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How high can blood glucose levels rise to in HHS?
above 600
When does HHS normally occur?
Type 2 DM → infection → Reduced fluid intake
Primary physiologic abnormality in HHS
Hypertonicity
Serum pH in HHS
>7.4
Primary tx for HHS
CONTROLLED rehydration
What is the treatment priority/#1 step to treating HHS?
Treat DEHYDRATION → HYDRATE
ADMIN IV fluids → bolus of 0.9% NS progress wit 0.45 if patient is severely dehydrated
What is step #2 in tx HHS
IV Regular insulin and monitor potassium
How does HHS develop (timewise)?
SLOWLY/gradually → Treat gradually