Hyperosmolar hyperglycemic nonketotic syndrome in a Turkish family medicine clinic
| Autor: | Arabacı Melike, Doğan Nuray, Tokdemir Mustafa, Güçlü Adnan Yusuf, Mergen Haluk, Öngel Kurtuluş |
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| Jazyk: | English<br />Serbian |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Opšta Medicina, Vol 20, Iss 1-2, Pp 52-54 (2014) |
| Druh dokumentu: | article |
| ISSN: | 0354-7132 2217-3994 |
| DOI: | 10.5937/opmed1402052A |
| Popis: | Introduction: Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS) is a complication of Diabetes mellitus observed with high serum glucose, absence of ketone bodies and high hyperosmolarity. HHNS is a medical emergency requiring prompt recognition and treatment. Case report: A 52 year old diabetic Turkish woman is admitted to our institution with +2 positive excretion of glucose in urine, high level of plasma glucose of 515 mg/dL and hiperosmolality (328 mOsm/kg). A careful treatment with intravenous fluids, potassium and use of insulin (0.1U/kg IV bolus and continuous IV infusion of 0.1U/kg). When her plasma glucose level decreased to normal levels, the patient was discharged with commitments for her effective diabetes therapy. |
| Databáze: | Directory of Open Access Journals |
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