Intravenous fluids Treatment of HHS begins with reestablishing tissue perfusion using intravenous fluids. People with HHS can be dehydrated by 8 to 12 liters. Attempts to correct this usually take place over 24 hours with initial rates of normal saline often in the range of 1 L/h for the first few hours or until the condition stabilizes. Electrolyte replacement Potassium replacement is often required as the metabolic problems are corrected. It is generally replaced at a rate 10 mEq per hour as long as there is adequate urinary output. Insulin Insulin is given to reduce blood glucose concentration; however, as it also causes the movement of potassium into cells, serum potassium levels must be sufficiently high or dangerously low blood potassium levels may result. Once potassium levels have been verified to be greater than 3.3 mEq/l, then an insulin infusion of 0.1 units/kg/hr is<unk> d. The goal for resolution is a blood glucose of less than 200 mg/dL.
Hyperosmolar hyperglycemic state
Diabetic ketoacidosis
Exercise-associated hyponatremia
Hypotonic hyponatremia
Isotonic hyponatremia
Ketotic hypoglycemia
Hyperosmolar syndrome
Reactive hypoglycemia