p p p p
QUESTIONS WITH p p
VERIFIED CORRECT p p
ANSWERS 2023 p
HyperglycemicpHyperosmolarpStatep(HHS)petiology
-Somepinsulinpbutpnotpenough
-Stresspcanpincreasepinsulinpdemand
-Canpbepfrompinfection
-
OlderpadultspwithpnophistorypofpdiabetespcanpbepatpriskpHyperglycemicp
HyperosmolarpStatep(HHS)ps/spandpcomplications
-polyphagia/ppolyuria/ppolydipsia
-dehydration
-tachy
-highpglucose
-lowpbp
-neuropissuep(confusion)
-
Nopketones,pnopacidosisp
HHSpteaching
,-
Thiazidespandpdialysispincreasepbodypresistancep(hyperglycemia)p
HHSpdiagnosis
-BGp600-1200
-Osmolalityp>320
-
NopketonespH
HSptreatment
-IVpregularpinsulinpasap
-
fluidspH
HSpNI
-AssesspGCSpfast
-cardiacpmonitor
-fluidsp(normalpforpK+ptoplowerpwithpfluidpreplacement)
-
administerpinsulinp
DKApetiology
-Nopinsulinpmade
-
missedpdosepofpinsulinporpinfectionp
DKAps/spandpcomplications
-ketones
-metabolicpacidosis
-highpglucose
-lowpbp
-polyuria
-kussmauls
-polyphagia
-polydipsia
-
changepinpLOCp
DKApteaching
-
sickpdayprulesp
DKApdiagnosis
, -BGp300-800