Hyperosmolar Hyperglycaemic State Flashcards
1
Q
HHS
A
high glycemic state with out ketoacidosis
2
Q
signs
A
fatigue lethargy nausea vomiting hypotension longer history
3
Q
investigation
A
CAP blood glucose
urinary dipstick to check for ketones
4
Q
what would the levels of osmolarity be
A
> 320
5
Q
management
A
0.9% IV saline
switch to 0.45% if not working
6
Q
when would you give insulin
A
after fluid replacement PLUS ketonaemia present
