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Alcohol Notes How Alcohol Enters the Body Alcohol is a drug that depresses the brain and nervous system. About 20% of the alcohol a person drinks is absorbed into the bloodstream through the walls of the stomach. A majority of the rest is absorbed through the walls of the intestine. After it is absorbed, it moves quickly into the bloodstream. Remaining alcohol is excreted through urine, perspiration or breath. Effects on Body Most alcohol is changed to harmless waste by the liver. The liver can process about one drink per hour. If a person has more than one drink, the excess alcohol builds up in the body. This excess alcohol goes into the body tissues before being excreted. The effects of alcohol increase as the concentration of alcohol in the blood increases. The amount of alcohol in a person’s blood is the Blood Alcohol Concentration (BAC). The higher the BAC, the greater the effects of alcohol on the body. How Much is One Drink? An alcoholic beverage that contains ½ ounce of alcohol is considered one drink. ½ ounce is equal to one beer, 4 to 5 oz. of wine, or one mixed drink. Drinking more than this amount will cause the BAC to rise. Getting “Drunk” Alcohol is a toxin (poison). If too large an amount is consumed, the body’s natural reaction is to reject it, causing a person to vomit. The body will work to break down and excrete the alcohol in the body as quickly as possible. Because this process takes time, people may still feel the effects the next day. There is no way to speed up this process – drinking coffee, taking a cold shower, etc. will not break down the alcohol in the body. Factors that Affect BAC Amount of Alcohol consumed Speed at which alcohol is consumed Body weight Percentage of Body Fat (more body fat = higher BAC) Gender Feelings (stress, anger, fear speed up the time alcohol is absorbed) Amount of Food eaten Presence of other drugs in the bloodstream Age Drinking carbonated beverages What Happens as BAC Increases 0.02 — 0.03 BAC: No loss of coordination, slight euphoria and loss of shyness. Depressant effects are not apparent. Mildly relaxed and maybe a little lightheaded. 0.04 — 0.06 BAC: Feeling of well-being, relaxation, lower inhibitions, sensation of warmth. Euphoria. Some minor impairment of reasoning and memory, lowering of caution. Your behavior may become exaggerated and emotions intensified (Good emotions are better, bad emotions are worse) 0.07 — 0.09 BAC: Slight impairment of balance, speech, vision, reaction time, and hearing. Euphoria. Judgment and self-control are reduced, and caution, reason and memory are impaired (in some* states .08 is legally impaired and it is illegal to drive at this level). You will probably believe that you are functioning better than you really are. ( * —As of July, 2004 ALL states had passed .08 BAC Per Se Laws. The final one takes effect in August of 2005.) 0.10 — 0.125 BAC: impairment of motor coordination and loss of good judgment. Speech may be slurred; balance, vision, reaction time and hearing will be impaired. Euphoria. It is illegal to operate a motor vehicle at this level of intoxication in all states. 0.13 — 0.15 BAC: Gross motor impairment and lack of physical control. Blurred vision and major loss of balance. Euphoria is reduced and dysphoria* is beginning to appear. Judgment and perception are severely impaired. ( * —Dysphoria: An emotional state of anxiety, depression, or unease.) What Happens as BAC Increases (cont.) 0.16 — 0.19 BAC: Dysphoria predominates, nausea may appear. The drinker has the appearance of a "sloppy drunk." 0.20 BAC: Feeling dazed/confused or otherwise disoriented. May need help to stand/walk. If you injure yourself you may not feel the pain. Some people have nausea and vomiting at this level. The gag reflex is impaired and you can choke if you do vomit. Blackouts are likely at this level so you may not remember what has happened. 0.25 BAC: All mental, physical and sensory functions are severely impaired. Increased risk of asphyxiation from choking on vomit and of seriously injuring yourself by falls or other accidents. 0.30 BAC: STUPOR. You have little comprehension of where you are. You may pass out suddenly and be difficult to awaken. 0.35 BAC: Coma is possible. This is the level of surgical anesthesia. 0.40 BAC and up: Onset of coma, and possible death due to respiratory arrest. Other Terms to Know Proof: the measure of the amount of alcohol in a beverage. The proof is double the percent of alcohol in the beverage. Example: a beverage with 20% alcohol is 40 proof. Binge Drinking: Consuming large amounts of alcohol in a short time. Examples would be “chugging”, doing shots, funnels, etc. Fetal Alcohol Syndrome (FAS): the presence of severe birth defects in babies born to mothers who drink alcohol during pregnancy. Hangover: the aftereffects of using alcohol or other drugs. Blackout: a period in which a person cannot remember what has happened. Factors That Affect Alcohol Use by Youth Alcohol is readily available to youth •Being drunk is an expectation in most adolescent drinking situations •Peer group influence is strongly evident •Young drinkers tend to obtain alcohol from their parents •Young drinklers tend to consume the alcohol at home •Students who drink alcohol regularly are more likely to have someone close to them who also drinks alcohol •Students tend to regard drinking as a legitimate pastime; they tend to regard drinking as an essential aspect of leisure and entertainment. • Factors That Affect Alcohol Use by Youth (cont.) Students lack knowledge about alcohol Students do not know how to monitor their intake to prevent intoxication Students lack knowledge of the properties and effects of alcohol. Students lack knowledge as to how alcohol is metabolized Alcohol is often readily available at most social functions Illegal Drugs Use of illegal drugs (stimulants, narcotics and sedatives, anabolic steroids, hallucinogens, inhalants, marijuana) can have serious effects on the mind and body. Use and abuse can lead to altered decision making, reasoning, memory loss, and impaired concentration. Users may become depressed and lazy, or overly excited and agitated. Users may also be prone to wild mood swings, as well as fits of anger and hostility. Long term use leads to increased tolerance (when the body becomes used to a substance) which will lead to physical dependence. Users may also be susceptible to HIV and hepatitis B if they are intravenous drug users (injecting the drug with a needle shared among people.) Stimulants Stimulants speed up the activity of the Central Nervous System (CNS). Sometimes called “uppers”, as they make people feel alert, awake, and alive. Effects on Body: increased heart rate, breathing rate, increased blood pressure. Users can become confused, anxious, aggressive and paranoid. Users can suffer seizures, strokes, and even death. Examples are cocaine, crack, amphetamines, “crystal meth” Narcotics / Sedatives Narcotics and sedatives will depress or slow down the Central Nervous System. Narcotics are often prescribed by physicians as a pain reliever. Can also be used to control other body functions (cough, diarrhea, etc.) Large doses of narcotics can slow breathing and heart rate to the point of being in a coma, or even death. Users cannot use reasoning or judgement, may become depressed and lazy, and be prone to mood swings. Sedatives have same effect as narcotics, and are often used to produce a calming effect on a person’s behavior. They will produce drowsiness and sleep. Sedatives are generally not used as painkillers. Anabolic Steroids Steroids are synthetic (created in a lab) hormones designed to mimic male hormones (testosterone). Used to build muscle size and strength, increase athletic performance, and to improve physical appearance. Use by males can cause impotence (low sperm count) or sterility, baldness, acne, and even cancer. Use by females will cause females to develop male characteristics – breasts shrink, period stops, facial hair grows. Use is often associated with “roid rage” – users become aggressive, violent, and are prone to outbursts of anger and hostility. Hallucinogens Drugs that interfere with the senses and cause hallucinations. Hallucination: an imagined experience that seems real. Also referred to as “psychedelic drugs.” Hallucinogens will alter the mind, causing altered perceptions of reality, time, and environment, intensify mood, and cause rapid mood swings. Users may also suffer “flashbacks”, which are vivid memories of an hallucination. Examples of hallucinogens are LSD, PCP (“angel dust”), mushrooms (“shrooms”) and Ecstasy Inhalants Inhalants are chemicals that affect mood and behavior. Most inhalants are not controlled drugs, rather they are chemicals that are not produced to be inhaled or used as drugs. Examples may include nail polish remover, paint thinner, White Out, markers, nitrous oxide, spray paint. Often one of the first drugs used because they are easily available and accessible. Inhalants produce a very quick high, yet last a very short period of time. Inhalants will cause CNS to slow down, and deprive the brain of oxygen. Marijuana Most commonly used illegal drug in the U.S. Contains THC, which is the drug that produces the psychoactive effects of marijuana. THC is a fat-soluble drug that builds up in the fatty parts of the body, including the brain, heart, and liver. A fat-soluble drug is one that takes a long time to get “flushed” from your system. Users will become relaxed, drowsy, hungry. Often referred to as a “gateway drug”, which is a drug that increases the likelihood that a person who uses it will use other illegal drugs. Use can effect the lungs and respiratory system, affect the female reproductive system, cause short-term memory loss, and impair concentration.