Intoxicacion por salicilatos, metanol, etilenglicol. Nov 17, 2016 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. Coma hiperosmolar hiperglucemic viquipedia, lenciclopedia. Ver pdf criterios caracteristicas del diagnostico del estado hiperglucemico hiperosmolar ehh 1 kitabchi ae, umpierrez ge, murphy mb, et al.
Diabetic ketoacidosis and hyperosmolar hyperglycemic state in. Sindrome hiperosmolar glucocorticoides diabetes mellitus. Hyperosmolar hyperglycemic state hhs is a complication of diabetes mellitus in which high blood sugar results in high osmolarity without significant ketoacidosis. Diagnostico y tratamiento del sindrome hiperglucemico hiperosmolar en adultos diabeticos tipo. Symptoms include signs of dehydration, weakness, leg cramps, vision problems, and an altered level of consciousness. Hyperglycemic hyperosmolar nonketotic coma epidemiology hyperglycemic hyperosmolar nonketotic coma physiopathology hyperglycemic hyperosmolar nonketotic coma therapy. Cetoacidosis diabetica, estado hiperosmolar hiperglucemico, hiperglucemia, insulina. The hyperosmolar hyperglycemic state hhs is the most serious acute hyperglycemic emergency in patients with type 2 diabetes. Hyperglycemic hyperosmolar nonketotic comaepidemiology hyperglycemic hyperosmolar nonketotic comaphysiopathology hyperglycemic hyperosmolar nonketotic comatherapy. Clinical presentation, diagnosis, and treatment diabetes care 2014. Patients admitted to icu via ed with hhs hyperosmolar hyperglycemic state will be monitored and managed appropriately. Cetoacidosis diabetica y estado hiperglicemico hiperosmolar. The mortality rate of hyperosmolar hyperglycemic state ranges from 10 to 50 percent, higher rate than that of diabetic ketoacidosis 1. Cetoacidosis diabetica y coma hiperosmolar emergencias.
Coma hiperosmolar, hiperglucemico no cetosico pdf free. Diabetic ketoacidosis and hyperosmolar hyperglycemic state. Coma hiperosmolar completo authorstream presentation. Spanish hie multimedia sindrome diabetico hiperosmolar. Diabetic ketoacidosis and hyperosmolar hyperglycemic. It is a lifethreatening emergency that, although less common than its counterpart, diabetic ketoacidosis dka, has a much higher mortality rate, reaching up to 510%. Diagnostico y tratamiento del sindrome hiperglucemico hiperosmolar en. Coma hiperosmolar hiperglucemico no cetosico by rocio. Jan 14, 2019 hyperosmolar hyperglycemic state hhs is one of two serious metabolic derangements that occur in patients with diabetes mellitus dm. The latter designation is a misnomer, because a mild degree of ketosis often is present, and a true coma is uncommon. Estado hiperglicemico hiperosmolar ehh e cetoacidose.
Cetoacidosis diabetica y estado hiperosmolar revision 2016. Diabetic hyperglycemic hyperosmolar syndrome hhs is a complication of type 2 diabetes. May 03, 2016 cetoacidosis diabetica y estado hiperosmolar revision 2016 1. Mar 29, 2015 this feature is not available right now. Estado hiperglucemico hiperosmolar criterios bmj best. It involves extremely high blood sugar glucose level without the presence of ketones. Guideline title management of hyperosmolar hyperglycemic state. Hiperglikemia hiperosmolar non ketotik panduan praktik. Por lo general estas complicaciones son abordadas por separado. Nov 12, 2016 cetoacidosis diabetica y coma hiperosmolar 1. Cetoacidosis diabetica y estado hiperosmolar revision 2016 1. They are part of the spectrum of hyperglycemia, and each represents an extreme in the spectrum. Scribd is the worlds largest social reading and publishing site.
Cetoacidosis diabetica y estado hiper osmolar manejo actualizado dr. Cetoacidosis diabetica, estado hiperosmolar e hipoglucemia article pdf available january 2019. O aumento do acucar no sangue resulta em alta osmolaridade sem cetoacidose significativa. Waters et al3 listed the etiologies of excess lactic acid. Lactic acidosis has elicited considerable clinical interest since1961 when huckabee1,2 drew attention to it as a clinical entity. Management of hyperglycemic crises in patients with diabetes. Estado hiperglicemico hiperosmolar ehh e uma emergencia medica causada por diabetes mellitus mal controlado. Complicacoes hiperglicemicas agudas denise momesso endocrinologia medica cti pro cardiaco 2. Diabetic ketoacidosis typically develops in patients who lack significant endogenous insulin. 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. Sep 28, 2017 this feature is not available right now. Hhnk biasanya terjadi pada orang tua dengan dm, yang mempunyai penyakit penyerta dengan asupan makanan yang kurang. Diabetic ketoacidosis and hyperglycemic hyperosmolar state risk factors for dka in patients with known dia betes include insulin omission, poor metabolic control, previous episodes of dka, gastroenteritis with per. Cetoacidosis diabetica y estado hiper glicemico hiperosmolar.
91 110 1050 1196 942 987 439 1341 374 136 1326 1434 1412 465 331 155 800 674 139 1054 223 714 611 1245 429 655 503 645 217 1367 1395 688 1240 240 1040 557 1174