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Dka Vs Hhs Ppt

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Visit us (http://www.khanacademy.org/science/he...) for health and medicine content or (http://www.khanacademy.org/test-prep/...) for MCAT related content. These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video. Created by Matthew McPheeters. Watch the next lesson: https://www.khanacademy.org/test-prep... Missed the previous lesson? https://www.khanacademy.org/test-prep... NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/b...). About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academys NCLEX-RN channel: https://www.youtube.com/channel/UCDx5... Subscribe to Khan Academy: https://www.youtube.com/subscription_...

Hyperosmolar Hyperglycemic State

Background Hyperosmolar hyperglycemic state (HHS) is one of two serious metabolic derangements that occurs in patients with diabetes mellitus (DM). [1] It is a life-threatening emergency that, although less common than its counterpart, diabetic ketoacidosis (DKA), has a much higher mortality rate, reaching up to 5-10%. (See Epidemiology.) HHS was previously termed hyperosmolar hyperglycemic nonketotic coma (HHNC); however, the terminology was changed because coma is found in fewer than 20% of patients with HHS. [2] HHS is most commonly seen in patients with type 2 DM who have some concomitant illness that leads to reduced fluid intake, as seen, for example, in elderly institutionalized persons with decreased thirst perception and reduced ability to drink water. [3] Infection is the most common preceding illness, but many other conditions, such as stroke or myocardial infarction, can cause this state. [3] Once HHS has developed, it may be difficult to identify or differentiate it from the antecedent illness. (See Etiology.) HHS is characterized by hyperglycemia, hyperosmolarity, and dehydration without significant ketoacidosis. Most patients present with severe dehydration and focal Continue reading >>

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Popular Questions

  1. waklee1

    I was wondering where everyone finds there ketosis sticks. I am on day 12 of induction and only lost 7lbs so far. I lost this in the first 6 days though. I haven't been using the ketosis sticks, and am thinking that I should start. Where can I find them?
    thanks

  2. saffron28

    You can get the Keto stix at wal-mart. I found mine by the diabetic testing supplies. I use them about once a day, and so far have only tested in ketosis once. A lot of people swear by them and just as many say they are junk. I am not too impressed with them but that is me. I guess they are one of those YMMV things.

  3. jennabrams

    I use the Ketostix brand that you buy at a pharmacy and I test once a day. The only thing I don't like is that you actually have to go to the pharmacist and ask for them because they are behind the counter. I have tried a few brands of these including atkins, but I believe these are the most accurate. They are about $10.00 for 50 or $17 for 100 depending on where you live. I find them at Walgreens, Eckerd, Duane Reade, CVS, and Rite Aid.
    Good Luck--
    Jenna

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Hyperglycemic crises: Hyperglycemic hyperosmolar nonketotic coma (HHNK) versus DKA. See DKA video here: https://youtu.be/r2tXTjb7EqU This video and similar images/videos are available for instant download licensing here https://www.alilamedicalmedia.com/-/g... Voice by: Penelope Hammet Alila Medical Media. All rights reserved. All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia Hyperosmolar hyperglycemic state, or HHS, is another ACUTE and life-threatening complication of diabetes mellitus. It develops slower than DKA, typically in the course of several days, but has a much higher mortality rate. Like DKA, HHS is triggered when diabetic patients suffer from ADDITIONAL physiologic stress such as infections, other illness, INadequate diabetic treatment or certain drugs. Similar to DKA, the RISE in COUNTER-regulatory hormones is the major culprit. These hormones stimulate FURTHER production and release of glucose into the blood, causing it to overflow into urine, resulting in excessive LOSS of water and electrolytes. The major DIFFERENCE between HHS and DKA is the ABSENCE of acidosis in HHS. This is because, unlike DKA, the level of insulin in HHS patients is HIGH enough to SUPPRESS lipolysis and hence ketogenesis. This explains why HHS occurs more often in type 2 diabetics, who have more or less normal level of circulating insulin. Reminder: type 2 diabetics DO produce insulin but their cells do NOT respond to insulin and therefore cannot use glucose. Because symptoms of acidosis are NOT present, development of HHS may go UNnoticed until blood glucose levels become EXTREMELY high. Severe dehydration results in INcreased concentrations of solutes in the blood, raising its osmolarity. HyPERosmotic blood plasma drives water OUT of bodys tissues causing cellular dysfunction. Primary symptom of HHS is ALTERED consciousness due to excessive dehydration of brain tissues. This can range from confusion to coma. Emergency treatment consists of intravenous fluid, insulin and potassium similar to those used in DKA.

Diabetic Ketoacidosis And Hyperosmolar Hyperglycemic State In Adults: Treatment

INTRODUCTION Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS, also known as hyperosmotic hyperglycemic nonketotic state [HHNK]) are two of the most serious acute complications of diabetes. They are part of the spectrum of hyperglycemia, and each represents an extreme in the spectrum. The treatment of DKA and HHS in adults will be reviewed here. The epidemiology, pathogenesis, clinical features, evaluation, and diagnosis of these disorders are discussed separately. DKA in children is also reviewed separately. (See "Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Epidemiology and pathogenesis".) (See "Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Clinical features, evaluation, and diagnosis".) Continue reading >>

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Popular Questions

  1. sixpacklady

    I am on my 4th day. I had some diarrhea going on today starting in the morning. Now its 3 PM and I am feeling like the beginning of a cold (slightly warm forehead etc). I wanted to workout, but do not feel like it. I did workout last 2 days w/o any issues.
    Anyone had similar experience?

  2. kiramaniac

    No - it may actually just be the flu. Keto flu is more just headachy and fatigued. There wouldn't be a fever.
    Keto flu can be helped with more sodium (you excrete sodium on low carb, and the sodium deficiency can cause the headaches and fatigue). For that you can try some broth.

  3. ea101367

    Today is also my 4th day, (although day 2 I went over on carbs due to a work dinner) and I started getting diarrhea yesterday and this afternoon again. My stomach is off, a little girggly and slight nausea with little appettite, no headach. Just adjusting to the higher fat diet I beleive. And I'm VERY thirsty!! Can't seem to get enough water.

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Slides Current Until 2008

Slides current until 2008 Diabetic ketoacidosis and hyperosmolar hyperglycaemic state Abdulrahman Al shaikh.Asso professor, consultant endo. Al shaikh Slides current until 2008 * Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycaemic state (HHS) are two acute complications of diabetes. HHS used to be called hyperosmolar hyperglycaemic non-ketotic syndrome (HHNS or HONK). There is a comprehensive review of the subject by Kitabchi et al in Diabetes Care 2001. DKA and HHS Curriculum Module III-6 Slide * of 55 Slides current until 2008 What is DKA? Absolute or relative insulin deficiency Increase in counter-regulatory hormones Breakdown of fat and muscle Biochemical triad hyperglycaemia ketoacids metabolic acidosis High blood glucose, ketones, acidosis and dehydration Al shaikh Slides current until 2008 * DKA occurs when a deficiency in insulin – either absolute or relative – prevents glucose from entering cells, which leads to increasing hyperglycaemia. The secretion of counter-regulatory hormones (glucagon, epinephrine, growth hormone and cortisol) resulting in a massive release of glucose from the liver, contributes to this hyperglycaemia. This is followed by the Continue reading >>

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Popular Questions

  1. Lyric97

    Ketone Management

    When I was younger, I was given a formula as to how to get rid of your ketones with insulin. This was through my ped endocrinologist but I believe it may still work. I was wondering if anyone knew the formula for calculating the amount of insulin to give, as I have large ketones in my urine. My sugar is 349 and have been slightly nauseous, short of breath, and have a bad headache. I have been in DKA multiple times in the past few years because my body is building a resistance to the insulin, meaning I need more to sustain me on a daily basis. If anyone knows the formula for the ketones, please let me know! Thank you in advance!

  2. Seagal

    Lyric97, welcome to DD!
    I can't address your question, but I'm sure someone will be along soon to discuss.

  3. jdm1217

    Originally Posted by Lyric97
    When I was younger, I was given a formula as to how to get rid of your ketones with insulin. This was through my ped endocrinologist but I believe it may still work. I was wondering if anyone knew the formula for calculating the amount of insulin to give, as I have large ketones in my urine. My sugar is 349 and have been slightly nauseous, short of breath, and have a bad headache. I have been in DKA multiple times in the past few years because my body is building a resistance to the insulin, meaning I need more to sustain me on a daily basis. If anyone knows the formula for the ketones, please let me know! Thank you in advance! Not a T1 and never had anything but a loving relationship with ketones, but I think the ONLY formula for DKA is an IMMEDIATE trip to the ER!

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