Alcoholic Ketoacidosis Treatment

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Alcoholic Ketoacidosis: A Case Report And Review Of The Literature

Alcoholic ketoacidosis: a case report and review of the literature Corresponding address. Department of Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge CB2 0QQ, UK. Tel: +441223-762322; Fax: + Oxford Medical Case Reports, Volume 2016, Issue 3, 1 March 2016, Pages 3133, Nurulamin M. Noor, Krishna Basavaraju, Dan Sharpstone; Alcoholic ketoacidosis: a case report and review of the literature, Oxford Medical Case Reports, Volume 2016, Issue 3, 1 March 2016, Pages 3133, Alcoholic ketoacidosis (AKA) is a cause of severe metabolic acidosis usually occurring in malnourished patients with a history of recent alcoholic binge, often on a background of alcohol dependency. AKA can be fatal due to associated electrolyte abnormalities and subsequent development of cardiac arrhythmias. This is a diagnosis that is often delayed or missed, in patients who present with a severe lactic and ketoacidosis. Here we report the case of a 64-year-old female who presented with generalized abdominal pain, nausea and shortness of breath. Blood gas analysis showed significant acidaemia with a pH of 7.10, bicarbonate of 2.9 mmol/l, and lactate of 11.7 mmol/l. Serum ketones were raised at 5.5 Continue reading >>

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  1. elsilrac

    hi! im new to IP, starting 4th week today. although things aren't going as quickly as i'd hoped (total lost = 7.2 lbs) its better than where i was 3 weeks ago!
    anywooo, in the past couple days i've developed facial flushing. for no apparent reason my face will become red and warm/hot. when i was lurking around here reading i found out that IP can affect hormones in us. could this flushing be hormonally related which in turn is related to IP??

  2. coliep

    Is there any chance you are getting too many carbs? Now, I have no idea if there is a real basis for this or its just my own questionable theory, but I have noticed that I have something akin to hot flashes when I have consumed a combination of things that is higher in carbs. I have had weird bouts of being cold (which is part of ketosis I understand) but there are certain days (usually following something off protocol) where i have this overwhelming hot flush (all over for me). Anyway, just a thought (and might also explain the slower than expected weight loss). Otherwise, my other guess was deifnitely the hormonal shifts . . .

  3. elsilrac

    carbs from what, veggies?

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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 b

Alcoholic Ketoacidosis

Alcoholic ketoacidosis is a metabolic complication of alcohol use and starvation characterized by hyperketonemia and anion gap metabolic acidosis without significant hyperglycemia. Alcoholic ketoacidosis causes nausea, vomiting, and abdominal pain. Diagnosis is by history and findings of ketoacidosis without hyperglycemia. Treatment is IV saline solution and dextrose infusion. Alcoholic ketoacidosis is attributed to the combined effects of alcohol and starvation on glucose metabolism. Alcohol diminishes hepatic gluconeogenesis and leads to decreased insulin secretion, increased lipolysis, impaired fatty acid oxidation, and subsequent ketogenesis, causing an elevated anion gap metabolic acidosis. Counter-regulatory hormones are increased and may further inhibit insulin secretion. Plasma glucose levels are usually low or normal, but mild hyperglycemia sometimes occurs. Diagnosis requires a high index of suspicion; similar symptoms in an alcoholic patient may result from acute pancreatitis, methanol or ethylene glycol poisoning, or diabetic ketoacidosis (DKA). In patients suspected of having alcoholic ketoacidosis, serum electrolytes (including magnesium), BUN and creatinine, glucose, Continue reading >>

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  1. DoomPirate1

    What's the Oily Stuff in my Urine?

    When I urinate, this oily stuff sinks to the bottom. Not milky or cloudy at all. Does anyone know what this stuff is? Urine pretty standard yellow color, sometimes deeper yellow. And when it is this deeper yellow, I seem to urinate more amounts of this oily stuff.
    I've been averaging sub-50g carbs daily for about 2 months, Primal for 10 months. Protein accounts for maybe 30-40% of my daily calories. And I can now operate very well with little to no carbs, with high fat and protein intake. I've been losing a pound of fat per week, so everything is going very nicely.The keto sticks have been registering trace and very low still. (occassionally moderate)
    Background: Male, age 24, i take fishoil supplements, eat fish occassionally, I take Life Extension Mix Multivitamins, creatine, bcaa's.

  2. Vivvid

    Go see a doctor. (and maybe your gf as well)

  3. DoomPirate1

    Originally Posted by Vivvid
    Go see a doctor. (and maybe your gf as well)

    But I am more heathy than i have ever been. Just had a 10lb Deadlift PR. 405lb at 152. I feel great.
    I think its something normal, I am just curious what it is. It is not globs of this "oily substance", its small amounts.
    Its not an STD... I would know. No GF

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This video relates abdominal pain according to different abdominal regions and states the most important differential diagnosis of each pain position.

Severe Metabolic Acidosis In The Alcoholic: Differential Diagnosis And Management

1 A chronic alcoholic with severe metabolic acidosis presents a difficult diagnostic problem. The most common cause is alcoholic ketoacidosis, a syndrome with a typical history but often misleading laboratory findings. This paper will focus on this important and probably underdiagnosed syndrome. 2 The disorder occurs in alcoholics who have had a heavy drinking-bout culminating in severe vomiting, with resulting dehydration, starvation, and then a β- hydroxybutyrate dominated ketoacidosis. 3 Awareness of this syndrome, thorough history-taking, physical examination and routine laboratory analyses will usually lead to a correct diagnosis. 4 The treatment is simply replacement of fluid, glucose, electrolytes and thiamine. Insulin or alkali should be avoided. 5 The most important differential diagnoses are diabetic ketoacidosis, lactic acidosis and salicylate, methanol or ethylene glycol poisoning, conditions which require quite different treatment. 6 The diagnostic management of unclear cases should always include toxicological tests, urine microscopy for calcium oxalate crystals and calculation of the serum anion and osmolal gaps. 7 It is suggested here, however, that the value of th Continue reading >>

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  1. javajo91

    I know this has been brought up in prior posts but it appears to be an older thread....so just to get a fresh answer ...
    I'm a runner...46 years old. Been on a healthy track for 6 years since my 40th bday.
    I was Vegan for 5 of those years and after eating animal products again my wife and I swore to never follow such an extreme diet again...and to just enjoy life and the wonderful food out there.
    With that being said...as a a runner...the idea of fat burning is extremely alluring... Plus the fact that ketosis improves ” brain fog" is another very compelling positive effect. Ever since I turned 40 I swear my mind is total garbage at remembering​ anything!
    I also enjoy the occasional beer and glass of wine....and good New Jersey pizza.
    I can do 8 weeks to get Keto adapted and keep my carbs under 50 grams per day....doing an 80, 15, 5 ratio....fat, protein carb respectively.
    After adaptation..If I want an occasional night out with the wife enjoying beer and pizza, I've read from this post it takes about 48 hours to get back into the ketosis groove again. Is this still accurate? Once again this is after being fully Keto adapted.
    I'm assuming that if you overdue carbs during your initial adaptation.. you're just not going to move forward.
    Thanks guys

  2. about_some_stuff

    I'll give you my experience. Been keto for about 4 months. I was extremely militant during the adaptation, which for me was between 3 and 4 weeks.
    Since then I've been pretty strict, but not militant. I track my food a lot of the time, but not always. I have a pretty good sense on a day to day basis how much to eat, and of what. My body fat % has gone down every single week since I started - from 18%+ to around 11-12%.
    Now for the unpopular part: you can safely ignore all of the people saying that it has to be a 100% lifestyle, that you can't ever have a "cheat" day, etc. You can throw out your worry about "getting back into keto", etc.
    I've pigged out on pizza every Friday night since I was keto adapted. Sometimes I have a little soda. Hell, one time I even had a donut the next morning. And guess what? I feel just fine. I don't get sick. I don't feel horrible. And I don't feel horrible about myself either. I really like pizza, it's part of my family's weekly routine, and I don't really care that for one night a week my body gets to process 100g of carbs within a few hours.
    I'm 100% certain that our bodies evolved to be totally fine when our ancestors stumbled across a grove of fruit trees and pigged out on 100s of grams of pure sugar for a few days.
    Your mileage may vary: test it out yourself. But I'd go with how you feel vs how people say you need to run your life.
    Having said all of that, I think it's important (and maybe what some people are trying to say) to think of your "diet" as a way of life. I'm 100% convinced that a ketogenic diet has a long list of health benefits and that I'll be eating this way for a very long time. As such, I don't view NOT eating stuff as a "restriction". I just view it as how I eat because I know it's great for me. And I view occasionally deviating from ideal eating exactly the same way as any other adult decision in life.

  3. javajo91

    Great write up and advice. I appreciate your input Thank you

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