Background: Alcohol intoxication contributes to more than 10 million hospital admissions in a year. It is known to cause impairment in cognition and decline in neurological functions as the blood alcohol levels increase. A series of acid base and electrolyte disturbances have been documented in individuals with alcohol use disorder. Alcoholic ketoacidosis is a common manifestation that is known to occur. Aims: This study was done to study the pattern of acid base and electrolyte abnormalities that were seen in acute alcoholic intoxication and to establish an association between the blood alcohol levels and the abnormalities in acid base and electrolytes. Methods: 200 patients in acute alcohol intoxication who satisfy the inclusion criteria were chosen and blood alcohol levels were estimated for them. Blood samples for ABG, Electrolytes were drawn. Results: Of the electrolytes statistically significant negative association with BAC was seen only with serum bicarbonate. A variety of acid base disturbances were seen the most common being compensated respiratory alkalosis __ampersandsignndash; 56 patients (28%) followed by metabolic acidosis with partial compensation seen in 46 patients (23%).