Thompson 1

Question 1

What are the signs and symptoms of HHS

Answer 1

• Slower onset, polyuria, dehydration, hypotension
• absence of abdominal pain, no vomiting, no nausea, NO KUSSMAUL BREATHING
  *

Question 2

What is mortaliity compared to DKA

Answer 2

• HHS has HIGHER MORTALITY (pts normally older and have more comorbidities

Question 3

what is the difference in pH in HHS vs DKA

Answer 3

pH is lower in DKA vs HHS

Question 4

Who is at risk for HHS

Answer 4

Uncontrolled type 2 diabetics

• higher age/more comorbidities

precipitating stress can trigger it

Question 5

what is criteria for diagnosis

Answer 5

›Glu 600

›Osmo 320 (usually high Na)

›Dehydration

›Ph 7.3 (not extremely low)

›Bicarb 15

›Ketonuria with no or small ketonemia

›Mental status change

Question 6

A1c criteria for DM and IGT

Answer 6

• Above 6.5% in DM
• Impaired glucose tolerance = 5.7% to 6.4%

Question 7

What is Tx of HHS

Answer 7

Lots of fluids

normalize electrolyes (Potassium and Sodium)

Slow with insulin (wait until mroe hydrated)

Question 8

What medications can increase glucose

Answer 8

contraceptives

barbituates

hydrchlorathiazide

corticosteroids