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62 Possible Causes for Bicarbonate Decreased, Cognitive Defect, Irritability

  • 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[] Moderate metabolic acidosis (plasma bicarbonate content 15 to 20 mmol/L) is characteristic.[] 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.[]

  • 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.[] Hot weather August 2016 The Oregonian/OregonLive/File No. 1: It can alter your mental state Heatstroke can cause confusion, agitation, slurred speech, irritability, delirium[] Signs and Symptoms Of heat exhaustion: increased thirst weakness and extreme tiredness fainting muscle cramps nausea and vomiting irritability headache increased sweating[]

  • Hypercalcemia

    Ionized calcium Albumin Creatinine Serum bicarbonate (milk-alkali syndrome) Serum phosphorous (decreased in primary hyperparathyroidism) Intact PTH: If laboratory evidence[] Here we present the case of an infant with hypercalcemia who presented with fatigue, irritability, and failure to thrive after prolonged immobilization.[] Although irritability and lethargy were commonly reported, no mortality or acute life-threatening events were associated with hypercalcemia and the only statistically associated[]

  • 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[] If your infant develops dehydration, he may experience additional symptoms that include lack of tears when crying, high fever, dry tongue and mouth, irritability, listlessness[] Another way that the body tries to rid itself of acids is through the skin – which is when problems in this area can occur such as eczema, headaches, cramps, acne, boils, irritation[]

  • High Altitude Cerebral Edema

    It is a carbonic anhydrase inhibitor that causes a bicarbonate diuresis and metabolic acidosis.[] The following are the commonly reported symptoms of HACE: Severe headache Vomiting Seizures Confusion Fatigue Lethargy Ataxia (lack of coordination) Irritability Difficulty[] Symptoms include headache, tiredness, nausea or loss of appetite, irritability, and in more serious cases, shortness of breath, confusion, and even coma.[]

  • Hyponatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[] This is a case report of a 12-year-old boy who presented with body rash, irritability, insomnia, and profuse sweating after returning from a summer camp.[] He seems irritable and has a hard time remembering where he is and why he’s in the hospital. Soon he becomes lethargic.[]

  • Acute Alcohol Intoxication

    […] in serum bicarbonate concentration.[] The effects on the gastrointestinal (GI) system include stimulation of gastric secretions, mucosal irritation, cessation of motor function of the gut, and delayed absorption[] Marked gastric irritation may suggest any alcohol exposure, however, isopropanol is particularly irritative to the gastric mucosa.[]

  • Hypernatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[] High-pitched cry, muscle weakness, or unusual irritability or drowsiness in infants Headache, confusion, or irritability Drowsiness Seizures Muscle weakness or twitching Breathing[] Lastly, rarer causes of hypernatremia in the elderly population include sodium overload from iatrogenic excessive administration of sodium bicarbonate or hypertonic saline[]

  • Drug-induced Hypoglycemia

    Drugs leading to loss of bicarbonate in the gastrointestinal (GI) tract or kidney 3. Drugs causing increased endogenous acid production 4.[] Drug-Induced Hypoglycemia has several signs and symptoms, which may include: Anxiety Hunger Irritability Nightmares Numbness or tingling of the skin Palpitations Shakiness[] Reversal of hypoglycemia unawareness, but not defective glucose counterregulation, in IDDM. Diabetes 1994;43:1426–34. Fanelli C, Pampanelli S, Epifano L, et al.[]

  • Hypercapnia

    The increase in PaCO 2 , in turn, decreases the bicarbonate (HCO 3 – )/PaCO 2 ratio, thereby decreasing the pH.[] Work with lung irritants : Those who work with chemicals, dust, smoke, or other lung irritants are at greater risk of hypercapnia.[] The renal system participates in acid-base regulation by increasing or decreasing levels of bicarbonate (HCO3-).[]

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