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What Is Hhs And Dka?

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Hyperosmolar Hyperglycemic State

GREGG D. STONER, MD, University of Illinois College of Medicine, Peoria, Illinois Am Fam Physician.2017Dec1;96(11):729-736. Hyperosmolar hyperglycemic state is a life-threatening emergency manifested by marked elevation of blood glucose and hyperosmolarity with little or no ketosis. Although there are multiple precipitating causes, underlying infections are the most common. Other causes include certain medications, nonadherence to therapy, undiagnosed diabetes mellitus, substance abuse, and coexisting disease. In children and adolescents, hyperosmolar hyperglycemic state is often present when type 2 diabetes is diagnosed. Physical findings include profound dehydration and neurologic symptoms ranging from lethargy to coma. Treatment begins with intensive monitoring of the patient and laboratory values, especially glucose, sodium, and potassium levels. Vigorous correction of dehydration is critical, requiring an average of 9 L of 0.9% saline over 48 hours in adults. After urine output is established, potassium replacement should begin. Once dehydration is partially corrected, adults should receive an initial bolus of 0.1 units of intravenous insulin per kg of body weight, followed b Continue reading >>

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  1. jcs

    Thanks pats found it. Could I check if those Philly stir in sauces are ok to use? And what's the best way to make tasty cauliflower mash? Thanks

  2. Jeanne76

    Thanks pat, checked the carb content and your right, Highlights hot chocolate is way over the 5-8g limit. Thanks for your help. X

  3. jenijen

    Philly sauces can be used, I'm hoping to use one in a fish pie- my way of making cauli mash I cook frozen/fresh cauli in microwave untill soft- put in a mini chopper and whizz, that's it done , sometimes I add a small bit of Philly or cayenne, cumin whatever I fancy really. If you don't have a mini chopper you should be able to mash with a masher or fork, generally you don't need to add anything as it comes out quite soft.

    Lost 3st in 3 months, not done well since, but restarting!!!!

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Diabetic Ketoacidosis (dka) And Hyperosmolar Hyperglycaemic State (hhs) - Oxford Medicine

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com).Oxford University Press, 2015. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use(for details see Privacy Policy ). DKA or HHS? - DKA - HHS - Monitoring DKA and HHS - Complications of DKA and HHS - The next stage - Follow-up - Prevention of DKA/HHS - DKA/HHS in children <18 yrs of age - Summary. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription. Please subscribe or login to access full text content. If you have purchased a print title that contains an access token, please see the token for information about how to register your code. For questions on access or troubleshooting, please check our FAQs , and if you can't find the answer there, please contact us . Continue reading >>

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  1. PROVERBS31JULIA

    I already have the PrecisionXtra made by Abbott. It will test both ketones and glucose - but not on the same strip!!
    You buy glucose strips separate and they are like other brands where you usually buy 50-100 at a time, and maybe a bit higher $$ than average glucose.
    Ketone strips are usually easier to buy online (EBay, Amazon, etc). They are usually 10 to a box and price runs $2-3 per strip - or cheaper maybe in Canada. They are a different foil pack color so you can either go by color or by the fact that glucose or Ketone are clearly printed on whichever one you are looking at. In addition, I have seen Ketone strips "cheaper" but they are closer to their expiration date. So you watch out for that.
    To my mind, the PrecisionXtra tests too high for glucose. Or else the old model I had (freestyle, also by Abbott, glucose only, a hand me down from my stepdad) was not working properly and read Low and/or I'm still in denial.
    What's that saying - there is no river in denial??
    So I have been going nuts trying to analyze the prices for the Nova Max Plus equipment, which from all appearances, will do the same as my PrecisionXtra but cheaper. Some will sell just the meter itself and I prolly don't need a new lancet specifically. EBay seems to have the cheapest just for the box of Ketone strips. So I may by the meter from Amazon or from the NovaMax website, and buy the strips from eBay. Or I may get the whiz-bang "free" meter with your choice of 2 box configurations - 2 boxes of ketone strips (total of 20 strips); 2 boxes of glucose (total 100 glucose strips); or 1 box Ketone (10) strips and 1 box of glucose (50) --- all three combos land at $39.98 or some such (and I am pretty much repeating what someone else said earlier here, or in another thread, sorry, more as confirming that I wasn't crazy since someone else had same info.)... thinking I may just do it that way, and then plan to buy replacement strips from the eBay vendors.
    Decisions decisions...
    Then I want to compare with the PrecisionXtra and see what my numbers are...
    Proverbs 31:17 She girds herself with strength,
    And strengthens her arms.


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  2. RITA1956

    What is the site to get it? It's a different meter than one a diabetic uses to check for glucose level right?
    Rita--Topsham,Maine--Eastern Time
    5% Weight Loss Challenge - Rowdy Rebels
    -You can find positive or negative in any situation depending on what you're looking for.
    -Nothing can taste as good as skinny and healthy is going to feel. *Psst, my version of skinny is me in size 12 jeans.

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  3. TRACY6659

    So I have questions about the blood testing for ketones. Are you using the standard diabetic testing supplies? The meter looks the same, but are there different types of test strips? or is it the same and there is a different reading you look for? obviously I'm confused
    * Tracy *
    Washington


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Treatment Of Diabetic Ketoacidosis (dka)/hyperglycemic Hyperosmolar State (hhs): Novel Advances In The Management Of Hyperglycemic Crises (uk Versus Usa)

#The Author(s) 2017. This article is published with open access at Springerlink.com Purpose of Review Diabetic ketoacidosis (DKA) and hyper- glycemic hyperosmolar state (HHS) are diabetic emergencies that cause high morbidity and mortality. Their treatment dif- fers in the UK and USA. This review delineates the differ- ences in diagnosis and treatment between the two countries. Recent Findings Large-scale studies to determine optimal man- agement of DKA and HHS are lacking. The diagnosis of DKA is based on disease severity in the USA, which differs from the UK. The diagnosis of HHS in the USA is based on total rather than effective osmolality. Unlike the USA, the UK has separate guidelines for DKA and HHS. Treatment of DKA and HHS also differs with respect to timing of fluid and insulin initiation. Summary There is considerable overlap but important differ- ences between the UK and USA guidelines for the manage- ment of DKA and HHS. Further research needs to be done to delineate a unifying diagnostic and treatment protocol. Keywords Diabetic ketoacidosis .Management .Survey . Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are hyperglycemic emergencies that Continue reading >>

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  1. Nathaniel Teng

    Metabolic Acidosis

    Hyperkalemia

    Medicine and Healthcare



    What are hyperkalemia and metabolic acidosis?




    1 Answer







    Hyperkalemia = high potassium levels in the blood. Commonly due to renal failure- kidneys not able to get rid of potassium so it builds up in your body. Hyperkalemia can be fatal because it causes heart arrhythmias including ventricular fibrillation.

    Metabolic acidosis is also a result of renal failure and is due to the kidneys not being able to excrete enough acid. Normally the pH of your blood is 7.35–7.45, so anything below 7.35 is considered ‘acidosis'. Metabolic in this case simply means caused by the kidneys, as opposed to ‘respiratory' acidosis which is due to airway obstruction and not being able to breathe out enough CO2

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    Ask New Question

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