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Diabetic-HHS(HHNS)
HHS
Question | Answer |
---|---|
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 |