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191 Possible Causes for Bicarbonate Decreased, Coma, Potassium Decreased

  • Acute Alcohol Intoxication

    Coma, vomiting and hypothermia are the commonest symptoms in young teenagers intoxicated by alcohol.[ncbi.nlm.nih.gov] […] in serum bicarbonate concentration.[cjasn.asnjournals.org] The loss of electrolytes such as phosphate, potassium and magnesium can result in cardiac dysrhythmia.[emsworld.com]

  • Metabolic Alkalosis

    A 35-year-old male presented to the emergency department with a Glasgow Coma Scale (GCS) of 3/15 and a normal pulse rate and blood pressure.[ncbi.nlm.nih.gov] It is the result of an increase in bicarbonate production, a decrease in bicarbonate excretion, or a loss of hydrogen ions.[ncbi.nlm.nih.gov] Serum chloride: Decreased, less than 98 mEq/L, disproportionately to serum sodium decreases (if alkalosis is hypochloremia). Serum potassium: Decreased.[nurseslabs.com]

  • Hyponatremia

    […] state (vegetative coma), deep coma without detectable awareness.[en.wikipedia.org] 15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] Swollen brain cells react to hyponatremic conditions by decreasing their volume over approximately 48 h by the extrusion of potassium, sodium, chloride, and organic osmolytes[doi.org]

  • Diabetes Mellitus

    250.30 Diabetes with other coma, type II or unspecified type, not stated as uncontrolled convert 250.30 to ICD-10-CM 250.31 Diabetes with other coma, type I [juvenile type[icd9data.com] 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] […] absolute lack of insulin ( eMedicine: Type 1 Diabetes Mellitus [Accessed 8 December 2017] ) 10% of all cases Without insulin, patients develop diabetic ketoacidosis (DKA), coma[pathologyoutlines.com]

  • Hypokalemia

    Hypokalemic patients tended to have lower fasting glucose at admission, lower Glasgow coma scale score, and longer time from symptom onset to treatment compared with normokalemic[ncbi.nlm.nih.gov] Gastrointestinal complications Hypokalemia decreases gut motility, which can lead to or exacerbate an ileus.[emedicine.medscape.com] New data make clear that feedforward homeostatic responses activate when decreased potassium intake is sensed, even when plasma potassium concentration is still within the[ncbi.nlm.nih.gov]

  • Diabetic Ketotic Coma

    Nonketotic diabetic coma has emerged as a distinct syndrome mediated by the hyperosmolarity of the blood.[jamanetwork.com] Indeed this is much higher then expected given the relatively modest decrease in bicarbonate.[anaesthesiamcq.com] Blood sugar will also decrease. Fluids and potassium will be given through a vein ( intravenously ). This must be done carefully.[medlineplus.gov]

  • Diabetic Ketoacidosis

    Alpha coma in an adolescent with diabetic ketoacidosis. Turk J Pediatr 2017; 59: 318-321.[ncbi.nlm.nih.gov] […] to between 7.25 and 7.30 (normal 7.35–7.45); serum bicarbonate decreased to 15–18 mmol/l (normal above 20); the person is alert Moderate: pH 7.00–7.25, bicarbonate 10–15,[en.wikipedia.org] Both insulin therapy and correction of acidosis decrease serum potassium levels by stimulating cellular potassium uptake in peripheral tissues.[spectrum.diabetesjournals.org]

  • Syndrome of Inappropriate Antidiuretic Hormone Secretion

    Swelling of brain cells causes various neurological abnormalities which in severe or acute cases can result in convulsions, coma, and death.[en.wikipedia.org] Serum bicarbonate remains normal despite hypotonic expansion of body fluids in SIADH.[razianesth.freeservers.com] Due to movement of potassium from the intracellular space to the extracellular space Decreased Potassium and metabolic alkalosis -, consider diuretic therapy or vomiting as[medcaretips.com]

  • Islet Cell Tumor

    Severe cases cause coma and even death. Gastrinomas Many of these tumors are typically either malignant or have malignant potential.[symptoma.com] Decreased pancreatic secretion of enzymes and bicarbonate accounts for the diarrhea and steatorrhea.[es.oncolink.org] Twenty-five of 47 (53%) patients had decreased serum potassium levels.[ncbi.nlm.nih.gov]

  • Hypophosphatemia

    […] hyperosmolar coma were randomly assigned either to standardized conventional treatment alone or combined with phosphate infusions.[diabetes.diabetesjournals.org] However, that this effect is not seen in metabolic alkalosis, for in such cases the cause of the alkalosis is increased bicarbonate rather than decreased CO2.[en.wikipedia.org] Increased intake Intravenous—sodium or potassium phosphate Oral administration—Neutraphos Rectal—Fleets phosphosoda enemas Decreased renal excretion Renal insufficiency/failure—acute[accessmedicine.mhmedical.com]

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