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CIAL " O S " R E B SO SMASHED The Facts About Alcohol and its Effects on Body and Mind Alcohol's primary site of action is the brain. For alcohol to reach the brain it has to get into the bloodstream. This is why Blood Alcohol Concentration (BAC) is used to determine levels of intoxication. Alcohol does not need to be digested before reaching the bloodstream as food does. Instead, it is immediately absorbed into the blood directly through the walls of the stomach and intestines (~20% of the alcohol is absorbed in the stomach, ~80% is absorbed in the small intestine). Absorption takes place by simple diffusion from higher to lower concentrations of alcohol. Within 2-3 minutes after a drink is consumed, alcohol can be detected in the blood. Since alcohol is absorbed mostly in the small intestine, anything which affects the rate alcohol enters the small intestine influences absorption and, consequently, BAC. Factors Impacting Absorption Rate Other Factors Impacting BAC Eating prior to or during drinking slows absorption. When alcohol is taken with a substantial meal, peak BAC may be reduced by as much as 50%. Body Weight: The BAC of 180 lb. person who consumes 4 oz. of alcohol is usually substantially lower than that of a 130 lb. person drinking the same amount in the same time. The larger person needs greater amounts of alcohol to reach a given BAC. As the Potency of a drink increases - up to about 40% pure alcohol (80 proof) - the more rapidly alcohol is absorbed. Carbonation in drinks causes rapid emptying of stomach contents in to the small intestine, increasing the rate of absorption. Cold drinks also force the alcohol into the small intestine more quickly, increasing absorption. Emptying time of the stomach can be altered by fear, anger, stress, nausea, condition of stomach tissue, and type of food consumed. The longer alcohol remains in the stomach, the slower the increase in BAC. Speed of drinking: The more rapidly a drink is ingested, the higher the peak BAC. The amount of alcohol in the blood will be lower if the drink is sipped rather than gulped. Gender: Differences between men and women on such factors as blood volume (weight and muscle mass) may also result in BAC differences. General State of Health: Many people seem more susceptible to the effects of alcohol when they are fatigued, have been recently ill, or are under emotional stress. A drinker's expectations and the drinking environment influence the apparent effects of intoxication, but not the actual BAC. Other drugs: Many medications taken while ingesting alcohol can have cumulative or dangerous effects. Alcohol may alter the effectiveness of prescription and over-the-counter medications. Excretion, Breakdown and Removal The removal of alcohol from the blood begins as soon as the alcohol is absorbed by the bloodstream. Small amounts (~5%) leave unchanged through sweat, urine, or breath. The remaining alcohol is changed chemically and metabolized by the liver. TIME is the only way to get alcohol out of a drinker's system. Exercise, caffeine, other stimulants or cold showers will only result in a more alert, intoxicated drinker. These drinkers will be at increased risk for harm due to increased alertness and belief that they are “ok”. Although the rate alcohol is metabolized by the liver may vary slightly, the average rate is about 1 standard drink per hour. Consuming or possessing alcohol under the age of 21 is illegal in Illinois Safer Drink Level Guidelines The charts below are guidelines for determining a person’s “safer drink level” (BAC - blood alcohol concentration of less than or equal to .05). At this level, a person’s statistical risk of accident or injury is almost the same as the risk for a non-drinker. SAFER DRINK ESTIMATOR Maximum number of drinks to stay at a safer drink level (BAC < .05) Maximum number of drinks to stay at a safer drink level (BAC < .05) BODY WEIGHT SAFER DRINK ESTIMATOR BODY WEIGHT 1 drink = 1 can/bottle (12 oz.) beer = 1 glass (4 oz.) wine = 1 shot (1.5 oz) 80 proof liquor 1hr 2hrs 3hrs 4hrs 130 2.0 2.6 3.2 MEN TIME SPENT DRINKING 5hrs 6hrs 3.8 4.3 4.9 140 2.2 2.8 3.4 4.0 4.7 5.3 150 2.4 3.0 3.7 4.3 5.0 5.7 160 2.5 3.2 3.9 4.6 5.3 6.0 170 2.7 3.4 4.2 4.9 5.7 6.4 180 2.8 3.6 4.4 5.2 6.0 6.8 200 3.2 4.0 4.9 5.8 6.7 7.6 220 3.5 4.4 5.4 6.4 7.4 8.3 240 3.8 4.9 5.9 7.0 8.0 9.1 One Drink Equals: BEER = 12 oz = 4 oz 1.5 oz Example: Generally, a 160 lb. man who consumes about 4.6 average drinks in 4 hours will have a safer BAC < .05 and be at a lower risk for accident or injury. NOTE: Many factors affect BAC. Drinking slowly, having food in your stomach and drinking less potent drinks will enhance safety. Consuming or possessing alcohol under the age of 21 is illegal in Illinois. Health Enhancement Division of Student Affairs & Enrollment Management Example: A 160 lb. man who has 4.6 drinks or less in 4 hours is "safer." TIME SPENT DRINKING 1hr 2hrs 3hrs 4hrs 5hrs 6hrs 100 1.3 1.7 2.0 2.4 2.8 3.2 120 1.6 2.0 2.5 2.9 3.4 3.8 130 1.7 2.2 2.7 3.2 3.6 4.1 140 1.8 2.4 2.9 3.4 3.9 4.4 150 2.0 2.5 3.1 3.7 4.2 4.8 160 2.1 2.7 3.3 3.9 4.5 5.1 180 2.4 3.1 3.7 4.4 5.1 5.7 200 2.7 3.4 4.1 4.9 5.6 6.4 220 2.9 3.7 4.6 5.4 6.2 7.0 NOTE: Many factors affect BAC. Drinking slowly, having food in your stomach and drinking less potent drinks will enhance safety. WOMEN One Drink Equals: BEER = 12 oz = 4 oz 1.5 oz Example: Generally, a 130 lb. woman who consumes about 3.2 average drinks in 4 hours will have a safer BAC < .05 and be at a lower risk for accident or injury. Consuming or possessing alcohol under the age of 21 is illegal in Illinois. Health Enhancement Division of Student Affairs & Enrollment Management Example: A 130 lb. woman who has 3.2 drinks or less in 4 hours is "safer." Consuming or possessing alcohol under the age of 21 is illegal in Illinois. NOTE: There are many factors which increase your BAC. These include drinking potent drinks, gulping/chugging drinks, drinking on an empty stomach, and drinking cold, carbonated drinks. ALSO: For people who are ill or on medication, pregnant women or alcoholics, drinking may always be risky. Effects of Alcohol BAC Safety # of Drinks Physical / Emotional / Behavioral Effects Safer 1-3 Efficiency of the cortex (uppermost part) of the brain is reduced. Inhibitions become relaxed Feelings of warmth and relaxation Increased heart rate Some loss of coordination Impaired 3-10 Area of the brain that controls movement becomes depressed. Further loss of coordination; judgement becomes impaired Reaction time is reduced; noticeable clumsiness Exaggerated emotions and talkativeness Ability to operate motor vehicles is impaired Speech is slurred Incapacitated 10-15 Reduced functioning of lower portion of brain; strong intoxication marked by difficulty with motor functions. Cannot walk without help; person feels like lying down Extreme degree of emotionality with little provocation Double vision Confusion and/or high degree of uninhibited behavior Argumentative, hostile behavior Life threatening 15-25+ Depression of brain area devoted to perception; severe intoxication renders drinker difficult to awaken. Loss of feeling, unconsciousness Shock followed by coma and death from respiratory or cardiovascular failure .01 - .05 .05 - .20 .20 - .30 .30 > For more information contact Health Enhancement at 815-753-9755. Visit our website at: www.health.niu.edu 12.10