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Flashcards in Alcohol Deck (24)
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1

Alcoholism

Scoial, environmental, genetic
Inability to control consumption
Continue despite neg consequences
Distorted thinking patterns (denial)
Physiological state requiring medical treatment
Undue emphasis on alcohol

2

Effects

Impairs senses
Decrease sensitivity in general
Impairs motor skills
Impairs sexual function

3

Physical process

Absorbed into bloodstream through stomach walls and intestine
15 minutes to reach bloodstream
1 hour to reach peak
Carried to liver, heart, brain
Cannot leave until metabolized by liver
Diuretic and causes dehydration
Lowers body temp

4

Brain effects

Alters behavior -- more relaxed, less inhibited
Deficits in concentration, memory, judgment, motor control
Long term intelligence and memory impairment
Depresses CNS, slows neuron activity in brain
Can culminate in unconsciousness, coma, death
Many drinks can debilitate CNS

5

Response to alcohol

Liver only process 1/2 oz/hour
Heavy drinking = higher intoxication
More potent forms get into bloodstream more quickly
Heavier indiv. tolerate better
Women tolerate less well - less enzyme that neutralizes
Older people - less water, less tolerance
Empty stomach or lack of tolerance exacerbates

6

Recommended levels

1 drink/day can reduce heart disease
NIAAA: men 2 a day, women 1 a day

7

Cardio and Immune System

Positive effects if light drinking.
Healthier hearts, lower cholest = lower risk of heart disease
Heavy drinking weakens heart (esp w/tobacco + cocaine)
Chronic use inhibits white blood cells (fight infection) and red blood cells (carry oxygen)
Ill people shouldn't drink
Suppresses immune system

8

Digestive

Broken down in stomach and absorbed by lining.
Irritates lining, causing nausea and ulcers
Liver converts to fat.
Heavy drinking leads to fatty liver
Eventually wbc's will attach liver, causing irrep. damage

9

Death

Injury, accidents, illness
Youth: injury Older: illness
1/2 of all traffic fatalities
1/2 of all homicides
1/4 of all suicides
Cirrhosis of liver
1/2 of all people admitted to hospital have alcohol health problem

10

Combo with other meds/drugs

Exacerbates b/c ingredient affects same area of brain
Increases pharmacological effects
Synergistic combo: antidepressant, anti-anxiety. Can be fatal
Aspirin can diminish stomach's ability to process alcohol

11

Social drinking

Light: 3 or less/week
Moderate: 12/week but not impaired in any life area

12

Reasons why people drink

Relaxation
Escape
Celebration
Feel smarter, sexier, etc.
Emulate admired people
Media persuasion
Peer pressure

13

Female alcoholism

Less likely to abuse
Diff reasons than men
Genetic susceptibility
Parental drinkers, psychiatric probs, suicide attempts
Sexual or physical abuse
Depression
Married women less likely (cohabiting most likely!)
Triggers: losing social role: job, kids grow up, divorce, death
Less likely to admit, blame on depression or anxiety
Care is lower quality: Lower incomes, burden of children

14

Binge drinking

5+ drinks in a sitting, 4+ for women

15

Type I and II

Type I: heavy after 25, personal misfortune, guilt
Type II: before 25, close relative, no guilt

16

Causes

Escape psych problems
Depression and anxiety
Parent abuse
Children of alcoholics more likely to have poor functioning

17

Driving

Most common crime
Many communities offer free rides
Police checkpoints
National: BAC of .15% or higher
CA: BAC of .08% or higher

18

Interventions

Brief interventions (for people not physically dependent) last 8 weeks, center on self esteem.
Moderation training: skills to manage drinking. Controversial b/c only good choice is abstinence (so they say) Advocates say more realistic, for less severe cases.

19

Detox

Gradual removal of alcohol
Mostly no major w/d symptoms
Heavy drinkers: Seizure, DTs. stops after 3 days

20

Treatment

Early stage: antidepressant or anti-anxiety meds
Vitamin supps
Antabuse (didulfiram
Avoid foods cooked with alc

21

Inpatient/Outpatient treatment

4 day stay 70% effective.
Expensive, Ins companies won't pay
Outpatient now preferred method: group therapy, family therapy, interventions, A.A.

22

Recovery

90% of recovering alcoholics fall off wagon
Success: people who will lose something, i.e. parents or jobs
Exercise
Stress reduction

23

Alcoholics Anonymous

Force to admit problem
Rely on one another: sponsor
12 step program: take responsibility, own up to problems, ask god for help (!)

24

Rational Recovery

Similar philosophy sans God