Professional Documents
Culture Documents
DISORDERS
Alcoholism
most
Alcohol
causes
Prevalence
90%
of the
population
early to middle
teens most
people begin to
drink
1.3 men to 1.0
women
middle or late
teens to the mid-
Prevalence
Comorbidity
Antisocial
personality disorder
Mood disorders
Anxiety disorders
Suicide
Etiology
Psychological
theories
Psychodynamic Theories
Behavioral Theories
Sociocultural Theories
Childhood History
Genetic Theories
Psychological Theories
decreases
nervousness
helps them cope stress
enhanced feeling of well-being
improved ease of interactions
muscle tension
nervousness
tension
Psychodynamic Theories
fixated
Behavioral Theories
rewarding
effects of drinking
cognitive attitudes toward
responsibility for ones behavior
subsequent reinforcement
Sociocultural Theories
Ethnic
Groups
Environmental events 40% of
alcoholism risk
Childhood History
a
Genetic Theories
1.
Genetic Theories
1.
Effects of Alcohol
Effects of Alcohol
refers
Effects of Alcohol
Ethyl
alcohol
also called ethanol
common form of alcohol
beverage alcohol
used for drinking
Chemical formula: CH3-CH2-OH.
Effects of Alcohol
single
drink: 12 g of ethanol: 12
ounces of beer (7.2 proof, 3.6
percent ethanol in the United
States), one 4-ounce glass of
nonfortified wine, or 1 to 1.5 ounces
of an 80-proof (40 percent ethanol)
liquor (e.g., whiskey or gin
Effects of Alcohol
beers
Absorption
10%:
stomach
remainder: small intestine
Peak blood concentration of alcohol: 30
to 90 mins, usually in 45 to 60 minutes
Dependent on the time during which
the alcohol was consumed
Absorption is most rapid with
beverages containing 15 to 30 percent
alcohol (30 to 60 proof)
Metabolism
90
inhibited
glutamate receptors
voltage-gated calcium channels
Behavioral Effects
0.05
Sleep Effects
ease
ALCOHOL INTOXICATION
recent
ingestion of ethanol
maladaptive behavior
At least one of several possible
physiological correlates of
intoxication
ALCOHOL WITHDRAWAL
Impairment
Likely to be Seen at
Different Blood Alcohol
Concentrations
ALCOHOL WITHDRAWAL
Predisposed
by:
Fatigue
Malnutrition
Physical illness
Depression
ALCOHOL WITHDRAWAL
cessation
ALCOHOL WITHDRAWAL
low
ALCOHOL WITHDRAWAL
tremulousness classic sign
Tremulousness (commonly called the
shakes or the jitters) - 6 to 8
hours
psychotic and perceptual symptoms
- 8 to 12 hours
seizures - 12 to 24 hours
DTs anytime - first 72 hours to the 1 st
week
ALCOHOL WITHDRAWAL
general
irritability
Gastrointestinal
Anxiety
Arousal
Sweating
facial flushing
Mydriasis
Tachycardia
mild hypertension
ALCOHOL WITHDRAWAL
general
irritability
Gastrointestinal
Anxiety
Arousal
Sweating
facial flushing
Mydriasis
Tachycardia
mild hypertension
WITHDRAWAL SEIZURES
stereotyped,
WITHDRAWAL SEIZURES
The
primary medications:
benzodiazepines
help control seizure activity, delirium,
anxiety, tachycardia, hypertension,
diaphoresis, and tremor
orally or parenterally
neither diazepam (Valium) nor
chlordiazepoxide (Librium) not given
IM
Delirium
most
Delirium
essential
activity
Delirium
5
% of hospitalized alcohol-related
disorders
Usually begin in a patients 30s or
40s
Physical illness predisposes to the
syndrome
Delirium
Prevention:
Benzodiazepine
Delirium: chlordiazepoxidine