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...

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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.

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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.

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Insulin drip. Sodabicarb. Oxygen

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NEEDS SYMPTOMATIC AND SUPPORTIVE MANAGEMENT

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