Create issue ticket

351 Possible Causes for Bicarbonate Decreased, Paresthesia

  • Respiratory Alkalosis

    Measurement of the serum bicarbonate permits definitive diagnosis: acute respiratory alkalosis: serum bicarbonate decreases by 2 mM for every 10 mmHg (or 1.33kPa) decrease[gpnotebook.co.uk] […] seizures confusion hypo kalemia lightheadedness dizziness tingling of the extremities hope this helps.[allnurses.com] RESULTS: For each decrease of 1 mm Hg (0.13 kPa) in the PaCO2, the plasma bicarbonate concentration decreased by 0.41 mmol per liter in the subjects who started with a normal[ncbi.nlm.nih.gov]

  • Hyperventilation

    […] via a decrease in bicarbonate reabsorption.[emedicine.medscape.com] In contrast, Gowers used the terms "vagal" and "vaso-vagal" for these symptoms, which could include numbness and tingling of the extremities ( Gowers 1907 ).[medlink.com] There is approximately a 2% decrease in CBF for every 1 mmHg decrease in PaCO2 levels.[openanesthesia.org]

  • Psychogenic Hyperventilation

    Compensation: Metabolic side compensates for respiratory acidosis by decreasing renal chloride excretion, leading to decreased strong-ion difference and decreased bicarbonate[clinicaladvisor.com] HVS may present with chest pain and a tingling sensation in the fingertips and around the mouth ( paresthesia ) and may accompany a panic attack.[en.wikipedia.org] Chest wall tenderness, numbness, and tingling may be present. Characteristically, patients have multiple complaints without much supporting physical evidence of disease.[unp.me]

  • Hyperkalemia

    […] studies indicate sodium bicarbonate does not decrease potassium within 60 minutes. 4,5,23,24 Studies that do suggest a decrease utilized bicarbonate infused over hours (rather[emdocs.net] […] symptoms Patients with hyperkalemia may be asymptomatic, or they may report the following symptoms (cardiac and neurologic symptoms predominate): Generalized fatigue Weakness Paresthesias[emedicine.medscape.com] […] serum potassium within 5 minutes (3) Duration of effect 20 to 45 minutes iii) Sodium bicarbonate (1) 0.5 to 2 mEq/kg IV (2) Ideally, bicarbonate administration should be[vasg.org]

  • 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] Uremia also causes polyneuropathy with paresthesia.[lecturio.com] Moderate metabolic acidosis (plasma bicarbonate content 15 to 20 mmol/L) is characteristic.[merckmanuals.com]

  • Metabolic Alkalosis

    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] Alkalosis may cause Irritability Muscle twitching and cramps Tingling in the fingers and toes and around the lips Tingling (paresthesias) is a common complaint in hyperventilation[merckmanuals.com] The hypothesis of this study was that elevated plasma bicarbonate levels decrease respiratory drive and minute ventilation.[ncbi.nlm.nih.gov]

  • Alkalosis

    The decreased bicarbonate concentration realigns the Henderson-Hasselbalch Equation for the bicarbonate buffer and thus largely corrects the ECF pH.[pathwaymedicine.org] Also, patients with hyperventilation syndrome develop dyspnea, chest pain, paresthesia, and tetany.[symptoma.com] […] trauma, history of central line catheter, recent surgery, history of thromboembolic disease, history of asthma, history of COPD, acute focal neurological signs, numbness, paresthesia[ncbi.nlm.nih.gov]

  • Acute Hyperventilation

    This decline in U-B PCO2 with acute hyperventilation could not be attributed to changes in urine flow, phosphate, or bicarbonate excretion, suggesting, therefore, a decrease[jci.org] Presenting complaints were dyspnea (61%), paresthesia (35%), chest pain or tightness (43%), muscle spasm (9%), dizziness (13%), palpitations (13%), and panic (30%).[ncbi.nlm.nih.gov] […] res'pir-ă-tōr-ē al'kă-lō'sis ) Alkalosis resulting from an abnormal loss of CO 2 produced by hyperventilation, either active or passive, with concomitant reduction in arterial bicarbonate[medical-dictionary.thefreedictionary.com]

  • Hypocalcemia

    RESULTS: Among controls, hypocalcemia elicited a major rise in intact PTH (iPTH) levels 4 minutes after bicarbonate infusion.[ncbi.nlm.nih.gov] At presentation, he had ataxia, paresthesia in the hands and feet, and abdominal cramping. Magnetic resonance imaging of the brain was unremarkable.[ncbi.nlm.nih.gov] A comparison between groups demonstrated that cases had a significantly higher incidence of symptomatic hypocalcemia resulting in paresthesia and tetany (38% vs. 0%; P CONCLUSIONS[ncbi.nlm.nih.gov]

  • Drug-induced Hypokalemia

    In addition, the hypokalemia contributes to the maintenance of metabolic alkalosis by decreasing bicarbonate loss.[ijp-online.com] Cardiac arrhythmia Cardiac arrest Ileus Rhabdomyolysis Possibly asymptomatic if hypokalemia is mild Muscle weakness, cramps Paresthesia Abdominal cramps Anorexia Nausea, vomiting[quizlet.com] Gastrointestinal complications Hypokalemia decreases gut motility, which can lead to or exacerbate an ileus.[emedicine.medscape.com]

Further symptoms

Similar symptoms