Alcoholic Ketoacidosis Wiki

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Pharmacology Review: Biguanides (Metformin) Speak & understand a new language faster with Rocket Languages. Get instant 24/7 lifetime access with no credit card required and no obligation right now: http://www.pharmacypearls.com/rocket Want the Pharmacy Pearls Letter emailed directly to you? http://www.pharmacypearls.com/letter Know your stuff? Test your knowledge of metformin by completing the review quiz right here: Metformin is classified as a biguanide medication. It is commonly prescribed and is generally considered the drug of first choice for uncomplicated patients newly-diagnosed with Type 2 Diabetes. Thanks for watching. Please be sure to support Pharmacy Pearls and like, subscribe, and comment. #Pharmacology #Metformin #Biguanides #Diabetes

Wikitox - Biguanides

Biguanide overdose has a significant mortality and is associated with an induced lactic acidosis which may be severe. Lactic acidosis associated with phenformin therapy has been reported to have a mortality rate of up to 50% in published cases and requires intensive supportive care with very careful and gradual correction of the acidosis. It is likely that a large part of the mortality relates to the underlying causes of the lactic acidosis (made worse by the phenformin) and the pre-existing state of the patients. Based on very limited evidence, the use of glucose/insulin infusions, dichloroacetate and haemodialysis are all probably beneficial. Metformin seems much less likely to be associated with lactic acidosis during routine therapy. In overdose, metformin induced lactic acidosis can be extremely severe but is often surprisingly well tolerated. There are two forms of lactic acidosis with biguanides. One is a biguanide associated acidosis (MALA) where there is a pre-existing cause of lactic acidosis in an unwell patient which is exacerbated by the biguanide. The mortality and morbidity is related mainly to the underlying issues in the patient and may be very high. The second is Continue reading >>

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  1. martinus

    I was a quite overwhelmed by the enormous feedback on the keto calculator:
    If you have used it before, please recalculate. I've made some important changes (and a bug fix)!
    Based on all the feedback I have tried to make it more useful to everyone here. There are now several major changes:

    Protein intake calculation is now higher. The book "The art and Science of Low Carbohydrate Performance suggests between 1.3 to 2.2 grams per lean bodymass, and Lyle McDonald suggests between 1.5 and 3.3 g/kg. I'm now using the numbers in between: 1.4 to 2.75. Also, I had a bug in the calculation that is now fixed.

    You can specify a caloric goal, and your personal percentage is calculated from that. This should make it easier to use with MFP.

    A minimum recommended caloric intake is calculated, based on your protein+carb intake and the maximum possible fat loss based on your amount of bodyfat. As far as I know there is no study to determine the maximum fat loss for keto-adapted people, and gogge has done a calculation from this one guy and that's what my number is based on. I hope it's a good guess, but more research is needed :)
    How do you like the changes?


    You da man, SIDEBAR THIS!

  3. gogge

    It's looking really nice.
    Perhaps you could add some text at step 8, the personal target calories, showing an example target level for losing 1 lb per week (a 500 kcal deficit). It would give people have some "sane" reference calories except the min/max recommendations. E.g for someone with a 2000 kcal total energy expenditure the description text might include "To lose 1 lb per week your personal target calories should be 1500 kcal".
    It might also be nice to add some text showing what the deficit would be with the energy intake they input, just so people don't have to try and figure it out in their heads when they input some random value, or either of the min/max numbers. Say the above person inputs 1750 kcal as their personal target you display some text like "With the above personal target calories your daily deficit is 250 kcal (0.5 lbs lost per week)".
    And it's an awesome tool, thanks. ;)

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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

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy , editorial process and privacy policy . A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2016, A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions. Continue reading >>

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  1. jeeple

    My gum package shows 1gm of carbs for each piece, from sugar alcohols. Atkins has you deduct them from you carb count to get your net carbs, same as fiber, but I didn't see anything in the literature here about not counting them. I chew probably 4-5 pieces every day to combat the yucky mouth taste I get from all the protien. Should I be adding that to my carb count for the day?

  2. jeeple

    I am trying to stick to 20g of carbs a day to get into ketosis, so 5g on gum is a hefty percentage of my day!

  3. jeeple

    Excellent, thank you!

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

File:cat Mudpiles - Causes Of High Anion-gap Metabolic Acidosis.svg

File:Cat mudpiles - causes of high anion-gap metabolic acidosis.svg DescriptionCat mudpiles - causes of high anion-gap metabolic acidosis.svg English: Causes of high anion-gap metabolic acidosis Diabetic ketoacidosis, Alcoholic ketoacidosis, Starvation ketoacidosis Paracetamol/Acetaminophen, Phenformin, Paraldehyde Iron, Isoniazid, Inborn errors of metabolism Ethanol (due to lactic acidosis), Ethylene glycol This SVGdiagram uses embedded textthat can be easily translated using a text editor. Learn more . I, the copyright holder of this work, hereby publish it under the following license: This file is made available under the Creative Commons CC0 1.0 Universal Public Domain Dedication . The person who associated a work with this deed has dedicated the work to the public domain by waiving all of his or her rights to the work worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law. You can copy, modify, distribute and perform the work, even for commercial purposes, all without asking permission. Commons Zero, Public Domain Dedicationfalsefalse Click on a date/time to view the file as it appeared at that time. This file contains additi Continue reading >>

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  1. sharidoto


  2. ljessica0501

    It varies for everyone. For me personally...it took 4 days to register anything and almost 2 weeks to get purple...I have never seen the darkest purple shade. Some people will tell you not to use the sticks, but I like them. My doctor told me to use them 3 times a day for a week to see when my body is the highest. Again...everyone is different. I am highest in the morning, but I hear some people are highest at night.
    Your goals, minus your doubts, equal your reality. - Ralph Marston

  3. PeeFat

    Your body has to burn off all the stored sugar before it goes into ketosis. The shade on the stick should read ' moderate. ' Any higher means you aren't drinking enough water to flush out excess ketones. Too many ketones in your body is unhealthy. So don't think you have to be in the darkest purple range to be eating properly. Also the best time to test is first thing in the morning. Only diabetics need check more than once a day. On atkins we don't even need to use keto sticks. If you follow the rules you will be in ketosis.

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  • Alcoholic Ketoacidosis Symptoms And Treatment

    Approach Considerations Treatment of alcoholic ketoacidosis (AKA) is directed toward reversing the 3 major pathophysiologic causes of the syndrome, which are: This goal can usually be achieved through the administration of dextrose and saline solutions. [4] Carbohydrate and fluid replacement reverse the pathophysiologic derangements that lead to AKA by increasing serum insulin levels and suppressing the release of glucagon and other counterregula ...

    ketosis Mar 29, 2018
  • Alcoholic Ketoacidosis Wiki

    Background In 1940, Dillon and colleagues first described alcoholic ketoacidosis (AKA) as a distinct syndrome. AKA is characterized by metabolic acidosis with an elevated anion gap, elevated serum ketone levels, and a normal or low glucose concentration. [1, 2] Although AKA most commonly occurs in adults with alcoholism, it has been reported in less-experienced drinkers of all ages. Patients typically have a recent history of binge drinking, litt ...

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  • Alcoholic Ketoacidosis Pathophysiology

    • The characteristic example is an alcoholic person who abruptly abstains and has signs and symptoms such as vomiting, abdominal pain, malnutrition, and an anion gap metabolic acidosis, but no measurable alcohol levels. • A ratio of β-hydroxybutyrate to acetoacetate in excess of 10 : 1 is pathognomonic for alcoholic ketoacidosis, whereas a 3 : 1 ratio is more common in diabetic ketoacidosis. • Treatment emphasizes hydration with dextrose-c ...

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  • What Is Alcoholic Ketoacidosis?

    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, resp ...

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  • Alcoholic Ketoacidosis

    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 ...

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  • 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 ...

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