Ketoacidosis Due To Acute Alcohol Intoxication C0268039
A dangerous buildup of acids in the blood caused by heavy alcohol use. Requires emergency care with IV fluids and monitoring. Stopping alcohol use is essential for recovery.
Key facts at a glance
- ICD-10
- E88.9
- ICD-11
- 5A00.0
- Body system
- metabolic
- Severity
- severe
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Confusion
Fatigue or weight changes
(metabolic)Significant symptoms that substantially affect daily functioning.
Frequency: Varies
Nausea
(metabolic)Vomiting
(metabolic)Tachycardia
(metabolic)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
IV dextrose administration
Intravenous dextrose solutions to provide carbohydrate substrate, suppress ketogenesis, and correct hypoglycemia associated with alcoholic ketoacidosis.
Medication management with follow-up
Active treatment with regular monitoring by a healthcare provider is recommended.
Thiamine supplementation
Parenteral thiamine before glucose administration to prevent Wernicke encephalopathy. Should be given prior to or with glucose infusion in malnourished patients.
Additional treatment options
Electrolyte and acid-base correction
Careful replacement of potassium, magnesium, phosphate, and correction of metabolic acidosis based on frequent laboratory monitoring.
medicationInpatient observation and metabolic monitoring
Hospital admission for continuous monitoring of vital signs, glucose, ketones, and electrolytes until metabolic stability is achieved.
monitoringAlcohol use disorder treatment referral
Referral to addiction medicine specialists for alcohol cessation support including counseling, support groups, and consideration of medications for alcohol use disorder.
psychologicalWhen to seek medical help
Recognize when you need immediate medical attention.
See a doctor within 24 hours
Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.
Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.
Frequently asked questions
Common questions about this topic.
What is Ketoacidosis Due To Acute Alcohol Intoxication C0268039?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
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This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy