Week 10 Alcohol

Question 1

Sedative hypnotic

Answer 1

Alcohol

Question 2

What is a standard drink

Answer 2

14g pure alcohol

Beer- 12oz- 5% alcohol
Hard liquor -1.5 oz- 40% alcohol 
Liqeour- 2-3 oz. - 24%
Sherry- 3-4 oz- 17%
Wine- 5-6oz - 12%
Malt- 8-9oz- 7%

Question 3

What are the health risks associated with alcohol

Answer 3

Hypertension
Major depression
Liver cirrhosis 
Gastro bleeding
Sleep disorders
Hemorrhagic stroke
Several cancers

Question 4

At risk/ current use

Answer 4

1 or more drinks in the past 30 days

Question 5

Binge use

Answer 5

4 women/5 men or more drinks within two hours at least one day in past 30 days

Question 6

Heavy use

Answer 6

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

Question 7

Telescoping

Answer 7

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

Question 8

Gender related differences in alcohol absorbtion and metabolism

Answer 8

Women through intestine and colon only
Lower water weight % alcohol more potent through body 
Tend to reach higher bac
Increased pregnancies
Delayed pregnancies- fetal alc syndrome
Victims of violence
More falls, mvas, drownings

Question 9

Factors that can affect alcohol absorption

Answer 9

Body weight and gender
Body fat
Food in stomach
Temperature
Carbonated drinks increase
Warm alcohol increase
Takes 30-90 minutes after a drink to reach max blood concentration

Question 10

Difference of absorbtion in men and women

Answer 10

Men absorb 10-20% of alcohol in stomach where women absorb little there

Question 11

Low how alcohol is metabolized by two enzymes and what happens when antibuse is taken

Answer 11

Intestine and stomach
Alcedaheldide makes the person feel sick
Alcodegrogendate- breaks down alcohol
Antibuse- works as an antagonist to block alcohol and cause sickness

Question 12

Bac

Answer 12

Alcohol absorbtion minus alcohol metabolism

Question 13

Signs of acute alcohol intoxication and withdrawal

Answer 13

Anxiety, insomnia, nausea, tremors, blood pressure, hyperflexia, diaphoresis, tachycardia, hyperthermia

Question 14

Serious medical complications related to chronic alcohol use and severe withdrawal

Answer 14

Seizures, hallucinations, dts, warnicke, korsakoff

Question 15

Symptoms of dts

Answer 15

72-96 hours after last drink
Delirium, hallucinations, agitation, tremors, nausea, insomnia, sweating, confusion, disorientation, poor concentration, tachycardia, anhythmia, unstable blood pressure, fever

Question 16

Symptoms of wernickes

Answer 16

1. Global confusion and apathy
2. Eye disturbances
3. Unsteady stance
   - neurologic emergency
   - can lead to korsakoff dementia

Question 17

Symptoms of korsakoff

Answer 17

-anterograde amnesia- ability to learn new info
-confabulation- fabricated memories
-thalamic and mammillary body lesions, possible damage hippocampus
-treat people with thiamine
15% mortality

Question 18

What medications are the treatment choice for alcohol withdrawal?

Answer 18

Benzos