Hyperosmolar Nonketotic Syndrome (HONK)

Hyperosmolar Nonketotic Syndrome (HONK) is a topic covered in the Pocket ICU Management.

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Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drugs, procedures, and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and PRIME Journals. Explore these free sample topics:

Anesthesia for Vascular Surgery - Abdominal Aortic Repair

propofol

Osmolality, urine

Systolic and Diastolic Dysfunction

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First Things First (assess & treat for the following)

Determine if pt is hemodynamically stable and begin resuscitation ABCs if needed.
Look for precipitating factors—infection, myocardial infarction, cerebrovascular accident, mesenteric ischemia, acute pancreatitis and use of medications such as steroids, thiazide diuretics, calcium-channel blockers, propranolol and phenytoin.
Mortality can approach 15% compared to < 2% in DKA. Mortality is usually due to an underlying medical condition.

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First Things First (assess & treat for the following)

Determine if pt is hemodynamically stable and begin resuscitation ABCs if needed.
Look for precipitating factors—infection, myocardial infarction, cerebrovascular accident, mesenteric ischemia, acute pancreatitis and use of medications such as steroids, thiazide diuretics, calcium-channel blockers, propranolol and phenytoin.
Mortality can approach 15% compared to < 2% in DKA. Mortality is usually due to an underlying medical condition.

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