Coma hiperosmolar pdf 2011

Estado hiperosmolar hiperglucemico no cetosico ehhnc. Tema 12 cetoacidosis diabetica y estado hiperglicemico. Lowrisk patients presenting to the emergency department with chest pain can be diagnosed more efficiently with coronary computedtomographic angiography ccta than myocardial perfusion imaging mpi, results of trial published in the september 27, 2011 issue of the journal of the american college of cardiology suggest. The latter designation is a misnomer, because a mild degree of ketosis often is present, and a true coma is uncommon. They are part of the spectrum of hyperglycemia, and each represents an extreme in the spectrum. It involves extremely high blood sugar glucose level without the presence of ketones. Cetoacidosis diabetica en adultos y estado hiperglucemico hiperosmolar. Kondisi hiperosmolar serum akan menarik cairan intraseluler ke dalam intra vaskular, yang dapat menurunkan volume cairan intraselluler. Diabetic ketoacidosis and hyperosmolar hyperglycemic. Hhnk biasanya terjadi pada orang tua dengan dm, yang mempunyai penyakit penyerta dengan asupan makanan yang kurang. Evidencebased management of hyperglycemic emergencies in diabetes mellitus. The hyperosmolar hyperglycemic state hhs is the most serious acute hyperglycemic emergency in patients with type 2 diabetes.

Cetoacidosis diabetica y estado hiper glicemico hiperosmolar. Diabetic ketoacidosis and hyperosmolar hyperglycemic state. Many physicians were against accepting that adult patients could progress to diabetic coma in the absence of ketonuria. The mortality rate of hyperosmolar hyperglycemic state ranges from 10 to 50 percent, higher rate than that of diabetic ketoacidosis 1. Hiperglikemia hiperosmolar non ketotik panduan praktik. Intoxicacion por salicilatos, metanol, etilenglicol. Changing the name to hyperosmolar hyperglycaemic state hhs allows for the fact. Diabetic ketoacidosis typically develops in patients who lack significant endogenous insulin. Emergmedclin n am 32 2014 437 452 hormones 2011, 104. 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. Clinical presentation, diagnosis, and treatment diabetes care 2014. It is a lifethreatening emergency that, although less common than its counterpart, diabetic ketoacidosis dka, has a much higher mortality rate, reaching up to 510%. Hiperglikemik hiperosmolar non ketotik hhnk merupakan komplikasi akut pada dm tipe 2 berupa peningkatan kadar gula darah yang sangat tinggi 600mgdl1200mgdl dan ditemukan tandatanda dehidrasi tanpa disertai gejala asidosis. Diabetic hyperglycemic hyperosmolar syndrome hhs is a complication of type 2 diabetes.