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Doctor insights on: Hyperosmolar Nonketotic Coma Honk

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What is a hyperosmolar nonketotic coma?

What is a hyperosmolar nonketotic coma?

Endocrine emergencie: Honk or hyperosmolar nonketotic coma is when glucose levels rise above 4-500 and other electrolytes become grossly abnormal. This results in water loss and a very high concentration of solutes in the blood. (hyperosmolar component). The elevated glucose levels do not cause the production of ketones as happens in DKA and that is the non-ketotic component. This is a medical emergency. ...Read more

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Dr. Rashed Hasan
406 doctors shared insights

Coma (Definition)

Coma is a medical condition characterized by an non arousable state of unconsciousness. The brain activity seen in a comatose patient shows that being in a coma is not ...Read more


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How's hyperosmolar hyperglycemic nonketotic coma treated?

Insulin and fluid: Insulin and saline are administered intravenously and other medications added depending on the clinical findings and lab tests. ...Read more

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How is a hyperosmolar hyperglycemic nonketotic coma treated?

How is a hyperosmolar hyperglycemic nonketotic coma treated?

Coma: It should be treated in an intensive care unit (ICU) with close monitoring of the blood glucose and other electrolytes (salts) and treatment to slowly decrease the blood glucose. ...Read more

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What is a hyperosmolar coma?

What is a hyperosmolar coma?

Diabetic emergency: Hyperosmolar coma is a medical emergency seen in type ii diabetics when the blood sugar reaches extremely high levels, typically higher than 600 mg/dl. Often it is precipitated by a physiologic stress such as infection, myocardial infarction, stroke or other acute illness. The very high blood glucose may lead to disordered mental functioning with possible seizures then to coma and death. ...Read more

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What is a diabetic hyperglycemic hyperosmolar coma?

Dehydration: If you have type 2 diabetes that gets very out of control due to infection, stress, surgery, cortisone or other factors, you can become severely dehydrated as well as have a very high glucose. This can even lead to coma, with an up to 50% morbidity if not treated quickly and effectively with large amounts of IV fluids, a small amount of insulin, control of the original cause and adjustment of elec. ...Read more

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My friend is in a diabetic hyperglycemic hyperosmolar coma. What does this mean?

My friend is in a diabetic hyperglycemic hyperosmolar coma. What does this mean?

Coma due to diabetes: By your question i will assume he is in the hospital. This condition is due to poor control of diabetes either due to not taking medications or as a result of some inciting condition like infection amongst others, a better controll of diabetes will help prevent this. In summary it's a coma caused by caused by high glucose. ...Read more

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What causes "food coma"?

What causes "food coma"?

Bodily hormones: The body shifts from intense hunting for food to calm digestion following a heavy meal. This is the result of hormone shifts within the body. Some persons have more dramatic hormone shifts than others. Some foods induce these hormone shifts or even contain hormones that help shift body function. This is especially prominent at thanksgiving! alcohol adds to the effects. ...Read more

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How do you feel in a coma?

How do you feel in a coma?

Depends: Coma, subcoma, stupor, altered mental status, drowsiness are some of the names given to different levels of altered consciousness.There has been reported cases of people in deep coma remembering what was said around them after recovering from coma. ...Read more

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What causes someone to go into a coma?

What causes someone to go into a coma?

Several most common.: Trauma to the head damaging the brain most common, hypoxia-lack of oxygen, and toxins from inside the body or outside that shut down the brain's operations. ...Read more

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What are the symptoms of being in a coma?

None: An unconscious person does not have any symptoms. ...Read more