Week 10 Flashcards

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1
Q

What is alcohol best classified as?

A

Sedative-hypnotic

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2
Q

What is a standard drink

A
12oz Beer 5% 
8-9oz of Malt liquor 7%
5oz Wine 12%
3-4oz Fortified wine 17%
2-3oz cordial liqueur or aperitif 24%
1.5oz brandy 40%
1.5oz shot (80 proof) 40%
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3
Q

What are some health risks associated with alcohol

A

hypertension, major depression, liver cirrhosis, gastrointestinal bleeding, sleep disorders, hemorrhagic stroke, several cancers.

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4
Q

What is the definition of At Risk Use (alcohol)

A

Men - 5 or more drinks/day or 15 or more a week

Women - 4 or more drinks a day or 8 or more a week

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5
Q

What defines if drinking is considered binging?

A

4(women) 5(men) or more drinks within two hours at least 1 day in the past 30

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6
Q

What is considered Heavy Use as it relates to alcohol?

A

5 or more drinks on same occasion 5 or more days in past 30.

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7
Q

What is telescoping?

A

Women progress to complications of chronic alcohol use quicker and with lesser amounts of use than men

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8
Q

Women who binge drink are at high risk for what harms?

A
higher BAC
increase risk of unintended pregnancies
delayed pregnancy recognition, higher risk of fetal alcohol spectrum disorders
more likely to be victim of violence
more falls, MVAs and drownings
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9
Q

What factors effect absorption of alcohol?

A
body weight and gender
body fat
food in stomach
outside temp
carbonated drinks increase absorption
warming alcohol increases absorption
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10
Q

How long does it take a drink to reach max blood concentration

A

30-90min

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11
Q

How does tolerance affect metabolism of alcohol?

A

increases metabolism

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12
Q

How does liver disease affect metabolism of alcohol?

A

decreases metabolism

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13
Q

BAC =

A

alcohol absorption - alcohol metabolism

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14
Q

What are the signs of acute alcohol intoxication

A
alcohol smell
disinhibition
mood lability
impaired judgement
ataxia
dysarthria
nystagmus
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15
Q

What are early withdrawal symptoms?

A

anxiety, insomnia, vivid dreams, nausea, diaphoresis, tremors, hyperreflexia, tachycardia, elevated blood pressure, hyperthermia.

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16
Q

What are more sever withdrawal symptoms?

A

seizures, hallucinations, delirium tremens

17
Q

What is the result of chronic alcohol use?

A

upregulation of excitatory systems (glutamate) and downregulation of inhibitory systems (GABA)

18
Q

What are symptoms of DT (Delirium Tremens)

A

delirium, hallucinations, marked agitation/anxiety
Body tremors, nausea, insomnia, sweating
Confusion, disorientation, poor concentration
Tachycardia, arrhythmia, unstable BP, fever

19
Q

What are the symptoms of Wernickes Encephalopathy Triad?

A

global confusion and apathy
ocular disturbances - nystagmus, strabismus, bilateral 6th nerve palsy
Ataxia - unsteady gait and stance

20
Q

What are the medications of choice used for treatment of withdrawal?

A

benzodiazepines