| Autor: |
Melissa A. McGuire, Ajay K. Puri |
| Rok vydání: |
2020 |
| Zdroj: |
Pediatric Medical Emergencies |
| DOI: |
10.1093/med/9780190946678.003.0017 |
| Popis: |
Hyperosmolar hyperglycemic syndrome is a condition occurring with increasing frequency in the pediatric population that carries a high mortality rate. Obese males of African American descent are most at risk. Diagnosis requires a high degree of suspicion as patients often present with nonspecific symptoms. A fingerstick glucose sample and laboratory testing are primary identifiers of type 2 diabetes mellitus. The hallmark of management of these patients involves aggressive fluid resuscitation and close management of their electrolytes. Patients may present with features of diabetic ketoacidosis, which presents a unique challenge to treatment. Complications such as rhabdomyolysis, malignant hyperthermia, and cerebral edema need to be identified early and managed promptly. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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