1
Q
Patient demographic of HHS
A
T2DM
Older
Long history (eg. 1 wk)
2
Q
hi
A
hello there
3
Q
Pathophysiology of HHS
A
Dehydration
Hyperglycaemia > 35 mM
Osmolality > 340 mosmol/kg
No acidosis (no ketogenesis)
4
Q
Complications of HHS
A
Occlusive events - DVT, Stroke
Give LMWH
5
Q
Mx of HHS
A
Saline over 48 hrs - may need 9L
Wait 1 hr before starting insulin - may not be needed, start slow
Look for precipitant - MI, infection, bowel infarct
