how to identify the products your patients are exposed to name that pesticide helen murphy, rn, fnp,...
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How to Identify the How to Identify the Products Your Patients Products Your Patients
Are Exposed ToAre Exposed To
Name That PesticideName That Pesticide
Helen Murphy, RN, FNP, MHSHelen Murphy, RN, FNP, MHSDirector of OutreachDirector of Outreach
Pacific Northwest Agricultural Safety and HealthPacific Northwest Agricultural Safety and HealthUniversity of Washington, Seattle WAUniversity of Washington, Seattle WA
The nomenclature of pesticides The nomenclature of pesticides is similar to medications in that is similar to medications in that
they have….they have…. A brand/trade or product name: e.g. A brand/trade or product name: e.g.
MotrinMotrin A generic name (common name or A generic name (common name or
active ingredient): ibuprofenactive ingredient): ibuprofen A chemical family: e.g. NSAID 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.
What the Patient Will KnowWhat the Patient Will Know
NOT the NOT the common or or chemical familychemical family name. More likely they can identify:name. More likely they can identify:the BRAND namethe BRAND namethe TYPE (insecticide, herbicide, the TYPE (insecticide, herbicide, fungicide, fumigant)fungicide, fumigant)the CROP to which the pesticide was the CROP to which the pesticide was being applied. being applied.
Pesticide Product LabelPesticide Product Label
The label in the agricultural world = The label in the agricultural world = the the package insertpackage insert for the medical for the medical worldworld
The label is the LAW and dictates:The label is the LAW and dictates: useuse required personal protective equipmentrequired personal protective equipment
The label on the bottle or package The label on the bottle or package provides basic informationprovides basic information
Information Sources on Information Sources on Pesticides Pesticides
Ingredient statement Ingredient statement EPA registration number EPA registration number Establishment number Establishment number Formulation Formulation Signal word Signal word Statement of practical Statement of practical
treatment (first aid) treatment (first aid) Personal protective Personal protective
equipment (PPE) handlersequipment (PPE) handlers Environmental hazards Environmental hazards Directions for use Directions for use Hazards to humans Hazards to humans Storage and disposal Storage and disposal
directions – directions –
Chemical product identification Chemical product identification Physical and chemical properties Physical and chemical properties Fire and explosion hazards Fire and explosion hazards Toxicological information / Human Toxicological information / Human
health data health data Regulatory levels and classifications Regulatory levels and classifications Personal protection recommendations Personal protection recommendations
(concentrate only)(concentrate only) Emergency and first aid procedures Emergency and first aid procedures Ecological or environmental hazards Ecological or environmental hazards Spills, fires, and accident procedures Spills, fires, and accident procedures Storage and disposal directions -Storage and disposal directions -
LabelLabel MSDSMSDS
Sample Package Labels Sample Package Labels
Type of pesticide Type of pesticide Company nameCompany name Brand/trade/product name Brand/trade/product name
Common/generic name Common/generic name (sometimes the (sometimes the same as the active ingredients)same as the active ingredients)
Chemical family Chemical family Signal word (hazard level)Signal word (hazard level)
Brand NameBrand Name
““SUPRACIDE”SUPRACIDE”
TypeType
““Insecticide”Insecticide”
Hazard LevelHazard Level
““Danger/poison”Danger/poison”
Poison IconPoison Icon
Common Common NameName
““methadithion”methadithion”
ManufacturerManufacturer
GowanGowan
Chemical FamilyChemical Family
‘‘organophosphate’organophosphate’AntidoteAntidote
““atropine”atropine”
Class ExerciseClass Exercise Distribute Sample Distribute Sample Pesticide Product Labels
1.1. TemikTemik
2.2. SevinSevin
3.3. ThiodanThiodan
4.4. GuthionGuthion
5.5. DursbanDursban
6.6. GramoxoneGramoxone
7.7. Weed Rhap Weed Rhap
8.8. AsanaAsana
9.9. CaptanCaptan
10.10. RoundupRoundup
11.11. DithaneDithane
12.12. ZiramZiram
Class ExerciseClass Exercise
Find the following items on the label Find the following items on the label Company/Manufacturer’s name Company/Manufacturer’s name Brand/Product/Trade nameBrand/Product/Trade name Common name (generic – active ingredient)Common name (generic – active ingredient) Type: use in agricultureType: use in agriculture Chemical familyChemical family Signal word (hazard level)Signal word (hazard level) Fill in the pesticide classification table (hand Fill in the pesticide classification table (hand
out) out)
Pesticide Classification Pesticide Classification TableTable
## CompanCompanyy
NameName
BrandBrand
NameNameCommonCommon
NameNameTypeType Chemical Chemical
FamilyFamilySignalSignal
ClassClass
11..
GowenGowen SupracidSupracidee
methidathionmethidathion insecticideinsecticide OPOPorganophosphaorganophospha
tete
Danger-Danger-PoisonPoison
(Ib)(Ib)
COMPANYCOMPANY BRANDBRAND COMMONCOMMON TYPETYPE FAMILYFAMILY SIGNALSIGNAL WHWHOO
1.1.
2.2.
3.3.
4.4.
5.5.
6.6.
7.7.
8.8.
9.9.
1010..
1111..
1212..
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
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
Max Roundup Glyphosate Herbicide Caution U-IV
II
Dow DithaneMancozeb Fungicide
Caution U-IV
Cerexagri-Nisso Ziram Ziram Fungicide Danger III
Exercise: Classifying Pesticides
Organophospate
**
* WHO – World Health Organization International Classification* WHO – World Health Organization International Classification
Company NameCompany Name
May be useful in looking up a productMay be useful in looking up a product Workers may confuse this name with Workers may confuse this name with
the brand, product or trade name.the brand, product or trade name. Some companies also produce Some companies also produce
pharmaceuticals. pharmaceuticals.
Brand/Trade/Product NameBrand/Trade/Product Name
Agricultural workers know pesticides Agricultural workers know pesticides primarily through the brand nameprimarily through the brand name
Companies will keep brand names Companies will keep brand names but CHANGE the active ingredients but CHANGE the active ingredients (e.g. Raid) (e.g. Raid)
Can use brand name as a search Can use brand name as a search termterm
Common NameCommon Name
Critical identifier of the chemicalCritical identifier of the chemical Some databases only allow you to Some databases only allow you to
search by common name. search by common name. Basis of treatment!Basis of treatment!
Types of Pesticides
Insecticides Herbicides Fungicides Rodenticides
DisinfectantsFumigants
Control pests by Control pests by attacking their attacking their
nervous systemnervous systemCorrosive Corrosive
weed killersweed killers
Antibiotics for Antibiotics for plantsplants Kill rodents with Kill rodents with
anticoagulantsanticoagulants
Types of PesticidesTypes of Pesticides
Pesticide Chemical FamiliesPesticide Chemical Families--grouping based on similarities-grouping based on similarities-
1.1. Similar chemically (similar structure)Similar chemically (similar structure)
2.2. Attacks pests in a similarAttacks pests in a similar way (toxicity) way (toxicity)
3.3. Common treatment Common treatment ++ antidote antidote
Organophosphateinsecticides
Carbamateinsecticides
Pyrethroidinsecticides
Organochlorineinsecticides
ChlorophenoxyHerbicides
ParaquatDiquat
herbicides
How toxic is it?
Source: Richards, Kerry Penn State University Extension Service
Source: Richards, Kerry Penn State University Extension Service
LDLD5050
Lethal dose = Amount of chemical it takes to kill 50% of an experimental population
Source: Richards, Kerry Penn State University Extension Service
Adapted from Richards, Kerry Penn State University Extension Service
DANGER/POISON = extremely toxic by ingestion DANGER = extremely toxic high potential for skin and eye irritation
*
*
WHO International StandardWHO International Standard US StandardUS Standard
Source: Richards, Kerry Penn State University Extension Service
Sample Case Sample Case
A patient comes into your office after spilling the A patient comes into your office after spilling the weed killer – Direx - on himself. He is having weed killer – Direx - on himself. He is having some vague non specific problems. some vague non specific problems.
How will you identify what kind of adverse How will you identify what kind of adverse heath effects he may experience? heath effects he may experience?
Practice: Practice: Using these resources for Diurex ™ Using these resources for Diurex ™
find:find: The common nameThe common name The chemical familyThe chemical family Health effectsHealth effects Recommended decontaminationRecommended decontamination Recommended PPE Recommended PPE
Describe the attributes of each resource used Describe the attributes of each resource used including advantages and disadvantagesincluding advantages and disadvantages
Pesticide Identification Pesticide Identification ResourcesResources
Poison Control (800) 222-1222 (TDD) Poison Control (800) 222-1222 (TDD) 1(800) 572-0638 1(800) 572-0638
Google “Direx”Google “Direx” Pesticide Websites:Pesticide Websites:
PAN PAN CDMS CDMS NPIC NPIC
http://www.pesticideinfo.org/
http://www.cdms.net/LabelsMsds/LMDefault.aspxhttp://npic.orst.edu/npicfact.htm