Alcoholic ketoacidosis ( AKA ) is a specific group of symptoms and metabolic state related to alcohol use. Symptoms often include abdominal pain, vomiting, agitation, a fast respiratory rate, and a specific "fruity" smell. Consciousness is generally normal. Complications may include sudden death.
24-652: [REDACTED] Look up aka , AKA , or A.K.A. in Wiktionary, the free dictionary. Aka , AKA or a.k.a. may refer to: Language [ edit ] "Also Known As", used to introduce a sobriquet , or alternative name Languages [ edit ] Aka language (Sudan) Aka language , in the Central African Republic Hruso language , in India, also referred to as Aka
48-431: A sobriquet , or alternative name Languages [ edit ] Aka language (Sudan) Aka language , in the Central African Republic Hruso language , in India, also referred to as Aka a prefix in the names of Great Andamanese languages Akan language ( ISO 639-2 and ISO 639-3 codes) People [ edit ] Aka (name) , a list of people with the surname or given name Aka people , in
72-477: A 2014 album by Jennifer Lopez "AKA", a video by True Widow Sports [ edit ] Aka (Burmese) , martial arts movements Aka (sailing) , part of a multi-hull boat Aka Arena , a football stadium in Hønefoss, Norway American Kickboxing Academy American Kitefliers Association Australian Karting Association Science and technology [ edit ] Alcoholic ketoacidosis ,
96-515: A French-language film AKA (2002 film) , a drama film "A.K.A." (Jericho episode) , a 2007 episode of the TV series Jericho a.k.a. Cartoon , a Canadian animation company Aka Pella (Histeria!) , a character from the cartoon Histeria! Channel AKA , former name of the UK music television channel Now 70s Music [ edit ] The A.K.A.s , an American rock band A.K.A. (album) ,
120-407: A character from the cartoon Histeria! Channel AKA , former name of the UK music television channel Now 70s Music [ edit ] The A.K.A.s , an American rock band A.K.A. (album) , a 2014 album by Jennifer Lopez "AKA", a video by True Widow Sports [ edit ] Aka (Burmese) , martial arts movements Aka (sailing) , part of a multi-hull boat Aka Arena ,
144-699: A defunct automobile manufacture from Czechoslovak Other uses [ edit ] Manpower Directorate ( Agaf Koakh Adam ) of the Israeli Defence Forces Alpha Kappa Alpha , an African-American sorority Aga Khan Academies , a network non-denominational day and residential schools See also [ edit ] [REDACTED] Search for "aka" on Misplaced Pages. Akas (disambiguation) Akka (disambiguation) Akha (disambiguation) All pages with titles beginning with Aka All pages with titles containing Aka Topics referred to by
168-451: A distinct syndrome. They stated that "because of the many and complex factors, both physiologic and pathologic, which influence the acid-base balance of the body, a multitude of processes may bring about the state of acidosis as an end result". In 1971, David W. Jenkins and colleagues described cases of three non-diabetic people with a history of chronic heavy alcohol misuse and recurrent episodes of ketoacidosis . This group also proposed
192-560: A football stadium in Hønefoss, Norway American Kickboxing Academy American Kitefliers Association Australian Karting Association Science and technology [ edit ] Alcoholic ketoacidosis , a medical condition A retired US Navy hull classification symbol: Attack cargo ship (AKA) Authentication and Key Agreement , a security protocol used in 3G networks Transportation [ edit ] Ankang Fuqiang Airport (IATA code: AKA), China Atka Airport (FAA location identifier: AKA), Alaska Aka Station ,
216-456: A medical condition A retired US Navy hull classification symbol: Attack cargo ship (AKA) Authentication and Key Agreement , a security protocol used in 3G networks Transportation [ edit ] Ankang Fuqiang Airport (IATA code: AKA), China Atka Airport (FAA location identifier: AKA), Alaska Aka Station , a railway station in Aka, Fukuoka Prefecture, Japan AKA (car) ,
240-486: A metabolic acidosis. Diagnosis is generally based on symptoms. An elevated anion gap metabolic acidosis and ketosis is the classic present. However, a mixed acid-base disorder may be present especially if vomiting is contributing to a hypochloremic alkalosis . The ketone which is present is mostly beta-hydroxybutyrate rather than acetoacetate resulting in only a weakly positive nitroprusside test . People usually do not present with high blood sugar or sugar in
264-545: A prefix in the names of Great Andamanese languages Akan language ( ISO 639-2 and ISO 639-3 codes) People [ edit ] Aka (name) , a list of people with the surname or given name Aka people , in the Central African Republic and Congo Aka (tribe) , of Kameng, Arunachal Pradesh, India AKA (rapper) , stage name of South African Kiernan Forbes (1988–2023) Places [ edit ] Japan [ edit ] Aka, Fukuoka ,
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#1732765857492288-668: A railway station in Aka, Fukuoka Prefecture, Japan AKA (car) , a defunct automobile manufacture from Czechoslovak Other uses [ edit ] Manpower Directorate ( Agaf Koakh Adam ) of the Israeli Defence Forces Alpha Kappa Alpha , an African-American sorority Aga Khan Academies , a network non-denominational day and residential schools See also [ edit ] [REDACTED] Search for "aka" on Misplaced Pages. Akas (disambiguation) Akka (disambiguation) Akha (disambiguation) All pages with titles beginning with Aka All pages with titles containing Aka Topics referred to by
312-499: A village Aka Hills , Arunachal Pradesh, India Aka, Iran , a village in Khuzestan Province Arts and entertainment [ edit ] Film and television [ edit ] AKA (2023 film) , a French-language film AKA (2002 film) , a drama film "A.K.A." (Jericho episode) , a 2007 episode of the TV series Jericho a.k.a. Cartoon , a Canadian animation company Aka Pella (Histeria!) ,
336-471: A village Mount Aka (Daisetsuzan) , Daisetsuzan National Park, Hokkaidō Mount Aka (Yatsugatake) , Yatsugatake Mountains, Honshū Aka Island , Okinawa Prefecture Aka River , Yamagata Prefecture Elsewhere [ edit ] Aka, Hungary , a village Aka Hills , Arunachal Pradesh, India Aka, Iran , a village in Khuzestan Province Arts and entertainment [ edit ] Film and television [ edit ] AKA (2023 film) ,
360-417: Is different from Wikidata All article disambiguation pages All disambiguation pages Language and nationality disambiguation pages aka [REDACTED] Look up aka , AKA , or A.K.A. in Wiktionary, the free dictionary. Aka , AKA or a.k.a. may refer to: Language [ edit ] "Also Known As", used to introduce
384-609: Is different from Wikidata All article disambiguation pages All disambiguation pages Language and nationality disambiguation pages Alcoholic ketoacidosis AKA most commonly occurs in long term alcoholics and less commonly in those who binge drink . Onset is generally after a decreased ability to eat for a few days. Diagnosis is generally based on symptoms. Blood sugar levels are often normal or only mildly increased. Other conditions that may present similarly include other causes of high anion gap metabolic acidosis including diabetic ketoacidosis . Treatment
408-605: Is generally with intravenous normal saline and intravenous sugar solution . Thiamine and measures to prevent alcohol withdrawal are also recommended. Treatment of low blood potassium may also be required. Those who are affected are most frequently between the ages of 20 and 60. The condition was initially recognized in 1940 and named in 1971. Nausea , vomiting, and abdominal pain are commonly present and people may also have tachypnea , tachycardia , and hypotension . In contrast to diabetic ketoacidosis, people with alcoholic ketoacidosis are usually alert and lucid despite
432-482: Is usually higher in AKA (8:1) in contrast to diabetic ketoacidosis (3:1). Treatment includes administration of intravenous saline to rehydrate and 5% dextrose to turn off gluconeogenesis. Electrolyte imbalances, specifically hypokalaemia, should be corrected. Thiamine supplementation is often included to prevent Wernicke encephalopathy . Insulin is generally not used due to risk of hypoglycemia. Other potential causes of
456-504: The Central African Republic and Congo Aka (tribe) , of Kameng, Arunachal Pradesh, India AKA (rapper) , stage name of South African Kiernan Forbes (1988–2023) Places [ edit ] Japan [ edit ] Aka, Fukuoka , a village Mount Aka (Daisetsuzan) , Daisetsuzan National Park, Hokkaidō Mount Aka (Yatsugatake) , Yatsugatake Mountains, Honshū Aka Island , Okinawa Prefecture Aka River , Yamagata Prefecture Elsewhere [ edit ] Aka, Hungary ,
480-488: The same term [REDACTED] This disambiguation page lists articles associated with the title Aka . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=Aka&oldid=1227848066 " Categories : Disambiguation pages Place name disambiguation pages Hidden categories: Articles containing Hebrew-language text Short description
504-488: The same term [REDACTED] This disambiguation page lists articles associated with the title Aka . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=Aka&oldid=1227848066 " Categories : Disambiguation pages Place name disambiguation pages Hidden categories: Articles containing Hebrew-language text Short description
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#1732765857492528-815: The severity of the acidosis. Alcoholic ketoacidosis is caused by complex physiology that is the result of prolonged and heavy alcohol intake, usually in the setting of poor nutrition. Chronic alcohol use can cause depleted hepatic glycogen stores and ethanol metabolism further impairs gluconeogenesis . This can reduce glucose availability and lead to hypoglycemia and increased reliance on fatty acid and ketone metabolism. An additional stressor such as vomiting or dehydration can cause an increase in counterregulatory hormones such as glucagon , cortisol and growth hormone which may further increase free fatty acid release and ketone production. Ethanol metabolism can also increase blood lactic acid levels ( lactic acidosis ), due to pseudohypoxia , which may also contribute to
552-549: The symptoms should be ruled out. Outcomes are generally favorable with treatment but up to 10% may develop cardiac arrest. It is proposed that alcoholic ketoacidosis is a significant cause of death among people with chronic alcoholism although the true prevalence is unknown. Estimation of prevalence and outcomes of this population is limited by difficulty in diagnosing the condition and the presence of multiple disorders at presentation. In 1940, Edward S. Dillon, W. Wallace, and Leon S. Smelo, first described alcoholic ketoacidosis as
576-695: The urine . This can cause false negative results when testing urine ketones as they only measure acetoacetate. Ethanol level are often low or negative despite a chronic alcohol use history. Electrolyte disturbances may include hypokalemia or hypomagnesemia may also be present. Other conditions that may present similarly include other causes of high anion gap metabolic acidosis such as diabetic ketoacidosis , toxic alcohol ingestion, and starvation ketosis . Toxic alcohol ingestion includes methanol and ethylene glycol poisoning . Pancreatitis , alcoholic hepatitis , and gastritis may also result in similar symptoms. The ratio of beta-hydroxybutryate to acetoacetate
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