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Chapter 6

Forensic toxicologists use analytical chemistry to detect drugs and poisons in body fluids and tissues.  Knowledge of how drugs move through our bodies allows them to know what substances were ingested, if and how they contributed to the death, and estimate how much time elapsed from the time of ingestion to the fatal outcome.  These same principles are used to evaluate blood alcohol concentrations that are critical in DUI (driving while intoxicated) cases. 

This chapter provides an overview of how drugs move through the body, what tools and techniques toxicologist employ in their work, what samples are collected during a typical autopsy.  We will see how the same concepts apply to blood and breath alcohol measurements. 

6.1 Understand basic terminology associated with dosing 

6.2 Describe the modes of ingestion and understand why this is important 

6.3 Recognize the fundamentals of the ADME pathway 

6.4 Describe typical samples collected at autopsy 

6.5 Recognize common analytical methods used in forensic toxicology 

6.6 Extend concepts learned to blood and breath alcohol measurement 

Question 1

Match the mode of ingestion with how long it takes the drug to reach general circulation in the bloodstream. 

Injection into a muscle (intramuscular)
Injection into a vein (intravenous)
Absorption though nasal passages/snorting
Inhalation into the lungs/smoking
Absorption through skin
Oral ingestion (swallowing)
Immediate
Immediate
Delayed
Delayed
Slightly delayed
Delayed
Question 2

Match these terms related to dosages to the most appropriate definition 

LDlow
Therapeutic dose
LDhigh
ED50
Fatal levels
LD50
Dose that produces an effective physiological effect in 50% of the population
Blood concentration levels that have been shown to cause death
Fatal dose for 50% of a population
Effective dose for 50% of a population
Lethal dose for individuals that are resistant to effects
Lethal dose for individuals that are susceptible to effects

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