Tonicity or serum osmolality? Comment on management of hyperosmolar hyperglycaemic state in adults: An updated guideline from the Joint British Diabetes Societies for Inpatient Care Group.

Autor:	Ogata, Masatomo, Yazawa, Masahiko
Předmět:	HYPERGLYCEMIA prevention SALT INTRAVENOUS therapy WATER-electrolyte balance (Physiology) DIABETIC coma HYPOVOLEMIA BLOOD sugar POTASSIUM TYPE 2 diabetes INSULIN OSMOLAR concentration DIABETIC acidosis DISEASE complications
Zdroj:	Diabetic Medicine; Nov2023, Vol. 40 Issue 11, p1-3, 3p
Abstrakt:	The article focuses on the management of hyperosmolar hyperglycemic state (HHS) in adults. It discusses the choice between "tonicity" and "serum osmolality" as essential parameters for assessing and preventing brain damage in cases of hyponatremia or osmolar abnormalities. It argues that "tonicity" is a more accurate indicator for complex cases, such as osmotic demyelination syndrome (ODS) or cerebral edema during HHS treatment.
Databáze:	Complementary Index
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