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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 drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

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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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Last updated: May 3, 2010


"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 April 18, 2019.
Hyperosmolar Nonketotic Syndrome (HONK). (2010). In Pocket ICU Management. Available from 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 2019 April 18]. 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
TY - ELEC T1 - Hyperosmolar Nonketotic Syndrome (HONK) ID - 534219 Y1 - 2010/05/03/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534219/all/Hyperosmolar_Nonketotic_Syndrome__HONK_ PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -