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Test Description
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Blood Alcohol

Alcohol (ethanol) has a noticeable effect on the body, even when consumed in small amounts. A blood alcohol test can determine whether a person is legally drunk or intoxicated. If this test is being done for medical or legal reasons, a consent form may be required, but refusing to take the test may have legal consequences in some parts of the United States.

Alcohol is quickly absorbed into the blood and can be measured within 30 to 70 minutes after a person has consumed any alcoholic drink. The amount of alcohol in the blood reaches its highest level about an hour after drinking. However, food in the stomach may increase the amount of time it takes for the blood alcohol to reach its highest level. About 90% of alcohol is broken down in the liver. The rest of it is passed out of the body in urine and by breathing.

When taken in large amounts, alcohol acts as a sedative and depresses the central nervous system. Because alcohol reduces tension and inhibitions, drinking tends to make people feel relaxed and confident. Even a low level of alcohol in the blood slows reactions. The more alcohol a person drinks, the greater the person's loss of normal mental and physical control. Drinking alcohol can result in a lack of coordination, blurred vision, slurred speech, and stupor (unresponsiveness). A person who drinks a large amount of alcohol over a short period may lose consciousness or even die.

Frequent drinkers become more tolerant of the effects of alcohol, so they must drink more to obtain the feeling of reduced anxiety and reduced tension. Drinking excessive amounts of alcohol over time may result in liver disease cirrhosis, kidney damage, malnutrition, inflammation of the pancreas pancreatitis or stomach (gastritis), or low blood sugar hypoglycemia. Pregnant women who drink alcohol increase their risk of having a miscarriage or a child with fetal alcohol syndrome. People who make a habit of drinking excessive amounts of alcohol may become dependent on it (alcoholism).

This test is done on a blood sample taken from a vein.

Blood Alcohol
Results

The amount of alcohol in the blood that makes a person legally drunk (intoxicated) varies in the United States (some states have no set limit for legal intoxication). However, the National Highway Traffic Safety Administration (NHTSA) recommends that all states set the legal definition of intoxication when the blood alcohol concentration (BAC) exceeds 0.08.

Blood alcohol

Normal:

No alcohol is found in the blood.

Abnormal:

0.08–0.10 blood alcohol concentration (BAC) or greater means legal intoxication in most states.

Many states define intoxication as a blood alcohol concentration (BAC) lower than 0.08 for people under age 18.

Effects of drinking alcohol

Having a measurable amount of alcohol in the blood can mean that judgment and reflexes are impaired.

Number of drinks per hour*

Approximate blood alcohol concentration (BAC)†

Observable effects†

1–2

0.02

relaxation, slight body warmth

3

0.05

sedation, tranquility, slowed reaction time

6

0.10

slurred speech, poor coordination, slowed thinking

12

0.20

difficulty walking, obvious intoxication

18

0.30

may pass out, tremors, vomiting

24

0.40

coma, possible death

30

0.50 and greater

death

*1 drink = 1.5 fl oz (44.36 mL) liquor (80 proof) or one glass [5 fl oz (147.87 mL)] wine or one glass [12 fl oz (354.88 mL)] beer.

†BAC and the effects of drinking alcohol vary from person to person and depend upon body weight, the amount of food eaten while drinking, and each person's ability to tolerate alcohol.

 
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