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What Is Alcohol Acidosis?

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Metabolic Acidosis In The Alcoholic: A Pathophysiologic Approach - Sciencedirect

Volume 32, Issue 3 , March 1983, Pages 308-315 Metabolic acidosis in the alcoholic: A pathophysiologic approach Author links open overlay panel M.L.Halperin Get rights and content The purpose of this paper is to review the acid-base abnormalities in patients presenting with metabolic acidosis due to acute ethanol ingestion and to review the theoretical constraints on ethanol metabolism in the liver. Alcohol-induced acidosis is a mixed acid-base disturbance. Metabolic acidosis is due to lactic acidosis, ketoacidosis and acetic acidosis but the degree of each varies from patient to patient. Metabolic alkalosis is frequently present due to ethanol-induced vomiting. However, it could be overlooked because of an indirect loss of sodium bicarbonate (as sodium B-hydroxybutyrate in the urine). Nevertheless, the accompanying reduction in ECF volume may play an important role in the pathogenesis of alcoholic acidosis because it could lead to a relative insulin deficiency. Treatment of alcohol acidosis should include sodium, chloride, potassium, phosphorus, magnesium and thiamine replacements slong with attention to concomitant clinical problems. Unless hypoglycemia is present, glucose need Continue reading >>

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  1. jlr820, BSN

    Yes it is. The bloodstream is absolutely full of glucose (since it isn't entering cells and being metabolized). This glucose load makes the blood HYPERosmolar and the kidneys respond by trying to remove glucose through urination. They cannot effectively deal with the large glucose load, and that's why glucose "spills" into the urine. The process of excessive urine output secondary to the large glucose load is called osmotic diuresis, and the client loses a HUGE amount of fluid through this diuretic effect, leading to profound dehydration.

  2. NRSKarenRN

    check out these prior posts:
    question about dka - nursing for nurses
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    diabetic ketoacidosis: emedicine pediatrics: cardiac disease and
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    acccn's critical care nursing - google books result

  3. ghurricane

    Thanks so much!! Here is another oddity that makes no sense. I know there is potassium depletion due to frequent urination, but why do labs usually indicate hyperkalemia?

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Metabolic Acidosis In The Alcoholic: A Pathophysiologic Approach.

Metabolic acidosis in the alcoholic: a pathophysiologic approach. Halperin ML , Hammeke M , Josse RG , Jungas RL . The purpose of this paper is to review the acid-base abnormalities in patients presenting with metabolic acidosis due to acute ethanol ingestion and to review the theoretical constraints on ethanol metabolism in the liver. Alcohol-induced acidosis is a mixed acid-base disturbance. Metabolic acidosis is due to lactic acidosis, ketoacidosis and acetic acidosis but the degree of each varies from patient to patient. Metabolic alkalosis is frequently present due to ethanol-induced vomiting. However, it could be overlooked because of an indirect loss of sodium bicarbonate (as sodium B-hydroxybutyrate in the urine). Nevertheless, the accompanying reduction in ECF volume may play an important role in the pathogenesis of alcoholic acidosis because it could lead to a relative insulin deficiency. Treatment of alcohol acidosis should include sodium, chloride, potassium, phosphorus, magnesium and thiamine replacements along with attention to concomitant clinical problems. Unless hypoglycemia is present, glucose need not be given immediately. We feel that insulin should be withheld Continue reading >>

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  1. mishapie

    I'll be 4 weeks post sleeve tomorrow.
    I'm doing fine; on puréed diet and managing fluids really well but I'm still having problems with a slightly coated tongue.
    I was treated for oral thrush post op but the Nystan didn't seem to make much of a difference.
    I obviously brush my teeth regularly, use a tongue scraper and antibacterial mouthwash but it's still there. I also feel as though my back teeth are coated.
    I know pineapple can be effective in treating mouth problems so might give that a go. I'm contemplating live yoghurt even though I hate it!
    Anyone else had this and treated it successfully? I'd be grateful for any suggestions.

  2. shelleyssweets

    Instead of the yogurt....you may want to try acidophilus. It can usually be found in the vitamin section. Replace your toothbrush often, and frequently rinse your mouth with either salt water or peroxide diluted with a bit of water. Good luck!

  3. VeryLargeBob

    You might be in ketosis, especially if a tongue scraper doesn't improve things. Bump your carb intake one day to over 40g and see if it immediately clears up. Of course, being in ketosis isn't necessarily a bad thing, you metabolize fat a lot faster.
    Have you really lost 72 pounds in 27 days? That's phenomenal!

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Alcoholic Ketoacidosis

Alcoholic ketoacidosis is a common reason for admission of alcohol dependent persons in hospitals emergency rooms. The term refers to a metabolic acidosis syndrome caused by increased ketone levels in serum . Glucose concentration is usually normal or a little lower. In 1940, Drs Edward S. Dillon, W. Wallace, and Leon S. Smelo, first described alcoholic ketoacidosis as a distinct syndrome . They stated that "because of the many and complex factors, both physiologic and pathologic , which influence the acid-base balance of the body, a multitude of processes may bring about the state of acidosis as an end result." [1] In the 1971, David W. Jenkins and colleagues described cases of three nondiabetic 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. [2] Patients regularly report nausea , vomiting, and pain in abdomen which are the most commonly observed complaints. This syndrome is rapidly reversible and, if taken care of has a low mortality. Other patients present tachypnoea , tachycardia , and hypotension . [3] The Continue reading >>

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  1. kristafb

    Just wanted to share with you all. I am not endorsing the site, know nothing about them other than someone on the facebook group posted the link & the price for the box of 50, even with $15 shipping (for canada anyway) is decent.
    http://www.storenvy.com/stores/194693-ketosis-tools

  2. Booksandbeaches

    Thanks!

  3. EddieHaskell97

    I hate them as a company, but Wally-World sells them for $6.84.
    http://www.walmart.com/ip/ReliOn-Ketone-Test-Strips-50-count/33574014

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