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Human performance toxicology
What type of forensic toxicology measures the amount of alcohol or drugs in a living person's blood or breath, estimates their role in modifying human performance or behavior?
postmortem analysis
What type of forensic toxicology is the presence of drugs, gases, metals, and other toxic chemicals in human fluids and organs and determines their role, if any, in the death?
human performance testing
What type of testing is most commonly performed to determine if someone is driving a car under the influence of alcohol or drugs?
What does BAC express?
Blood Alcohol Concentration
Amount of alcohol in a persons body
What is field sobriety testing?
Assesses a drivers degree of physical impairment
Alcohol is absorbed into the bloodstream largely from the ________ and the ________________
stomach; small intenstine
BAC is produced by __________
absorption
What factors influence the rate at which alcohol enters the bloodstream?
Rate of gastric emptying
Presence of food
Concentration of alcohol taken in
Type of beverage
Rate at which alcohol is consumed
What are the two mechanisms of alcohol elimination?
oxidation; excretion
How is alcohol normally excreted?
sweat
breath
urine
What is the difference between oxidation and excretion in eliminating alcohol?
In oxidation, alcohol is eventually oxidized to carbon dioxide and water
In excretion, elimination of alcohol from the body is in an unchanged state
What type of reaction is the elimination of alcohol?
Oxidation-reduction
How does the process of oxidation to eliminate alcohol work?
Alcohol is transported to the liver, where enzymes catalyze its oxidation.
First acetaldehyde then acetic acid and finally, carbon dioxide, and water
Most alcohol that enters the body is oxidized to acetic acid
What is the process for collection and preservation of blood from a living person?
Clean skin with nonalcoholic disinfectant
Add preservative (anticoagulant) to the sample
Refrigerate the sample
Why are nonalcoholic disinfectants used to clean the skin for a blood sample to obtain BAC?
Alcoholic disinfectant could make the BAC higher due to the alcohol in disinfectant
Anticoagulants keep blood from ____________
clotting
What preservative is used to inhibit microorganisms from growing and contaminating the sample?
potassium oxalate
What color capped tube are BAC blood samples collected in?
gray
How are the BAC results affected when a blood sample is not preserved correctly?
BAC results will be abnormally lower
headspace
What is the empty space above a solid or liquid in an enclosed container?
What is retention time?
the amount of time that a component stays on the column and stationary phase of a gas chromatograph
How does the headspace technique work?
Portion of headspace vapor is injected into GC/FID
Ethanol, methanol, acetone, and isopropanol identified by retention time
Concentration is calculated by calibration curve based on peak area or peak height
Gas chromatography
What technique is used to separate and detect complex mixtures of volatile organic compounds?
How does gas chromatography work?
Distributes compounds of a mixture between inert-gas
Mobile phase and a solid stationary phase
Individual components produce symmetrically shaped peaks
Area under each peak is proportional to the concentrations of that component
The concentration of ethanol and other volatiles in a dilute aqueous biological sample is directly proportional to...
their concentration in the gas phase
In what four categories are posions categorized?
inorganic
organic
biological radiological
corrosive poisons
What type of poisons are substance that destroy tissues on contact (hydrochloric acid and sulfuric acid)?
metabolic poisons
What type of poisons cause harm, and frequently death, with some essential metabolic process in the body? (cyanide and carbon monoxide)
toxic metals
What type of poisons are toxic in very small amounts (lead and mercury)?
organic poisons
What type of poisons are typically administered to incapacitate a victim (laxatives and antidepressants)?
What is pharmacology?
study of the relationship between drugs and living things
What is toxicology?
study of nature, effects, and detection of poisons
What is pharmacokinetics?
study of how drugs moce in and out of the body
What are the tasks in forensic toxicology?
Identity of drugs
Quantity of drugs
Presence of metabolites
Interactions of present drugs
Role of dependance and tolerance
metabolism
What is the process whereby a drug or other substance is chemically changed to a different form?
What are the two types of forensic toxicology?
human performance toxicology and post mortem analysis
What type of tube is used to collect blood for BAC testing?
NaF - gray capped tube
What are the main steps in the pharmacokinetics of a drug?
Absorption
Distribution
Metabolism
Elimination
What are the main steps in forensic toxicology analysis?
Extraction
Screening
Confirmation
Explain the difference between toxicology and pharmacology?
Pharmacology is the study of the relationship between drugs and living things and forensic toxicology is the study of nature, effects, and detection of poisons
Explain distribution in pharmacokinetics.
drugs may have structure to cause them to accumulate in a particular tissue
Explain metabolism in pharmacokinetics.
process whereby a drug or other substance is chemically changed to a different form
What is Rf?
distance component traveled/distance solvent traveled
mobile liquid phase
What is the term to describe capillary action that pulls solvent across plate and separates components based upon their affinity for the mobile and stationary phase?
What does ELISA stand for?
Enzyme Linked Immunosorbent Assay
The micro plates in an ELISA test are coated with _________ ________
polyclonal antibodies
Polyclonal antibodies have _____ ______ for target analytes
high affinity
In ELISA, if an analyte is present in the sample, it will form a _______ with the antibody
complex
Why are the wells washed during ELISA?
to remove unbound sample and reagent
What are the wells in ELISA washed with?
monoclonal antibodies
Monoclonal antibodies are specific to ______ analyte and another area of the _______
one; antigen
What is attached to the second antibody in ELISA?
chromogenic substrate
The intensity of ______ is proportional to the ___________ of the analyte in the sample (ELISA)
color; concentration
What is the most reliable confirmation test for BAC?
GC/MS
What does the interpretation of toxicological information in postmortem toxicology include?
How the poison entered the body
Whether enough poison was ingested to cause death
The highest concentration of poison is usually found where?
where the poison entered the body
Drugs become permanent trapped in the _______ structure of the hair
keratin
1 mL of blood will contain nearly the same amount of alcohol as _____ mL of alveolar breath
2100
What function does low BAC affect?
cerebral
What function does high BAC affect?
medullar
Describe the process of postmortem toxicology.
Case history of the deceased
Analysis for poisons
Collection of postmortem specimens
All body fluids and organs in which chemicals might accumulate
Presumptive testing performed first to detect the presence or absence of drugs
Poisons taken orally, _______ _________ should be analyzed first
gestational contents
narcotics
a substance that numbs the sense, placing the user in a stupor that eventually results in sleep
physical dependance
withdrawal sickness occurs when administration of the drug stops
psychological dependence
drug creates feelings of satisfaction and desire to repeat the experience
What factors risk dependance?
Dose
Route of administration
Frequency of administration
Metabolism
drugs with medicinal values have ______ value on the schedule
lower
Drugs with more potential for abuse have ______ schedule numbers
higher
A drug classification and control system created five schedules based on...
medicinal value
rick of harm
potential for abuse
What are the potential for abuse, medical use, and examples of Schedule I drugs?
high; noHigh potential for abuse
No currently accepted medical use
Heroin, marijuana, LSD
What are the potential for abuse, medical use, and examples of Schedule II drugs?
High potential for abuse
Currently accepted medical use
High risk for psychological or physical dependance
Opium, cocaine, PCP, most amphetamines
What are the potential for abuse, medical use, and examples of Schedule III drugs?
Less potential for abuse
Currently accepted medical use
Low to moderate risk for psychological or physical dependence
What are the potential for abuse and medical uses of Schedule IV drugs?
Low potential for abuse
Currently accepted medical use
What are examples of Schedule V drugs?
inhalers and cough medicines
What does physical dependence act on?
Central Nervous System
lock-and-key model
What is a drug molecule that fits into a receptor site in the body, initiates a particular event, and has a temporary effect?
analgesics
What type of drug lessens or eliminates pain by slowing down central nervous system?
methadone
What is a synthetic narcotic used to treat heroin addiction?
What are three examples of analgesics?
heroin
methadone
oxycontin
heroin
What analgesic has a similar physiological action to morphine because it is derived from natural morphine?
methadone
What analgesic is highly addictive, blocks euphoric rush normally produced from heroin, and reduces addicts desire to use heroin again?
oxycontin
What analgesic is a synthetic narcotic containing oxycodone that is similar to heroin and morphine?
hallucinogens
What type of drugs induce a change in mood, thought, or perception?
What are examples of hallucinogens?
marijuana, LSD, PCP, and ecstasy
What is the most commonly used illicit drug in the U.S?
marijuana
mescaline
What type of hallucinogen is found in peyote cacti and produces distortions of reality and can thrust the user into a deep meditative state?
ecstasy
What type of hallucinogen produces a heightened sense of emotion and awareness and empathy with companions and can lead to more serious effects like depression, aggression, and paranoia?
depressants
What type of drug diminishes a persons functional activity by inhibiting the activity of the nervous system?
What is the most abused drug in Western countries?
ethyl alcohol
barbiturates
What type of depressant slows down may areas of the brain?
tranquilizers
What type of depressant produces relaxed tranquility without impairing thinking or inducing sleep?
stimulants
What type of drug stimulates or speeds the central nervous system and increases alertness and physical activity?
What are examples of stimulants?
amphetamine, cocaine, inhalents
What is a clandestine lab?
hidden or secret labs that produce illicit compounds
rohypnol
Once a legal prescription in the United States, but outlawed in 2000. Date-rape drug/roofie.
ketamine
Used as a veterinary sedative or hospital-grade anesthetic
What do criminal penalties for drugs depend on?
Actual substance present in sample (qualitative)
Amount of substance present (quantitative)
Why is a screening test used in drug analysis?
Confirm samples identity
Determine mass
What are used as presumptive tests for drug analysis?
Color test reagents
Microcrystalline tests
Thin-layer chromatography
What are confirmatory tests for drugs?
IR
GC-MS