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IBCC Episode 94 - Hyperosmolar Hyperglycemic State

The Internet Book of Critical Care Podcast

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Introduction

Arit's ae. Welcome back to the introdet book oof critical carepot cast him here with adam thomas, and we're going to talk about hyper osmolor hyperglycemic state. Tenecity is what determines whether brains swell or shrink. And tenicity depends only on so called effective osmals, which are substances which cannot fuse across cellular membranes. Urea is not an effective osmal. It diffuses right across membranes. So urea will contribute to your osmoality, but it does not contribute to your tinicity. The tugawar that's going on in these brains means osmalalitys how many people are at this

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