Difference between DKA and HHNS.

DKA.                               HHNS
mainly seen in        •mainly seen in
type 1DM..                   type 2DM.
•happen suddenly.     •happen gradually.
causes:
no insulin present.     •severe infection.
or unknown DM.         physiologic stress.
physiologic stress.
•young and newly
diagnosed clients.       •older adult.
main problem :
kussumal breathing.  •extreme
acitone breath.              hyperglycemia.
                                         severe dehydration.
blood glucose :
usually >250mg/dl.       •usually>600mg/dl.
arterial pH:
<7.3.                                 •normal
ketone:
present.                           •absent.
serum osmolarity:
300 to 350 mOsm/L.      •average>350mOsm/L.
bicarbonate :
<15mEq/L.                       •normal.
BUN and creatinine
level:elevated.                 •elevated.
mortality rate :
<5%                                    •10to 40%
treatment :
i/v insulin, i/v fluid,        •rehydration,         
potassium and                  electrolyte.
electrolyte

Tag: dka and hhs,simple nursing dka and hhs,dka and hhns,dka signs and symptoms,pituitary gland,pathophysiology of dka and hhs,ninja nerd science,diabetic ketoacidosis and hyperosmolar hyperglycemia nonketotic syndrome,hypoglycemia emergency treatment,diabetic ketoacidosis managment,diabetes,diabetic,emergency,pregnancy,hypoglycemic emergency,pancreatic,electrolyte disturbances,hhs diabetes,hhns diabetes,type 1 diabetes,type ii diabetes,congenital adrenal hyperplasias,diabetes mellitus