Hyperosmolar Hyperglycemic Syndrome Flashcards
1
Q
Which type of diabetes is typically associated with HHS?
A
T2D
2
Q
is ketosis present in HHS?
A
no
3
Q
What typically causes HHS?
A
illnesses
4
Q
Which age group is most often seen with HHS?
A
older adults (50-70)
5
Q
clinical manifestations of HHS (4)
A
- profound dehydration
- hypotension
- tachycardia
- altered LOC
6
Q
how high is the mortality rate for HHS
A
40-60%
7
Q
Assessment and diagnostic findings (5)
A
- serum glucose: 600-1200 mg/dl
- osmolality > 350
- electrolytes and BUN (consistent with severe dehydration)
- focal neurologic deficits and hallucinations
- postural hypotension
8
Q
management of HHS (3)
A
- fluid replacement
- correct electrolyte imbalances
- insulin administration
9
Q
What happens to blood glucose as the patient is rehydrated?
A
it decreases
10
Q
is insulin important in HHS?
A
not as important –> the body has enough insulin
11
Q
three major differences between HHS and DKA
A
- HHS has higher osmolarity
- HHS has higher serum glucose
- HHS dehydration with little to no Ketoacidosis
