How to treat alcoholic ketoacidosis?

[ABHILAN]

Hello, a 64-year-old lady who presented with acute-onset abdominal pain, nausea, vomiting and shortness of breath. Blood gas results (pH 7.10, bicarbonate 2.9 mmol/L) confirmed metabolic acidosis, and the presence of raised ketones (serum ketones 5.5 mmol/L) allowed a diagnosis of ketoacidosis. Initially, doctors caring for the patient entertained the possibility that the lady was suffering diabetic ketoacidosis, but her normal blood glucose concentration (5.8 mmol/L) and preserved mental status suggested this was unlikely. A diagnosis of alcoholic ketoacidosis was finally made when she reported drinking 1-2 bottles of wine per day for the past 30 years, and admitted to a period of binge drinking immediately prior to the onset of symptoms and subsequent admission to hospital.

[Mishtu]

@abhilan Treatment for alcoholic ketoacidosis is typically administered in the emergency room. Your doctor will monitor your vital signs, including your heart rate, blood pressure, and breathing. They will also give you fluids intravenously. You may receive vitamins and nutrients to help treat malnutrition, including:
thiamine
potassium
phosphorus
magnesium
Your doctor may also admit you to the intensive care unit (ICU) if you require ongoing care. The length of your hospital stay depends on the severity of the alcoholic ketoacidosis. It also depends on how long it takes to get your body regulated and out of danger. If you have any additional complications during treatment, this will also affect the length of your hospital stay.