HNNS
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 ⛔
Prolongs progress
Less likely to report to care
Diagnostics
Serum Glucose 33.3+
pH 7.3+
Treatment
DKA protocol
Insulin difference
Only used to treat hyperglycemia at a slow-infusion
May not be needed
Rehydration usually resolves hyperosmality
Osmolarity 320
Low Bicarb >15
Ketones : ⛔