WebHyperosmolar Hyperglycemic State. HHS (formerly termed hyperosmolar hyperglycemic nonketotic coma) is a life-threatening emergency, defined as severe hyperglycemia (usually >600 mg/dL), elevated plasma osmolality (>320 mOsm/kg), serum bicarbonate >15 mEq/L, arterial pH >7.3, negative serum ketones (can be mildly positive), and altered mental status. WebClinical definition. hyperosmolar hyperglycemic state (HHS) is also known as nonketotic hyperglycemic coma. a complication of diabetes mellitus characterized by. hyperglycemia. ↑ osmolality. dehydration. minimal or no ketoacidosis. Associated conditions. type 2 diabetes.
HHNK synonyms, HHNK antonyms - FreeThesaurus.com
WebJul 31, 2024 · Osmolality is a measurement of the number of particles in a solution. This is a physical chemistry property of any water-based solution. Osmolality can be measured in the laboratory (based on freezing point depression). Tonicity refers to how much the particles in a solution pull water across a semi-permeable biological membrane. WebMar 5, 2024 · In most cases, hypernatremia results from water depletion. This develops when water losses are not replaced because water is unavailable, when the urge to drink is impaired, or because patients cannot seek water for themselves. Abnormally large unreplaced water losses (as an example, due to diabetes insipidus) result in a rapid … ford f150 chip hold forum
Hyperglycemic crises - Knowledge @ AMBOSS
WebHyperosmolality, resulting from the extremely high concentration of sugar in the blood, causes a shift of water from the intracellular fluid (the less concentrated solution) into the blood (the higher concentrated solution). This results in cellular dehydration. WebFeb 13, 2024 · Normal serum osmolality in a stuporous patient rules out HHS and should prompt investigation for other causes of altered mental status. Euglycemia does not rule out DKA! Assess ketone levels in all patients with high anion gap metabolic acidosis to evaluate for euglycemic DKA. Electrolytes and renal function [2] [3] Sodium: WebAug 1, 2024 · The hyperglycemic hyperosmolar state (HHS) is a life-threatening metabolic decompensation of diabetes which presents with severe hyperglycemia and profound dehydration, typically accompanied … ford f150 charging system fuse