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Self-Test for Breath Alcohol
Test Overview
A breath alcohol test is an estimate of your blood alcohol
concentration (BAC). The test measures the amount of alcohol in the air that
you breathe out (exhale).
You can measure your own breath alcohol level with a simple
handheld device. If the device is calibrated and used according to the
manufacturer's directions, it can provide an accurate estimate of your blood
alcohol level. The home device is similar to, though not as precise as, the
type of test used by police for suspected drunk drivers.
Within minutes of drinking alcohol, your blood alcohol
concentration starts to rise. Unlike food, alcohol is absorbed directly through
the walls of the stomach, goes into the bloodstream, and travels throughout
your body and to your brain. This allows blood alcohol levels to increase
quickly.
The amount of alcohol in your blood reaches its highest level about
60 minutes after drinking. However, food in your stomach may increase the
amount of time it takes for the blood alcohol to reach its highest level. Most
of the alcohol is broken down in the
liver . The rest of it is passed out of your body in
urine and your exhaled breath.
You can buy breath alcohol devices to measure your breath alcohol
concentration at many pharmacies or through the Internet.
- The manual device is a glass tube (or a balloon
and a glass tube) containing crystals that change color when exposed to alcohol
from your breath. This device is simpler and less expensive than electronic
meters.
- The electronic meter shows your blood alcohol concentration
(BAC) percentage in a digital display window after you blow into a glass
mouthpiece attached to the meter. This type of meter is more expensive than the
manual type.
Many bars and restaurants provide their customers with free alcohol
breath tests using one of these two methods. The devices are also used to
monitor people in an alcohol rehabilitation center or hospital.
Why It Is Done
The breath alcohol self-test is used to estimate your blood alcohol
concentration (BAC). The results can help you decide whether it is safe to
drive. This estimate of blood alcohol is not intended to represent your actual
driving abilities. Your driving may be impaired even with a low BAC level, such
as below 0.05.
The breath alcohol test offers one piece of information to help you
make a safe decision about drinking and driving. The safest decision is always
not to drive if you have been drinking.
Blood alcohol concentration (BAC) is commonly used by police and
other legal authorities to determine whether a person is legally impaired and
should not drive. A blood alcohol concentration in the range of 0.05 to 0.10 is
considered legally impaired throughout most of the United States. However,
legal BAC levels vary from state to state.
How To Prepare
General instructions
- Check the expiration date on the package.
Don't use the test if the expiration date has passed.
- Store the
testing device correctly. If the device should be stored in the refrigerator or
kept in a cool place, make sure you place it in an appropriate storage
area.
- Follow the instructions exactly. All test kits come with
detailed instructions. Carefully read the instructions that come with your test
before using it. Many test kits include a toll-free number you can call for
more information.
- Note any special instructions you need to follow
before you take the test. These might include avoiding certain foods or
medicines.
- Follow every step of the instructions carefully.
- Prepare and handle everything exactly as
the instructions tell you.
- Follow all the steps in sequence; don't
skip any steps.
- If a step in the test needs to be timed, use a
watch; don't guess.
- Know your limits. If you are
color-blind or have trouble distinguishing colors,
have someone else read the test results for you. For some tests, you need to be
able to see color changes in a test area or window.
Specific instructions
- Wait at least 15 minutes after having an
alcoholic drink before testing your BAC. Trace amounts of alcohol left in your
mouth from a recent drink or the use of mouthwash or mouth spray, such as mouth
sprays to relieve a sore throat, can give false results.
- Do not
smoke for 1 to 5 minutes before testing your BAC. Do not blow smoke into the
device.
- Take at least two separate readings 15 minutes
apart.
How It Is Done
Manual (glass tube/balloon) test
To obtain a breath alcohol reading:
- Blow into the balloon that comes with the kit
until the balloon is almost full. Use one long breath, not several small
breaths.
- Attach the balloon mouthpiece to one end of the glass tube
filled with bands of yellow crystals.
- Let the air flow slowly out
of the balloon and through the tube for exactly 1 minute.
- Count the
number of bands of colored crystals in the tube that turn from yellow to
green.
If your test has only the glass tube, blow through the tube for the
amount of time in the instructions. Use one long breath, not several small
breaths. Then look at the colored crystals to get the reading.
The amount of alcohol in your breath is based on the number of
bands that change color and on the intensity of the color change.
Electronic breath alcohol meter
Follow the specific instructions that come with the device. With
most meters, you:
- Turn on the meter and let it warm up for
several minutes.
- Take a deep breath.
- Place your lips
tightly around the mouthpiece. Blow steadily and continuously into the machine
for the correct amount of time (usually 4 to 6 seconds). Use one long breath,
not several small breaths.
The results appear as a digital readout in a display window. It
may show a red or green "traffic light" or an estimated blood alcohol
concentration (BAC) percentage. After you obtain the first reading, press the
reset button and do a second test.
How It Feels
There is no pain from a breath alcohol test.
Risks
There is no chance for problems from taking this test. You might
feel slightly
lightheaded after taking the test.
Results
A breath alcohol test is an estimate of your blood alcohol
concentration (BAC). The test measures the amount of alcohol in the air that
you breathe out (exhale). Results are ready right away.
Manual (glass tube/balloon) test
To read the glass tube breath alcohol test, count the number of
yellow bands of crystals that turn green.
- 1 green band roughly corresponds to a BAC of
0.00 to 0.05.
- 2 green bands roughly corresponds to a BAC of 0.05 to
0.10.
- 3 green bands roughly corresponds to a BAC of 0.10 to
0.15.
Electronic breath alcohol meter
Some electronic devices have a "traffic light" display.
- A green light indicates a BAC below
0.04.
- A yellow light indicates a BAC between 0.04 and
0.08.
- A red light indicates a BAC above 0.08.
Some devices display the results as an estimated BAC numerical
value.
What Affects the Test
No home test is 100% accurate. The results may not be helpful if
you:
- Have trace amounts of alcohol left in your
mouth from an alcoholic drink or even a mouthwash.
- Smoke. Do not
smoke for 1 to 5 minutes before doing the test.
- Have had a drink
within 30 minutes of performing the test. Your actual blood alcohol level may
continue to rise after the test.
What To Think About
A blood alcohol test is more accurate than a breath alcohol test.
For more information, see the medical test
Blood Alcohol.
Driving under the influence of alcohol (DUI) can be deadly.
Alcohol is involved in nearly half of all fatal highway accidents. Even mild
intoxication can impair your ability to drive safely. At 0.06 BAC, your
judgment and physical coordination are impaired. At a BAC of 0.08, your muscle
coordination and driving ability are significantly impaired.
How much alcohol it takes to raise your blood alcohol level depends
on:
- The amount of alcohol you
drink.
- How fast you drink the alcohol.
- Your
weight.
- Your age.
- How fast your body breaks down
(metabolizes) the alcohol. Different people metabolize
alcohol at different rates.
- Your sex.
- The amount of
food in your stomach when you drink.
Factors that affect how quickly the blood alcohol level rises in
the body include:
- The number of drinks per hour. As you increase
the number of drinks per hour, your blood alcohol level steadily
increases.
- The strength of alcohol (proof or percentage) in the
drink.
- Your weight. The more you weigh, the more water is present
in your body, which dilutes the alcohol and lowers the blood alcohol
level.
- Your sex. Women's bodies typically have less water and more
fat than men's bodies. Alcohol does not go into fat cells as well as other
cells, so women tend to retain more alcohol in their blood than men do. Also, a
woman's
hormones may affect the breakdown of
alcohol.
- Your age. One drink raises the blood alcohol level of an
older adult 20% more than it does for a young adult.
- The presence
of food in your stomach. Food in the stomach absorbs some of the alcohol. The
blood alcohol level will be higher if you do not eat before or during
drinking.
- The kind of mixer used. When carbonated mixers (such as
tonic water or club soda) are used, the body absorbs alcohol more
quickly.
- Other medicines or drugs. A person who drinks alcohol and takes
certain medicines, such as
antihistamines or
sedatives (tranquilizers), may feel more of the
effects of alcohol. Also, a person who uses other drugs, such as marijuana,
will feel the effects of both drugs more than if the drugs were used
separately.
Effects of drinking alcohol
Having a measurable amount of alcohol in the blood can mean that
judgment and reflexes are impaired.
Effects of drinking alcohol
| Number of drinks per hour* | Estimated blood alcohol
concentration (BAC)† | Observable effects† |
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1–2
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0.02
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Relaxation, slight body warmth
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3
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0.05
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Sedation, slowed reaction time
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6
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0.10
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Slurred speech, poor coordination, slowed
thinking
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12
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0.20
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Difficulty walking, double vision, nausea,
vomiting
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18
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0.30
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May pass out, tremors, memory loss, cool body
temperature
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24
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0.40
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Difficulty breathing, coma, possible death
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30
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0.50 and greater
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Death
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*1 drink =
1.5 fl oz (45 mL) liquor (80
proof) or one glass [5 fl oz (150 mL)] wine or one glass [12 fl oz (360 mL)] beer.
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†BAC and the effects of drinking alcohol vary from person
to person and depend upon body weight, the amount of food eaten while drinking,
and each person's ability to tolerate alcohol.
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You can buy breath alcohol tests on the Internet, either directly
from the manufacturer or from a company that sells this kind of product. If you
have access to the Internet, you can find this information by searching for the
type of test or the name of the manufacturer.
References
Other Works Consulted
Credits
| Author | Sydney Youngerman-Cole, RN, BSN, RNC |
| Editor | Susan Van Houten, RN, BSN, MBA |
| Associate Editor | Tracy Landauer |
| Primary Medical Reviewer | Adam Husney, MD - Family Medicine |
| Specialist Medical Reviewer | R. Steven Tharratt, MD, MPVM, FACP, FCCP - Pulmonology, Critical Care, Medical Toxicology |
| Last Updated | June 23, 2006 |
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| Author: | Sydney Youngerman-Cole, RN, BSN, RNC | Last Updated: June 23, 2006 |
| Medical Review: | Adam Husney, MD - Family Medicine
R. Steven Tharratt, MD, MPVM, FACP, FCCP - Pulmonology, Critical Care, Medical Toxicology |
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