HHS vs DKA? Start with Fluids, Not Just Insulin! 💧🧠

Описание: 🔬 Key Features of HHS:

💉 Severe hyperglycemia (glucose more than 600 mg/dL)

🌊 Very high serum osmolarity (.more than 320 mOsm/kg)

❌ No ketones or acidosis

🧠 Confusion, altered mental status

🚨 Triggered by infection, ischemia, or poor insulin adherence

💡 Clinical Priorities in HHS:

✅ Start with fluid resuscitation!

Isotonic saline (0.9% NaCl) is given over the first few hours

This restores intravascular volume and perfusion

💉 Insulin comes after fluids

Start at a lower rate than DKA (0.05 U/kg/hr)

Only after rehydration has begun

🩺 Always search for the underlying cause — and treat it!

🧪 Monitor glucose, electrolytes, and mental status frequently.
Close monitoring is critical to prevent complications like cerebral edema.


🎯 Whether you're a med student, nurse, or seasoned clinician — this case is a reminder: don’t rush to insulin — rehydrate first.


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