Paradoxical glucose infusion for hypernatraemia in diabetic hyperglycaemic hyperosmolar syndrome
نویسندگان
چکیده
منابع مشابه
Hyperosmolar hyperglycaemic non-ketotic diabetic coma complicating open heart surgery.
The syndrome of hyperosmolar hyperglycaemic non-ketotic diabetic coma was first described by Sament and Schwartz in 1957. In a recent publication, McCurdy (I970) reviewed the details of 84 cases. Various possible aetiological factors have been considered, and in an Editorial in journal of the American Medical Association (I968), attention was drawn to an iatrogenic element. It has complicated p...
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Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNS) are life-threatening acute metabolic complications of diabetes mellitus. Although there are some important differences, the pathophysiology, the presenting clinical challenge, and the treatment of these metabolic derangements are similar. Each of these complications can be seen in type 1 or type 2 diabetes, al...
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(a) History: Most patients with diabetic ketoacidosis (DKA) or with hyperosmolar hyperglycemic state (HHS) will have a history of diabetes, and a history of altered insulin dose, infection, signifi cant medical “stress”. Antecedent symptoms of polyuria and polydipsia, lassitude, blurred vision, and mental status changes may predominate the clinical picture. With DKA, abdominal pain and tachypne...
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ژورنال
عنوان ژورنال: Journal of Internal Medicine
سال: 2000
ISSN: 0954-6820,1365-2796
DOI: 10.1046/j.1365-2796.2000.00710-2.x