The prevalence of diabetes mellitus makes the occurrence of hyperglycemic emergencies a key component in clinical practice. The expert nurse is well positioned to manage both diabetic ketoacidosis and hyperosmolar hyperglycemic states. Patient care management includes a high index of suspicion for awareness for the possibility of diabetic ketoacidosis or hyperosmolar hyperglycemic states in patients based on a multifactorial etiology, evidence-based treatment of the emergent episode, and tertiary prevention to prevent recurrent episodes.
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Endrocrine System| January 01 2006
Management of Hyperglycemic Emergencies
Zara R. Brenner, MSN, APRN, BC
From the Department of Nursing, State University of New York at Brockport and Rochester General Hospital, Rochester, New York.
Reprint requests to Zara R. Brenner, Clinical Nurse Specialist, Care Manager, Rochester General Hospital, 1425 Portland Ave, Rochester, NY 14621 (ZaraRN@aol.com).
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AACN Adv Crit Care (2006) 17 (1): 56–65.
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Zara R. Brenner; Management of Hyperglycemic Emergencies. AACN Adv Crit Care 1 January 2006; 17 (1): 56–65. doi:
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