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130 Possible Causes for Agitation, Bicarbonate Decreased, Potassium Decreased

  • Hyponatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] Swollen brain cells react to hyponatremic conditions by decreasing their volume over approximately 48 h by the extrusion of potassium, sodium, chloride, and organic osmolytes[doi.org] On admission, the patient was agitated and had slurred speech. Treatment with hypertonic saline lead to full recovery.[ncbi.nlm.nih.gov]

  • Diabetic Ketoacidosis

    […] to between 7.25 and 7.30 (normal 7.35–7.45); serum bicarbonate decreased to 15–18 mmol/l (normal above 20); the person is alert Moderate: pH 7.00–7.25, bicarbonate 10–15,[en.wikipedia.org] This may be subtle and include agitation, confusion and delirium. An early warning of cerebral edema is a progressive rise in pCO2 if pH fails to increase.[clinicaladvisor.com] Both insulin therapy and correction of acidosis decrease serum potassium levels by stimulating cellular potassium uptake in peripheral tissues.[spectrum.diabetesjournals.org]

  • Hypokalemia

    Gastrointestinal complications Hypokalemia decreases gut motility, which can lead to or exacerbate an ileus.[emedicine.medscape.com] New data make clear that feedforward homeostatic responses activate when decreased potassium intake is sensed, even when plasma potassium concentration is still within the[ncbi.nlm.nih.gov] These symptoms included nystagmus in one patient and agitation, tremors, and having an "out-of-body" experience in the other patient.[ncbi.nlm.nih.gov]

  • Acute Pancreatitis

    Ethanol increases the protein content of pancreatic juice and decreases bicarbonate levels and trypsin inhibitor concentrations.[emedicine.com] Serum calcium should be followed to assess for acute decrease and as part of Ranson’s criteria.[clinicaladvisor.com] Serum sodium and potassium are also part of the APACHE II scoring system that should be assessed frequently on these patients.[clinicaladvisor.com]

  • Acute Alcohol Intoxication

    […] in serum bicarbonate concentration.[cjasn.asnjournals.org] The loss of electrolytes such as phosphate, potassium and magnesium can result in cardiac dysrhythmia.[emsworld.com] In the ED, he is agitated and cannot follow questions.[step2.medbullets.com]

  • Acute Hyperventilation

    This decline in U-B PCO2 with acute hyperventilation could not be attributed to changes in urine flow, phosphate, or bicarbonate excretion, suggesting, therefore, a decrease[jci.org] This leads to increased plasma protein binding of the serum potassium and a decrease of the physiologically active ionized calcium.[flexikon.doccheck.com] Patients with acute hyperventilation syndrome (HVS) may present with agitation and anxiety.[emedicine.medscape.com]

  • Hyperventilation

    […] via a decrease in bicarbonate reabsorption.[emedicine.medscape.com] This leads to increased plasma protein binding of the serum potassium and a decrease of the physiologically active ionized calcium.[flexikon.doccheck.com] It is accompanied by agitation and a sense of terror or by symptoms of chest pain, paresthesias (peripheral and perioral), peripheral tetany (eg, stiffness of fingers or arms[msdmanuals.com]

  • Respiratory Alkalosis

    Measurement of the serum bicarbonate permits definitive diagnosis: acute respiratory alkalosis: serum bicarbonate decreases by 2 mM for every 10 mmHg (or 1.33kPa) decrease[gpnotebook.co.uk] According to classical data, serum potassium decreases during the acute respiratory alkalosis.[alpfmedical.info] […] person to breathe very rapidly and cause large losses of carbon dioxide. symptoms are: ph elevated above 7.45 and pco2 below 35mmhg rapid, deep breathing hyper ventilation agitation[allnurses.com]

  • Metabolic Alkalosis

    It is the result of an increase in bicarbonate production, a decrease in bicarbonate excretion, or a loss of hydrogen ions.[ncbi.nlm.nih.gov] Serum chloride: Decreased, less than 98 mEq/L, disproportionately to serum sodium decreases (if alkalosis is hypochloremia). Serum potassium: Decreased.[nurseslabs.com] Presumably his restlessness and agitation impaired his ability to hypoventilate.[academic.oup.com]

  • Diabetes Mellitus

    Bicarbonate therapy The use of bicarbonate in DKA is controversial ( 62 ) because most experts believe that during the treatment, as ketone bodies decrease there will be adequate[web.archive.org] Symptoms of mild or moderate hypoglycemia include headache, diaphoresis, palpitations, light-headedness, blurred vision, agitation, and confusion.[msdmanuals.com] The patient may become agitated, sweaty, weak, and have many symptoms of sympathetic activation of the autonomic nervous system resulting in feelings akin to dread and immobilized[en.wikipedia.org]

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