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Alcohol Ethanol Serum

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Details

Commonly used to detect and measure the level of alcohol (ethanol) in the blood

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🧪 Alcohol (Ethanol) Serum Test

Parameter

Details

Test Name

Alcohol (Ethanol), Serum

Sample Type

Blood (Serum or Plasma)

Fasting Required?

❌ Not required

Detection Window

Detectable for up to 6–12 hours post-consumption depending on amount

Normal Range

0 mg/dL (no alcohol)

Critical Value

>300 mg/dL (can indicate serious or fatal intoxication)

🔬 What Does This Test Measure?

It measures the concentration of ethanol (ethyl alcohol) in the bloodstream. It is used to:

  • Confirm acute alcohol intoxication
  • Monitor alcohol poisoning
  • Detect ethanol levels in medical or legal cases
  • Evaluate compliance in alcohol abstinence programs

💡 Units of Measurement

Unit

Meaning

mg/dL

Milligrams per deciliter (most common in India)

% BAC

Blood Alcohol Concentration (%BAC = mg/dL ÷ 1000)

mmol/L

Alternative metric unit

Example: 80 mg/dL = 0.08% BAC (legal limit for driving in many countries)

🧠 Organs Involved

  • Liver – Metabolizes >90% of ethanol via enzymes like alcohol dehydrogenase
  • Brain – Affected at increasing concentrations (CNS depressant)
  • Kidneys & Lungs – Excrete small amounts

⚠️ Interpretation of Blood Alcohol Levels

Blood Alcohol Level (mg/dL)

Approx. BAC %

Clinical Effect

0–50

0.00–0.05%

Mild euphoria or relaxation

50–100

0.05–0.10%

Impaired judgment, coordination

100–200

0.10–0.20%

Slurred speech, imbalance, confusion

200–300

0.20–0.30%

Stupor, vomiting, possible blackouts

>300

>0.30%

Coma, respiratory depression, potentially fatal

⏳ Time Course of Ethanol in Blood

  • Peak levels usually within 30–90 minutes of ingestion
  • Declines at a rate of ~15–20 mg/dL per hour
  • Rate may vary with liver function, food intake, metabolic rate

🔗 Related/Recommended Tests

Test

Purpose

Liver Function Tests (LFT)

Assess liver damage from chronic alcohol use

Gamma GT (GGT)

Often elevated in chronic alcohol consumption

Carbohydrate Deficient Transferrin (CDT)

Long-term alcohol abuse marker

Urine Ethanol

Alternative for acute ingestion

Blood Glucose

Hypoglycemia is a risk in alcohol poisoning

⚖️ Forensic and Legal Use

  • Used in medicolegal cases, drunk driving (DUI/DWI) investigations, or workplace incidents
  • Requires strict chain-of-custody procedures
  • Must be interpreted with awareness of timing and metabolism

✅ Summary Table

Test Name

Alcohol (Ethanol), Serum

Purpose

Confirm acute alcohol consumption/intoxication

Organs Involved

Liver, Brain

Normal Range

0 mg/dL

Danger Zone

>300 mg/dL

Useful For

Emergency care, legal testing, alcohol rehab monitoring

How our test process works!

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