Hyperglycemic Hyperosmolar Nonketotic Syndrome HHS | HHNS Nursing & Pathophysiology

Hyperglycemic hyperosmolar nonketotic syndrome (HHNS or HHS) nursing diabetes & pathophysiology NCLEX review on endocrine disorders of the body. HHNS vs DKA are two complications of diabetes mellitus. HHNS presents with extreme hyperglycemia (blood glucose greater than 600 mg/dL) and dehyrdation. Ketones and acidosis are not present in this condition as with diabetic ketoacidosis. The hyperglycemia hyperosmolar state can lead to a coma and even death if not treated promptly. HHNS treatment includes intravenous fluids, insulin therapy,and electrolyte replacement. This video will highlight the patho, causes, signs and symptoms, and nursing interventions for HHS. Please see the previous videos on DKA and DKA vs HHS (see the playlist below)

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[RegisteredNurseRN]

Hey Everyone! Thanks for watching. Don't forget:

[winifrededosah]

I passed my Nclex today. Thank you for taking time to make these videos for thousands of people to watch. God bless you

[noobiewatcherz]

1:25 HHS > 600
2:32 Body resistant to glucose
2:54 Hyperosmolarity --> pulls glucose and water out of cells to the blood
3:35 Kidney has too much glucose to reabsorb so it leaks to urine.
4:12 Na, K, Cl is excreted more along with water = Dehydration.
5:46 HHS happens gradually
7:10 Mental status change (coma, seizures )
8:55 Administer Insulin drip (only Regular)
Insulin causes Potassium to move into the cell , so make sure that Potassium is above 3.5

[herculesdelcb]

Dont You ever stop teaching! Every video is clear and concise! Thank you!

[jjk]

I received my NCLEX passing score in the mail TODAY and I promise watching your YouTube videos seriously helped me pass, you break down information very well I have tons of notes from you I just want to thank you so so soooo much you're awsome.

[JayyThao]

Literally, almost everything you say is on my pathopharm study guide. It's as if I'm at a pre-exam study session! Thank you!

[RachelWhalin]

I've had many DKA patients in the ER, but today was my first HHNS. Personally felt it was way more manageable in terms of monitoring and insulin/electrolyte replacements. I definitely pulled up this video to make sure I wasn't missing anything. Thank you!

[katiemaddox]

Studying for my last final of nursing school! I remember finding your channel in my first semester and have used it until my graduation. Where are all my 2020 graduates at?! Just wanted to say, YOU ARE AN ANGEL!! You were my saving grace during nursing school. I constantly recommended your videos to my classmates. Never change your teaching. Your details are what make you the best teacher! Thank you, thank you, thank you! Now time for NCLEX review! YOU ARE A GODSEND! Merry Christmas to you and your family! <3

[hufflepunk]

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[whitneepe]

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[musungaLungoya]

I started watching your videos when I was training as a nurse and I'm still using your videos as I study Anaesthesia.
Much love from Zambia ❤

[monika]

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[suruchidhawan]

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[downbytheriver]

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[williamnewberry]

I am about to take my 2nd semester finals of an ADN program (almost half way done yay) and i just wanted to say thanks for all your videos they have helped me a lot along the way and i am sure they will in 2nd year as well.

[leslievelasquez]

I'm so glad I found you! Thanks for making every topic as clear as it can be. It's helping me so much with my studies.  Please keep teaching, its a blessing for all of us out here.  Thank you so much!

[Day-symu]

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[heatherbaker-williamson]

Thank you so much for all of the hard work you obviously put into these! They are just fantastic, and so easy to be understand!! I watched several of your videos today (endocrine related) to review for an exam, and I earned 54/60. I felt like everything I had learned previously just kind of came together in a big picture. :) I only wish I had known about them last semester!!

- Heather

[NURSEJAE]

I'm back again as I'm getting ready for an endocrine test this week. I have to tell you as I watched the video, you said everything that I have written on my notes down to the precise values.You are awesome and It helps me further understand where maybe I had a doubt about something. Keep it up, we definitely appreciate these videos.

[diannehurring]

Hello from New Zealand. I am 2nd year nursing student and your videos are great. What you cover in your videos goes well with what we have been taught in class.
Look forward to watching your other videos.