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71 Possible Causes for Carpopedal Spasm, Coma, Potassium Decreased

  • 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] spasm (Trousseau sign) depressed respirations (b/c of compensation trying to hold CO2) paralytic ileus (gut shuts down to hold HCO3) ABGs (increased pH and HCO3) decreased[quizlet.com] Serum chloride: Decreased, less than 98 mEq/L, disproportionately to serum sodium decreases (if alkalosis is hypochloremia). Serum potassium: Decreased.[nurseslabs.com]

  • Hypomagnesemia

    Abstract A male infant presented at 6 weeks of age with generalized convulsions and coma associated with hypomagnesemia and hypocalcemia.[pediatrics.aappublications.org] A 39-year-old woman was presented to the emergency department complaining of severe watery diarrhea and carpopedal spasm after ingesting a handful of magnesium hydroxide tablets[ncbi.nlm.nih.gov] A lack of magnesium inhibits reuptake of potassium, causing a decrease in intracellular potassium. This decrease in intracellular potassium results in a tachycardia.[en.wikipedia.org]

  • 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] Case presentation We report a case of a 4-year-old girl presenting carpopedal spasm and rhabdomyolysis due to severe hypokalemia associated to hypophosphatemia and hypovolemia[ncbi.nlm.nih.gov] 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] Paresthesias, tremor, carpopedal spasm, agitation, seizures, and cardiac dysrhythmias all are reported symptoms.[aafp.org] Blood sugar will also decrease. Fluids and potassium will be given through a vein ( intravenously ). This must be done carefully.[medlineplus.gov]

  • Hypophosphatemia

    […] hyperosmolar coma were randomly assigned either to standardized conventional treatment alone or combined with phosphate infusions.[diabetes.diabetesjournals.org] This case reports an adolescent girl presenting with episodes of carpopedal spasms and difficulty in walking with laboratory tests suggestive of Gitelman's syndrome along[ncbi.nlm.nih.gov] Increased intake Intravenous—sodium or potassium phosphate Oral administration—Neutraphos Rectal—Fleets phosphosoda enemas Decreased renal excretion Renal insufficiency/failure—acute[accessmedicine.mhmedical.com]

  • Diabetic Ketoacidosis

    Alpha coma in an adolescent with diabetic ketoacidosis. Turk J Pediatr 2017; 59: 318-321.[ncbi.nlm.nih.gov] Paresthesias, tremor, carpopedal spasm, agitation, seizures, and cardiac dysrhythmias all are reported symptoms.[aafp.org] Potassium levels can fluctuate severely during the treatment of DKA, because insulin decreases potassium levels in the blood by redistributing it into cells via increased[en.wikipedia.org]

  • Bartter's Disease

    On the initial evaluation, his Glasgow Coma Scale was 10/15 (E2V3M5). Both pupils were normal in size and reactive to light.[indianjnephrol.org] Other symptoms Other symptoms, which appear during late childhood, include fatigue, muscle weakness, cramps, and recurrent carpopedal spasms.  Developmental delay and minimal[de.slideshare.net] Five weeks after birth, his sodium chloride loss turned into renal potassium loss, along with a marked decrease in urine output.[link.springer.com]

  • Respiratory Alkalosis

    […] and encephalitis, salicylate poisoning, hyperpyrexia, hysteria, high altitude ascending, apprehensive blood donors, injudicious use of respirator, some cases of hepatic coma[biologydiscussion.com] Signs include hyperpnea or tachypnea and carpopedal spasms. Diagnosis is clinical and with ABG and serum electrolyte measurements. Treatment is directed at the cause.[msdmanuals.com] According to classical data, serum potassium decreases during the acute respiratory alkalosis.[alpfmedical.info]

  • Acute Hyperventilation

    Advisory Committee has reviewed these protocols, and concludes, on the basis of recent scientific evidence, that in the patient with severe traumatic brain injury (Glasgow Coma[health.ny.gov] spasm.[emedicine.medscape.com] This leads to increased plasma protein binding of the serum potassium and a decrease of the physiologically active ionized calcium.[flexikon.doccheck.com]

  • Hyperventilation

    Over a period of 2 months his overall state markedly deteriorated; he lapsed into coma, and finally succumbed after involvement of medullary cardiovascular centers.[ncbi.nlm.nih.gov] In extreme cases it may cause carpopedal spasms, a flapping and contraction of the hands and feet.Factors that may induce or sustain hyperventilation include: physiological[en.wikipedia.org] This leads to increased plasma protein binding of the serum potassium and a decrease of the physiologically active ionized calcium.[flexikon.doccheck.com]

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