Managing hyperglycaemic emergencies: an illustrative case and review of recent British guidelines

Gouveia, Catherine F; Chowdhury, Tahseen A

doi:10.7861/clinmedicine.13-2-160

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…The typical findings of laboratory patients with HHS include elevated blood glucose levels and serum osmolarity above 320 mOsm/kg of water with a pH above 7.30 without ketonemia. Sodium levels could be increased or normal, while creatinine, blood urea nitrogen (BUN) and hematocrit levels almost always increase (Kitabchi et al, 2009;Gouveia and Chowdhury, 2013).…”

Section: Discussionmentioning

confidence: 99%

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Thyroid Crisis and Hyperosmolar Hyperglycemic State in a Hyperthyroid Patient

Rezkitha

Wironegoro

Susanto

et al. 2017

Proceedings of Surabaya International Physiology Seminar

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Hyperthyroidism is one form of thyrotoxicosis caused by excess synthesis and thyroid hormone secretion by the thyroid gland. Thyroid crisis is a life-threatening hyperthyroid exacerbation, characterized by decompensation of one or more organ systems and hyperosmolar hyperglycemic state (HHS) characterized by hyperglycemia, hyperosmolality, and dehydration without ketoacidosis. Cases of thyroid and HHS crises are rarely found in hyperthyroid patients. The purpose of this case report is to describe symptoms for diagnosis, therapy, and prognosis of hyperthyroid patients with thyroid and HHS crises. We reviewed the literature and describe hyperthyroid manifestations with thyroid crisis and HHS. A 30-year-old woman found an increase in pulse rate, body temperature, respiration rate, enlarged diffuse solid (50 cm3), mobile, dry skin, 600 cc / 4-hour urine production, Burch-Wartofsky score of 95, elevated blood glucose, and osmolarity blood. Therapies were given under the formula TS 416688-24-6 for thyroid crisis, rehydration, and management of blood sugar levels was used for HHS. The patient showed improvement after five days of care with a good prognosis. It was concluded that thyroid crisis and HHS have a poor prognosis because of the high mortality rates. Identification and the correct diagnosis could improve the prognosis of the case.

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Section: Discussionmentioning

confidence: 99%

“…However, actual mortality data are difficult to ascertain because of the high incidence of other accompanying diseases. Age, dehydration rate, hemodynamic instability, underlying triggers, and degree of consciousness are strong predictors of fatal complications (Stoner, 2005;Gouveia and Chowdhury, 2013).…”

Section: Introductionmentioning

confidence: 99%