A 78-year-old with confusion and glucose 36 mmol/L is diagnosed with hyperosmolar hyperglycaemic state (HHS). Which principle is correct?...

Question

A 78-year-old with confusion and glucose 36 mmol/L is diagnosed with hyperosmolar hyperglycaemic state (HHS). Which principle is correct?

Accepted Answer

Aggressive fluid resuscitation aiming to normalise osmolality slowly

Answer

Rapid insulin boluses initially

Answer

Immediate bicarbonate infusion

Answer

Routine antibiotics

Answer

Immediate potassium infusion regardless of level

mrcp part 1 MCQ (SBA): HHS