The degree of alcoholic intoxication

Easy alcoholic intoxication is separated according to the criterion of gravity on three levels: easy, medium and hard.
Total clinical assessment drunk is determined by the same two main effects of alcohol: of psychotropic and toxic. In the intoxication of natural intertwined polar group of symptoms. Euphoria and activity are followed by lethargy and increasing stun. Psychomotor agitation, in turn, becomes slow, poorly coordinated movement and total weakness.
An additional criterion for the assessment of the severity of intoxication may be the level of alcohol concentration in the blood. But it should immediately be noted that the severity of clinical manifestations of intoxication and the amount of alcohol concentration in the blood is not always correlate. The ratio here are temporal spread, dependent on the individual characteristics, in particular from the work of a number of enzymatic systems. The severity of clinical manifestations of intoxication depends on the concentration and quantity taken alcohol, functional state of the drinker, the nature of food, the circumstances in which the admission of alcohol.


Fig. 4. Approximate correlation between the degree of intoxication and alcohol content in the blood

A mild degree of alcoholic intoxication (Fig. 4) is characterized by prevalence of psychotropic action of alcohol on toxic. Usually mild intoxication corresponds to the concentration of alcohol in the blood is within 0,5-1,5%. Signs of alcohol poisoning CNS unobtrusive. There is a decrease in the accuracy of small movements, increased the percentage of errors when performing any activities that require attention and concentration. Longer time perception. Attention easily distracted, superficially. Reduced critical attitude towards yourself and the situation. Speech articulation may be slightly worse.
The psychotropic effects of alcohol in light of the degree of intoxication are reduced to the experiences of mental comfort. Often it is accompanied by the effect of non-specific stimulation. The mood is often raised is celebrated euphoria. Drunk quickened, the behavior is expressive character. It is often stated disinhibition desires (food, sex).
The drunken usually notice redness of skin, rise in blood pressure, rapid pulse, sweating, and other changes on the part of the autonomic nervous system.
The duration of intoxication mild varying widely, from a few minutes up to an hour or more. Following this, as a rule, there are certain downturn in mood, weakness, small motor block.
It is considered that the peak positively painted psychotropic effects alcohol has on resorptive phase (baljakin, 1962). When the absorption begins and ends with the elimination of alcohol from the body, gradually fade and mental stress related to intoxication. However, the precise concurrency is not here, because the so-called phase of elimination is determined to reduce the concentration of alcohol in the blood. At the same time, its concentration in organs and tissues, in particular in the brain, for a long time still remains high, which contributes psychotropic effects.
Medium simple alcoholic intoxication is a more complex picture, based on the combination of components toxic and psychotropic effects of alcohol. First of all, increasing proportion of symptoms of CNS in the clinical picture of intoxication. Yes and psychotropic effects of alcohol becomes less regulated. The average degree of alcoholic intoxication often develops when the content of 1.5-2.5% of alcohol in the blood. Speech at the drunken blur often slow, difficult choice of words. Were impaired coordination of movements: small, precise motion is impossible, upset handwriting. Gait becomes shaky, uncertain, motion choppy and sweeping.
Psychic experiences lose integrity. Orientation in situation also partially broken. The perception of external events is difficult, associative processes upset. Increases self-esteem, falling sharply critical attitude to its state and behavior. The behavior becomes more impulsive, sometimes inadequate.
Typical mood swings, to replace euphoria easily come discontent, irritability, sensitivity. Appear depressed painted experiences, on change which again can come euphoria.
Intoxication often ends sleep. A number of events intoxication (usually the final episodes) can be forgotten (to amnesiacs). Upon awakening, a marked postintoksikatinom state with reduced working capacity.
Severe simple alcoholic intoxication is characterized by the predominance of the clinical picture of toxic effects of alcohol and phenomena oppression activity of the Central nervous system. The alcohol concentration in the blood - 2.5%. The increase in the concentration of alcohol in excess of 5% can lead to death.
Clinically severe alcohol intoxication corresponds suporosna state, and the deepening of intoxication - comatose. Orientation completely lost, there are massive violations of all body systems (CNS, cardiovascular, respiratory, and so on). Sometimes there involuntary discharge of feces and urine. On leaving intoxication for several days marked postintoksikatinom disorders, lower efficiency, amnesia period of intoxication.
As already noted, alcohol intoxication - the starting point of alcoholism, and throughout the disease is one of its main manifestations.
In the period of intoxication changes occur on virtually all levels and in all systems of human organism. So it makes sense to take a closer look at some of the most important changes.