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HHS Mastery: True or False

Yes or No

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Advanced questions on Hyperosmolar Hyperglycemic State (HHS).

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HHS Mastery: True or False
 

HHS Mastery: True or FalseOnline version

Advanced questions on Hyperosmolar Hyperglycemic State (HHS).

by makayla eby
1

Potassium levels are typically low in the initial phase of HHS and do not require monitoring during treatment.

2

Ketoacidosis is a defining feature of HHS, with high anion gap metabolic acidosis and positive ketones.

3

HHS usually presents with rapid neurologic deterioration in a matter of hours, similar to DKA.

4

Ketones are negative in serum (or only trace) in HHS.

5

Initial management includes volume repletion with IV normal saline.

6

The mortality risk of HHS is negligible with proper therapy.

7

IV insulin is used after initial fluid resuscitation to correct hyperosmolarity and acidosis.

8

Dextrose is added to IV fluids when glucose falls below 300 mg/dL during treatment.

9

HHS is more common in older patients with poorly controlled type 2 diabetes.

10

Blood glucose in HHS commonly ranges from 250 to above 600 mg/dL, often >600 mg/dL.

11

Osmolarity in HHS is typically >320 mOsm/L.

12

Fluid repletion in HHS uses hypotonic saline as the first-line choice.

13

HHS typically presents with prominent Kussmaul respirations due to severe acidosis.

14

HHS primarily affects children with newly diagnosed type 1 diabetes.

15

HHS features severe hyperglycemia and hyperosmolarity with little or no ketoacidosis.

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