How to Answer Shorten This Diagnostic Questions (Complete Guide)

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Original Question

Shorten this “The diagnostic features of HHNKS include a very high serum glucose concentration (often more than 600 mg/dL), a near-normal serum bicarbonate level and pH, a serum osmolarity that is usually greater than 320 mOsm/L, and either absent or low levels of ketones in the urine and in the serum (lack of ketoacidosis). DKA and HHNKS show considerable overlap in symptoms and treatment. Insulin infusion should be combined with fluid repletion over 24 hours. An important distinction, however, is that the dehydration in HHNKS is far more severe than that in DKA. Thus fluid replacement, with both crystalloids and colloids, is more rapid. Potassium deficits may be extreme and require several days of treatment. Phosphorus and sodium also may be needed. HHNKS is a significant risk factor for infection, sepsis, and venous thrombosis. Mortality is between 10% and 20% and is related to the age of the individual and comorbid conditions, including the severity of the precipitating illness134 (see Table 22.10 for a comparison of the three acute complications described thus far).

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