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Hot Tub

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(Introductionwhat happened - from the case study:Roma and Clint went into hot tub with some wine. After the night, they were found dead.Before going into the hot tub, Clint took his Lasix medication. The temperature of the hot tubwas higher than it should be. BAL of the couple was 0.20. Roma weighted 120lb; Clintweighted 160lb. Time of death estimated at 2AM in the morning. There was a therapeutic(fair amount) level of Lasix in Clint’s blood, but none in Roma’s blood .TemperatureHot tub temperature can be no more than 104-106 degree Fahrenheit (40-41 degreeCelsius(more than 104-106 (40-41) can lead to heat stroke, heart attack nausea, stroke, braindamage, other illness and death, even in healthy adults. They might drown ..AlcoholAlcohol while in hot tub is very dangerous -The heat from the spa accelerates the effects of the alcohol and can lead tounconsciousness. -alcohol dehydrates the body, as does sweating in a hot tub--cause light-headedness,dizziness, nausea, heart palpation, confusion, weakness and even coma and death. -Drinking alcohol can cause dizziness, which can be aggravated by the high temperature ofa hot tub. dizziness may cause you to fall..and drown -the depressant effect of alcohol intake in combination with the high temperature of a hottub can cause you to fall asleep or pass out.---drowning -the heat of a hot tub expands your blood vessels (lowers blood pressure) and increasesyour body temperature (cause you to sweat--dehydration), as does drinking alcohol.combining them can result in unconsciousness or even a stroke or a heart attack•hinders production of ADH (antidiurectic hormone) from the hypothalamusoADH regulate the osmotic pressure of the body fluids by causing an increasein water reabsorbtionoHOWEVER: the decrease in ADH makes the nephron impermeable to water→ no regulation of water means no osmotic pressure → person becomesincreasingly thirsty Due to dehydration, as a behavioural response and more fluidexcretion through urinethrust would mean more consumption of alcohol, which would onlydecrease ADH levels in the body. → water inside the body is notreabsorbedMedication•Lasix is loop diuretic(water pill) called Furosemide that prevents your body fromabsorbing too much salt, allowing the salt to be excreted as urine

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