Endocrine 01 - Diabetes pt 5 Flashcards
Hyperglycemia > 600 mg/dL Serum osmolality > 310 mosm/kg No acidosis; blood pH above 7.3 Serum bicarbonate > 15 mEq/L Normal anion gap (<14 mEq/L)
Hyperosmolar Non-ketotic state
Name 5 levels to identify Hyperosmolar Non-ketotic state
Hyperglycemia > 600 mg/dL Serum osmolality > 310 mosm/kg No acidosis; blood pH above 7.3 Serum bicarbonate > 15 mEq/L Normal anion gap (<14 mEq/L)
HNS is: An acute metabolic complication of diabetes mellitus Characterized by: (3)
Impaired mental status
Elevated plasma osmolality
In a patient with Hyperglycemia
Both HNS and DKA may occur in the same individual [differ only in (2)]
the magnitude of dehydration and the severity of acidosis
HNS most commonly develops in patients with diabetes who:
have some concomitant illness that leads to a reduced fluid intake
Hyperglycemia and hyperosmolarity lead to ___, resulting in ___
osmotic diuresis, resulting in intracellular dehydration
When the level of glycemia reaches approximately __mg/dL, further glucose reabsorption is no longer possible
180 mg/dL
___ is the end stage of the hyperglycemic process, when severe electrolyte disturbances occur in association with hypotension
Coma
What is Oliguria and what is its role in Osmotic diuresis?
The body limiting the amount of urine it makes to fight off dehydration.