HYPERGLYCEMIC HYPEROSMOLAR NONKETOTIC SYNDROME
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Signs and symptoms
Dry mouth
Hallucinations
Extreme thirst
Confusion
Dry skin
Confusion
High fever
Polyuria
Causes
Hallucinations
Warm and dry skin
Uncontrolled type 2 daibetes
Diabetes
Fever
Excessive thirst
Management
Give insulin IV to bring down blood glucose level
0.9 % (isotonic) saline solution at a rate of 15 -20 ml/kg/hr for first few hours
Start IV to rehydrate the body quickly
Glucose gel smeared inside the mouth , intramuscular glucagon (1 mg) or intravenous glucose
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