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Previous: Diabetic Ketoacidosis. Next: Evaluation of Palpable Breast Masses. May 1, Issue. Hyperosmolar Hyperglycemic State. A 32 Once fluids have been started, continuous insulin therapy can be initiated.
A 32 Phosphate replacement should be considered only if hypophosphatemia is severe less than 1. A 32 Patients should be assessed carefully and treated for underlying causes of hyperosmolar hyperglycemic state. C 32 Physicians should work with the patient, family, and caregivers to help prevent future occurrences. Read the full article.
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Diabetes Care —, Infections, nonadherence, and certain drugs can trigger marked glucose elevation, dehydration, and altered consciousness in patients with type 2 diabetes. Patients have adequate insulin present to prevent ketoacidosis. The fluid deficit can exceed 10 L; treatment is 0.
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Common Health Topics. Videos Figures Images Quizzes Symptoms. Symptoms and Signs. Treatment reference. Key Points. We prefer to administer 0. Once the blood glucose approaches Following recovery many patients presenting with HHNS will not require long term insulin therapy and can be managed effectively with diet or oral agents.
Precipitating causes of HHNS must be identified and treated simultaneously with correction of the metabolic abnormalities.
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