Criteria to diagnose Hyperosmolar non-ketotic coma
(Hyperglycemic hyperosmolar state; HHS)
- Plasma glucose concentration >33.3
mmol/L (600 mg/dL)
- Arterial pH >7.30
- Serum bicarbonate >15
mmol/L
- Small ketonuria, absent to mild
ketonemia
- Effective serum osmolality >320
mOsm/kg
- Clinically : Stupor or coma, severe dehydration
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