Updated: 6/1/2017

Hyperosmolar Nonketotic Coma

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Introduction
  • Complication of type II diabetes
    • the concentration of insulin required to prevent ketoacidosis is lower than the concentration required to adequately control glucose levels
  • Seen most commonly in older patients with concurrent cardiac and renal pathology
Presentation
  • Symptoms
    • shock
  • Physical exam
    • altered mental status
    • signs of dehydration (skin turgor, dry mucous membranes)
Prognosis, Prevention, and Complications
  •  High mortality (up to 50%)
 

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