1 Class Notes for Health Unit 6 Alcohol and Tobacco Alcohol is a class of chemical compounds. The active ingredient is ethanol or ethyl alcohol, often referred to as just alcohol. Alcohol is the most abused drug in the U.S. The alcohol percentage in wine and beer is noted on the label. (e.g. approximately 4% for domestic beer and 12% for most wines). In a bottle of "hard liquor" (vodka, gin, scotch etc.), the percentage of alcohol is half of the "proof" which is listed on the bottle. (A bottle of 90 proof vodka is 45% alcohol) Liquor is processed or distilled from different food sources. Bourbon - corn Whiskey- rye Scotch - barley Vodka- rye, corn, potatoes Rum- sugar cane Alcohol is rapidly absorbed into the circulatory system unless food is present to slow it down. Alcohol affects the brain, nerves, muscles and blood vessels 2 Alcohol passes through the liver, which filters the blood. The liver removes the toxins from the alcohol but will be damaged over time. (Approximately 1 drink per hour). Excess alcohol builds in the body. Alcohol Equivalents 1 ounce of hard liquor 12 ounces of beer 3-4 ounces of wine 1 (10 ounce) wine cooler BAC (blood alcohol concentration) BAC is the amount of alcohol in a person's blood. Alcohol is a toxin (poison). The body breaks it down and excretes it. 3 Factors That Affect BAC Amount Consumed- the number of drinks affects BAC Speed of Consumption- drinking faster increases BAC Body Weight- heavier people have a higher volume of blood and can therefore consume more Percentage of Body Fat- persons with a higher percentage of body fat will have a higher BAC after one drink than a person with a lower percentage of body fat Gender- BAC rises faster in females (higher % of body fat, hormones making females more sensitive to the effects, less of a stomach enzyme that breaks down alcohol before absorption) Food Consumption- alcohol passes into the bloodstream faster when the stomach is empty Presence of Other Drugs- tranquilizers and analgesics increase the depressant effects of alcohol Age- elderly people have a lower blood volume Carbonated Alcoholic Beverages- carbonation speeds absorption into the bloodstream 4 Physiological Effects of Alcohol Alcohol is a depressant Alcohol is a vasodilator (opens the blood vessels) Depth perception is impaired Reaction time is delayed Speech is slurred Users may become aggressive, angry and violent Breathing and heart rate slow down Users may pass out, become comatose or die 5 The Hangover Headache pain, unpleasant sensations in the mouth, nausea, dehydration and vomiting are all forms of withdrawal from alcohol. Ethanol has a dehydrating effect by causing increased urine production. It is a diuretic. The dehydration may cause headaches, dry mouth and lethargy. Dehydration causes the brain to shrink away from the skull slightly. Alcohol's effect on the stomach lining can cause nausea. Headache is caused by the brain re-hydrating itself. Presently, the only "cure" for a hangover is the passage of time. Drinking a large amount of water or a re-hydrating drink prior to sleep will effectively reduce many symptoms. Exercise after heavy intoxication helps the heart pump blood around the body and increases oxygen levels. Jogging allows the heart rate to increase and help the body get over a hangover. 6 Cirrhosis The liver removes poisons from the blood as well as germs and bacteria. It also makes bile break down lipids. In cirrhosis, scar tissue replaces normal, healthy tissue. This blocks the flow of blood through the organ Cirrhosis has many causes but chronic alcoholism and hepatitis C are the most common. Alcoholic Liver Disease -The amount of alcohol that can injure the liver varies greatly. In women, as few as 2-3 drinks a day have been linked with cirrhosis and as few as 3-4 in men. Alcohol seems to injure the liver by blocking the normal metabolism of protein, fats and carbohydrates. Chronic hepatitis C This virus causes inflammation of and damage to the liver that can lead to cirrhosis. Symptoms of Cirrhosis Exhaustion Weakness Fatigue Weight Loss Loss of appetite Abdominal pain Nausea Damage cannot be reversed but treatment can delay further complications. 7 Violent Crimes and Alcohol Use 64% of murders 41 % of assaults 34% of rapes 30% of suicides 60%of child abuse Antabuse (disulfiram) - this drug is used in recovering alcoholics. It causes severe nausea and vomiting if the alcoholic sneaks a drink while on it. Withdrawal from Alcohol A severe form of withdrawal from alcohol is the DT's (delirium tremors). This condition requires medical attention. It is a state of mental confusion with hallucinations and continual movement. FAS Fetal alcohol syndrome causes mental and physical defects in newborns due to mothers ingesting alcohol during pregnancy. Tobacco Active ingredient- nicotine Nicotine is a stimulant and a vasoconstrictor (narrows blood vessels). 8 Statistics show that approximately 5,000 children light up for the first time daily. One out of five high school seniors smoke regularly. The withdrawal effects of nicotine are extremely difficult to deal with. The most harmful effects of smoking are the tars that become trapped in the lung tissue. Smokers that smoke 1-3 packs daily accumulate ¼ to 1 ½ pounds of black tar in their lungs annually. Tar is the primary cause of emphysema. It is a disease of the lungs where the alveoli burst and form open pockets of space in the lung. The lung tissue does not regenerate. Premature deaths in the U.S. due to smoking total 485,000 annually. Smokers will feel the benefits of quitting almost immediately. Within 20 minutes of their last cigarette, blood pressure will drop to normal levels. Within 3 hours blood levels of oxygen return to normal. After 72 hours the nicotine is out of the blood and lung capacity is increasing. Over time olfactory and taste sensations improve. The lungs can eventually return to normal color and function.