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51 Possible Causes for Bicarbonate Decreased, Cognitive Defect, Hypokalemia

  • Acute Alcohol Intoxication

    The most common finding was hyperlactinemia occurring in 66% of the patients (n 128) followed by hypokalemia ( 6.1 mmol/L) in 40.2% of the children (n 78).[ncbi.nlm.nih.gov] […] in serum bicarbonate concentration.[cjasn.asnjournals.org] […] alcohol intoxication stems from many complications that arise in the presence of large quantities of ethanol in the circulation ( 350mg/100ml), including lactic acidosis, hypokalemia[symptoma.com]

  • 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] However, in severe cases accompanied by hypokalemia, correction of the hypokalemia may be necessary first.[acid-base.com] A persistent decrease in the rate of renal bicarbonate reabsorption that maintains the decreased plasma bicarbonate level. c.[slideshare.net]

  • Hyponatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] Carbamazepine was discontinued, fluid restriction ordered, and hypokalemia was corrected.[ncbi.nlm.nih.gov] He had severe hypokalemia with hypertension and was diagnosed with pseudoaldosteronism.[ncbi.nlm.nih.gov]

  • Diabetic Ketotic Coma

    Indeed this is much higher then expected given the relatively modest decrease in bicarbonate.[anaesthesiamcq.com] […] also eliminates ketone bodies (2) insulin – turn off gluconeogenesis/glycogenolysis [K ] must be carefully monitored, since insulin causes K to enter cells – hyperkalemia Þ hypokalemia[d3jonline.tripod.com] Many clinicians have observed worsening of acidemia, as evidenced by decreased serum bicarbonate concentration, after aggressive resuscitation with normal saline.[ahcmedia.com]

  • Heat Stroke

    […] confusional state (58.97%),coma (29.48%), seizure (33.33%),and vomiting (26.92%).Vital parameters were recorded and laboratory parameters revealed hypophosphatemia, hyponatremia, hypokalemia[ncbi.nlm.nih.gov] 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] On admission, the common electrolyte disturbances were hypokalemia (71.2 %), hypophosphatemia (59.1 %), hyponatremia (53.0 %), hypocalcemia (51.5 %), and hypomagnesemia (34.9[ncbi.nlm.nih.gov]

  • Hypernatremia

    Hypernatremia and hypokalemia were gradually corrected by intentional water intake only.[ncbi.nlm.nih.gov] 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]

  • Renal Tubular Acidosis

    […] resorption Decrease in aldosterone secretion or activity Plasma bicarbonate (mEq/L or mmol/L) Frequently 15, occasionally 10 Usually 12–20 Usually 17 Plasma potassium Usually[msdmanuals.com] Subsequently, type 1 RTA due to Sjögren's syndrome was unveiled by sustained hypokalemia (3.3 to 3.4 mEq/L), persistent alkaline urine pH ( 6.0) despite metabolic acidosis[ncbi.nlm.nih.gov] Other features include developmental delay, short stature, cognitive defects, and a history of multiple fractures by adolescence.[doi.org]

  • Diabetes Mellitus

    Rarely, DKA patients may present with significant hypokalemia.[web.archive.org] 'cognition', 'mixed depression and dementia', 'presenile dementia', 'frontotemporal dementia', 'dementia' or 'multiinfarct dementia', 'senile dementia', 'cognitive defect'[doi.org] 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]

  • Chronic Kidney Insufficiency

    Hypokalemia Hypokalemia is uncommon but can develop in patients with very poor intake of potassium, gastrointestinal or urinary loss of potassium, or diarrhea or in patients[emedicine.medscape.com] 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]

  • Hypercalcemia

    Ionized calcium Albumin Creatinine Serum bicarbonate (milk-alkali syndrome) Serum phosphorous (decreased in primary hyperparathyroidism) Intact PTH: If laboratory evidence[clinicaladvisor.com] If present, hypomagnesaemia and hypokalemia should be corrected. 1,3,4[oncologynurseadvisor.com] Related Topics Hypocalcaemia Osborn waves Measurement of the QT interval Hyperkalemia Hypokalemia Hypercalcemia Hypomagnesemia References Slovis C, Jenkins R.[lifeinthefastlane.com]

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