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ADVANCED MED SURG STUDY GUIDE EXAM 2 QUESTIONS AND ANSWERS 2024
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11
March 2024
2023/2024
A+
Hyperglycemic- Hyperosmolar State (HHS)
Pathophysiology A hyperosmolar state caused by hyperglycemia. Sustained osmotic
diuresis leads to extremely high blood glucose levels and severe
dehydration.
Clinical
Manifestations
Severe dehydration, CNS changes- confusion to coma, seizures,
paralysis.
Etiology/ Risk
factors
DM II
Other causes: infection, other stressors, poor fluid intake, MI, sepsis,
pancreatitis, stroke, some drug therapy (glucocorticoids, diuretics,
phenytoin, betas, CCB...
NURSE0050
$10.99
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