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14 Possible Causes for Bicarbonate Decreased, Fluctuating Level of Consciousness, Potassium Decreased

  • Acute Alcohol Intoxication

    […] in serum bicarbonate concentration.[cjasn.asnjournals.org] The loss of electrolytes such as phosphate, potassium and magnesium can result in cardiac dysrhythmia.[emsworld.com] Accumulation of the alcohols in the blood can cause an increment in the osmolality, and accumulation of their metabolites can cause an increase in the anion gap and a decrease[cjasn.asnjournals.org]

  • Hyponatremia

    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] As ordered, Megan starts an I.V. infusion of 0.9% normal saline with potassium 20 mEq at a rate of 200 mL/hour for 1 liter, and then decreases the rate to 125 mL/hour.[americannursetoday.com]

  • Diabetic Ketoacidosis

    […] 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] Headache and fluctuating level of consciousness herald this complication in some patients, but respiratory arrest is the initial manifestation in others.[merckmanuals.com] Both insulin therapy and correction of acidosis decrease serum potassium levels by stimulating cellular potassium uptake in peripheral tissues.[spectrum.diabetesjournals.org]

  • Hypokalemia

    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] What Makes the Potassium Level Decrease?[merckmanuals.com]

  • Islet Cell Tumor

    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] […] in the blood, which can cause an irregular heartbeat, muscle cramping and weakness, and decreased reflexes Too little acid in the stomach, which can cause digestive problems[cancer.net]

  • Metabolic Acidosis

    Thus, correcting acidosis in CKD with bicarbonate decreases IL-10 secretion. Its significance needs to be further investigated. Copyright 2015 Elsevier Masson SAS.[ncbi.nlm.nih.gov] Headache and fluctuating level of consciousness herald this complication in some patients, but respiratory arrest is the initial manifestation in others.[merckmanuals.com] Decreased potassium level and decreased bicarb level C. Increased potassium level and decreased bicarb level D.[registerednursern.com]

  • Dehydration

    Mechanisms include bicarbonate loss in stool, ketone production from starvation, and lactic acid production from decreased tissue perfusion.[emedicine.medscape.com] ., sodium, potassium, chloride), blood urea nitrogen (BUN), and creatinine, among others.[encyclopedia.com] Examination of urine and measurement of a 24-hour urine sample may be done to determine if output is normal or decreased.[encyclopedia.com]

  • 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] The amount of edema is greatest in the white matter (increased water and sodium in the extracellular spaces, decreased potassium); but the same changes may take place in grey[brainavm.uhnres.utoronto.ca] level of consciousness, sustained heart rate deceleration (decrease more than 20 beats per minute) not attributable to improved hydration or sleep, age-inappropriate incontinence[childrensmercy.org]

  • 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] 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]

  • Hypernatremia

    15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[aafp.org] […] elevated electrolytes such as sodium and potassium in premature infants.[clinicaltrials.gov] 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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