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Acute hyperglycemic emergencies

Diabetic ketoacidosis and hyperosmolar hyperglycemic state

Kubacka, Beata T., MSN, APRN, AGPCNP-BC, CDE, CD-N, RDN

doi: 10.1097/01.CCN.0000553076.18411.12
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Abstract: As diabetes prevalence increases in the US, critical care nurses need to be familiar with the acute hyperglycemic emergencies they may encounter in the ED or ICU. This article focuses on the diagnosis of, various treatments for, and nursing considerations associated with two acute hyperglycemic emergencies: diabetic ketoacidosis and hyperosmolar hyperglycemic state. Patient self-management is key to prevention and requires thorough patient education efforts.

As diabetes prevalence rises, critical care nurses must be prepared to encounter acute hyperglycemic emergencies in the ED or ICU. This article discusses the diagnosis, treatments, and nursing considerations associated with diabetic ketoacidosis and hyperosmolar hyperglycemic state.

Beata Kubacka is an inpatient endocrinology APRN for Hartford HealthCare, New Britain, Conn.

The author has disclosed no financial relationships related to this article.

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