Chapter 10: Alcohol Flashcards

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1
Q

What is alcohol?

A

Intoxicating ingredient in fermented or distilled beverages, a colorless, pungent liquid

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2
Q

What are the three types of alcohol? Which two can cause serious illness or death?

A

Ethyl alcohol, methanol, isopropyl alcohol. Methanol and isopropyl alcohol can cause serious illness or death

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3
Q

What is beer brewed from?

A

Mixture of grains

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4
Q

What percentage of alcohol is in beer?

A

3%-6%

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5
Q

What are ales and malt liquors brewed from?

A

Mixture of grains

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6
Q

What percentage of alcohol is in ales and malt liquors?

A

6%-8%

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7
Q

What are wines brewed from?

A

Grapes and other fruits

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8
Q

What percentage of alcohol is in wine?

A

9%-14%

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9
Q

What is fortified wine? What percentage of alcohol is in fortified wines?

A

Extra alcohol is added during the making of it. 20%

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10
Q

What is hard liquor brewed out of?

A

Grains and other plants

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11
Q

What are some examples of hard liquor?

A

Gin, whiskey, rum, tequila, vodka

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12
Q

What percentage of alcohol is in hard liquor?

A

35%-50%, but can be much stronger

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13
Q

What does the term ‘one drink’ or ‘standard drink’ refer to?

A

A beverage that contains 13.6g of alcohol

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14
Q

How many calories per gram does alcohol contain?

A

7 calories per gram

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15
Q

How does absorption work when alcohol is first consumed?

A

About 20% is rapidly absorbed from the stomach into the blood stream and about 75% is absorbed through the small intestine. Any remaining alcohol is absorbed into the blood stream along the gastrointestinal path

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16
Q

Where is the main site of alcohol metabolism?

A

The liver

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17
Q

What is metabolism?

A

The chemical transformation of food and other substances in the body into energy and wastes

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18
Q

How is alcohol metabolized?

A

It is first converted into acetaldehyde and then into acetate where is it burned for energy or stored as fat

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19
Q

Where is alcohol secreted?

A

Urine, the sweat glands, lungs

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20
Q

How does alcohol effect the brain?

A

It crosses the layer of cells that protects the brain and effects neurotransmitters that disrupt the communications in the brain

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21
Q

What is blood alcohol concentration (BAC)?

A

The amount of alcohol in the blood in terms of weight per unit volume, used a measure for intoxication (more alcohol consumed than metabolised)

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22
Q

What factors contribute to blood alcohol concentration (BAC)?

A

Body weight, percentage of body fat, sex (Women’s stomach enzyme that metabolizes alcohol is 4x slower than that of men), rate of consumption, water content in the body

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23
Q

Alcohol is a central nervous system depressant. True or False?

A

True

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24
Q

What are the effects of low concentrations of alcohol?

A

Light-headedness, relaxation, release of inhibitions, mild euphoria and become more social

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25
Q

At what BAC percentage do people usually feel the effects of low concentrations of alcohol?

A

0.03%-0.05%

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26
Q

What are the effects of high concentrations of alcohol?

A

Interference with motor coordination, verbal skills, and intellectual function, can make you sleepy

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27
Q

What physical changes occur when high concentrations of alcohol are consumed?

A

Blood vessels near the skin dilate causing the drinker to feel warm, their skin flushes, increased sweat production, internal body temperature falls

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28
Q

At what BAC percentage do people usually feel the effects of high concentrations of alcohol?

A

0.1%

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29
Q

What occurs in a person that has a BAC percentage of 0.2%?

A

Person is unable to function, because of the depression to their nervous system

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30
Q

What occurs in a person that has a BAC percentage of 0.35%?

A

Coma, any higher can be death

31
Q

List the symptoms of a hangover.

A

Head ache, nausea, shakiness, diarrhea, fatigue and impaired mental functioning

32
Q

What causes a hangover?

A

Toxic productions of alcohol breakdown, dehydration and hormonal effects

33
Q

What causes alcohol poisoning? What are its effects?

A

Drinking large amount of alcohol in a short time frame. Depresses the nervous system and respiratory system, and can cause inhalation of fluid or vomit into the lungs, causing death, will also cause blackouts

34
Q

What are the effects of mixing alcohol and drugs?

A

Can cause serious illness, overdose, or death

35
Q

Why does alcohol consumption lead to injuries and fatalities?

A

The loss of control of motor and brain functioning caused by alcohol mixed with normal activities (driving, boating, even walking) can cause injury and death

36
Q

Alcohol makes people aggressive more than any other legal or illegal drug. True or False?

A

True

37
Q

Alcohol does not effect our ability to make sexual decisions

A

False, alcohol does effect our ability to make sexual decisions

38
Q

What is the largest criminal cause of death?

A

Drunk driving

39
Q

What are the effects of chronic abuse of drinking on the liver?

A

By altering the function of the liver, fat begins to accumulate in liver cells and is called ‘fatty liver’, continued drinking causes damage and eventually destruction of the liver cells

40
Q

What is alcoholic hepatitis?

A

Inflammation of the liver that can cause death

41
Q

What is cirrhosis?

A

A disease in which the liver is severely damaged by alcohol and scar tissue replaces the liver tissue.

42
Q

What are the effects of chronic abuse of drinking on the digestive system?

A

Inflammation of the pancreas, nausea, vomiting, abnormal digestion, severe pain, liver damage, bleeding in the gastrointestinal tract

43
Q

What are the effects of high doses of chronic abuse of drinking on the cardiovascular system?

A

Elevation of blood pressure, increased chance of stroke and heart attack, weakening of the heart

44
Q

What are the effects of moderate doses of alcohol on the cardiovascular system?

A

May reduce the risk of heart disease and heart attack in some people

45
Q

What is cardiac myopathy?

A

Weakening of the heart muscle

46
Q

Alcohol is a risk factor for developing many types of cancers. True or False?

A

True

47
Q

What can heavy drinking during early pregnancy do to the fetus?

A

Cause miscarriage or spontaneous abortion

48
Q

What is fetal alcohol spectrum disorder (FASD)?

A

A range of disabilities in the fetus caused from drinking during pregnancy

49
Q

What is fetus alcohol syndrome (FAS)?

A

A group of birth defects caused by alcohol consumption by the mother, this includes facial deformities, heart defects, physical/mental disabilities

50
Q

What is alcohol-related neurodevelopmental disorder (ARND)?

A

Appear to be normal but have severe learning and behavior disorders due to the mother drinking while they were pregnant with that child

51
Q

List the possible health benefits of drinking moderately.

A

Lowers rates of coronary heart disease, raises blood levels of HDL, reduces inflammation of blood by thinning it, decreases risk of heart attack, may help manage diabetes, high blood pressure, strokes, cognitive decline

52
Q

What is alcohol abuse?

A

The recurrent use of alcohol that causes physical damage, results in harmful behaviors or gets in the way of responsibility (basically negative effects)

53
Q

What is alcohol dependence?

A

Use of alcohol that is leads to tolerance, withdrawal symptoms

54
Q

What is alcoholism?

A

A chronic psychological disorder that includes excessive and compulsive drinking

55
Q

What are the four characteristic patterns of alcoholism/alcohol dependence?

A
  1. Regular daily intake of large amounts
  2. Regular heavy drinking limited to weekends
  3. Long periods of sobriety with times of binge drinking that lasts for weeks or months
  4. Heavy drinking limited to periods of stress
56
Q

What is binge drinking?

A

Periodically drinking alcohol to the point of severe intoxication

57
Q

What health effects can occur when an alcoholic stops drinking suddenly.

A

Anxiety, nightmares, insomnia, gastrointestinal upset, seizures, hallucinations, delirium tremens

58
Q

What is delirium tremens (DT’s)?

A

State of confusion brought on by extreme reduction of alcohol consumption in addicts, symptoms include hallucinations, anxiety, seizures etc.

59
Q

What can cause alcoholism?

A

Genetics, abuse, troubled household, imitating role models that abuse alcohol

60
Q

List some ways to treat alcoholism.

A

AA, medical treatment, self help

61
Q

What types of medications are used to help alcoholism?

A

Naltrexone (ReVia) - binds to brain pleasure center and reduces craving and positive reinforcement from alcohol
Acamprosate (Campral) - Helps people maintain abstinence from alcohol

62
Q

List Canada’s five Low-Risk Alcohol Drinking Guidelines.

A
  1. Reduce long term health issues by drinking no more than 10 drinks a week, 2 drinks a day for women and 15 drinks a week, 3 drinks a day for men
  2. Reduce your risk of injury by drinking no more than 3 drinks for women and 4 drinks for men on a single occasion
  3. Do not drink if you have mental problems, are going to consider dangerous behavior, taking drugs, making important decisions, or have alcohol dependence
  4. Do not drink if pregnant, planning to become pregnant or before breastfeeding
  5. Do not drink as a youth, save drinking for the later teen years
63
Q

Why do older adults need to be careful with consuming alcohol?

A

They are more sensitive to alcohol and are more likely to be taking medication

64
Q

What is the legal BAC for driving?

A

0.05-0.08

65
Q

What does chronic alcohol use do to life expectancy?

A

Decreases by 10-12 years

66
Q

Alcohol use combines what two factors?

A

Alcohol dependence and alcohol abuse

67
Q

How does the grading system work with DSM-5 for alcohol problems?

A

2-3 symptoms - mild
4-5 symptoms - moderate
6+ symptoms - severe

68
Q

What percentage of people aged 15+ drink? What percentage of youth under 15 drink?

A

78%, 70%

69
Q

What percentage of males and females ages 18-19 binge drink?

A

Males - 40%

Females - 30%

70
Q

Through automobile crashes and other injuries, alcohol is the leading cause of death among people ages 15 to 24. True or False?

A

True

71
Q

What percentage of youth exceeded the guidelines?

A

25%

72
Q

What percentage of youth exceeded the first and second guideline respectively?

A

18%

73
Q

Roughly how much of a drink can the body metabolize in an hour?

A

Between 1/2 and 3/4

74
Q

List the 11 symptoms of alcohol use disorder according to DSM-5.

A
  1. Alcohol is often taken in larger amounts or over a longer period than was intended.
  2. There is a persistent desire or unsuccessful efforts to cut down
  3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
  4. Craving, or a strong desire or urge to use alcohol.
  5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
  6. Continued alcohol use despite having persistent social problems
  7. Giving up or reducing important social, school, work, or recreational activities because of alcohol use.
  8. Recurrent alcohol use in situations in which it is hazardous.
  9. Alcohol use is continued despite knowledge of having a persistent problem that is likely to have been caused or worsened by alcohol.
  10. Developing tolerance to alcohol
  11. Experiencing alcohol withdrawal