alcohol 🫖 Flashcards

1
Q

how much ethanol (g) is in 1 unit

A

8g

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2
Q

how many units a day maximum should one drink

A

2-3

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3
Q

how many units a week maximum should one drink

A

14 - men + women

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4
Q

where is alcohol metabolised

A

liver
(also brain, stomach, pancreas)

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5
Q

if 90% of alcohol is metabolised what happens to the rest of it

A

5-10% is excreted by the air or urine

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6
Q

what effects does alcohol have on the cardiovascular system

A

cutaneous vasodilation - causes warm feeling but increases heat loss

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7
Q

what effects does alcohol have on the endocrine system

A

diuresis - inhibits release of ADH from pituitary

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8
Q

what effects does alcohol have on the gi system

A

increased salivary + gastric secretion

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9
Q

what effects does alcohol have on the liver

A

most serious long term consequence

increased fat accumulation - leads to hepatitis + hepatic necrosis + fibrosis

affects lipid metabolism, platelet function, atherosclerosis

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10
Q

what effects does alcohol have on fetal development

A

FAS

alcohol related neurodevelopmental disorder (ARND)

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11
Q

what is acute alcohol effects on CNS

A

slurred speech

motor incoordination

increased self confidence

euphoria

effect on mood varies - loud/outgoing or quiet/withdrawn

intellectual / motor performance + sensory discrimination show uniform impairment

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12
Q

what effects does chronic ethanol intoxication have long term

A

irreversible neurological effects - dementia, peripheral neuropathy

may be due to ethanol, also its metabolites (acetaldehyde and FA esters)

some effects are due to thiamine deficiency - Wernicke’s-Korsokoff syndrome

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13
Q

how do dependence drugs work?

A

activate the reward pathway - the mesolimbic/mesocortical dopaminergic pathway

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14
Q

what does alcohol reduce the action of

A

GABAergic interneurons

alcoholics have hypofunction of mesolimbic system

the severity is depended on the amount consumed

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15
Q

what are withdrawal symptoms of ethanol

A

1 - tremor, nausea, sweating, fever, hallucinations

2 - epilepsy like seizures

3 - delirium tremens - results in confusion, agitation, aggression + severe hallucinations
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