Hyperosmolar hyperglycemic state HHS

  • Facts:
    Complication seen in DM II
  • History / PE:
    Profound dehydration
    AMS
    Blurred vision
  • Diagnosis:
    Extremely high glucose ( > 600 mg/dL) without acidosis
    Absent ketones
  • Treatment:
    Aggressive IVF hydration (most important!)
    Electrolyte replacement
    Insulin
  • See Also:
    Diabetic ketoacidosis
  • Associated With:
    Acute stress/infections
    Diabetes Mellitus type 2



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July 22nd 2010