We present a case of transitory diabetes mellitus in a 19yearold woman with acute lymphoblastic leukemia. Cetoacidosis diabetica y estado hiperosmolar revision 2016 1. Cetoacidosis diabetica, estado hiperosmolar e hipoglucemia article pdf available january 2019. Coma hiperosmolar, hiperglucemico no cetosico pdf free. O estado hiperglicemico hiperosmolar e uma complicacao aguda, caracteristica do diabetico tipo ii ou nao insulinodependente, quando predominam os efeitos da hiperosmolaridade e desidratacao. Complicacoes hiperglicemicas agudas cetoacidose diabetica cad estado hiperglicemico hiperosmolar shh 3. Recent advances in the monitoring and management of diabetic ketoacidosis. Sep 19, 2014 estado hiperosmolar hiperglicemico coma hiperosmolar 1.
Severe hyperglycemia developed 1800 mgdl, provoking hyperglycemic hyperosmolar nonketotic coma and lactic acidosis. Coma hiperglicemico hiperosmolar no cetosico fisiopatol. A diabetic coma could happen when your blood sugar gets too high 600 milligrams per deciliter mgdl or more causing you to become very dehydrated it usually affects people with type 2. Stupor or coma severe dehydration and feeling unwell. Hyperosmolar hyperglycemic state is a relatively common, lifethreatening endocrine emergency that is reported in all age groups,1 but it most frequently affects older patients with type 2 diabetes. Hiperglucemia grave con coma hiperosmolar y acidosis.
Cetoacidosis diabetica y coma hiperosmolar harrison. Ver pdf criterios caracteristicas del diagnostico del estado hiperglucemico hiperosmolar ehh 1 kitabchi ae, umpierrez ge, murphy mb, et al. The hyperosmolar hyperglycemic state hhs is the most serious acute hyperglycemic emergency in patients with type 2 diabetes. The goals of treatment are to provide frequent patient monitoring, to treat the underlying cause and to gradually and safely. Estado hiperosmolar hiperglucemico diabetes education online. Drive southeast, 2nd floor, atlanta, ga 30303, usa. Management of hyperglycemic crises in patients with diabetes. If you continue browsing the site, you agree to the use of cookies on this website. Estado hiperosmolar hiperglucemico no cetosico ehhnc. Spanish hie multimedia sindrome diabetico hiperosmolar.
Coma hiperosmolar completo authorstream presentation. Las complicaciones incluyen coma, convulsiones y muerte. Dextrosa 5% en solucion salina 500 ml asistir veterinaria, dextrosa en solucion salina o agua destilada bolsa 500 ml, solucion dextrosa pisa 5% solucion inyectable pla 500 ml. The diabetes developed during remissioninducing treatment with chemotherapy that included lasparaginase 10,000 uim2 and prednisone 60 mgm 2. Pdf cetoacidosis y estado hiperosmolar jesus fernandez. Coma hiperosmolar, hiperglucemico no cetosico molaridad y ausencia o escasa cetosis las claves del mismo tabla 2. Estado hiperglucemico hiperosmolar ehho trastornos. Hiperglucemia grave con coma hiperosmolar y acidosis lactica. Cetoacidosis diabetica y estado hiper osmolar manejo actualizado dr. Estado hiperglucemico hiperosmolar criterios bmj best. Coma hiperosmolar, hiperglucemico no cetosico guias ebm.
Few cases are reported in the literature, yet they all agree on the severity of this. Diabetic ketoacidosis and hyperosmolar hyperglycemic. Mar 29, 2015 coma hiperosmolar no cetosico eva1077. Sindrome hiperosmolar hiperglucemico articulos intramed. Diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic syndrome. Cetoacidosis diabetica y estado hiperosmolar revision 2016. Cetoacidose diabetica wikipedia, a enciclopedia livre.
Many physicians were against accepting that adult patients could progress to diabetic coma in the absence of ketonuria. Coma hiperosmolar, hiperglucemico no cetosico sciencedirect. Joslin 17 and others 27 stated that the presence of acetone or diacetic acid in the urine was requisite for the diagnosis of diabetic coma. Practical management of diabetes in critically ill patients.