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Alcoholic Ketoacidosis Death

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Alcoholic Ketoacidosis

Workup When a chronic alcoholic presents with signs of AKA, the clinician should carefully evaluate the patient, obtain a history, perform a physical exam, and order the appropriate laboratory tests. Laboratory tests and results A comprehensive metabolic profile will allow the medical team to determine the overall clinical picture of the patient. This includes measurement of serum electrolytes, glucose, blood urea nitrogen (BUN), creatinine, lipase, amylase, and plasma osmolality. Also, urinalysis is helpful to detect ketones. Another useful tool is the blood alcohol level [8]. Finally, critically ill patients with positive ketones must have an analysis of their arterial blood gas (ABG) and serum lactate levels. With regards to expected findings, all patients demonstrate ketonuria and a majority display ketonemia. Also common are electrolyte imbalances such as hypokalemia, hyponatremia, hypophosphatemia, and hypomagnesemia. Additionally, the serum glucose may range from low to modest elevation while another abnormality is an increased osmolar gap (secondary to increased acetone and possibly ethanol). Most importantly, AKA is typically characterized by a high anion gap metabolic aci Continue reading >>

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  1. DrewChan

    Im just doing usual pork chops beans and gemsquash - with some protein shake to top it off

  2. DJ...

    So my first cup of coffee in months is a cup of butter coffee, no sugar.
    It is delicious...

  3. SlinkyMike

    Originally Posted by DJ...
    So my first cup of coffee in months is a cup of butter coffee, no sugar.
    It is delicious... If the milk is stretched correctly then lactose is broken down to glucose during that process. There is also the issue of texture and how the tongue is coated by the milk...
    Bottom line though: This is why a properly prepared sugar free flat white should have a sweetness to it.

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Anion gap usmle - anion gap metabolic acidosis normal anion gap metabolic acidosis

Alcoholic Ketoacidosisunderrecognized Cause Of Metabolic Acidosis In The Elderly

Alcoholic KetoacidosisUnderrecognized Cause of Metabolic Acidosis in the Elderly The Substance Abuse & Mental Health Services Administration (SAMHSA) reported that substance abuse among adults age 60 years and older is a rapidly growing health problem. The report also stated that in 2000, 17% of Americans age 65 and older had problems with prescription drug and alcohol abuse.1 Most elderly people with alcohol abuse problems have a history of early-life alcohol abuse. However, a significant proportion start drinking later in life in response to traumatic life events such as the death of a loved one, loneliness, pain, insomnia, and retirement. This subset often experiences periods of binge drinking with little or no food intake. Alcoholic ketoacidosis (AKA) is an acute anion gap metabolic acidosis that typically occurs in people with a recent history of binge drinking and little or no nutritional intake. Some patients with AKA also have intractable vomiting and dehydration, and in these cases there is a concomitant metabolic alkalosis. An 86-year-old female, who had been a widow for the past 20 years, presented to the hospital with complaints of nausea, epigastric discomfort, and br Continue reading >>

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  1. 10Poppies

    I've heard several people mention that they don't rely on ketostix because they can give a false negative; showing no color when the person actually is in ketosis.
    Is it possible for the opposite to happen, where it's showing as pink when the person really is not in ketosis? I ask because my stix have continuously pink for many days, but I'm not seeing any weight loss. Is it possible for the body to be in ketosis, but not actually losing any fat?

  2. Ntombi

    It's rare to hear of a false positive, more likely that you're in ketosis. Yes, it's possible to be in ketosis, but not lose any weight. That happens when you're eating too many calories.
    But it's more likely that you're losing fat but retaining water, and the scale will show a loss eventually. Have you read this thread: http://www.lowcarbfriends.com/bbs/ma...cale-lies.html ? The scale isn't always the best indicator of progress, because so many variables influence scale weight, and weight loss isn't a linear process.
    I suggest you measure yourself at several key points as well, as you may lose inches as the scale stays the same.
    Now, if you would like to share what you're eating we can also try to help you figure out if you're eating too many calories for your body's needs.

  3. 10Poppies

    Thanks Ntombi, that's good information. I'm pretty sure you're right, that it's too many calories. I haven't been measuring, but my clothes are not feeling any looser. My eating has been all over the place for the last week --always within legal carb limits, always still with pink stix...but probably still causing weight loss to slow to a crawl nevertheless.
    I usually eat like so:
    B: 3 eggs with bacon or ham
    S: Coffee with hnh
    L: chicken salad with greens
    S: devilled eggs, pepperoni, cheese or cucumbers with some type of legal dip
    D: hamburgers or steak
    But I have been eating way more than that this past week for various reasons.

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beta-Hydroxybutyric acid is an organic compound with the formula CH3CH(OH)CH2CO2H. It is a beta hydroxy acid. It is a chiral compound having two enantiomers, D-3-hydroxybutyric acid and L-3-hydroxybutyric acid. Its oxidized and polymeric derivatives occur widely in nature. This video is targeted to blind users. Attribution: Article text available under CC-BY-SA Creative Commons image source in video

Beta Hydroxybutyric Acidan Indicator For An Alcoholic Ketoacidosis As Cause Of Death In Deceased Alcohol Abusers

We analyzed the postmortem blood of a total of 100 fatal cases for beta-hydroxybutyric acid (BHBA). In 25 cases of sudden and unexpected death of alcoholics we found pathologically increased levels of BHBA of 1260 to 47 200 (median 8000) mol/L. This led us to the diagnosis of an alcoholic ketoacidosis (AKA) as cause of death in these cases. The control group of 69 postmortem cases revealed that BHBA concentrations below 500 can be regarded as normal, and values up to 2500 mol/L as elevated. Our study shows that BHBA values over 2500 mol/L could lead to death, if no medical attention is sought. During storage we did not find any indication of postmortem formation or decomposition of BHBA in blood in vitro or in the corpses. In our opinion, BHBA should be considered the diagnostic marker of choice for the postmortem determination of alcoholic ketoacidosis (AKA) as the cause of death. The classical indications of such deaths are: unexpected death of a chronic alcoholic; none or only traces of ethanol in the blood; increased acetone blood concentration; and neither autopsy, histology, microbiology, nor toxicology reveal the cause of death. In six further cases a diabetic ketoacidosis Continue reading >>

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  1. Scouser

    I started the Atkins diet at the beginning of the year and I am making slow progress. During the induction phase I lost 6 lb in this first week and then nothing after that. The second week I stayed the same weight and at time appeared to gain a pound or two and lose a pound or two! The whole time this was happening I was using the urine analysis strips ( and still am) and it was showing during the whole time I was producing a moderate to large amount of ketones! It has been a month now and I feel like I should be making more headway in this. Over the past month I have lost an additional four pounds (but I don't really count it because I have been known to put it on again some time in the week and then just stay at that weight). I have not increased my carbs from the inital amount suggested in the induction phase. I am concerned that I am not able to lose. I work out everyday (either yoga or step) for about 40 minutes, although I do have a desk job. Has this happened to anyone else? If so, what can I do?
    Thanks

  2. AngelaR

    It's normal to slow down after the induction period is over. Your body is thinking baout what is going on and trying to adjust. You are also exercising whish is replacing fat with lean muscle, and muscle weighs more than fat.
    Have you taken measurements? Sometimes you don't lose pounds, but you lose inches.
    The big question is, How much water are you drinking?
    Also, what are you eating? Are you eating any of the things that would slow you down? Are you eating foods that have hidden carbs? If you start a journal in the Bootcamp/Journals section, and post this kind of info regularly, then it will be easier for people to take a look at your patterns and give you some guidance.

  3. Natrushka

    Scouce, welcome to the forum.
    The first thing that comes to mind is are you drinking enough water and are you eating enough food. You should be drinking at the very minimum 64 oz of water a day (water, water and more water - anything else you drink should be above and beyond this). Guidlines for calories are 10 - 12 times your body weight a day - eating too little will stress your body and force it to hold onto fat and water. Put the two together and slow or nonexistant fat loss is not surprizing.
    Starting up a Journal in the Bootcamp section might be a good idea - just to give us some idea of what you've been eating and drinking. Remember to include quality and quantity! You might also be interested in checking out www.fitday.com It's a free online site that lets you keep track of fat/protein/carbs etc. It is usually a very eye opening experience.
    Hope to hear more,
    Nat

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