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55 Possible Causes for Bicarbonate Decreased, Cognitive Defect, Lethargy

  • Acidosis

    Respiratory acidosis:Presenting signs can include lethargy or fatigue, shortness of breath, confusion and sleepiness.[symptoma.com] 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] Confusion or lethargy may also occur. Severe metabolic acidosis can lead to shock or death.[nlm.nih.gov]

  • Acute Alcohol Intoxication

    […] decrease in coordination 100 to 150 mg/dL: Unsteady gait, nystagmus, slurred speech, loss of behavioral inhibitions, and memory impairment 150 to 300 mg/dL: Delirium and lethargy[merckmanuals.com] […] in serum bicarbonate concentration.[cjasn.asnjournals.org] […] talking, showing off) Ataxia (uncoordinated gait- walking ) Poor judgment Loss of memory Slurred speech Worsening ataxia Vomiting Confusion and disorientation Progressive lethargy[emedicinehealth.com]

  • Hyponatremia

    Thirteen months later, he was hospitalized for lethargy and hyponatremia of 108 mEq/L, with an antidiuretic hormone level of 2.5 pg/mL, which suggested syndrome of inappropriate[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] A 69-year-old previously well Sinhalese man presented with lethargy, loss of appetite, vomiting, and altered behavior of 1 week's duration.[ncbi.nlm.nih.gov]

  • Chronic Kidney Insufficiency

    Lethargy Weakness Shortness of breath Generalized swelling ( edema ) Generalized weakness due to anemia Loss of appetite Lethargy Fatigue Congestive heart failure Metabolic[medicinenet.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]

  • Hypercapnia

    Treatment with nocturnal O2 during a 2-yr period was associated with stable cardiovascular function but severe morning headaches and lethargy, presumably related to nightly[ncbi.nlm.nih.gov] The increase in PaCO 2 , in turn, decreases the bicarbonate (HCO 3 – )/PaCO 2 ratio, thereby decreasing the pH.[emedicine.medscape.com] Patients also complain of lethargy, confusion and headache.[symptoma.com]

  • Hypercalcemia

    We report a case of a 39-year-old female with active systemic lupus erythematosus who complained of lethargy and weakness with a moderate renal impairment.[ncbi.nlm.nih.gov] Ionized calcium Albumin Creatinine Serum bicarbonate (milk-alkali syndrome) Serum phosphorous (decreased in primary hyperparathyroidism) Intact PTH: If laboratory evidence[clinicaladvisor.com] In this paper, we present a 66-year-old male kidney transplant recipient, who was admitted to our clinic with symptoms of fever, nausea, vomiting and lethargy.[ncbi.nlm.nih.gov]

  • Diabetic Ketotic Coma

    Nonketotic hyperosmolar coma [ edit ] Nonketotic hyperosmolar coma usually develops more insidiously than diabetic ketoacidosis because the principal symptom is lethargy progressing[en.wikipedia.org] Indeed this is much higher then expected given the relatively modest decrease in bicarbonate.[anaesthesiamcq.com] Symptoms of ketoacidosis Symptoms of ketoacidosis are: extreme thirst lethargy frequent urination (due to high blood glucose levels) nausea vomiting abdominal pain progressive[betterhealth.vic.gov.au]

  • Cerebral Edema

    After reportedly suffering nausea and vomiting, a 12-year-old male presented to the emergency room with lethargy and was diagnosed with acute DKA.[ncbi.nlm.nih.gov] 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 49-year-old woman with lupus erythematosus and a history of recurrent aseptic meningitis and mild subarachnoid hemorrhage who presented with altered mental status and lethargy[ncbi.nlm.nih.gov]

  • Hypernatremia

    […] to excessive weight loss ( 10%), the following clinical findings were observed: poor feeding, poor hydration state, jaundice, excessive body temperature, irritability or lethargy[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] Individuals with hypernatremia in the initial stages suffer from lethargy, onset of edema, excitability, weakness and irritability.[symptoma.com]

  • Acute Renal Failure

    Hughson, MD, of Shorsh General Hospital in Kurdistan, said the patients complained of weakness and lethargy.[renalandurologynews.com] […] buildup of potassium Sodium bicarbonate is used to decrease acid buildup Acute Kidney Failure Follow-up The doctor will arrange follow-up visits as needed for the underlying[emedicinehealth.com] The individual's ability to live with multisystem diseases, cope with ensuing problems, and care for himself are markedly diminished. failure of artificial pacemaker A defect[medical-dictionary.thefreedictionary.com]

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