Alcoholic ketoacidosis.
Alcoholic ketoacidosis (AKA) is a common reason for investigation and admission of alcohol dependent patients in UK emergency departments. Although well described in international emergency medicine literature, UK emergency physicians rarely make the diagnosis of AKA. There is increasing evidence that rather than being benign and self limiting, AKA may be a significant cause of mortality in patients with alcohol dependence. This literature review discusses the history, characterisation, pathophysiology, diagnosis, and management of AKA.
McGuire
L C
LC
Department of Accident and Emergency Medicine, Hairmyres Hospital, East Kilbride, UK. larry.mcguire@lanarkshire.scot.nhs.uk
Cruickshank
A M
AM
Munro
P T
PT
D000138:Acidosis / Q000209:etiology* / Q000628:therapy; D000208:Acute Disease; D000437:Alcoholism / Q000097:blood / Q000150:complications*; D004636:Emergency Service, Hospital; D005440:Fluid Therapy; D006801:Humans; D007662:Ketosis / Q000209:etiology* / Q000628:therapy; D009243:NAD / Q000378:metabolism; D011188:Potassium / Q000627:therapeutic use; D013831:Thiamine / Q000627:therapeutic use
D009243:NAD; D011188:Potassium; D013831:Thiamine