3min chapter

Emergency Medicine Cases cover image

Ep 147 HHS Recognition and ED Management

Emergency Medicine Cases

CHAPTER

Metricade - The Experts on Scheduling Systems

HHS patients tend to be drier than DKA patients. Most of the guidelines recommend pretty much the same fluid resuscitation as you would for a DKA patient. You're looking to decrease the glucose by about 3 to 4 millimoles per hour and the osmles by about 3 osmles per hour. Just like in DKA, you're going to be adding some potassium to your maintenance fluids because they are potassium deplete from the osmotic diuresis from the hyperglycemia.

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