Physiology- Ethanol Flashcards

0
Q

Ethanol absorption when food is present

A

90% absorbed in one hour

Remaining 10% absorbed in following 30 min

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1
Q

Where does most absorption of ethanol occur?

A

Small intestine- moves across intestinal wall, picked up by blood stream and distributed everywhere

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2
Q

Where is ethanol distributed?

A

All tissues, except adipose, because ethanol is lipophobic

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3
Q

Why does ethanol easily cross the blood brain barrier?

A

Because it is a small molecule

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4
Q

How should you modify your weight using a BAC card if you are overweight?

A

Use ideal weight since ethanol does not absorb into adipose tissue

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5
Q

BAC absorption without food present

A

80% absorbed in 15 min

Remaining 20% absorbed in following 45 min

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6
Q

What is the primary enzyme in the liver that breaks down ethanol?

A

Alcohol dehydrogenase

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7
Q

What is ethanol broken down into?

A

Acetaldehyde (thought to be what causes a hangover)

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8
Q

How much ethanol can an average adult male metabolize per hour?

A

7-10 grams ethanol/hr

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9
Q

How can you slow absorption even further?

A

By eating food with higher fat content

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10
Q

What is the difference between how much ethanol is absorbed and how much is metabolized?

A

BAC

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11
Q

What will affect normal absorption or elimination values?

A

GI or liver pathology, especially having stomach stapled

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12
Q

What to know when estimating BAC

A
Gender
Weight
Drinking history
Eating history
-what was consumed 3 hours before through entire time of drinking
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13
Q

Widmark’s constant

A

.68 males
.55 females
Because males typically have higher body water content and females typically have higher % adipose tissue

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14
Q

Why is widmarks constant different for males and females?

A

Because males typically have higher body water content and females typically have higher % adipose tissue

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15
Q

Are you impaired if your BAC is below .05?

A

No

16
Q

How does ethanol act upon nerve cells in CNS?

A

Increases chloride ion flux into cell, hyperpolarizing it

AKA: CNS depressant

17
Q

Healthy intake of ethanol

A

20-30g/day (~2 light beers)

There is evidence that moderate intake is beneficial to CV health

18
Q

What are risks of consuming 60-70 g/day?

A

Increased risk of cancer and stroke

19
Q

What does ethanol do to stomach lining?

A

Increases acid production in stomach, possibly irritating the lining

20
Q

Chemoreceptors trigger zone (CTZ)

A

“Vomit center” in the brainstem

  • Ethanol stimulates this
  • steeper rise of BAC=more CTZ stimulation