Alcoholic Ketoacidosis Symptoms And Treatment

Share on facebook

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

Go to: CHARACTERISATION In 1940, Dillon et al1 described a series of nine patients who had episodes of severe ketoacidosis in the absence of diabetes mellitus, all of whom had evidence of prolonged excessive alcohol consumption. It was not until 1970 that Jenkins et al2 described a further three non‐diabetic patients with a history of chronic heavy alcohol misuse and recurrent episodes of ketoacidosis. This group also proposed a possible underlying mechanism for this metabolic disturbance, naming it alcoholic ketoacidosis. Further case series by Levy et al, Cooperman et al, and Fulop et al were subsequently reported, with remarkably consistent features.3,4,5 All patients presented with a history of prolonged heavy alcohol misuse, preceding a bout of particularly excessive intake, which had been terminated several days earlier by nausea, severe vomiting, and abdominal pain. Clinical signs included tachypnoea, tachycardia, and hypotension. In 1974, Cooperman's series of seven ketoacidotic alcoholic patients all displayed diffuse epigastric tenderness on palpation.4 In contrast to patients with diabetic ketoacidosis, the patients were usually alert and lucid despite the severity of Continue reading >>

Share on facebook

Popular Questions

  1. TriLifter

    So, I'm wondering if this is fat-adapted related? The past few months my urine has smelled weird. Like asparagus pee, but without eating asparagus. I mean, I HAVE eaten asparagus, but not every day LMAO.
    Anyway, I'm just wondering if the strong odor has something to do with being paleo. My carbs are relatively high (65-85g/day) and my breath smells fine (believe my, my husband would tell me if it didn't). My urine used to not really smell like anything, but now it does, even when almost clear from my excessive water intake.

  2. justaspoonfulofsugar

    This is due to ketosis..I have it as well..I also often have to deal with metal mouth and brush my teeth all the time.
    Not everyone has to be below 50 grams to be in ketosis..for some it comes with less than 80 grams

  3. TriLifter

    Thank you! I didn't want to throw the k-word (ketosis) around too frivilously. I'm glad that's what it sounds like--that's what I was hoping. It's kinda of embarrassing to pee at work, though, because I know people in other stalls can probably smell it too!

  4. -> Continue reading
read more
Share on facebook

how to quit alcohol addiction in hindi alcoholic alcoholism withdrawal alcohol abuse stop drinking treatment :-In this video there are 6 tips which can help you in stop drinking alcohol. This video is in Hindi language. Quieting Alcohol addiction is not a simple task. But you can leave this habit using given home remedies.

Postmortem Diagnosis Of Alcoholic Ketoacidosis | Alcohol And Alcoholism | Oxford Academic

Aims: The aim of this article is to review the forensic literature covering the postmortem investigations that are associated with alcoholic ketoacidosis fatalities and report the results of our own analyses. Methods: Eight cases of suspected alcoholic ketoacidosis that had undergone medico-legal investigations in our facility from 2011 to 2013 were retrospectively selected. A series of laboratory parameters were measured in whole femoral blood, postmortem serum from femoral blood, urine and vitreous humor in order to obtain a more general overview on the biochemical and metabolic changes that occur during alcoholic ketoacidosis. Most of the tested parameters were chosen among those that had been described in clinical and forensic literature associated with alcoholic ketoacidosis and its complications. Results: Ketone bodies and carbohydrate-deficient transferrin levels were increased in all cases. Biochemical markers of generalized inflammation, volume depletion and undernourishment showed higher levels. Adaptive endocrine reactions involving insulin, glucagon, cortisol and triiodothyronine were also observed. Conclusions: Metabolic and biochemical disturbances characterizing alc Continue reading >>

Share on facebook

Popular Questions

  1. Fry

    To my knowledge this has been demonstrated in mice. Mice that were not necessarily fed a healthy diet and that are mice and not as likely to eat that kind of diet like humans are in nature, for the past hundred thousand years.
    However of all the studies in humans, while there have been some negative ones showing arterial stiffness or other issues, there have been none, that I know of, showing the diet to cause insulin resistance and several that showed increased insulin sensitivity.
    I have read that while in ketosis one will develop insulin resistance but it is a temporary and necessary response by your body to ensure that your brain gets enough glucose and, most importantly, that this resistance is completely reversible and sensitivity will go back up if/when one started eating carbs again.

    Does anyone know? Studies? Science?

  2. brownfat

    Blood glucose tracking can give a good sense of changing insulin resistance. If over time on the diet your fasted bg is falling and/or your post prandial bg rise to a particular food diminishes then you are likely becoming more insulin sensitive. Fasting should help.

  3. VLC.MD

    A foundational principle of low carb diets is that they lower insulin resistance in humans.

  4. -> Continue reading
read more
Share on facebook

Case 714 * Alcoholic Ketoacidosis * Dr. Mohammad Akram Babury, MD . Send us your feedback/suggestions. Naser Oria https://www.facebook.com/doctorsforaf... / . Visit us at / :www.doctorsforafghanistan.com Kabul # health # Acidosis # Diabetic #

Alcoholic Ketoacidosis – A Case Report

Summarized from Noor N, Basavaraju K, Sharpstone D. Alcoholic ketoacidosis: a case report and review of the literature. Oxford Medical Case Reports 2016; 3: 31-33 Three parameters generated during blood gas analysis, pH, pCO2 and bicarbonate, provide the means for assessment of patient acid-base status, which is frequently disturbed in the acutely/critically ill. Four broad classes of acid-base disturbance are recognized: metabolic acidosis, respiratory acidosis, metabolic alkalosis and respiratory alkalosis. Metabolic acidosis, which is characterized by primary reduction in pH and bicarbonate, and secondary (compensatory) decrease in pCO2, has many possible causes including the abnormal accumulation of the keto-acids, β-hydroxybutyrate and acetoacetate. This particular form of metabolic acidosis, called ketoacidosis, has three etiologies giving rise to three quite separate conditions with common biochemical features: diabetes (diabetic ketoacidosis); excessive alcohol ingestion (alcoholic ketoacidosis) and severe starvation (starvation ketoacidosis). Diabetic ketoacidosis, which is the most common of the three, is the subject of a recent review (discussed below) whilst alcoholic Continue reading >>

Share on facebook

Popular Questions

  1. Tigerbreath11

    I just wanted to share my success with other women who can appreciate the ketogenic effects during pregnancy. It kind of sucks to be the only one in your circle/network who understands the value. Everyone I know has had complications during delivery, pregnancy and I sit here 38/39 weeks pregnant with my second keto baby like "I know what I'm talking about" but I keep that to myself. I've kept my carb level minimal I did have occasional treats through pregnancy but my goal was to keep the levels at 20 grams a day because I feel amazing. So the majority of my pregnancy was keto and I had very little to no water retention, my mood was pretty stable, I have a huge belly but I manage to jump out of bed. No morning sickness at all. My blood pressure has been perfect. No anxiety, no depression, I worked, took the bus an hour with a 4 yr old and a 2 yr old to day care then to work then another hour back on the bus to home and to cook dinner. I had energy like you wouldn't believe. Yeah I was tired at the end of the day but got up everyday. I never made excuses. I lived out of a shelter at one point with my kids and stayed keto. I love the benefits of keto so much. My skin, hair and nails are wonderful. My clear head too. I'm 5'7 started my pregnancy at 240 and I have not gained any weight during pregnancy. I actually have lost weight. I'm very excited to see my post partum body. I know the feeling of having a carb heavy pregnancy. I did vegetarian vegan diet with my daughter and had the opposite of what I have now. With my 2 yr old I did keto pregnancy and found what I'm experiencing now. A perfect pregnancy. With my daughter I was throwing up daily, depressed, crazy weight gain, anxiety, high bp, docs wanted me on zofran, antidepressants and heart meds. (Ummm no thanks.) Lots of information out there to keep me away from that garbage. And yes it's garbage. Amazing what eating lots of vegetables, healthy fats, eggs and good quality meats have done to my body. I'm very excited for my keto delivery.

  2. noptopus

    That's awesome! I'm 29 weeks tomorrow and feel like keto has helped with common symptoms and managing my weight. I was just a little bit overweight to begin with and I've only gained 9 lbs, all of it in my belly and boobs. I'm even still wearing my pre-pregnancy clothes comfortably, including jeans. I do have swelling but just in my feet, and it's not uncomfortable, just weird looking; wedding rings still slip on and off easily. I am my usual lazy self, but not super exhausted. I wasn't sure if I could credit keto or dumb luck, but the more I hear about successful keto pregnancies, the more I lean towards keto. You're very inspiring!

  3. Tigerbreath11

    Thank you so much! :) you must feel good about your choice to do keto pregnant. I commend you on that.

  4. -> Continue reading
read more

No more pages to load

Related Articles

  • What Is Alcoholic Ketoacidosis?

    Woods WA, Perina DG. Woods W.A., Perina D.G. Woods, William A., and Debra G. Perina.Chapter 221. Alcoholic Ketoacidosis. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. Tintinalli J.E., Stapczynski J, Ma O, Cline D.M., Cydulka R.K., Meckler G.D., T Eds. Judith E. Tintinalli, et al.eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e New York, NY: McGraw-Hill; 2011. Accessed March 27, 2018. Woods WA, ...

    ketosis Mar 29, 2018
  • Alcoholic Ketoacidosis Treatment

    Increased production of ketone bodies due to: Dehydration (nausea/vomiting, ADH inhibition) leads to increased stress hormone production leading to ketone formation Depleted glycogen stores in the liver (malnutrition/decrease carbohydrate intake) Elevated ratio of NADH/NAD due to ethanol metabolism Increased free fatty acid production Elevated NADH/NAD ratio leads to the predominate production of β–hydroxybutyrate (BHB) over acetoacetate (AcAc ...

    ketosis Mar 29, 2018
  • Most Common Symptoms Of Alcoholic Ketoacidosis

    Cells need glucose (sugar) and insulin to function properly.Glucose comes from the food you eat, and insulin is produced by the pancreas.When you drink alcohol, your pancreas may stop producing insulin for a shorttime. Without insulin, your cells wont be able to use the glucose you consumefor energy. To get the energy you need, your body will start to burn fat. When your body burns fat for energy, byproducts known as ketonebodies are produced. I ...

    ketosis Apr 30, 2018
  • Alcoholic Ketoacidosis Symptoms

    For More Information About Alcoholism and Alcohol Use Disorder Alcohol problems vary in severity from mild to life threatening and affect the individual, the person's family, and society in numerous adverse ways. Despite the focus on illegal drugs of abuse such as cocaine , alcohol remains the number-one drug problem in the United States. Nearly 17 million adults in the U.S. are dependent on alcohol or have other alcohol-related problems, and ab ...

    ketosis Mar 28, 2018
  • Alcoholic Ketoacidosis Home Treatment

    INTRODUCTION Ketoacidosis is the term used for metabolic acidoses associated with an accumulation of ketone bodies. The most common cause of ketoacidosis is diabetic ketoacidosis. Two other causes are fasting ketosis and alcoholic ketoacidosis. Fasting ketosis and alcoholic ketoacidosis will be reviewed here. Issues related to diabetic ketoacidosis are discussed in detail elsewhere. (See "Diabetic ketoacidosis and hyperosmolar hyperglycemic state ...

    ketosis May 3, 2018
  • Alcoholic Ketoacidosis Symptoms And Treatment

    Alcoholic Ketoacidosis Damian Baalmann, 2nd year EM resident A 45-year-old male presents to your emergency department with abdominal pain. He is conscious, lucid and as the nurses are hooking up the monitors, he explains to you that he began experiencing abdominal pain, nausea, vomiting about 2 days ago. Exam reveals a poorly groomed male with dry mucous membranes, diffusely tender abdomen with voluntary guarding. He is tachycardic, tachypneic bu ...

    ketosis Mar 29, 2018

More in ketosis