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Angelite Nurses: Hyperglycemic Hyperosmolar Nonketotic Coma (HHNK) Complication of diabetes, characterized by hyperglycemia and a hyperosmolar state without ketosis; Occurs in non-insulin-dependent diabetics or nondiabetic persons (typically elderly clients); Precipitating factors: undiagnosed diabetes; infections or other stress; certain medications (e.g., Dilantin, thiazide diuretics); dialysis; hyperalimentation; major burns; pancreatic disease. Assessment findings. Similar to ketoacidosis but without Kussmaul respirations and acetone General Surgery MCQ DISCUSSION: Intensive insulin therapy is indicated in patients with IDDM who can actively participate in their own management and the attainment of the goals set for their blood glucose and glycosylated hemoglobin (HgA1 c) levels. 医学和制药专业词汇(FI) hyperalimentation饮食过量. hyperammonemia 血氨过多. hyperanakinesia 运动过多病. hyperaphia 触觉过敏. hyperbaric oxygenation 高压氧合疗法. hyperbarism 高气压病. hyperbilirubinemia 血胆红素过多. hypercalcemia 血钙过多 FMGE / MCI EXAM MARCH 2009 preparation Tips: LABORATORY TESTS Increased in:(Without signifigant acidosis): Muscular exercise, hyperbentilation, glucaon, glycogen storage disease, severe anemia, pyruvate infusion, HCO3 infusion, glucose and insulin infusion. …. Decreased in-Alcoholism*-Diabetes mellitus*-Hyperalimentation*-Nutritional recovery syndrome* (rapid refeeding after prolonged starvation)-Alkalosis, respiratory (e.g., gram-negative bacteremia) or metabolic-Acute gout-Salicylate poisoning-Administration of glucose
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