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35 Possible Causes for Bicarbonate Decreased, Cognitive Defect, Hallucinations

  • Acute Alcohol Intoxication

    […] in serum bicarbonate concentration.[cjasn.asnjournals.org] Hallucinations are typically visual.[merckmanuals.com] Patients may also have alcohol withdrawal hallucinations, which can occur with or without vital sign derangements; the patient tends to have a clear sensorium during the hallucinations[emsreference.com]

  • Chronic Kidney Insufficiency

    Neutralization of dietary acid with sodium bicarbonate decreases kidney injury and slows kidney function decline, but sodium bicarbonate (baking soda) has sodium; so, doctors[nutritionfacts.org] Moderate metabolic acidosis (plasma bicarbonate content 15 to 20 mmol/L) is characteristic.[merckmanuals.com] Potassium may be high and bicarbonate levels may be low if you have CKD. There may also be an increase of acid in the blood.[healthline.com]

  • Hypercalcemia

    Ionized calcium Albumin Creatinine Serum bicarbonate (milk-alkali syndrome) Serum phosphorous (decreased in primary hyperparathyroidism) Intact PTH: If laboratory evidence[clinicaladvisor.com] Anxiety Psychotic symptoms: hallucination CNS depression, somnolence and eventually coma do occur at high levels Hypotonia and hyporeflexia Can mimic focal neurological lesions[broomedocs.com] The sluggish nerves also explain drowsiness, confusion, hallucinations, stupor and / or coma. In the gut this causes constipation.[en.wikipedia.org]

  • 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] Neurological: “hypercapnic encephalopathy”include 1. irritability, inability to concentrate, 2. headache, anorexia, 3. apathy, confusion, combativeness, hallucinations, delirium[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]

  • Hyponatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] You may have any of the following: Abdominal cramps, nausea, or vomiting Headache, confusion, hallucinations, or trouble staying awake Muscle weakness or cramps Seizures or[drugs.com] In severe cases, low sodium can lead to: Decreased consciousness, hallucinations or coma Brain herniation Death When your body’s sodium level drops too much, it can be a life-threatening[nlm.nih.gov]

  • 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] Symptoms may include headache, dizziness, disorientation, agitation, confusion, a high body temperature, loss of consciousness, rapid heartbeat, hallucinations and other effects[livescience.com] When To Call A Professional Seek emergency help if you or someone else has been in the heat and experiences confusion, faintness, staggering, hallucinations (visions that[drugs.com]

  • 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] Altered behaviour, confusion, delirium, hallucinations, etc.[malariasite.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]

  • Diabetic Ketotic Coma

    Indeed this is much higher then expected given the relatively modest decrease in bicarbonate.[anaesthesiamcq.com] As your body loses more and more water, you may notice: High fever Weakness Drowsiness Altered mental state Headache Restlessness Inability to speak Visual problems Hallucinations[webmd.com] Many clinicians have observed worsening of acidemia, as evidenced by decreased serum bicarbonate concentration, after aggressive resuscitation with normal saline.[ahcmedia.com]

  • High Altitude Cerebral Edema

    It is a carbonic anhydrase inhibitor that causes a bicarbonate diuresis and metabolic acidosis.[lifeinthefastlane.com] Severe headache Vomiting Seizures Confusion Fatigue Lethargy Ataxia (lack of coordination) Irritability Difficulty speaking Blindness Paralysis of a limb Total paralysis Hallucinations[firstaidtrainingclasses.ca] In patients with AMS, the onset of HACE is usually indicated by vomiting, headache that does not respond to non-steroidal anti-inflammatory drugs, hallucinations, and stupor[en.wikipedia.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] […] mitochondria-rich endothelial cells of the blood–brain barrier.Symptoms can include headache, loss of coordination (ataxia), weakness, disorientation, memory loss, psychotic symptoms (hallucinations[en.wikipedia.org] In patients with AMS, the onset of HACE is usually indicated by vomiting, headache that does not respond to non-steroidal anti-inflammatory drugs, hallucinations, and stupor[en.wikipedia.org]

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