How To Treat And Prevent Hyperglycemic Hyperosmolar Syndrome

Sodium And Potassium Replacement

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In addition to intravenous (IV) fluids, sodium and potassium replacement are typically given at the same time. Sodium is normally replaced through the use of standard IV fluids. Patients with hyperglycemic hyperosmolar syndrome generally have very low potassium as well, and it must be carefully replaced. Potassium replacement usually begins after the patient can produce an adequate level of urine output, and most patients are started on potassium replacement at a rate of ten milliequivalents (mEq). The replacement process may take several hours, and patients will be monitored regularly during this time. Nurses will check the patient's blood pressure, blood oxygen levels, urine output, blood glucose readings, and heart rate. Nurses will also ask the patient to report if they develop any chest pain, dizziness, vision changes, thirst, or fatigue.

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