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44 Possible Causes for Bicarbonate Decreased, Cognitive Defect, Hypothermia

  • Acute Alcohol Intoxication

    […] in serum bicarbonate concentration.[cjasn.asnjournals.org] 2014 at 3:41 pm Jake Anderson (credit: CBS) MINNEAPOLIS (WCCO) – The 19-year-old University of Minnesota student found dead near the Stone Arch Bridge in December died of hypothermia[minnesota.cbslocal.com] Symptoms range from changes in behavior to severe hypothermia, vomiting, altered consciousness, coma, and respiratory insufficiency that may be fatal.[symptoma.com]

  • Hyponatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] However, he returned with hypothermia, hyponatremia, and status epilepticus resulting in intubation.[ncbi.nlm.nih.gov] Clinically there is muscle weakness, hypothermia and dehydration. Patient discussion about hyponatremia Q.[medical-dictionary.thefreedictionary.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] 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] This case report comprises three cases of antipsychotic drug-induced hypoglycemia and hypothermia.[ncbi.nlm.nih.gov]

  • Diabetic Ketotic Coma

    Indeed this is much higher then expected given the relatively modest decrease in bicarbonate.[anaesthesiamcq.com] .), impaired mentation, hypothermia Etiology – DKA is due to loss of insulin, which directly causes hyperglycemia and high ketone bodies Note: insulin does not directly cause[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]

  • 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] We present the case of a patient with new-onset diabetes, severe acidosis, hypothermia, and shock who presented to a Role 1 Battalion Aid Station (BAS) in Afghanistan.[ncbi.nlm.nih.gov] In more severe cases it can present with altered mental status, coma, hypotension, hypothermia and respiratory insufficiency.[calpoison.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] A clinical trial of hypothermia in patients with this condition is warranted.[ncbi.nlm.nih.gov] 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]

  • 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] 'cognition', 'mixed depression and dementia', 'presenile dementia', 'frontotemporal dementia', 'dementia' or 'multiinfarct dementia', 'senile dementia', 'cognitive defect'[doi.org] Severe hypothermia, if present, is a poor prognostic sign ( 33 ).[web.archive.org]

  • Hypercapnia

    The increase in PaCO 2 , in turn, decreases the bicarbonate (HCO 3 – )/PaCO 2 ratio, thereby decreasing the pH.[emedicine.medscape.com] In this case, hypothermia allowed sparing the use of extracorporeal life support.[ncbi.nlm.nih.gov] The renal system participates in acid-base regulation by increasing or decreasing levels of bicarbonate (HCO3-).[rtmagazine.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] Over the past two winters, we witnessed three cases of hypothermia resulting from treatment of suspected EHS.[ncbi.nlm.nih.gov] […] recent advances in the identification of risk factors that predispose to heat stroke, the role of endotoxin and cytokines in mediation of multi-organ damage, the incidence of hypothermia[ncbi.nlm.nih.gov]

  • Hypercalcemia

    Ionized calcium Albumin Creatinine Serum bicarbonate (milk-alkali syndrome) Serum phosphorous (decreased in primary hyperparathyroidism) Intact PTH: If laboratory evidence[clinicaladvisor.com] These waves occur due to hypothermia, hypercalcemia, early repolarization and Brugada syndrome.[ecgwaves.com] The prominent J deflection attributed to hypothermia was first reported in 1938 by Tomaszewski.[doi.org]

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