Diabetes

Question 1

HHNS

Answer 1

ACUTE diabetic decompensation, characterized by:

HYPERGLYCEMIA

HYPEROSMOLARITY

DEHYDRATION

Question 2

HHNS develops from

Answer 2

Sustained hyperglycemia that produces a hyperosmolar state which causes:

An osmotic diuresis that results in dehydration and electrolyte loss

Question 3

HHNS will usually have an FABS level?

Answer 3

Above 600 mg/dL

And less ketone formation

Question 4

HHNS tends to develop?

Answer 4

Slowly, often over several days

Question 5

HHNS will not have?

Answer 5

Kussmaul respirations

Question 6

DKA is

Answer 6

When insulin levels are low which prevent glucose from entering the cells, as a result:

Glucose accumulates in the blood

Question 7

During DKA fats are:

Answer 7

Metabolized for energy, which creates ketoacids, resulting in acidosis

Question 8

DKA signs usually are slow to onset, about?

Answer 8

12-48 hrs

Question 9

DKA will present with?

Answer 9

Warm dry skin

Acetone breath odor (fruity odor)

Kussmaul respirations

Question 10

Pt’s with DKA are seldom?

Answer 10

Deeply comatose

Question 11

HHNS respirations?

Answer 11

Shallow/rapid

Question 12

HHNS hungry?

Answer 12

Intense

Question 13

DKA hunger?

Answer 13

Absent

Question 14

Thirst in DKA/HHNS?

Answer 14

Intense

Question 15

DKA Vomiting?

Answer 15

Common

Question 16

HHNS Vomiting?

Answer 16

Uncommon

Question 17

DKA, FSBS level?

Answer 17

Greater than 300