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Diabetic-HHS(HHNS)

HHS

QuestionAnswer
HHS Caused by hyperglycenmia >600 blood sugar, decreased amt of insulin and severe dehydration
Differs from DKA HHS differs from DKA in that ketone levels are low or absent and blood glucose levels are much higher
Onset gradual
Caused by Poor fluid intake, infection : differs from DKA in that dehydration is more severe in HHS
Symptoms seizures, myoclonic jerking, and rev paralysis. Neurologic impairment
Urine Ketones Negitive
Management/Intervention Step 1 goal is to rehydrate pt and resore normal blood glucose levels w/in 36-72 hours
First Objective Management/Int Fluid replacement to increase blood volume
Monitor for Assess pt hourly for signs of cerebral edema, abrupt chg in mental status, abn neurologic signs, and coma
Administer IV insulin after adequite fluids have been replaced
HHS is more common in older adults with type II
Created by: Kribat
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