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Alcohol

Week 3
Reading Assignments: Chapter 9

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Objectives
• To provide information about alcohol
• To assist students in understanding
consequences of alcohol use
• To assist students in understanding drug
interactions
• To educate students about the symptoms of
toxicity, overdose and withdrawal
• To motivate students to make informed
choices about alcohol use
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Overview

• Review the following website and the links


at the bottom to find out about how alcohol
affects everything from energy, to memory
and sleep and even sex.
• Comprehensive Alcohol Information Resource

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Origins

• Primer on alcohol history, manufacture and effect


Surf this site thoroughly to get a general
overview of alcohol.

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Alcohol and the
College Student
Multimedia College Alcohol Information

• Review all 6 lessons on the above site thoroughly


– First year students
– Athletes
– Greek Life
– DUI
– Virtual Bar
– The Brain
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Descriptions
• Alcohol Proof vs. Percent Click here and review
the chart
– Beer 8-12 proof
– Wine 14-30 proof
– Champagne 16-28 proof
– Coolers 4-8Proof
– Rum 80-160 proof
– Vodka usually 80-160 proof
– Everclear 151-190 proof

– How Much Alcohol Is In A Drink


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Demographics
• Pages 210-12 and 242

• College Drinking Thoroughly read this website


for information about college drinking,
consequences and prevention of drinking
problems

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Effects
• Emotional
– Initial feelings of calm and relaxation followed
later by the longer lasting stimulant/jittery
effects
• Cognitive
– Alcohol has been shown to impair memory and
good judgment.

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Effects cont…
• Physical
– Even though it relaxes you, alcohol interferes
with getting quality sleep
– It is also a diuretic
• Social
– Alcohol can make you feel more talkative, but
whether this is due to the alcohol or your
expectations has yet to be scientifically proven

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Pharmacology

• Alcohol is a system depressant with a longer-


lasting stimulant effect.
• It increases serotonin making you feel calmer
• Combining alcohol with anti-anxiety medication
or sleep aids will dangerously and unpredicatably
increase its effects

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Pharmacology cont…
• Combining alcohol with caffeine produces an
awake drunk
• Alcohol can increase the effects of stimulants if
they are taken as the “relaxing properties” are
wearing off.
• Persons with anxiety and/or panic disorders are
more likely to have a panic attack when the
alcohol is wearing off

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Metabolism/Metabolic
Tolerance
• Blood-Alcohol Calculator
• As your body gets used to the alcohol, more is
required to give you the same “buzz” this is
tolerance.
• As the liver begins to break down, people will
actually experience a sensitivity and get the same
effects from drinking less.

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Things Affecting Effects
• Amount of food in your stomach
• Your hydration level
• Your expectations
• Any other medications you are taking
• Temperature of the drink
• Carbonation
• Your body fat composition
• Your weight in general
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Symptoms of Toxicity

Sometimes when a person drinks too much,


they pass out. This is the body’s way of
protecting itself by not allowing the person
to drink more. But when someone drinks a
lot of alcohol very quickly, they may not
pass out in time, and may drink enough to
cause them to slip into a coma and die
(alcohol overdose).
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Symptoms Of
Alcohol Overdose
• severe vomiting or vomiting while "sleeping" or
passed out and not waking up after vomiting
• not responding to being talked to or shouted at
• not responding to being pinched, shaken, or poked
• being unable to stand
• not responding to efforts to be awoken
• slow and labored breathing
• turning a purplish color or having cold, clammy
skin
• having a rapid pulse rate
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Symptoms of Alcohol
Detox article
Withdrawal Syndrome
• Minor withdrawal symptoms: insomnia, tremulousness,
mild anxiety, gastrointestinal upset, headache, diaphoresis,
palpitations, anorexia: 6 to 12 hours
• Alcoholic hallucinosis: visual, auditory, or tactile
hallucinations: 12 to 24 hours
• Withdrawal seizures: generalized tonic-clonic seizures: 24
to 48 hours
• Alcohol withdrawal delirium (delirium tremens):
hallucinations (predominately visual), disorientation,
tachycardia, hypertension, low-grade fever, agitation,
diaphoresis: 48 to 72 hours
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Interaction with Other Drugs (Web Link)

• Depressants (GHB,) pgs. 352-353


– Barbiturates (Phenobarbital) pgs. 341-2
– Benzodiazapines (Valium, Xanax, Rohypnol,
Klonapin) pg. 349
• Hallucinogens (LSD, PCP)
• Marijuana
• Opiates pg. 123

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Interaction cont…
• OTC
– Antihistamines
– Decongestants
• Stimulants
– Amphetamines
– Aderall
• Ecstasy/MDMA
Alternate drug interactions site

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Legal Issues and
Consequences

DUI/DWI

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Think About It
• http://wm.atlrec.com/simple_plan/video/untitled_450.wm

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Issues in Pregnancy

• The effects of alcohol on an unborn


baby are many times more severe
than that of “illicit” drugs.

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Alcohol-Related Birth
Defects Include:
• Fetal Alcohol Syndrome (FAS) characterized by

1. central nervous system problems


2. low birth weight and height
3. typical facial features

• Fetal Alcohol Effects (FAE) which result from


maternal alcohol abuse but are found in the
absence of the full-blown syndrome

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The facial features of
Fetal Alcohol Syndrome are:
• Small eyelid openings (palpebral fissures)
• Short, upturned nose
• Long upper lip (from nose to mouth) with a
thin red border and a deficient central groove
(philtrum)
• Reduced size of the head (microcephaly)

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NORMAL FAS
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MATERNAL ALCOHOL ABUSE IS
THE LEADING KNOWN CAUSE OF
MENTAL RETARDATION IN THE
WESTERN WORLD

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Children with alcohol-related
birth defects typically have:

• attention deficits
• language difficulties
• learning disabilities
• impulsive behavior
• poor judgment

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The amount and timing
of maternal alcohol use
determine the type and extent
of resulting birth defects.

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By the ninth week of
development the human
fetus is about 24mm. long.
Damage caused by
alcohol to the brain at this
time and until birth can
result in abnormal brain
function.

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Alcohol-related birth defects are
expensive:
• Monetarily — for treatment, care, and lost
productivity. Costs are between $800,000 - $2
million over a lifetime for each individual with FAS.
• Socially — relative to delinquency and to emotional
drains on involved families.

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Despite warnings, frequent drinking
among pregnant women
appears to be increasing.

Frequent drinking is defined as 7 or more drinks


per week or 5 or more drinks on at least one
occasion.

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Effects on
Sports Performance

• ESPN Alcohol and the Athlete


• Gatorade Sport Sciences Institute Alcohol and Performan

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Rumors and Myths

Alcohol Facts and Fiction

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Additional Resources

Alcoholism: Are you at risk?


Facts about Alcoholism

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Summary

• Overview Online Reading


• Strategies for Responsible Use
– Designate a driver
– Do not drink when you are taking other
medications
– Do not drink within 48-hours of an athletic
event
– Do not drink when pregnant
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