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Chapter 10 10.1 Forensic Toxicology
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Objectives Explain how alcohol is absorbed into the bloodstream, transported throughout the body, and eliminated by oxidation and excretion.
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Alcohol The most heavily abused drug in the US
40% traffic deaths (17,500) are alcohol related Hospital treatment exceeds 2,000,000 persons per year
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Toxicologists Responsible for detecting and identifying the presence of drugs and poisons in body fluids, tissues, and organs Services used in crime labs, medical examiner’s offices, and hospitals Various systems exist across the country Role limited to matters that pertain to violations of criminal law
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Toxicology of Alcohol Ethyl alcohol is a colorless liquid diluted with water Logically most obvious measure of intoxication would be amount of liquor consumed but such information is not normally available to law enforcement
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many factors influence intoxication level - i. e
many factors influence intoxication level - i.e. body weight, rate of alcohol absorption in body Alcohol is a depressant, primarily effecting the central nervous system and brain
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Effect is proportional to concentration of alcohol in nerve cells
Most susceptible areas = forebrain Later functions of central and rear brain affected Most resistant and last to fail is brain’s medulla Regulates vital functions of respiration and heart activity
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Toxicologists focus attention on concentration in blood as blood provides the medium for circulation of alcohol through the body Blood alcohol levels are directly proportional to the concentration in the brain
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Alcohol appears in blood moments after consumed
Concentration increases as alcohol is absorbed from stomach and small intestine into blood stream
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Rate of alcohol absorption into the bloodstream depends on:
Time taken to consume the drink Alcohol content of the beverage Amount consumed Quantity and type of food consumed at the time of drinking
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Absorption process completed usually 30-90 minutes after final drink
Absorption process is difficult to predict Alcohol enters blood and is carried to all parts of the body Distributed uniformly in water portions of body Low content in fat, bones, and hair
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Post-mortem examinations use water-rich organs and fluids to determine alcohol content
Brain, cerebrospinal fluid, vitreous humor
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10.1 Questions – answer on a sheet of notebook paper
What is the most widely abused drug in Western countries? What is a toxicologist? Name three settings in which a toxicologist often works. Name at least three factors that influence the rate at which alcohol is absorbed into the bloodstream. In what parts of the body does alcohol tend to accumulate? Why does it accumulate in these places?
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