Hyperosmolar Hyperglycaemic State

Question 1

HHS

Answer 1

high glycemic state with out ketoacidosis

Question 2

signs

Answer 2

fatigue
lethargy
nausea 
vomiting
hypotension
longer history

Question 3

investigation

Answer 3

CAP blood glucose

urinary dipstick to check for ketones

Question 4

what would the levels of osmolarity be

Answer 4

> 320

Question 5

management

Answer 5

0.9% IV saline

switch to 0.45% if not working

Question 6

when would you give insulin

Answer 6

after fluid replacement PLUS ketonaemia present