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Alcoholic Ketoacidosis Sudden Death

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A Complex Acid-base Disorder In An Alcoholic | Umyarova | The Southwest Respiratory And Critical Care Chronicles

A complex acid-base disorder in an alcoholic A complex acid-base disorder in an alcoholic Elvira Umyarova MDa, Natasha Suvorava MDa Correspondence to Natasha Suvorava MD, Email: [email protected] aA residents in Internal Medicine at TTUHSC. ................................................................................................................................................................................................................................................................................................................................... A 49-year-old man with a history of PTSD, panic attacks, and recent alcohol binge drinking with rapid cessation presented with anxiety, shortness of breath, and multiple vomiting episodes. Laboratory tests included Na 140 mmol/L, K 4.8 mmol/L, Cl 81 mmol/L, CO2 9 mmol/L, BUN 26 mg/dl, Cr 1.8 mg/dl, glucose 250 mg/dl, albumin 5.7 gm/dl, and amylase 243 int unit/L (nl 13-60 int units/L).The serum anion gap was 50, acetone large, osmolal gap 13, serum ethanol negative, salicylate level negative, and HbA1c normal. Arterial blood gases included pH 7.46, pCO2 14.4 mmHg, HCO3 10.1 mEq/L, base excess (-) 10.2 mEq/L, lactate Continue reading >>

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Popular Questions

  1. Walnutz64

    I've recently, in the past month or so, noticed that I have morning hypertension up to 140/90. I have a family history of it but that doesn't typically start until the 30's. I've also tried controlling for certain aspects of the diet - water, sodium, fiber - and haven't been able to pinpoint the cause.
    I don't think I've had it for the whole time I've been on keto but I wasn't measuring it the first few months. I'm beginning to grow concerned that my body isn't accepting the keto lifestyle - aside from the successful weight loss.
    Also, I've heard that simply being overweight (which I still am) can be the cause and I'm wondering if it might go away as I near 200 lbs.
    Has anybody else had a similar experience? Please advise. Also, is there something I can do/eat/avoid to help with the high BP? Thank you.

  2. Junkbot

    High BP is mostly connected with weight, and it should go down as you lose some more. However, I know some people who are fairly fit with good diets that have high BP. Sometimes it is just genetics. However, like you and others have mentioned, I would focus on the weight loss first.
    Also, 140/90 is sorta high, but nothing I would be really worried about. I had that kind of BP throughout my adult life pre-keto, and afterwards (with weight loss), my BP dropped like a rock.

  3. Walnutz64

    Awesome. Any flare ups since then? What is your height/weight and gender?

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