Alcohol ketoacidosis - Revision history

Rossdonaldson1: Redirected page to Alcoholic ketoacidosis

2014-10-28T01:17:35Z

← Revisión anterior		Revisión del 01:17 28 oct 2014
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	#REDIRECT[[Alcoholic ~~Ketoacidosis~~]]		#REDIRECT[[Alcoholic ketoacidosis]]

2014-02-05T04:46:29Z

← Revisión anterior		Revisión del 04:46 5 feb 2014
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	[[Alcoholic Ketoacidosis]]		#REDIRECT[[Alcoholic Ketoacidosis]]

	~~== Background ==~~
	*Seen in pts with recent h/o binge drinking with little/no nutritional intake
	**Starvation leads to excess glucagon and decreased insulin
	**Elevated NADH:NAD+ ratio due to ETOH metabolism
	**Volume depletion from emesis & poor PO intake
	*Characterized by high serum ketone levels and an elevated AG
	**Consider other causes of elevated AG, as well as co-ingestants
	**Concomitant metabolis alkalosis can occur from dehydration (volume depletion) and emesis

	~~== Treatment ==~~
	~~Consider associated diseases (ie pancreatitis, rhabdo, hepatitis, infections)~~
	~~#Hydration - IVF should include 5% dextrose since there is a lack of glucose~~
	~~#Thiamine (100mg IV/PO) prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome~~
	~~#Oral nutrition if able to tolerate~~
	~~#Electrolyte replacement - K, Mag and Phos~~
	~~#Monitor for signs of alcohol withdrawal~~
	~~#Consider bicarb if life-threatening acidosis (pH <7.1) unresponsive to fluid therapy~~

	~~== Disposition ==~~
	~~#Most go home after treatment if able to tolerate POs and acidosis resolved~~
	~~#Consider admission for those with severe volume depletion and/or acidosis~~

	~~:Hypoglycemia is poor prognostic feature, indicating depleted glycogen stores~~

	~~== See Also ==~~
	~~:[[Anion Gap (High)]]~~
	~~:[[Acid-Base Disorders]]~~

	~~[[Category:FEN~~]]

2014-02-05T04:45:24Z

← Revisión anterior		Revisión del 04:45 5 feb 2014
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			[[Alcoholic Ketoacidosis]]

	== Background ==		== Background ==
	*Seen in pts with recent h/o binge drinking with little/no nutritional intake		*Seen in pts with recent h/o binge drinking with little/no nutritional intake

2014-01-15T06:49:36Z

Minor edit

← Revisión anterior		Revisión del 06:49 15 ene 2014
Línea 10:		Línea 10:
	== Treatment ==		== Treatment ==
	Consider associated diseases (ie pancreatitis, rhabdo, hepatitis, infections)		Consider associated diseases (ie pancreatitis, rhabdo, hepatitis, infections)
	#Hydration		#Hydration - IVF should include 5% dextrose since there is a lack of glucose
	::*IVF should include 5% dextrose since there is a lack of glucose
	#Thiamine (100mg IV/PO) prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome		#Thiamine (100mg IV/PO) prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome
	#Oral nutrition if able to tolerate		#Oral nutrition if able to tolerate

2014-01-15T06:49:15Z

Minor edit

← Revisión anterior		Revisión del 06:49 15 ene 2014
Línea 11:		Línea 11:
	Consider associated diseases (ie pancreatitis, rhabdo, hepatitis, infections)		Consider associated diseases (ie pancreatitis, rhabdo, hepatitis, infections)
	#Hydration		#Hydration
	##IVF should include 5% dextrose since there is a lack of glucose		::*IVF should include 5% dextrose since there is a lack of glucose
	#Thiamine (100mg IV/PO) prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome		#Thiamine (100mg IV/PO) prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome
	#Oral nutrition if able to tolerate		#Oral nutrition if able to tolerate

2014-01-15T06:48:49Z

Minor edit

← Revisión anterior		Revisión del 06:48 15 ene 2014
Línea 12:		Línea 12:
	#Hydration		#Hydration
	##IVF should include 5% dextrose since there is a lack of glucose		##IVF should include 5% dextrose since there is a lack of glucose
	#~~#Note:~~ Thiamine (100mg IV/PO) prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome		#Thiamine (100mg IV/PO) prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome
	#Oral nutrition if able to tolerate		#Oral nutrition if able to tolerate
	#Electrolyte replacement - K, Mag and Phos		#Electrolyte replacement - K, Mag and Phos

2014-01-15T06:47:28Z

minor edit

← Revisión anterior		Revisión del 06:47 15 ene 2014
Línea 19:		Línea 19:

	== Disposition ==		== Disposition ==
	#Most go home after treatment		#Most go home after treatment if able to tolerate POs and acidosis resolved
	#Consider admission for those with severe volume depletion and/or acidosis		#Consider admission for those with severe volume depletion and/or acidosis

2014-01-15T06:41:05Z

Links

← Revisión anterior		Revisión del 06:41 15 ene 2014
Línea 21:		Línea 21:
	#Most go home after treatment		#Most go home after treatment
	#Consider admission for those with severe volume depletion and/or acidosis		#Consider admission for those with severe volume depletion and/or acidosis
	*Hypoglycemia is poor prognostic feature, indicating depleted glycogen stores
			:Hypoglycemia is poor prognostic feature, indicating depleted glycogen stores

			== See Also ==
			:[[Anion Gap (High)]]
			:[[Acid-Base Disorders]]

	[[Category:FEN]]		[[Category:FEN]]

2014-01-15T06:33:45Z

Minor edit

← Revisión anterior		Revisión del 06:33 15 ene 2014
Línea 22:		Línea 22:
	#Consider admission for those with severe volume depletion and/or acidosis		#Consider admission for those with severe volume depletion and/or acidosis
	*Hypoglycemia is poor prognostic feature, indicating depleted glycogen stores		*Hypoglycemia is poor prognostic feature, indicating depleted glycogen stores

			[[Category:FEN]]

2014-01-15T06:26:53Z

minor edit

← Revisión anterior		Revisión del 06:26 15 ene 2014
Línea 21:		Línea 21:
	#Most go home after treatment		#Most go home after treatment
	#Consider admission for those with severe volume depletion and/or acidosis		#Consider admission for those with severe volume depletion and/or acidosis
	*Hypoglycemia is poor prognostic feature		*Hypoglycemia is poor prognostic feature, indicating depleted glycogen stores