Alcoholic Ketoacidosis: Causes, Symptoms, and Diagnosis

Intravenous benzodiazepines can be administered based on the risk of seizures from impending alcohol withdrawal. https://ecosoberhouse.com/ Antiemetics such as ondansetron or metoclopramide may also be given to control nausea and vomiting.

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Alcoholic Ketoacidosis Prevention

Alcoholic ketoacidosis is also closely linked to malnutrition, which is a common problem among people who engage in chronic alcohol abuse. When someone who is malnourished goes on an episode of binge drinking, abdominal pain, nausea, and vomiting can occur.

The blood gas analysis will most likely reveal a pH that is low or normal. There will be a metabolic acidosis present with a decreased HCO3 level.

Alcoholic Ketoacidosis: Another Risk ofChronic Alcohol Abuse

Abdominal pain is commonly present although may be secondary to alcoholic gastritis or pancreatitis. Rebound tenderness is not common, and the pain is commonly epigastric in nature. If rebound tenderness or peritoneal signs are present, another cause should be sought for the pain. Obtain intravenous access and administer fluid resuscitation for volume depletion and/or hypotension. Vitreous humor and pericardial fluid can be alcoholic ketoacidosis considered reliable alternatives to blood for acetone and beta-hydroxybutyrate determination should blood be unavailable during autopsy or reserved for toxicological purposes. Glucose was analyzed in vitreous and urine stored in preservative-free tubes on the Roche Modular P clinical chemistry system . Lactate was determined in vitreous stored in preservative-free tubes on the Roche Modular P clinical chemistry system .