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Hyperosmolar Hyperglycemic State (HHS)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

HyperglycemiaDysglycemiaDehydrationHypovolemiaOptimize HydrationOptimize ElectrolytesUnstable ElectrolytesHypokalemiaHyperkalemiaHypomagnesemiaHypotensionShockRenal DysfunctionIncreased ICPSepsisAvoid HypoglycemiaCerebral Edema

Pathophysiology

Hyperosmolar hyperglycemic state (HHS) is the type 2 diabetes crisis that sits opposite diabetic ketoacidosis (DKA). Enough endogenous insulin remains to suppress ketogenesis, but not enough to move...

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