Forensic 2 Flashcards

1
Q

alcohol is a CNS _____

A

depressant

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2
Q

sources of alcohol

A

wine, beer, liquor, cooking wine, mouthwash, after-shave lotion

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3
Q

what is the legal limit for driving?

A

80mg% BAC

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4
Q

what can we test for alcohol?

A
  • blood or urine (living or dead)
  • vitreous humour, CSF, bile (dead only)
  • breath (living only)
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5
Q

Advantages of alcohol breath analysis?

A
  • noninvasive

- convenient

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6
Q

Breath test equipment relies on _____ law

A

henry’s

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7
Q

What is Henry’s Law

A

The concentration of a gas dissolved in a liquid phase is directly proportional to the partial pressure of that gas in a gaseous phase that is in equilibrium with the liquid

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8
Q

What does henry’s law mean?

A

concentration of ethanol in blood / concentration of ethanol in alveolar air = r

r = constant = 2100

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9
Q

Describe pass, alert and fail results of the screening device

A

pass: between 0-49mg%
alert: 50-99mg%
fail: above 100mg%

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10
Q

Consumption = ?

A

absorption + elimination

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11
Q

Where does absorption of alcohol happen?

A

30% stomach

70% small intestine (more absorbed here due to increased surface area)

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12
Q

how is rate of absorption affected by food in the stomach

A

-get more absorption of alcohol on an empty stomach (15-20 mins on empty stomach, 2-3 hours on full stomach)

**also fats/carbs delay absorption more so than protein

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13
Q

how does drinking alcohol with carbonated beverages affect absorption?

A

carbonated beverages open pyloric sphincter longer which allows alcohol to go more quickly into the small intestine which increases absorption

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14
Q

how does speed of consumption affect rate of absorption?

A

speed increases rate of absorption

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15
Q

rate of absorption is also affected by _____ of alcohol

A

concentration

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16
Q

What are the approximate concentrations of alcohol in wine, liquor and beer?

A

beer: 5%
wine: 10%
liquor: 40%

17
Q

what can rate of absorption also be affected by?

A
  • drugs (nicotine and caffeine slow rate of absorption of alcohol)
  • disease (trauma affects it)
  • emotional state (get best absorption in a relaxed state)
18
Q

what is the widmark hypothesis

A

alcohol is distributed in the body in proportion to the water content of the tissues

  • i.e. liver and brain will have higher concentration bc they have higher water content
  • bone and fat have less alcohol distribution bc of lower water content
19
Q

what is the widmark factor (r)

A

r = conc of body alcohol / conc of blood alcohol

20
Q

what is R for males and females

A

males: 0.7
females: 0.6

21
Q

what does BAC depend on?

A
  • body size (weight)
  • body fat (body type)
  • gender
22
Q

would a person weighing 160lbs or 240lbs have higher BAC if they drank the same

A

the smaller one (160 lbs)

23
Q

if 2 people weighed the same (but one had higher fat content), and had the same number of drinks, who would have higher BAC?

A

fat guy

24
Q

if a man and woman weighing the same had the same drinks, who has higher BAC

A

woman bc they tend to have higher fat content

25
Q

What is the formula for absorption?

A

Absorption = BAC x weight x 0.022

x 6/7 for females

26
Q

describe the metabolism of alcohol

A

90-98% occurs in the liver

alcohol -> acetaldehyde -> acetate -> cO2 and H2O

27
Q

how is metabolism of alcohol affected if you are an alcoholic

A

if you are an alcoholic, you will eliminate it a little bit faster

28
Q

describe excretion of alcohol

A

2-10% is eliminated unchanged (breath, urine, faces, sweat, tears, saliva)

29
Q

What does elimination = ?

A

elimination = metabolism + excretion

30
Q

Formula for elimination?

A

elimination = weight/70 x 25 x T

T = hours since first drink

31
Q

if wine or beer are involved, how do you account for this?

A

if it’s beer, you do 40/5

mL beverage = 40 / conc of alcohol in beverage x mL liquor

32
Q

What is the rate of elimination in mg%/hour?

A

15mg%/hour
(average 10-20mg%/hour)

  • regardless of height, weight, gender or amount of fatty tissue
  • alcoholics can have 25mg%/hour
33
Q

how can we use 1 BAC to calculate another BAC

A

BAC1 = BAC2 = (T x 15)

T = elapsed time from measured BAC