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Hyperglycemic hyperosmolar non-ketotic syndrome (Signs and symptoms…
Hyperglycemic hyperosmolar non-ketotic syndrome
Signs and symptoms
Deteriorating mental status
Confusion
Coma
Sizures
Hypovolumic shock
Renal failure
Myocardial infaction
Multiple organ failure
Arterial thrombosis
Increased cardiac workload
Nursing management
Maintain fluid administration
Monitor intake and output
Monitor heart rate
Monitor central nervous pressure
Report dysythmias
Nurse in cot bed
Maintain adequate airway
Manage sizures
Insert catheter
Maintain back and pressure points
Risk factors
Obesity
Diet and lifestyle
Race group
Genetic factors
Pathophysiology
It occurs as a result of insuline defeciency,the pancreause produces little or no insuline,the organs that requires insuline are the liver, skeletal muscles and adipose tissue.glucose and amino acid uptake into blood stream fails and levels of amino acids uptake into blood circulation are elevated.ingestion of carbohydrates worsen the situation because metabolised glucose is not utelised glucose levels rises until kidneys are unable to cope with reabsorption of glucose from glumerular flitrate resulting glycosuria.
Nursing assessment
The classic symptoms are Polyurea,polydipsia,polyphagia,weightloss, fatigue and blurring vision.
Late symptoms are coma,and chronic complications.
Diagnostic studies
Oral glucose Tolerance test
Fasting blood glucose
Random plasma glucose