Hyperosmolar Hyperglycemic State vs. Diabetic Ketoacidosis in Dogs and Cats

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Join Igor Yankin at VetEmCrit as he explores a complex canine emergency case. A nine-year-old dog named Lily is diagnosed with Hyperosmolar Hyperglycemic State (HHS), marked by severe hyperglycemia, minimal ketosis, and increased plasma osmolality. The episode delves into differentiating HHS from Diabetic Ketoacidosis (DKA) and explains initial management strategies. Essential topics include effective osmolality calculation and fluid resuscitation guidelines. Discover the keys to diagnosing and managing HHS, ensuring effective clinical care. Visit VetemCrit Academy for comprehensive courses on small animal electrolyte and acid-base disorders.

00:00 Introduction to the Case
00:57 Initial Assessment and Blood Work
01:58 Understanding Hyperosmolar Hyperglycemic State (HHS)
04:20 Diagnostic Criteria for HHS
07:19 Evaluating Lily's Condition
08:37 Initial Management of HHS
09:40 Fluid Therapy and Monitoring
11:32 Reevaluation and Adjustments
13:33 Conclusion and Further Learning

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