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62 Possible Causes for Bicarbonate Decreased, Cognitive Defect, Vomiting

  • 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] Vomiting causes metabolic alkalosis because a lot of stomach acid is lost when someone vomits, and this leads to the reduction of acidity within the body.[study.com] Symptoms of acidosis are: fast, deep breathing a smell of acetone on your breath nausea and vomiting stomach pains.[netdoctor.co.uk]

  • Acute Alcohol Intoxication

    […] in serum bicarbonate concentration.[cjasn.asnjournals.org] Symptoms range from changes in behavior to severe hypothermia, vomiting, altered consciousness, coma, and respiratory insufficiency that may be fatal.[symptoma.com] Coma, vomiting and hypothermia are the commonest symptoms in young teenagers intoxicated by alcohol.[ncbi.nlm.nih.gov]

  • Hyponatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] Chronic, severe vomiting or diarrhea and other causes of dehydration. This causes your body to lose electrolytes, such as sodium, and also increases ADH levels.[mayoclinic.com] The patient presented with the following symptoms: nausea, vomiting, diarrhea, and dark urine after drinking large amounts of fluids that included alcohol and caffeine.[ncbi.nlm.nih.gov]

  • 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] Nausea, loss of appetite, and vomiting. Urea in the gastric juices may cause upset stomach. This can lead to malnutrition and weight loss.[medical-dictionary.thefreedictionary.com] Feeling of nausea or vomiting. Muscle cramps. Darkness of skin. Cleveland Clinic News & More Cleveland Clinic News & More[my.clevelandclinic.org]

  • Diabetic Ketotic Coma

    Indeed this is much higher then expected given the relatively modest decrease in bicarbonate.[anaesthesiamcq.com] […] acids Severe hyperglycemia due to insufficient insulin resulting in plasma hyperosmolality and excessive water loss Symptoms Kussmaul respiration, acetone breath, nausea, vomiting[howmed.net] Many clinicians have observed worsening of acidemia, as evidenced by decreased serum bicarbonate concentration, after aggressive resuscitation with normal saline.[ahcmedia.com]

  • Hypercalcemia

    Ionized calcium Albumin Creatinine Serum bicarbonate (milk-alkali syndrome) Serum phosphorous (decreased in primary hyperparathyroidism) Intact PTH: If laboratory evidence[clinicaladvisor.com] She had nausea, vomiting, leg pain, polyuria, polydipsia, and muscle weakness. At the time of relapse, the ionized calcium level was 1.99 mmol/L.[ncbi.nlm.nih.gov] We present a case that presented with paresis, nausea, and vomiting. Malignant melanoma with spinal metastasis.[ncbi.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] This may be a challenge if the person begins to suffer from nausea and vomiting.[medicinenet.com] Heat stroke is a life-threatening condition which is characterised by nausea, vomiting, confusion, disorientation and coma.[ncbi.nlm.nih.gov]

  • 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] 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] Here we report the sudden death of a 15-year-old girl who presented with vomiting, fever and abdominal pain and died unexpectedly.[ncbi.nlm.nih.gov]

  • High Altitude Cerebral Edema

    It is a carbonic anhydrase inhibitor that causes a bicarbonate diuresis and metabolic acidosis.[lifeinthefastlane.com] (see Nausea and Vomiting, [[Nausea and Vomiting]]) Neurologic Manifestations Altered Mental Status (see Obtundation-Coma, [[Obtundation-Coma]]): ranges from lethargy to coma[mdnxs.com] Clinical findings include vomiting and exam findings of retinal hemorrhages and papilledema.[clinicaladvisor.com]

  • Hypernatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] Vomiting (vomiting more than 4-5 times in a 24 hour period). Muscle weakness. Poor appetite that does not improve.[chemocare.com] Lastly, rarer causes of hypernatremia in the elderly population include sodium overload from iatrogenic excessive administration of sodium bicarbonate or hypertonic saline[dovepress.com]

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