IBCC Episode 94 - Hyperosmolar Hyperglycemic State

The Internet Book of Critical Care Podcast

Adam Thomas

Foam, Medicine, Health & Fitness, Science, Criticalcare, Medicaleducation

5 • 714 Ratings

🗓️ 6 August 2020

⏱️ 24 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

In this episode, we cover the more sinister twin of DKA... HONK aka HHS (Hyperosmolar Hyperglycemic State).

Come listen to how not to blow up your patients brain in the tug-of-war between glucose and sodium.

Transcript

Click on a timestamp to play from that location

0:00.0	All right, so welcome back to the Internet Booker of Critical Care podcast.
0:08.4	I'm here with Adam Thomas and we're going to talk about hyper osmolar hyperglycemic state.
0:12.2	You didn't say honk.
0:13.2	You liar.
0:14.2	I wanted to.
0:15.2	Does it feel wrong, Josh?
0:17.2	It's something else.
0:18.2	I miss honk.
0:19.2	It was so easy to say and it kind of sounded exciting.
0:21.6	Apparently we're getting more precise with our words.
0:23.6	Okay, so HHS.
0:24.6	The other end of the spectrum, shall we say, of DCAA?
0:27.6	This one, if it wasn't for a really fun physiology description, would be a pretty quick podcast.
0:32.6	So let's back up and say, A, why this isn't DKA.
0:35.6	B, what the true pathophysiology here. And Josh, I think it's
0:39.2	really important to talk about why we shouldn't blow up some brain cells. So let's get into pathophys.
0:43.7	What's going on here? Yeah. So basically, if you have an insulin deficiency, the first thing that
0:48.0	happens is hyperglycemia. And I think we see this all the time in our critically ill patients,
0:52.0	they come to the hospital and they develop some insulin resistance and their glucose shoots up, right?
0:55.8	So that's pretty basic.
0:56.8	If you have more profound insulin deficiency, then you develop ketoacidosis.
1:00.3	That's less rare.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Adam Thomas, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Adam Thomas and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.