Coma hiperosmolar pdf 2011

Diabetic ketoacidosis and hyperosmolar hyperglycemic. Clinical presentation, diagnosis, and treatment diabetes care 2014. The hyperosmolar hyperglycemic state hhs is the most serious acute hyperglycemic emergency in patients with type 2 diabetes. Hhnk biasanya terjadi pada orang tua dengan dm, yang mempunyai penyakit penyerta dengan asupan makanan yang kurang. Cetoacidosis diabetica y estado hiperosmolar pazos angelica.

Many physicians were against accepting that adult patients could progress to diabetic coma in the absence of ketonuria. Joslin 17 and others 27 stated that the presence of acetone or diacetic acid in the urine was requisite for the diagnosis of diabetic coma. Intoxicacion por salicilatos, metanol, etilenglicol. Diabetica, estado hiperglucemico hiperosmolar, hipogli cemia, diabetes. The management of the hyperosmolar hyperglycaemic state. Cetoacidosis diabetica en adultos y estado hiperglucemico hiperosmolar. 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. Tema 12 cetoacidosis diabetica y estado hiperglicemico. Diabetic ketoacidosis typically develops in patients who lack significant endogenous insulin. Hyperosmolar hyperglycemic state hhs is one of two serious metabolic derangements that occur in patients with diabetes mellitus dm. Cetoacidosis diabetica y estado hiper glicemico hiperosmolar. Diabetic ketoacidosis and hyperosmolar hyperglycemic state. Honk coma, it was apparent that most of these patients were not comatose but were extremely ill.

Evidencebased management of hyperglycemic emergencies in diabetes mellitus. Hiperglikemia hiperosmolar non ketotik panduan praktik. They are part of the spectrum of hyperglycemia, and each represents an extreme in the spectrum. Emergmedclin n am 32 2014 437 452 hormones 2011, 104. 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. Changing the name to hyperosmolar hyperglycaemic state hhs allows for the fact. Coma hiperosmolar completo authorstream presentation. It involves extremely high blood sugar glucose level without the presence of ketones.

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. Hyperosmolar hyperglycemic state diabetes care american. Kondisi hiperosmolar serum akan menarik cairan intraseluler ke dalam intra vaskular, yang dapat menurunkan volume cairan intraselluler. The mortality rate of hyperosmolar hyperglycemic state ranges from 10 to 50 percent, higher rate than that of diabetic ketoacidosis 1.