˚₊‧ʚ♡ɞ‎‧₊˚ alcohol ˚₊‧ʚ♡ɞ‎‧₊˚ Flashcards

1
Q

What category of drug is alcohol?

A

Depressant- decreases nervous system activity—opposite of stimulant

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2
Q

What are some pros and cons of prohibition?

A

PROS: lowest alcohol consumption in US history; less alcohol-related illnesses, hospitalizations & deaths; less drunk driving & alcohol-related arrests.
CONS: significant increase in organized crime—bootleggers, rumrunners & speakeasies. Gov’t lost taxable revenue source.

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3
Q

What is alcohol? What is alcohol “proof”? How is it made?

A

Alcohol occurs when fermentation occurs. Raw material containing sugar is fermented into alcohol by yeast; afterward, beverages go through distillation to concentrate the alcohol.
“proof” is ABV x2

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4
Q

What is the standard drink in the U.S.?

A

18mL / 14g

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5
Q

How readily is alcohol absorbed from stomach & intestines? What factors influence absorption?

A

Alcohol is absorbed via GI tract: about 10% stomach; 90% small intestine. Absorption is influenced by age, sex, race, tolerance, other drugs, and environment.

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6
Q

How does alcohol distribute?

A

All tissues—very water soluble & moderately fat soluble; able to squeeze through BBB easily. Damages lung tissue—more likely to cause death when vaporized bc it can’t be thrown up.

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7
Q

What is the 3 step process for metabolization?

A

Metabolized into acetaldehyde by alcohol dehydrogenase;
Acetaldehyde is metabolized into Acetic Acid by acetaldehyde dehydrogenase.
Acetic acid is then excreted as carbon dioxide & water, mostly via kidneys (95% in urine).

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8
Q

What factors affect how alcohol is metabolized?

A

women have less acetaldehyde dehydrogenase than men.

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9
Q

How does alcohol affect GABA?

A

GABA is the #1 inhibitory NT, and its subtype receptor (GABAa) is a binding site for alcohol. Alcohol enhances GABA activity, creating MORE inhibition of postsynaptic neurons. Alcohol is a GABA agonist; it enhances the activity of this NT.

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10
Q

How does alcohol affect Glutamate?

A

Glutamate is most excitatory NT in CNS. Alcohol decreases activity of glutamate & its receptors. sometimes can cause receptors to not open enough for ions to come in. alcohol is glutamate’s ANTagonist, it decreases excitatory effects of the NT.

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10
Q

How does alcohol affect dopamine?

A

Dopamine & endogenous opioids are increased w/ first drink; later drinks don’t continue to increase levels.

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10
Q

Acute physiological & behavioral effects?

A

CNS depressant causing sedation & relaxation; less restful/deep sleep.
Mild & brief euphoria (dopamine release) leading to poor decision making & less impulse control; cognitive, perceptual, verbal & motor impairment bc of activity on cerebellum & peripheral NS slowing signals.

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10
Q

What are some withdrawal symptoms?

A

anxiety, difficulty sleeping, tremors, sweating, headache, nausea, vomiting, irregular heartbeat.

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11
Q

What is blacking out?

A

When an individual cannot remember what happened while under the influence—amnesia; they don’t have to be unconscious to black out. Likely due to effects on hippocampus & creating memories.

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11
Q

What factors may play a role in a hangover?

A

Mild withdrawal-build up of acetaldehyde (build-up causes hangover symptoms); dehydration; GI irritation (alcohol makes stomach more acidic which increases nausea & vomiting); blood sugar (alcohol contains lots of starch & sugar so it raises blood sugar); congeners (substances produced during fermentation)

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11
Q

How does tolerance develop?

A

Cellular: change in receptor density—increase in # of glutamate receptors which can cause seizures w/ withdrawal.
Behavioral: people learn to handle themselves while drunk.
Metabolic: body makes more liver enzymes.

12
Q

What are DTs?

A

Delirium Tremens—a potentially fatal form of alcohol withdrawal. It can occur after drinking heavily (4-5 pints wine; 7-8 beer; 1 hard alcohol) every day for several months.
Symptoms: hallucinations, nightmares, confusion, disorientation; associated w/ risk of heart failure (5-15% die—GABA agonists can help)

13
Q

How does alcohol affect your liver?

A

Alcohol decreases the breakdown of fat & leads to the storage of fat, typically making the liver fatty.
Hepatitis (inflammation of liver) impacts liver functioning; less able to metabolize things requiring liver (alcohol).
Cirrhosis (irreversible scar tissue build up in the liver) impacts the liver’s functioning & eventually causes liver failure; it only treated w/a liver transplant.
Increased risk for liver cancer.

14
Q

What is Antabuse/disulfiram?

A

Used to treat alcohol addiction by creating an unpleasant reaction to alcohol.