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ALCOHOL Unit # 3 Miss Martini Alcohol Today Nation’s #1 Drug Problem ( depressant) 100+ million adults (60-70% of total population use) – Used more than any other drug 10+ million adult alcoholics 3+ million teenage alcoholics/ problem drinkers Alcohol Today ½ of all crime – 75% of violent crimes Alcohol is negatively linked with violence, rape, suicide, breaking the law, academic apathy, accidental death, injuries, irresponsible decisions, STI/ STDs, job loss, divorce, and serious illness. Alcohol related diseases lead to 12,000 deaths/ year – #1 Cirrhosis (linked with long term excessive alcohol use) Motor Vehicle Deaths 1982 – 25,000 (57% of deaths) 1993 – 17,400 (44%) 2000 – 16,068 (38%) 2002 – 17,419 (41%) 2003 – 17,401 (40%) Classes of Drinkers (3 classes) Social – Moderate, safe amounts consumed by adult (21 yrs or older) – Ex/ occasionally has a beer with dinner Problem – Self or others at risk – Person starts to build up a tolerance, may experience blackouts – Ex/ drinks until they vomit, drives when drinking, doesn’t remember what happened the night they consumed alcohol Alcoholic – dependent Responsible (over 21) Alcohol Use Know limit * MODERATION* Space out drinks Small glasses Dilute mix drinks Eat while consuming Don’t drink and drive Don’t drink and use medication Don’t drink if pregnant or not sure – Baby’s of mothers who drink may be born with fetal alcohol syndrome (FAS) • Delayed physical and mental growth 1 Drink (1/2 oz of pure ethanol) (active drug in wine, beer, liquor is ethyl or ethanol alcohol) One 12 oz can of beer (4.5% alcohol) 1 ¼ oz of 80 proof hard liquor (distilled ex/ whiskey, gin, brandy) (40% alcohol) – Proof: amount of alcohol in a beverage as measured by %, double the % of alcohol • Ex/ Beverage with 20% alcohol is 40 proof 1 oz of 100 proof liquor 3-5 oz of wine (12-14% alcohol) 1 wine cooler (1.5-6 % alcohol) 1 mixed drink (see above) Alcohol & the Body About 20% of alcohol consumed is absorbed into bloodstream through stomach walls. The majority is absorbed through intestine walls. The remaining alcohol is excreted through urine, perspiration, or breath. How Alcohol Affects the Body (impair judgment, loosen inhibitions, dull reflexes) Nervous system – Brain • Blackouts (a period in which a person cannot remember what has happened following alcohol use) (start to see with problem drinkers) • Seizures • Dementia (decline in all areas of mental functioning) Digestive system – Developing cancers of mouth, esophagus, & stomach – Ulcers – Liver disease (cirrhosis- liver begins to fill with fat) Immune system – Increased risk of developing illnesses • Respiration infections • Tuberculosis • Certain cancers Affects on Body Cardiovascular system – Damages organs – Increased risk for cardiovascular disease, high blood pressure, & stroke Skeletal system – Body loses calcium • Osteoporosis Urinary system – Can cause kidney failure Reproductive system – Female: cause irregular periods – Male: affects size of testes and muscle development Alcohol Affects Every Cell in the Body Most alcohol is changed to harmless waste by the liver – Liver can only process about 1 drink/ hour – If drink more then this the excess alcohol build up in the body Alcohol goes to body tissue before excretion – Effects of alcohol intensify – Concentration of alcohol in blood increases Hangover- a result of the chemicals used to make alcohol. The only true treatment for a hangover is TIME, not coffee, cold shower, etc. One of the worst things you can do for a person is give them another alcoholic beverage. Blood Alcohol Concentration (BAC) Higher the BAC, the greater the effects of alcohol on the body. If the amount of alcohol (a toxin) is too large, stomach will reject it – Vomiting Too much of a toxin (alcohol) can be poisonous. – Binge drinking • Consumption of large amount of alcohol in short amount of time • Linked with rape, unprotected sex, death, fights, poor decisions, alcohol poisoning – Alcohol poisoning signs • Unconscious, can’t be woken, vomiting while passed out, breathing slow, pale/ cold/ clammy skin • Call 911 immediantly Factors that affect BAC (see text pg 412) Amount consumed Body weight Feelings Amount of food eaten Carbonation of beverage Speed consumed % of body fat Gender Presence of other drugs in blood Age What Happens as BAC Increases See text page 413 wksht Alcohol Laws BAC ( % of alcohol in blood)- only factor which legally determines level of intoxication Liquor Control Board – Controls all sales of alcoholic beverages in PA Underage Drinking – Zero-tolerance law • Lowers the legal BAC level for intoxicated drivers under 21 yrs of age Driving Under the Influence (DUI) – Breathalyzer test: accurate and common way police check BAC – Under 21 yrs = 0.02 – Over 21 yrs = 0.08 * Reason for these laws is to protect the health, lives, and property of the public Laws Parents can not buy alcohol for their children even if it is their own home. Parents can be held accountable & face fines for serving minors on their property. A person under 21 yrs. Can be arrested/ fined for underage drinking in PA if they are: – Consuming – Transporting – Possessing alcohol Law Activity Newspaper headline: Local Teen Arrested for Drunk-Driving Incident 1. 2. 3. 4. What possible events led to the teens arrest? Who was with the teen before this incident? How did the teen get the alcohol? What was this incident they were arrested for? Use Alcohol Laws packet 1. List laws teen may have violated 2. What behaviors may have led to teen being arrested? Use refusal skills worksheet 1. Create a safer ending to this situation using refusal skills so that this incident does not occur. a. Give reason for refusal b. Show your concern c. Provide alternatives d. Use body language to reinforce what you say e. Take a definite action Alcoholism (see text pg 419) – Disease in which there is physical and psychological dependence on alcohol. Early stage- social drinker becomes a problem drinker Late stage- problem drinker becomes alcoholic Difficulty controlling behavior Denial Withdrawal – Alcohol Withdrawal Syndrome • Is the reaction of the body to sudden stopping of drinking – Delirium Tremens » Is a severe form of alcohol withdrawal syndrome in which there are hallucinations and muscle convulsions Affects on others Getting Help Interventions are held to help make the alcoholic aware of the problem (see wksht) Alcoholics Anonymous (AA) – Recovery program for people who have alcoholism Al-Anon – Recovery program for people who have friends or family members with alcoholism – Ex/ help spouse of an alcoholic, family member or friend Al-Ateen – Recovery program for teens who have a family member or friend with alcoholism Intervention Steps Stop enabling behaviors Talk to your friend Ask another friend to help Follow through Seek adult or professional help What drug classification is Alcohol? Stimulant Depressant Hallucinogen Narcotic Someone who drinks moderately Alcoholic Problem Social Dead Recovery program for teens of an alcoholic family AA Al-anon AAA Ala-teen Possible result of a pregnant women using alcohol TAS FAS SIDS DUH One factor that affects BAC Gender Shower Sleep Caffeine This class of drinker starts to experience blackouts Social Problem Alcoholic Sober Example of one drink 1 oz of beer 2 oz 100 proof 3-5 oz wine 2 mixed drinks BAC limit for 21 or older .06 .02 .08 .1 Common way police check BAC Breathalyzer Urine Saliva Ear wax Person most likely found at Ala-non meeting Alcoholic Wife of alcoholic Co-worker of alcoholic dog Only thing that legally determines intoxication Color of skin BAC Ability to drive Ability to walk Most important thing to do in case of alcohol poisoning Lay on side call 911 Put to sleep eat bread Person under 21 has legal intoxication level beginning at .04 .08 .02 .01 Severe form of alcohol withdrawal Alcoholic Delirium tremens Scratching cold Organization that controls sales of alcohol in PA PCP LCP LCB OCB Over the legal limit and driving, could be arrested for Under age drinking DUI Zero tolerance DWU Active ingredient in alcohol Flour yeast Ethanol gasoline Period of time forgotten the day following alcohol abuse Pass out Sleep DUI Blackout First step of an intervention Follow through Talk to your friend Stop enabling Seek adult/ professional Drinking a lot in a small amount of time Overdose binge drinking Blackout pass out These are put in place to protect the health, lives, and property of the public BAC Seatbelts Alcohol laws air bags Stage of alcoholism where a social drinker becomes a problem drinker Late Early Effects of alcohol on the liver Cirrhosis Obesity Cancer Softening How does alcohol effect the brain Speeds it up slows it Hallucinates causes it to think