Ultima modifica: 24 Maggio 2023

Alcoholic ketoacidosis: a case report and review of the literature Oxford Medical Case Reports

If you’ve suffered symptoms of AKA, seek help from a professional treatment center. It enters the bloodstream and affects every part of the body, making the drinker vulnerable to serious health consequences. Chronic alcohol abuse exposes the central nervous, digestive, circulatory, immune, skeletal, and muscle systems to severe and long-lasting damage. Alcoholic ketoacidosis (AKA) is a disease that develops from drinking too much alcohol.

  • Alcoholic ketoacidosis can be painful, dangerous and even fatal, often requiring a visit to an emergency room or intensive care unit for recovery.
  • Chronic alcohol abuse exposes the central nervous, digestive, circulatory, immune, skeletal, and muscle systems to severe and long-lasting damage.
  • On hospital day three, the patient was discharged home with outpatient services for his alcohol use disorder.

Early symptoms are related to hyperglycemia and include polydipsia… Read more , which may be recognized by elevated levels of glycosylated hemoglobin (HbA1C). Alcoholic ketoacidosis is attributed to the https://ecosoberhouse.com/article/how-to-write-a-goodbye-letter-to-addiction/ combined effects of alcohol Alcohol Toxicity and Withdrawal Alcohol (ethanol) is a central nervous system depressant. Large amounts consumed rapidly can cause respiratory depression, coma, and death.

Evaluation and management of the critically ill adult with diabetic ketoacidosis

This test will provide information about your sugar levels to help determine whether you have diabetes. These conditions have to be ruled out before a medical professional can diagnose you with alcoholic ketoacidosis. After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. It most often occurs in a malnourished person who drinks large amounts of alcohol every day. The condition is an acute form of metabolic acidosis, a condition in which there is too much acid in body fluids.

alcoholic ketoacidosis treatment

The key principle of emergency management is adequate fluid resuscitation [10]. Increasing volume status and providing increased perfusion to tissues help reduce lactic acid, ketoacids and acetic acid, which would all have been contributing to the severe acidosis. Growth hormone, epinephrine, cortisol, and glucagon are all increased. Plasma glucose levels are usually low or normal, but mild hyperglycemia sometimes occurs. This case demonstrates the importance of considering AKA in the differential diagnosis of a patient presenting with non-specific symptoms, significant metabolic acidosis and a history of alcohol excess. It is essential to differentiate AKA from DKA to ensure that inappropriate insulin administration does not occur.

Alcoholic Ketoacidosis In A Pregnant Woman

This drop in blood sugar causes your body to decrease the amount of insulin it produces. Your cells need insulin to use the glucose in your blood for energy. If they can’t use glucose because there’s not enough insulin, your body switches to another method to get energy — breaking down fat cells.

Patients typically present with non-specific features including nausea, vomiting and generalized abdominal pain. Vomiting and/or diarrhoea is common and can alcoholic ketoacidosis symptoms lead to hypovolaemia and potassium depletion. Signs of shock including tachycardia and hypotension can be complicated by overlap of alcohol withdrawal [2].

Clinical Bottom Line

She was discharged home and has been well on follow-up appointments. For over 50 years, we’ve been administering evidence-based treatments with a compassionate approach to help patients find lasting freedom from addiction. We’ll be with you for life, with various inpatient and outpatient services, including an alumni support network. To learn how you can start a journey toward recovery, contact us at Gateway Foundation today.

  • Prolonged used of alcohol can result in cirrhosis, or permanent scarring of the liver.
  • Pancreatitis Overview of Pancreatitis Pancreatitis is classified as either acute or chronic.
  • Ethyl alcohol oxidizes at a rate of 20 to 25 mg/dL per hour in most individuals.

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