RU Aware?


Page 12: Printable Document Without Graphics



Page 1: Test Your Alcohol Knowledge: Alcohol Awareness Quiz

TRUE OR FALSE

  1. Alcohol is a mood altering stimulant.

  2. Drinking coffee or taking a cold shower will sober you up.

  3. The affects that alcohol has on the body vary according to the individual.

  4. The most serious consequence of consuming alcohol is a hangover in the morning.

  5. Blood alcohol charts are a safe and accurate means of determining how much alcohol is circulating in your blood stream.

  6. If an intoxicated person is semiconscious, you should encourage vomiting.

  7. Women respond to alcohol differently than men do.

  8. In Virginia, if you are under 21 and are caught driving with a blood alcohol level of 0.05, you could lose your drivers license for six months.

  9. Alcohol increases your sexual drive and ability.

  10. It is okay to put your drunk, passed out friend to bed and go back to the party.


Answers To The Alcohol Quiz

  1. Alcohol is a mood altering stimulant.

    FALSE - Alcohol is a mood altering drug that depresses bodily functions.

  2. Drinking coffee or taking a cold shower will sober you up.

    FALSE - Nothing but time will sober a drunk.

  3. The affects that alcohol has on the body vary according to the individual.

    TRUE - The affect that alcohol has on you is dependant on your sex, your weight, how fast you metabolize alcohol, the situation, your mood, and presence of food in the stomach. If you are a woman, the affects also depend on the time of your menstrual cycle and if you are on the birth control pill.

  4. The most serious consequence of consuming alcohol is a hangover in the morning.

    FALSE - The consumption of enough alcohol will cause death. This level is dependant on the individual.

  5. Blood alcohol charts are a safe and accurate means of determining how much alcohol is circulating in your blood stream.

    FALSE - Often these charts only take into account your weight and the number of drinks that you have drank. These charts can be used as a guideline, but there are no guarantees to their validity in regards to you.

  6. If an intoxicated person is semiconscious, you should encourage vomiting.

    FALSE - Encouraging the semiconscious person to vomit could cause choking and/or aspiration.

  7. Women respond to alcohol differently than men do.

    TRUE - Women respond more quickly to alcohol due to their smaller body size and body fat distribution, a decreased amount of alcohol metabolizing enzyme, and due to increased hormonal changes.

  8. In Virginia, if you are under 21 and are caught driving with a blood alcohol level of 0.05, you could lose your drivers license for six months.

    TRUE - In Virginia persons under 21 with a blood alcohol level of 0.02 - 0.79% will lose their drivers license for six months. A blood alcohol level over 0.8 results in a DUI.

  9. Alcohol increases your sexual drive and ability.

    TRUE AND FALSE - Alcohol decreases your inhibitions, which factor into an increased sexual drive. However, alcohol decreases sexual functioning and is linked to the reduction of the male hormone testosterone.

  10. It is okay to put your drunk, passed out friend to bed and go back to the party.

    FALSE - NEVER LEAVE AN INTOXICATED PERSON ALONE. Stay with the person and frequently assess them for alcohol poisoning.


Page 2: The Three Steps of Drinking

ABSORBING
Once alcohol is swallowed, it is not digested like food. Instead, a small amount is absorbed directly by the mucosal lining of the mouth. Once in the stomach, alcohol is absorbed directly into your blood stream through the tissue lining the stomach and small intestine. Food, water and fruit juice help to slow this absorption, while carbonation works to speed absorption.

TRANSPORTING
Once alcohol is in your blood stream, it is carried to all the organs of your body. In the majority of healthy people, blood circulates through the body in 90 seconds, thereby allowing alcohol to affect your brain and all other organs in 90 seconds. The affects of alcohol on the body will vary according to the individual; their sex, their body make-up, the amount and type of alcohol consumed, the situation, and the presence of food in the stomach.

CHANGING
Alcohol is a drug that must be changed into a non-harmful substance. Ten percent of the alcohol is eliminated through sweat, breath, and urine. Your liver must detoxify the remaining alcohol. The liver detoxifies, or breaks down, alcohol at a rate of one half of an ounce per hour. However, some people cannot detoxify that much alcohol in an hour. Nothing will speed this rate. When the rate of alcohol consumed exceeds the liver’s detoxification rate, the amount of alcohol in the bloodstream continues to increase, further impairing the brain, causing intoxication, coma, or possibly death.


Page 3: The Affect Of Alcohol On You

The affects that alcohol have on the body are consistently predictable regardless of the use pattern. Alcohol is a mood altering depressant drug. The reason that alcohol can cause such extensive damage to the body because it can go everywhere. There is no body cell resistant to alcohol. The first stop is the stomach, where without food, alcohol is absorbed directly into the blood stream. Food will actually slow the absorption of alcohol as will fruit juice and water. Vomiting, one of the body’s defenses against an alcohol overdose, and is caused when you drink too much.

Alcohol moves quickly to the brain and passes the blood-brain barrier, which normally keeps harmful substances away from the brain. In the brain, alcohol affects the neurons, causing judgement problems, coordination problems, and a host of other problems.

Once in the blood stream, alcohol goes to the liver for detoxification, or break down, by the alcohol-attacking enzyme alcohol dehydrogenase. Eventually, the alcohol is broken down and excreted from the body.

Your Appearance - If you want to have clear skin and bright eyes, don’t drink alcohol. According to researchers, more than one or two drinks a week promote aging. Alcohol is considered a food with non-nutritional calories that quickly add up. When you abuse alcohol, you tend to be undernourished, making your hair dry, giving you cracked lips, aggravating acne, making your eyes look glassy, and giving your skin a puffy broken vein look.

Your Brain - Alcohol is a depressant that slows brain activity down. While one or two drinks makes most people feel relaxed, more alcohol may cause feelings of anxiety, depression, and often aggression. Alcohol’s first effect as it reaches the outer brain is to distort your judgement and lower you inhibition, while producing euphoria (a sense of pleasure). As you consume more alcohol, and it reaches the cerebellum, your coordination and perception are affected, and you can have memory blackouts. As the alcohol reaches your mid-brain, reflexes diminish, you experience confusion, stupor, and may lapse into a coma. Once the alcohol finally reaches the medulla, or inner core of the brain, your heart rate drops and breathing ceases, resulting in death. Research suggests that continued alcohol use can cause depression. Alcohol robs brain cells of water and glucose, the brain’s food, contributing to a hangover the next day.

Your Gastrointestinal Tract - The stomach is irritated by alcohol, causing increased stomach acid production, causing heartburn and eventually ulcers. Alcohol use is linked to cancer of the mouth, esophagus, stomach, and intestines. The liver, due to it’s role in breaking down alcohol, suffers the most damage. Alcohol use leads to destruction of liver cells, fat accumulation around the liver, and cirrhosis which is a fatal condition. Alcohol is also a diuretic, which causes the kidneys to increase urinary output, contributing to dehydration and your hangover.

Your Reproductive System - Although the research here is new, it is know that alcohol decreases the male hormone testosterone. Long-term use causes not only decreased function, but size. The use of alcohol in men and women causes increased sexual desire, but decreased performance. Alcohol is toxic to unborn children causing permanent tissue and organ damage.

Other - Alcohol depresses the body’s immune system making it easier to get sick. It also disrupts your sleep patterns, further depressing the immune system. Alcohol has been linked to an increased risk of breast cancer, high blood pressure, diabetes, kidney disease, heart disease, constipation, and strokes.

* Adapted from, Taibbi, R. (1994). How alcohol affects you. Current Health, 2, p. 16-19.


Page 4: Blood Alcohol Levels And Metabolism

There are many factors that affect the rate of intoxication and the metabolism of alcohol. No two people process alcohol at the same rate. The presence of food in the stomach decreases the rate of absorption. Fasting (not eating) increases stomach emptying, thus increasing the rate of absorption. Alcohol mixed with water or fruit juice is absorbed slower, while alcohol mixed with a carbonated beverage is absorbed faster.

Body weight and composition are two other factors that effect these rates. Men tend to handle alcohol better than women do. This is because men are generally larger, thus have a larger blood volume, and carry less body fat. Body fat contains little water for the body to use in diluting alcohol. Men also have more of the alcohol metabolizing enzyme, alcohol dehydrogenase.

The situation, your mood, and why you have chosen to drink on a particular occasion effect how alcohol affects you. The body does develop a physical and psychological dependance to alcohol over time. Increased drinking increases your tolerance, requiring more alcohol to cause an affect in you. The type and concentration of alcohol consumed effect the rate of intoxication and metabolism. Most people consider one drink to be equivalent to one 12 ounce beer, one 80 proof mixed drink or shot of liquor, or one five ounce glass of wine.

So, blood alcohol concentration (BAC) charts are a good guideline to use in determining my level of intoxication, right? Wrong. BAC charts should only be used as a very general guideline. Usually, BAC charts are based only on body weight, number of drinks per hour, and a metabolism rate of 0.5 ounces per hour. The charts do not take into account gender differences, body composition differences, use of medication, mood changes, or your personal metabolism rate. Be very careful when utilizing these references and remember to take all of these factors into account.

The following is a generalized alcohol affect chart based on a 150 pound person, metabolizing 0.5 ounces of alcohol per hour, that has eaten. Please note that 50% of the persons who attain a blood alcohol level of 0.4 will die!

Blood Alcohol Level Affect On Body
0.02 Slight mood changes
0.06 Lowered inhibition, impaired judgement, decreased rational decision-making abilities.
0.08 Legally drunk, deterioration of reaction time and control.
0.15 Impaired balance, movement, and coordination. Difficulty standing, walking, talking.
0.20 Decreased pain and sensation. Erratic emotions.
0.30 Diminished reflexes. Semi-consciousness.
0.40 Loss of consciousness. Very limited reflexes. Anesthetic effects.
0.50 Death.

Caution

Death has been documented to occur at levels as low as 0.35. Remember, each person is different.

Also, the absence of symptoms does not guarantee safe or low blood alcohol levels. With regular drinking a person develops a tolerance to alcohol that will reduce the outward appearance of high blood alcohol levels.

Page 5: The Myths and Facts of Alcohol

There are many little known facts and many known myths about alcohol and its consumption.

Some of the myths include:

Myth: "The worst thing that can happen is that I’ll pass out and have a hangover tomorrow."
The fact is that death can and does occur from drinking too much alcohol. This is known as alcohol poisoning or acute alcohol intoxication and occurs when the level of alcohol in the body acts as a poison, causing death from the drug overdose. Another way that alcohol can cause death is due to alcohol related accidents, such as drunk driving, falls. and suicide.
Myth: "People pass out from drinking all the time. It’s nothing to worry about."
The fact is that you pass out due to the body’s inability to tolerate the amount of alcohol that you have put into it. Alcohol is a central nervous system depressant that works to slow down the heart rate, lower your blood pressure, and slow your breathing rate. Once your brain has been depressed enough by the alcohol, you pass out. The amount of alcohol it takes to make you pass out is dangerously close to the amount of alcohol it takes to make you dead!
Myth: "The best thing to do for someone who is drunk is to put them to bed and let them sleep it off."
Although this is partly true, the fact is that a drunk person is helpless and must be cared for. DO NOT LEAVE A DRUNK (INTOXICATED) PERSON ALONE!!!!! Stay with the person, check their breathing, check their skin temperature, and frequently try to wake them. Click here to learn more about how to care for an intoxicated person.
Myth: "If my friend passed out, I wouldn’t call for help. I couldn’t live with myself if I got them in trouble".
The fact is that if you don’t call for help, your friend may not live to be mad at you. When someone passes out from drinking too much, they are unconscious and have consumed too much alcohol. This person is suffering from alcohol poisoning and needs medical attention.


Did you know that. . . . . . . . . . . . . . . . .


Page 6: How To Take Care Of An Intoxicated person

Unfortunately, getting drunk is common on the college campus. Because of this you are likely to come into contact with a person who is intoxicated or experiencing an episode of life-threatening acute alcohol intoxication (alcohol poisoning). How do you care for this person? How do you tell if the person is acutely intoxicated? What should you do? Listed below are some of the signs and symptoms of intoxication, alcohol poisoning, and the appropriate actions to take. This list is not all inclusive.

IDENTIFICATION

Alcohol affects each individual differently. The affect of alcohol on a person will vary according to the person’s mood, the time of day, amount of food in the stomach, the mixer used, how fast the person drinks, what and why they are drinking.

Signs of intoxication:

CARE

ASSESSING THE INTOXICATED PERSON

Any person that has altered consciousness, slowed respirations, or cool, pale skin is experiencing acute alcohol intoxication (alcohol poisoning). This is a medical emergency and you MUST get help.

DO NOT. . . . . . . . . . . . .

REMEMBER: THE ONLY THING THAT CAN SOBER A DRUNK IS TIME!!!!


Page 7: Critical Information For Women Surrounding Alcohol

Men and women do not respond to alcohol in the same way. Current research indicates that women are not as efficient "drinking machines" as men. There are many factors that influence this difference.

  1. Body size is the first factor. Women are, on the average, built smaller than men. Therefore, equal amounts of alcohol cause a higher blood alcohol concentration in women due to the smaller blood volume.

  2. Body composition is the second factor. The average female carries more body fat than a male. Body fat contains little water. When consumed, alcohol dilutes in water. Therefore, a female has less body water to dilute alcohol in, causing a higher blood alcohol concentration, even if two equally sized men and women drink the same amount of alcohol.

  3. The third factor is a metabolizing enzyme that helps rid the body of alcohol called alcohol dehydrogenase. Women have less of this enzyme than men do. Therefore, more of the alcohol that women drink enters the blood stream as pure alcohol, and stays there.

  4. Finally, a woman’s response to alcohol is increased due to hormonal changes when a woman is about to have her period, or is taking the birth control pill.

For these reasons, women can expect more impairment from alcohol than a man consuming an equal dose of alcohol. Preliminary research suggests that women develop problems with alcohol more quickly and severely than men do. Therefore to reduce your risk, it is suggested that women limit their consumption to no more than one drink per hour, no more than one drink per day, and never more than four times per week.

Remember, this is not an issue of equality, but one of health.


Page 8: Alcohol And The Law

***NOTE: This information is from the Virginia Department of Alcoholic Beverage Control and is based on Virginia State Law. Please check the laws of your state for more information.

According to a study conducted by the National Highway Transportation Safety Administration, by raising the legal drinking age in Virginia to 21, the lives of 153 youngsters has been saved over the past seven years.

LEGAL FACTS

VIRGINIA’S USE AND LOSE LAW

According to VABC, If you are 16 and over, possessing alcohol can cause you to lose your license for six months. . . . . if you are under 16, you cannot apply for your driver’s license until you are 16 years and six months old.

To arrange an informative and interesting custom-designed presentation on current ABC laws or other alcohol-related topics for your school group or club, contact ABC’s Office of Public Affairs and Educational Services at (804) 367-0651.


Page 9: Links to Alcohol Related Sites

Bacchus and Gamma Peer Education Network

http://www.linkmag.com/bacchus
This is a university and college based organization that strives to promote alcohol education and abuse prevention on campuses. This site includes information on obtaining education materials on these topics

The National Clearinghouse for Alcohol and Drug Information

http://www.health.org
'Prevline: Prevention Online' is a great site with loads of information including alcohol related statistical information, current research, current events, and even more links. This page would be a helpful resource for those in need, as well as for those desiring background information for continuing research.

Official Alcoholics Anonymous (A.A.) Homepage

http://www.alcoholics-anonymous.org
Try this link to learn more about how to contact A.A., the history of A.A., and how to become a member. This page is available in French, Spanish, and English.

A.A. Meetings Online

http://www.crl.com/~pac/aa/
A chat room for serious individuals who want to learn more about A.A. or who are in need of a good support group. Information on related mailing lists are available here.

Unofficial A.A. Page

http://www.halcyon.com/carrick/aa/aa-home.html
Another A.A. Page that includes much of the same information as the official page, but look here for names of related news groups.

Al-Anon / Alateen

http://solar.rtd.utk.edu/~Al-Anon/
Support network for friends and family of a person in need.

For The Nontraditional

http://www.glasswing.com/~ecartoun/alcohol.html
This link is a file within Emilie Cartoun's web site. She includes resources for the religiously nontraditional individual. Help for families is included also. To see her home page go to http://www.glasswing.com/~ecartoun/. I don't provide a link to the home page due to its unrelated nature.

To arrange an informative and interesting custom-designed presentation on current ABC laws or other alcohol-related topics for your school group or club, contact ABC’s Office of Public Affairs and Educational Services at (804) 367-0651.


Page 10: Questions?

This page is your chance to interact with a health professional. If you have any questions about alcohol that have not been answered, please feel free to email any of the following people:

Joyce Walter
joyce_walter@collegiate.com

Joyce is the Director of Student Health at Radford University. She has her Master's in Health Education from Pennsylvania State University and is a certified Health Education Specialist. She also has substantial experience in substance abuse education.

Betty Jones
bbjones@ruacad.ac.runet.edu

Betty is the Substance Abuse & Sexual Assault Educator at Radford University. She heads the Radford Chapter of Bacchus, the peer education network for alcohol awareness.

Karma Castleberry
kcastleb@runet.edu

Karma is a nursing instructor at Radford University's School of Nursing. Her background includes psychiatric nursing.


Page 11: The People Who Created This Page

My name is Erin Ratcliff. I have spent most of my life growing up in Blacksburg, Virginia. I attended Virginia Tech for two years majoring in Biology. I then transferred to Radford University Nursing School where I will graduate with a bachelor's degree in Nursing on May 4th, 1996. My present career goal is to obtain a job nursing in Blacksburg. Then I would like to go back to school, hopefully at Radford, to obtain my Master's Degree and Nurse Practitioner. I would like to specialize in Family Planning and Women's Health, eventually going into independent practice. One of my favorite things is my cat named Tiger even though she is sometimes strange.

Hi, my name is Letitia Rexrode. I am a graduating senior from Radford University School of Nursing. I am from the small, rural county of Highland in Virginia. Along with becoming a nurse, I am also a volunteer emergency medical technician - shock-trauma. I have been active in the rescue squad both at home and locally here in Blacksburg, VA for two and a half years. I plan to expand my pre-hospital patient care by obtaining my paramedic certification within the next two years. Critical care nursing is my primary career focus. I am going to further my nursing education and practice by obtaining my Master’s degree, becoming a flight nurse, and retiring from flight nursing into the role of a nurse practitioner.

Originally from Waynesboro, Chris Bigsby is a graduating senior from Radford University's School of Nursing. She is a member of Sigma Theta Tau, the professional honor society for nursing, and Phi Kappa Phi, a university-wide academic honor society. She also has a bachelor's degree from Virginia Tech (1991). She majored in Animal Science, with a Biology minor and a strong Chemistry emphasis. She is interested in further education, possibly in Women's Health. She has a Dalmatian and a Thoroughbred horse.


Page 13: References

Alcoholism and Drug Abuse Council of Nebrasksa, The. (1992). Out of the blue and into the . . . black: Acute alcohol intoxication [Brochure].

Alcoholism and Drug Abuse Council of Nebraska, The. (1992). Reducing risk for alcohol-related problems . . . by the numbers [Brochure].

BACCHUS of the U.S., Inc. (1993). Alcohol poisioning [Brochure]. The BACCHUS and GAMMA Peer Education Network: Author.

Radford University. Alcohol abuse [Brochure]. Jones, B.: Author.

Radford University. Alcohol facts and info [Brochure]. Jones, B.: Author.

Taibbi, R. (1994). How alcohol affects you. Current Health, 2, 16-19.

Virginia Department of Alcoholic Beverage Control. Zero tolerance [Brochure]. Virginia Department of Alcoholic Beverage Control: Author.