Chemistry 12 (SL + HL) Unit 6 / IB Topic D4 Medicines and Drugs - Part 4 Depressants - ANSWERS 1. What are depressants? - drugs that decrease the activity of the central nervous system by interfering with the transmission of information from one neuron to the next - alter information flow by changing the concentration or activity of brain chemicals called neurotransmitters - changes in brain activity are also result in slowing down heart activity and breathing rate 2. Describe how the dose of a depressant relates to its effects. - 3. low to moderate dose = calmness, relief from anxiety, relaxed muscles (tranquilizer to sedative) high dose = slurred speech, staggering gait, altered perception, sleep induced (sedative to hypnotic) extremely high dose – breathing rate slows, coma, death (lethal dose) Discuss three social effects of the use and abuse of alcohol. - sickness (alcoholism) – lost productivity, cost of treatment - car accidents - due to depression of motor control functions in the brain - violent crimes - due to loss of judgement - family problems 4. State three short-term health effects of the use and abuse of alcohol. - increased relaxation, confidence and sociablity - loss of self-restraint, loss of judgement and concentration - increased risk taking behaviour - slurred speech, loss of balance - violent behaviour possible - dehydration due to increased urine output => “hangover” and reduced productivity - high doses – vomiting, loss of consciousness, possible coma and death 5. State three long-term health effects of the use and abuse of alcohol. - dependency (alcoholism) - liver disease (cirrhosis of the liver) - high blood pressure - coronary heart disease - permanent brain damage - fetal alcohol syndrome 6. What is a “synergistic effect”? Give three examples of the synergistic effects of ethanol. - “synergistic” = an increase in the activity of a drug when taken in combination with another drug - aspirin + ethanol = increased stomach bleeding - other depressants (e.g. barbituates) + alcohol = heavy sedation, possibly coma and death - alcohol + marijuana (THC) = greater impairment of motor functions, judgement - alcohol + opiate analgesics = reduced blood pressure, slowed/arrested breathing, unconsciousness, coma p. 1 Chemistry 12 (SL + HL) 7. Unit 6 / IB Topic D4 The breathalyser ‘blow in the bag’ test involves a motorist blowing into a bag through a tube containing crystals of potassium dichromate, K2Cr2O7, in an acidic medium. Describe what will be seen if the test is positive and give the two half-equations for the reaction taking place and the overall balanced equation. - positive test: colour change from orange to green - half equations: (ethanol to ethanoic acid) 3+ (dichromate to Cr ) 8. Cr2O7 2– + – + 14H + 6e 2Cr 3+ – + 7H2O Describe the action of intoximeters. - 9. + C2H5OH + H2O CH3COOH + 4H + 4e sample of breath passed into infrared spectrometer ethanol in breath absorbs because of C-H bond (not O-H because that bond is also in H2O) machine compares breath with air/reference sample with no breath; Three common depressants are diazepam (Valium®), nitrazepam (Mogadon®) and fluoxetine hydrochloride (Prozac®). Find their chemical structures in the IB Chemistry data booklet. a) Two of them have similar structure. Which ones? - diazepam (Valium) and nitrazepam (Mogadon) b) Which parts do they have in common and which parts are different? - common features = 2 benzene rings; diazepine structure (7 atom ring structure with 5 carbon atoms and 2 nitrogen atoms); amide group; carbon-nitrogen double bond - differences = a chloro group on one benzene ring in Valium, but a nitro group in the same position in Mogadon c) What do all these three drugs have in common in their structure? - 2 benzene rings p. 2
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