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HNNS (Diagnostics (Serum Glucose 33.3+, pH 7.3+, Osmolarity 320, Low…
HNNS
Diagnostics
Serum Glucose 33.3+
pH 7.3+
Osmolarity 320
Low Bicarb >15
Ketones : :no_entry:
Etiology
Infections
Co-morbidities
(MI, heart
failure, stroke, pneumonia, kidney
disease)
Drugs
Undiagnosed DMII
Pathophysiology
DMII Insulin Resistance
Hyperglycemia
Hyperosmolarity
Dehydration
Some insulin is effective
Prevents lipolysis
DKA :no_entry:
Prolongs progress
Less likely to report to care
Treatment
DKA protocol
Insulin difference
Only used to treat hyperglycemia at a slow-infusion
May not be needed
Rehydration usually resolves hyperosmality