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Alcoholism
Winemaking Tradition Requiring the Fermentation of the Sugar in Grapes with Yeast to Form Alcohol
Engraving of ‘Gin Lane’ by William Hogarth  (1697-1764)  showing the popular opinion that the ‘lower classes’ drank gin and got drunk.
[object Object],[object Object]
What is Alcohol? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Alcohols ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ethyl Alcohols’ Local Effect ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ethyl Alcohol’s Overview Effect ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Effects CNS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CNS Progressive Effects Death 410 + Lossbladder,dif breath, slowHR Cc,fb,cere,bs, entire brain Unconsci, coma, death poss 310-400 Slurred speech, blance, temp Cc,fb,cere, brainstem Aggression, stupor, depress 210-300 Reason, obnox, perceptions Cc,fb, cerebellum Mood swing, sad anger, mania 110-200 Fine coordinat, Visual tracking Cc and forebrain Pleasure, numb feelings, sleep 60-100 Alertness Judgement Cerebral Cortex Relax, sense of wellness, loss of inhibition 10-50 Impaired Brain Changes BAC (mg%)
Central Nervous System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alcohol Induced Brain Damage
CV  GIT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Renal  Liver ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effect of Chronic EtOH on the Liver Healthy  Fatty  Cirrhotic
Pharmacokinetics of Ethanol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview Metabolism of Alcohol ,[object Object],[object Object]
Metabolism and Excretion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacodynamics ,[object Object],[object Object],[object Object],[object Object]
French Paradox? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Selective Significant Drug Interactions with Alcohol GI bleeding  Additive ASA NSAIDs n/v/flushing, HA, sweating, inc HR hypotension, Accumulation of acetaldehyde  Disulfiram metronidazole Enhanced CNS depressant effects Additive Antihistamines, antidepressants, opioids, sed-hyp, antianxiety, antipsychotic drugs Possible Effect Mechanism Substances
Fetal Alcohol Syndrome ,[object Object],[object Object],[object Object],[object Object]
Craniofacial Malformations Normal  Exposed to Alcohol
Symptoms of Alcohol Dependence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alcohol Withdrawal Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Avenues of Treatment Non-Pharmacologic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacologic Support ,[object Object],[object Object],[object Object]
Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kindling Model

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Alcohol

  • 2. Winemaking Tradition Requiring the Fermentation of the Sugar in Grapes with Yeast to Form Alcohol
  • 3. Engraving of ‘Gin Lane’ by William Hogarth (1697-1764) showing the popular opinion that the ‘lower classes’ drank gin and got drunk.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. CNS Progressive Effects Death 410 + Lossbladder,dif breath, slowHR Cc,fb,cere,bs, entire brain Unconsci, coma, death poss 310-400 Slurred speech, blance, temp Cc,fb,cere, brainstem Aggression, stupor, depress 210-300 Reason, obnox, perceptions Cc,fb, cerebellum Mood swing, sad anger, mania 110-200 Fine coordinat, Visual tracking Cc and forebrain Pleasure, numb feelings, sleep 60-100 Alertness Judgement Cerebral Cortex Relax, sense of wellness, loss of inhibition 10-50 Impaired Brain Changes BAC (mg%)
  • 11.
  • 13.
  • 14.
  • 15. Effect of Chronic EtOH on the Liver Healthy Fatty Cirrhotic
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Selective Significant Drug Interactions with Alcohol GI bleeding Additive ASA NSAIDs n/v/flushing, HA, sweating, inc HR hypotension, Accumulation of acetaldehyde Disulfiram metronidazole Enhanced CNS depressant effects Additive Antihistamines, antidepressants, opioids, sed-hyp, antianxiety, antipsychotic drugs Possible Effect Mechanism Substances
  • 22.
  • 23. Craniofacial Malformations Normal Exposed to Alcohol
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.