How do you treat hyperosmolar nonketotic coma?
Treatment typically includes:
- Fluids given through a vein (intravenously) to treat dehydration.
- Insulin given through a vein (intravenously) to lower your blood sugar levels.
- Potassium and sometimes sodium phosphate replacement given through a vein (intravenously) to help your cells function correctly.
How do you manage HKA and HHS?
Early diagnosis and management is paramount to improve patient outcomes. The mainstays of treatment in both DKA and HHS are aggressive rehydration, insulin therapy, electrolyte replacement, and discovery and treatment of underlying precipitating events.
How do nurses treat HHS?
Treatment of HHS includes aggressive IV fluids and electrolyte replacement, followed by IV insulin to reduce glucose levels.
How is DKA and HHS treated?
In DKA, we recommend using intravenous (IV) bolus of regular insulin (0.1 u/kg body weight) followed by a continuous infusion of regular insulin at the dose of 0.1u/kg/hr. The insulin infusion rate in HHS should be lower as major pathophysiological process in these patients is severe dehydration.
Do you give insulin for HHNS?
What can I do to relieve symptoms of hyperosmolar hyperglycemic syndrome (HHS)? If you have symptoms of HHS, you should drink plenty of water and call 911 or go to the emergency room immediately. You will receive an IV with fluids and insulin to relieve your symptoms.
How do you manage hyperglycemic crisis?
Your doctor may suggest the following treatments:
- Get physical. Regular exercise is often an effective way to control your blood sugar.
- Take your medication as directed.
- Follow your diabetes eating plan.
- Check your blood sugar.
- Adjust your insulin doses to control hyperglycemia.
What should I monitor for HHNS?
Monitor serum sodium and potassium levels closely. If needed, use isotonic and hypotonic saline solutions to adjust the patient’s sodium level.
What kind of insulin do you give for HHS?
Although many patients with HHS respond to fluids alone, IV insulin in dosages similar to those used in diabetic ketoacidosis (DKA) can facilitate correction of hyperglycemia.
What is hyperosmolar nonketotic syndrome?
Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS), also known as Hyperosmolar Hyperglycaemic State (HHS) is a dangerous condition resulting from very high blood glucose levels. HHNS can affect both types of diabetics, yet it usually occurs amongst people with type 2 diabetes.
What is hyperosmolar nonketotic coma?
Hyperosmolar coma (nonketotic hyperosmolar syndrome) is a state of extreme hyperglycemia, marked dehydration, serum hyperosmolarity, altered mental status, and absence of ketoacidosis.
How can HHNS be prevented?
Prevention
- Know the symptoms of high blood sugar.
- Monitor your blood sugar level.
- When you’re sick, drink plenty of liquids.
- Follow your diabetes management plan.
- Educate your loved ones, friends and co-workers.
- Wear a medical ID bracelet or necklace.
- Stay current on vaccinations.