Aliases:
HONK
HHS
Hyperosmolar hyperglycemic state
Nonketotic Hyperglycemic Coma
Non-ketotic Hyperglycemic Coma
hyperosmolar hyperglycemic nonketotic syndrome

Topic aliases are alternate phrasings for a particular topic.


A serious complication of TYPE 2-DIABETES-MELLITUS. It is characterized by extreme HYPERGLYCEMIA; DEHYDRATION; serum hyperosmolarity; and depressed consciousness leading to COMA in the absence of KETOSIS and ACIDOSIS.
www.nlm.nih.gov/cgi/mesh/...

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Usually seen in older type II-diabetic patients who are socially isolated. refl.in/42

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Insulin bolus followed by infusion of 0.1u/kg/hr refl.in/42

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Adult: 1-1.5L/hr 0.45% NaCl until plasma osmolarity <320mosmol, then 1-1.5L/hr 0.9% NaCl until volume state normalised. refl.in/42

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May 18, 2011
Consider risk of hyperchloraemic metabolic acidosis from large volumes of 0.9% NaCl.
2
Persistent glycosuric diuresis evolving over days/wks resulting in hypoperfusion & non-ketotic metabolic acidosis. refl.in/42

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Stabilise ABC

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