Consider associated diseases (ie pancreatitis, rhabdomyolysis, hepatitis, infections)
Thiamine (100mg IV or IM)
Prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome
Hydration (D5NS)
IVF should include 5% dextrose to treat starvation ketosis
Large IVF admin does not predispose to cerebral edema
Glucose stimulates insulin which stops lipolysis
Oral nutrition if able to tolerate
Electrolyte replacement
K, Mag and Phos
Monitor for signs of alcohol withdrawal
Consider bicarbonate if life-threatening acidosis (pH <7.1) unresponsive to fluid therapy
Prior to glucose to decrease risk of Wernicke encephalopathy or Korsakoff syndrome
IVF should include 5% dextrose to treat starvation ketosis
Large IVF admin does not predispose to cerebral edema
Glucose stimulates insulin which stops lipolysis
K, Mag and Phos
Alcoholic ketoacidosis
Isopropyl Alcohol
Diabetic ketoacidosis 
Results in ketosis
Diabetic ketoacidosis
Methanol, Ethylene Glycol
Starvation ketoacidosis
Do not produce ketosis