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How do you treat Hhnks?

How do you treat Hhnks?

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. If you are hospitalized due to HHNS, you may be kept overnight for observation.

How much fluid do you give in HHS?

According to American Diabetes Association guidelines, fluid resuscitation with 0.9% saline at the rate of 15-20 mL/kg/h or greater is indicated to expand the extracellular volume quickly in the first hour. This amounts to about 1-1.5 L in an average-sized person.

How do you confirm HHS?

Your doctor will examine you, ask about your symptoms, and order a blood test to check your blood sugar level. A very high blood sugar level (over 600 mg/dL) with low ketone levels (acids in blood and urine) will help the doctor make a diagnosis of HHS.

Does HHS need ICU?

All patients diagnosed with HHS require hospitalization; virtually all need admission to a monitored unit managed by medicine, pediatrics, or the intensive care unit (ICU) for close monitoring. When available, an endocrinologist should direct the care of these patients.

What is hyperosmolar nonketotic coma?

hyperglycemic hyperosmolar nonketotic (HHNK) coma a metabolic derangement in which there is an abnormally high serum glucose level without ketoacidosis .

What are symptoms of a diabetic coma?

Profuse sweating, trembling, dizziness, shortness of breath, confusion, and vomiting are all preliminary symptoms of diabetic coma. There may also be a marked increase in thirst, hunger, and urination.

What herbs are used for diabetes?

Separating fact and fiction when it comes to herbs for diabetes health is always tricky at best. Some people swear that herbs such as bitter melon, ginseng, fenugreek, cinnamon, bilberry, gymnema sylvestre and others are the best herbs for diabetes treatment. Others, particularly American scientists, are skeptical at best, hostile at worst.

What is diabetic HHS?

Diabetic hyperglycemic hyperosmolar syndrome (HHS) is a complication of type 2 diabetes. It involves extremely high blood sugar (glucose) level without the presence of ketones. HHS is a condition of: Extremely high blood sugar (glucose) level.