turbinate vessels can be classified as either capacitance vessels or resistive vessels. Capacitance vessels appear to vasodilate in response to infection while resistance vessels appear to respond to cold stimuli by vasoconstriction. Buccal vascular structures also respond to thermal stimuli but appear to respond principally to cutaneous stimuli. How pharyngeal and tracheobronchial submucosal vessels react to thermal stimuli is not known, though cold-induced asthma is believed to result from broncho-spasms caused by susceptible bronchial smooth muscle responding to exposure to cold dry air.- This asthmatic response suggests an inadequate vascular response to surface cooling. 

It has been stated already (atropine, p. 112) that there are two types of spasmolytic drug, the neurotropic, typified by atropine, and the musculo-tropic or myotropic to which papaverine belongs. In laboratory work the two types are usually tested against spasm induced by acetylcholine and... 

Of the alkaloids of the han-fang-chi group of drugs (p. 350), Ohta states that kukoline is a strong reflex and spasm stimulant and finally causes paralysis and death. Raymond-Hamet states that it suppresses the hypotensive action of dihydroxyphenylethanolethylamine. 

Serious coughing, bronchial spasms, bunring, and blistering of the skin less than 30 minutes... 

An interesting variation of this theme starts with the a-chlorination of dicyclohexylketone (58). Treatment of the halo-genated intermediate with base leads to the acid, 60, by the Favorski rearrangement. Esterification of the acid with 2(1-pyrolidino)ethanol yields dihexyrevine (61). Both this agent and its earlier congener are recommended for use in GI spasms. 

Esters of diphenylacetic acids with derivatives of ethanol-amine show mainly the antispasmodic component of the atropine complex of biologic activities. As such they find use in treatment of the resolution of various spastic conditions such as, for example, gastrointestinal spasms. The prototype in this series, adiphenine (47), is obtained by treatment of diphenyl acetyl chloride with diethylaminoethanol. A somewhat more complex basic side chain is accessible by an interesting rearrangement. Reductive amination of furfural (42) results in reduction of the heterocyclic ring as well and formation of the aminomethyltetrahydro-furan (43). Treatment of this ether with hydrogen bromide in acetic acid leads to the hydroxypiperidine (45), possibly by the intermediacy of a carbonium ion such as 44. Acylation of the alcohol with diphenylacetyl chloride gives piperidolate (46). ... 

Perhaps one of the most effective agents currently available for the treatment of the bronchial spasms attendant to asthma is a synthetic agent that incorporates the chromone moiety. 

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