Coma hiperosmolar pdf 2012

Management of the hyperosmolar hyperglycaemic state hhs. Honk coma, it was apparent that most of these patients were not comatose but were extremely ill. 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. The management of the hyperosmolar hyperglycaemic state. Tema 12 cetoacidosis diabetica y estado hiperglicemico. Essa alteracao varia desde confusao leve e desorientacao a sonolencia e coma. Diabetic ketoacidosis dka is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Symptoms include signs of dehydration, weakness, leg cramps, vision problems, and an altered level of consciousness. The hyperosmolar hyperglycemic state hhs is the most serious acute hyperglycemic emergency in patients with type 2 diabetes. Secara klinik diperlihatkan dengan hiperglikemia berat yang mengakibatkan hiperosmolar dan dehidrasi. Unlike the other common diabetes emergency, diabetic ketoacidosis dka, guidelines on the management of the hyperglycaemic hyperosmolar state hhs in adults are uncommon and often there is little to differentiate them from the management of dka. Scribd is the worlds largest social reading and publishing site.

The management of the hyperosmolar hyperglycaemic state in. The management of the hyperosmolar hyperglycaemic state hhs in adults with diabetes. However, hhs is different and treatment requires a different approach. Therefore, the occurrence of coma in the absence of definitive elevation of serum. Hyperosmolar therapy for the treatment of cerebral edema. Complications may include seizures, disseminated intravascular coagulopathy. Diabetica, estado hiperglucemico hiperosmolar, hipogli.

Coma hiperosmolar completo authorstream presentation. Jhan carlos saldana gastulo slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Hyperglikemia, hiperosmolar non ketogenik adalah sindrom berkaitan dengan kekurangan insulin secara relative, paling sering terjadi pada panderita niddm. Diabetic ketoacidosis and hyperosmolar hyperglycemic. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Hyperosmolar hyperglycemic state hhs is a complication of diabetes mellitus in which high blood sugar results in high osmolarity without significant ketoacidosis.

Intoxicacion por salicilatos, metanol, etilenglicol. The management of the hyperosmolar hyperglycaemic state in adults with diabetes. The first case series in which hyperosmolar therapy in the form of urea was used to reduce intracranial pressure was reported in the 1950s. Over the past few decades, hyperosmolar hyperglycemic state has had many names and. Estado hiperosmolar hiperglucemico diabetes education. Selfmanagement of diabetes in hospital march 2012 jbds 04.