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'''Nonketotic hyperosmolar syndrome,''' also known as '''hyperglycaemic, hyperosmolar non-ketotic (HHNK) syndrome,''', or '''hyperglycemic hyperosmolar syndrome (HHS)''' is an uncommon complication of untreated [[Wikipedia:Diabetes mellitus|diabetes mellitus]]. |
'''Nonketotic hyperosmolar syndrome,''' also known as '''hyperglycaemic, hyperosmolar non-ketotic (HHNK) syndrome,''', or '''hyperglycemic hyperosmolar syndrome (HHS)''' is an uncommon complication of untreated [[Wikipedia:Diabetes mellitus|diabetes mellitus]]. |
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* [[Intravenously|IV]] rehydration, more so than with [[ketoacidosis|diabetic ketoacidosis]]. |
* [[Intravenously|IV]] rehydration, more so than with [[ketoacidosis|diabetic ketoacidosis]]. |
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| − | * [[Replacement therapy]] for potassium and phosphate losses. |
+ | * [[Replacement therapy]] for potassium and phosphate losses.<ref>{{cite web|url=http://images1.wikia.nocookie.net/diabetesindogs/images/5/5f/VT_22_02_80.pdf|title=Electrolytes, Fluids and the Acid-Base Balance|date=February 2001|publisher=Veterinary Technician|author=Wortinger, Ann}}</ref> |
* A slow reduction in their blood glucose levels. |
* A slow reduction in their blood glucose levels. |
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Unfortunately, the prognosis for recovery from the syndrome is poor. |
Unfortunately, the prognosis for recovery from the syndrome is poor. |
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| + | ==References== |
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| + | {{reflist}} |
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==More Information== |
==More Information== |
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+ | *[http://www.cat-dog-diabetes.com/dogs-hhs.asp Information on HHNK in dogs] Intervet |
*[[Wikipedia:Diabetes_mellitus#Diabetic_ketoacidosis_and_coma|Wikipedia article on hyperosmotic diabetic coma]] |
*[[Wikipedia:Diabetes_mellitus#Diabetic_ketoacidosis_and_coma|Wikipedia article on hyperosmotic diabetic coma]] |
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| + | *[http://www.ncbi.nlm.nih.gov/pubmed/18402891?ordinalpos=84&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum Fluid and electrolyte therapy in endocrine disorders: diabetes mellitus and hypoadrenocorticism] Boysen SR., 2008, Veterinary Clinics of North America |
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| + | *[http://veterinarycalendar.dvm360.com/avhc/article/articleDetail.jsp?id=567269&sk=&date=&pageID=2 Diabetic crises: Recognition and management (Proceedings)] Macintyre, Douglass, April 2008, DVM 360 |
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| + | *[http://veterinarycalendar.dvm360.com/avhc/article/articleDetail.jsp?id=586470&sk=&date=&pageID=2 Endocrine emergencies (Proceedings)] Durkan, Samuel, October 2008, DVM 360 |
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| − | [[Category:Complications]][[Category:Conditions]][[Category:Emergencies]] |
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| + | *[http://www.vetsulin.com/vet/Diagnosis_Hyperosmolar.aspx Vetsulin-Treating Hyperosmolar Syndrome] Intervet |
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| + | [[Category:Complications]] |
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| + | [[Category:Conditions]] |
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| + | [[Category:Emergencies]] |
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[[Category:Terms]] |
[[Category:Terms]] |
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Latest revision as of 23:25, 23 May 2012
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Nonketotic hyperosmolar syndrome, also known as hyperglycaemic, hyperosmolar non-ketotic (HHNK) syndrome,, or hyperglycemic hyperosmolar syndrome (HHS) is an uncommon complication of untreated diabetes mellitus.
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Animals with this syndrome need:
- IV rehydration, more so than with diabetic ketoacidosis.
- Replacement therapy for potassium and phosphate losses.[1]
- A slow reduction in their blood glucose levels.
Unfortunately, the prognosis for recovery from the syndrome is poor.
References[]
- ↑ Wortinger, Ann (February 2001). Electrolytes, Fluids and the Acid-Base Balance. Veterinary Technician.
More Information[]
- Information on HHNK in dogs Intervet
- Wikipedia article on hyperosmotic diabetic coma
- Fluid and electrolyte therapy in endocrine disorders: diabetes mellitus and hypoadrenocorticism Boysen SR., 2008, Veterinary Clinics of North America
- Diabetic crises: Recognition and management (Proceedings) Macintyre, Douglass, April 2008, DVM 360
- Endocrine emergencies (Proceedings) Durkan, Samuel, October 2008, DVM 360
- Vetsulin-Treating Hyperosmolar Syndrome Intervet