Hyperglycaemia
Relatives reported that she was irrelevant talking since 4 day after one convulsion episode. History Hypertension diabetes Vitals Increase heart rates, blood pressure control, Physical Examination Normal Investigations RBS 770 mg/DL Diagnosis Delirium due to general medical conditions... hyperglycaemia. Management Blood sugar control, insight oriented therapy...
Needs further investigation and evaluation to conclude till reports complied. Iv fluids, NS ,RL Insulin in stat than in drip. Inj ceftam 1gm iv bd. Maintain I O Chart. Correction of dehydration and electrolytes. Regular monitoring and constant evaluation required.
Hyperosmolar state Needs hospitalization immediately Hyperosmolar coma is a medical emergency Presents with high sugars more than 600 mg, dehydration,coma,can get seizures ,stroke, Cbc,urine for ketones,ABG,Electrolytes,kft Iv fluids...Normal saline ,insulin regular ,antibiotics.
NEEDS SYMPTOMATIC AND SUPPORTIVE MANAGEMENT
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Dr. Rama Chauhan0 Like16 Answers - Login to View the image
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Dr. Suhel Lokhandwala0 Like23 Answers - Login to View the image
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