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2,087 Possible Causes for Bicarbonate Decreased, Cognitive Defect, Fluctuating Level of Consciousness

  • Acute Alcohol Intoxication

    […] in serum bicarbonate concentration.[cjasn.asnjournals.org] Accumulation of the alcohols in the blood can cause an increment in the osmolality, and accumulation of their metabolites can cause an increase in the anion gap and a decrease[cjasn.asnjournals.org]

  • Hyponatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] […] mannitol use Correct glucose level, stop mannitol use Renal tubular acidosis Urinary osmolar gap, increased urinary pH, urinary sodium 25 mEq per L, fractional excretion of bicarbonate[aafp.org]

  • Cerebral Edema

    In addition, bicarbonate therapy causes central nervous system hypoxia in laboratory animals with diabetic ketoacidosis. 33 Hyperglycemia superimposed on an ischemic insult[nejm.org] level of consciousness, sustained heart rate deceleration (decrease more than 20 beats per minute) not attributable to improved hydration or sleep, age-inappropriate incontinence[childrensmercy.org] Theories include osmotic disequilibrium between brain and plasma as glucose is rapidly lowered, decreased plasma oncotic pressure due to infusion of large amounts of saline[ncbi.nlm.nih.gov]

  • Drug-induced Hypoglycemia

    Drugs leading to loss of bicarbonate in the gastrointestinal (GI) tract or kidney 3. Drugs causing increased endogenous acid production 4.[f1000research.com] Reversal of hypoglycemia unawareness, but not defective glucose counterregulation, in IDDM. Diabetes 1994;43:1426–34. Fanelli C, Pampanelli S, Epifano L, et al.[guidelines.diabetes.ca] Drugs that decrease renal acid excretion Some medications cannot be placed into one single category, as they possess multiple mechanisms that can cause metabolic acidosis.[f1000research.com]

  • Heat Stroke

    Alkalinizing agents: These medicines, such as potassium and sodium bicarbonate, decrease the amount of acid in your blood and urine. This helps prevent organ damage.[drugs.com]

  • Hypernatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] Lastly, rarer causes of hypernatremia in the elderly population include sodium overload from iatrogenic excessive administration of sodium bicarbonate or hypertonic saline[dovepress.com] […] mannitol use Correct glucose level, stop mannitol use Renal tubular acidosis Urinary osmolar gap, increased urinary pH, urinary sodium 25 mEq per L, fractional excretion of bicarbonate[aafp.org]

  • Hypoglycemia

    BACKGROUND: Postprandial hyperinsulinemic hypoglycemia (PHH) is an increasingly recognized complication of gastric bypass surgery in obese adults, distinct from the "dumping syndrome". CASE PRESENTATION: Upon birth, primary repair of esophageal atresia was performed, and at the age of 14 months definite esophageal[…][ncbi.nlm.nih.gov]

    Missing: Bicarbonate Decreased
  • Traumatic Brain Injury

    These may include motor dysfunction (paralysis, balance or gait abnormalities), cognitive impairment (amnesia, disorientation, confusion), speech defects (aphasia, dysphasia[symptoma.com]

    Missing: Bicarbonate Decreased
  • Stroke

    Has a depressed level of consciousness (Glasgow Coma Score below 13). Has unexplained progressive or fluctuating symptoms. Has papilloedema, neck stiffness or fever.[patient.info]

    Missing: Bicarbonate Decreased
  • Acidosis

    Labs: General Arterial Blood Gas Arterial pH decreased Serum bicarbonate decreased PaCO2 decreased PaCO2 drops 1.2 mmHg per 1 meq/L bicarbonate fall Calculated PaCO2 1.5 x[fpnotebook.com] A persistent decrease in the rate of renal bicarbonate reabsorption that maintains the decreased plasma bicarbonate level. c.[slideshare.net] Decreased in increased Anion Gap Metabolic Acidosis Bicarbonate decrease matches Anion Gap increase Urinalysis with Urine pH Urine pH 6: Suggests Renal cause Urine pH Urine[fpnotebook.com]

    Missing: Fluctuating Level of Consciousness

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