Hyperosmolar Hyperglycaemic State Flashcards
1
Q
Who does this occur in?
A
Type 2 diabetics
2
Q
What is the triad of features?
A
Hypovolaemia
Hyperglycaemia with increased ketones or acidosis
Osmolality >320mosmol/kg
3
Q
How do you calculate osmolality?
A
2Na + glucose + urea
4
Q
What are the symptoms of HHS?
A
Increased urination Thirst Nausea Dry skin Confusion
5
Q
How is HHS managed?
A
Fluids
K+ monitoring
Insulin if ketones present
SC heparin
