How do you treat HHNK?

Treatment. Treatment typically involves starting intravenous (IV) fluids (saline solution delivered through a needle into a vein) to rehydrate the body quickly. It also may require IV insulin to bring down blood sugar levels.

Do you give insulin for HHNS?

Once dehydration is partially corrected, adults should receive an initial bolus of 0.1 units of intravenous insulin per kg of body weight, followed by a continuous infusion of 0.1 units per kg per hour (or a continuous infusion of 0.14 units per kg per hour without an initial bolus) until the blood glucose level …

What are the signs and symptoms of HHNK?

Symptoms of HHNS can include:

  • very high blood sugar levels.
  • dry mouth.
  • fast heart rate.
  • thirst.
  • frequent urination.
  • nausea, vomiting, or stomachache.
  • confusion, slurred speech, or weakness on one side of your body.

How do you manage HKA and HHS?

The mainstays of treatment in both DKA and HHS are aggressive rehydration, insulin therapy, electrolyte replacement, and discovery and treatment of underlying precipitating events.

What conditions contribute to HHNK?

What causes hyperosmolar hyperglycemic syndrome (HHS)?

  • Have an illness or infection, such as pneumonia or a urinary tract infection.
  • Stop taking medication to manage their diabetes.
  • Have a heart attack or stroke.
  • Take certain medications—such as steroids or diuretics—that can cause the syndrome.

What is the difference between HHNK and DKA?

DKA is characterized by ketoacidosis and hyperglycemia, while HHS usually has more severe hyperglycemia but no ketoacidosis (table 1). Each represents an extreme in the spectrum of hyperglycemia. The precipitating factors, clinical features, evaluation, and diagnosis of DKA and HHS in adults will be reviewed here.

What is HHNK diabetes?

Overview. Diabetic hyperosmolar (hi-pur-oz-MOE-lur) syndrome is a serious condition caused by extremely high blood sugar levels. The condition most commonly occurs in people with type 2 diabetes. It’s often triggered by illness or infection.

Can you have HHS without diabetes?

HHS is more often seen in people with type 2 diabetes who don’t have their diabetes under control. It may also occur in those who have not been diagnosed with diabetes.