Hyperosmolar Nonketotic Syndrome (HONK)
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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Last updated: May 3, 2010
Citation
"Hyperosmolar Nonketotic Syndrome (HONK)." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534219/all/Hyperosmolar_Nonketotic_Syndrome__HONK_.
Hyperosmolar Nonketotic Syndrome (HONK). Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534219/all/Hyperosmolar_Nonketotic_Syndrome__HONK_. Accessed November 22, 2024.
Hyperosmolar Nonketotic Syndrome (HONK). (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534219/all/Hyperosmolar_Nonketotic_Syndrome__HONK_
Hyperosmolar Nonketotic Syndrome (HONK) [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 November 22]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534219/all/Hyperosmolar_Nonketotic_Syndrome__HONK_.
* Article titles in AMA citation format should be in sentence-case
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ID - 534219
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