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How to Identify the Products Your Patients Are Exposed To

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Can use brand name as a search term. Common Name. Critical identifier of the chemical. Some databases only allow you to search by common name. Basis of treatment! ... – PowerPoint PPT presentation

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Title: How to Identify the Products Your Patients Are Exposed To


1
Name That Pesticide
  • How to Identify the Products Your Patients Are
    Exposed To

Helen Murphy, RN, FNP, MHS Director of
Outreach Pacific Northwest Agricultural Safety
and Health University of Washington, Seattle WA
2009
2
The nomenclature of pesticides is similar to
medications in that they have….
  • A brand/trade or product name e.g. Motrin
  • A generic name (common name or active
    ingredient) ibuprofen
  • A chemical family e.g. NSAID

Likewise one needs to know the chemical family
and more specifically the common name to
understand the health effect of an exposure and
how to treatment a poisoning.
3
What the Patient Will Know ?
  • NOT the common or chemical family name. More
    likely they can identify
  • the BRAND name
  • the TYPE (insecticide, herbicide, fungicide,
    fumigant)
  • the CROP to which the pesticide was being
    applied.

4
Pesticide Product Label
  • The label is the agriculture world the package
    insert for the medical world
  • The label is the LAW and dictates
  • Use
  • Required personal protective equipment
  • The label on the bottle or package provides
    basic information

5
Sample Package Labels
  • Type of pesticide
  • Company name
  • Brand/trade/product name
  • Common/generic name (sometimes the same as the
    active ingredients)
  • Chemical family
  • Signal word (hazard level)

6
Type Insecticide
Brand Name SUPRACIDE
Hazard Level Danger/poison Poison Icon
Common Name methadithion
Chemical Family organophosphate
Antidote atropine
Manufacturer Gowan
7
Class Exercise Distribute Sample Pesticide
Product Labels
  • Temik
  • Sevin
  • Thiodan
  • Guthion
  • Dursban
  • Gramoxone
  • Weed Rhap
  • Asana
  • Captan
  • Roundup
  • Dithane
  • Ziram

8
Class Exercise
  • Find the following items on the label
  • Company/Manufacturers name
  • Brand/Product/Trade name
  • Common name (generic active ingredient)
  • Type use in agriculture
  • Chemical family
  • Signal word (hazard level)
  • Fill in the pesticide classification table (hand
    out)

9
Pesticide Classification Table
10
Exercise Classifying Pesticides
Pesticide Labels

Bayer
Temik
Aldicarb
Insecticide
Carbamate
Danger-poison
la
Verdicon
Sevin
Carbaryl
Insecticide
Carbamate
Caution
ll
UCP Alliance
Thiodan
Endosulfan
Insecticide
Organochlorine
Warning
ll
Bayer
Guthion
Azinophos methyl
Insecticide
Organophospate
Danger-poison
lb
Dow
Dursban
Chlorpyrifos
Insecticide
Warning
ll
Organophospate
Syngenta
Gramoxone
Paraquat
Herbicide
Paraquat
Danger-poison
ll
Helena
Weed Rhap
2, 4-D
Herbicide
Chlorophenoxy
Danger-poison
ll
DuPont
Asana
Esfenverlate
Insecticide
Pyrethroid
Warning
lV
Bayer
Captan
Captan
Fungicide
Danger-poison
II
Max
Roundup
Glyphosate
Herbicide
Caution
U-IV
Fungicide
Mancozeb
Dow
Dithane
Caution
U-IV
Cerexagri-Nisso
III
Ziram
Fungicide
Ziram
Danger
WHO World Health Organization International
Classification
11
Company Name
  • May be useful in looking up a product
  • Workers may confuse this name with the brand,
    product or trade name.
  • Some companies also produce pharmaceuticals.

12
Brand/Trade/Product Name
  • Agricultural workers know pesticides primarily
    through the brand name
  • Companies will keep brand names but CHANGE the
    active ingredients (e.g. Raid)
  • Can use brand name as a search term

13
Common Name
  • Critical identifier of the chemical
  • Some databases only allow you to search by common
    name.
  • Basis of treatment!

14
Types of Pesticides
Disinfectants
Fumigants
Control pests by attacking their nervous system
Antibiotics for plants
Kill rodents with anticoagulants
Corrosive weed killers
15
Pesticide Chemical Families -grouping based on
similarities-
  • Similar chemically (similar structure)
  • Attacks pests in a similar way (toxicity)
  • Common treatment antidote

Pyrethroid insecticides
Organophosphate insecticides
Carbamate insecticides
Organochlorine insecticides
Chlorophenoxy Herbicides
Paraquat Diquat herbicides
16
How toxic is it?
Source Richards, Kerry Penn State University
Extension Service
17
Source Richards, Kerry Penn State University
Extension Service
18
LD50
Lethal dose Amount of chemical it takes to kill
50 of an experimental population
19
Source Richards, Kerry Penn State University
Extension Service
20
WHO International Standard
US Standard


DANGER/POISON extremely toxic by ingestion
DANGER extremely toxic high potential for skin
and eye irritation
Adapted from Richards, Kerry Penn State
University Extension Service
21
Source Richards, Kerry Penn State University
Extension Service
22
Sample Case
  • A patient comes into your office after spilling
    the weed killer Direx - on himself. He is
    having some vague non specific problems.
  • How will you identify what kind of adverse heath
    effects he may experience?

23
Pesticide Identification Resources
  • Poison Control (800) 222-1222 (TDD) 1(800)
    572-0638
  • Google Direx
  • Pesticide Websites
  • PAN
  • CDMS
  • NPIC

http//www.pesticideinfo.org/
http//www.cdms.net/LabelsMsds/LMDefault.aspx
http//npic.orst.edu/npicfact.htm
24
Practice Using these resources for Diurex find
  • The common name
  • The chemical family
  • Health effects
  • Recommended decontamination
  • Recommended PPE

Describe the attributes of each resource used
including advantages and disadvantages
25
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  • This work is licensed under a Creative Commons
    Attribution-Noncommercial-Share Alike 3.0
    Unported License.
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