Hyperglycemic Hyperosmolar Nonketotic Syndrome HHS

Hyperglycemic Hyperosmolar Nonketotic Syndrome HHS | HHNS Nursing & Pathophysiology

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Hyperglycemic hyperosmolar nonketotic syndrome (HHNS or HHS) nursing diabetes & pathophysiology NCLEX review on endocrine disorders of the body. HHNS vs DKA are two complications of diabetes mellitus. HHNS presents with extreme hyperglycemia (blood glucose greater than 600 mg/dL) and dehyrdation. Ketones and acidosis are not present in this condition as with diabetic ketoacidosis. The hyperglycemia hyperosmolar state can lead to a coma and even death if not treated promptly. HHNS treatment includes intravenous fluids, insulin therapy,and electrolyte replacement. This video will highlight the patho, causes, signs and symptoms, and nursing interventions for HHS. Please see the previous videos on DKA and DKA vs HHS (see the playlist below)
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@RegisteredNurseRN 5 жыл бұрын

Hey Everyone! Thanks for watching. Don't forget: QUIZ: www.registerednursern.com/hhns-nclex-questions/ Notes: www.registerednursern.com/hhns-nclex-review/ Diabetes Lecture Videos: kzfaq.info/sun/PLQrdx7rRsKfWfFihyG2ecJts_BYwX9qlp Instagram: instagram.com/registerednursern_com/ Facebook: facebook.com/RegisteredNurseRNs Twitter: twitter.com/NursesRN

@winifrededosah4747 4 жыл бұрын

I passed my Nclex today. Thank you for taking time to make these videos for thousands of people to watch. God bless you

@marilynrobinson27 2 жыл бұрын

Congratulations

@noobiewatcherz9938 6 жыл бұрын

1:25 HHS > 600 2:32 Body resistant to glucose 2:54 Hyperosmolarity --> pulls glucose and water out of cells to the blood 3:35 Kidney has too much glucose to reabsorb so it leaks to urine. 4:12 Na, K, Cl is excreted more along with water = Dehydration. 5:46 HHS happens gradually 7:10 Mental status change (coma, seizures ) 8:55 Administer Insulin drip (only Regular) Insulin causes Potassium to move into the cell , so make sure that Potassium is above 3.5

@herculesdelcb6582 7 жыл бұрын

Dont You ever stop teaching! Every video is clear and concise! Thank you!

@RegisteredNurseRN 7 жыл бұрын

You're very welcome! I will definitely keep making videos....every week there will be fresh content uploaded...so always stay tuned :)

@JayyThao 6 жыл бұрын

Literally, almost everything you say is on my pathopharm study guide. It's as if I'm at a pre-exam study session! Thank you!

@jjk8041 8 жыл бұрын

I received my NCLEX passing score in the mail TODAY and I promise watching your KZfaq videos seriously helped me pass, you break down information very well I have tons of notes from you I just want to thank you so so soooo much you're awsome.

@RegisteredNurseRN 8 жыл бұрын

Wow, CONGRATS!! I'm so very happy for you, and I know you have to feel so great right now. I'm very excited that my channel could help you prepare for the NCLEX. If you know of any other students having to prep for NCLEX, feel free to share our channel. I'd greatly appreciate it :) Thanks for taking the time to let me know about your success. Congrats again, and I wish you the best in your career as a nurse.

@jjk8041 8 жыл бұрын

+RegisteredNurseRN I have referred about 10/15 nursing grads to your channel & I shared your videos on my facebook, thanks you soooo much I really cannot explain the help that you have given me and my BIGGEST worry was my NCLEX soooo thankful I found you

@RegisteredNurseRN 8 жыл бұрын

love monroe You're very kind and I'm honored I could help you prepare for the NCLEX :) THANK YOU from the bottom of my heart for sharing my channel. I remember how happy I was when I passed NCLEX and knew I would never have to take it again. I hope you go out and celebrate because you deserve it. Congrats again my fellow nurse ;-)

@jjk8041 8 жыл бұрын

+RegisteredNurseRN yes ma'am I have a 12 day trip to Cancun I leave on Friday my phone will be OFF lol I haven't relaxed in 4 years you know what it feels like

@RegisteredNurseRN 8 жыл бұрын

love monroe OH YES Cancun will do the trick...an absolutely beautiful place! Enjoy your time and have a blast :)

@downbytheriver235 5 жыл бұрын

Your videos are the B.E.S.T for pre-exam studying. You are literally a life-saver!

@suruchidhawan7135 7 жыл бұрын

I'm an mbbs student and your videos have helped more than anything else! Thank you so much

@whitneepe3890 4 жыл бұрын

You just summed up 1.5 hours of class in 11 minutes! And much easier to understand so thank you!!!

@hmhyynhjlnjahbhlahah 5 жыл бұрын

thank you so much ..words can't express how I appreciate your videos

@alaahussain9677 3 жыл бұрын

thank you SARAH you have no idea how much difference youmake

@katiemaddox6446 3 жыл бұрын

Studying for my last final of nursing school! I remember finding your channel in my first semester and have used it until my graduation. Where are all my 2020 graduates at?! Just wanted to say, YOU ARE AN ANGEL!! You were my saving grace during nursing school. I constantly recommended your videos to my classmates. Never change your teaching. Your details are what make you the best teacher! Thank you, thank you, thank you! Now time for NCLEX review! YOU ARE A GODSEND! Merry Christmas to you and your family!

@williamnewberry5093 6 жыл бұрын

I am about to take my 2nd semester finals of an ADN program (almost half way done yay) and i just wanted to say thanks for all your videos they have helped me a lot along the way and i am sure they will in 2nd year as well.

@MrLuftwafflez 4 жыл бұрын

Youre a gift that keeps on giving!

@yasminenasser2768 6 жыл бұрын

You make nursing study a lot easier for me, so thanks a lot for your efforts 💚 Hope you keep the good working 👌

@amanid.m3323 5 жыл бұрын

Your videos are great! I'm nursing intern student and I found those videos very helpful and enjoyable! Thank you very much :)

@hatneilhinghaokip1138 4 жыл бұрын

Thank you so much, Sarah... Your teachings are clear and informative. Please continue to upload more videos.

@heatherbaker-williamson8589 7 жыл бұрын

Thank you so much for all of the hard work you obviously put into these! They are just fantastic, and so easy to be understand!! I watched several of your videos today (endocrine related) to review for an exam, and I earned 54/60. I felt like everything I had learned previously just kind of came together in a big picture. :) I only wish I had known about them last semester!! - Heather

@RegisteredNurseRN 7 жыл бұрын

Hello Heather :) I personally want to thank you for the very kind comment. I'm so honored my videos have helped you and that you enjoyed the endocrine series. Congrats on earning 54/60....very awesome. I hope my channel can help you all the way til NCLEX. Here are all my videos by topic in individual playlists so you can browse them easier: kzfaq.infoplaylists I hope that helps :)

@martinaconti2742 7 жыл бұрын

Thank you for all the time and effort you put into these incredible videos, and your amazing website! Wouldn't make it through nursing school without you! We all appreciate you so much.

@RegisteredNurseRN 7 жыл бұрын

You're most welcome :) You all are why I make videos and have the website. I understand your stress with nursing school (I've been there and survived lol). I just want to make things easier for you all. Thanks for watching my videos and for using the website. I appreciate it!

@monika223538 6 жыл бұрын

HI Sarah, i think you are God gifted person on this earth, your videos and teaching method build great confidence. I wish i watch your videos before and during nursing college. You are the best teacher . I never comment on youtube videos but yours made me to write something for you just to say thank you in the form of this comment.Really sarah i am learning alot for nclex. Thank you so much.

@hufflepunk9562 5 жыл бұрын

Sarah, you're incredible! I just graduated nursing school and I am scheduled to take my NCLEX-PN at the end of the month, and I have to say I am so glad that I can rely on your videos to help me study and refresh my memory. Honestly, they are the BEST!!! You're amazing person and you have helped so many of us with our dreams of being nurse. Wish me luck on my state boards!!!

@RegisteredNurseRN 5 жыл бұрын

You'll do great! Thanks so much for your comment, and I wish you the very best in your nursing career!

@letsgooseeplaces1744 Жыл бұрын

Thank you so much. I understood you better than the book I’m reading. 😂😂😂

@hernanadame5977 7 жыл бұрын

Thanks! this video really helped me understand HHNS.

@jcnoel1777 6 жыл бұрын

Miss Sarah, I wish you were able to open a school with you being the professor... I love all your videos, they are imformatic and precise!!! Thank so much! #SpreadingKnowledgeIsPower

@c.bishop478 Жыл бұрын

You are loved Sarah, thank you ❤

@leslievelasquez5319 7 жыл бұрын

I'm so glad I found you! Thanks for making every topic as clear as it can be. It's helping me so much with my studies. Please keep teaching, its a blessing for all of us out here. Thank you so much!

@RegisteredNurseRN 7 жыл бұрын

Hello Leslie :) I'm even happier you found me! THANK YOU so much for the very kind comment. I'm so happy my videos are helping you with your studies! I'm very grateful you are using them! I wish you the absolute best in your studies!

@jcnoel1777 6 жыл бұрын

Leslie Velasquez oh yes, #grateful.

@munakc2759 5 жыл бұрын

M happy for your 500k subscribers! Kudos 👍🏼🌟

@diannehurring7759 7 жыл бұрын

Hello from New Zealand. I am 2nd year nursing student and your videos are great. What you cover in your videos goes well with what we have been taught in class. Look forward to watching your other videos.

@RegisteredNurseRN 7 жыл бұрын

Thank you so much for this comment, Dianne! Also, thank you for watching my videos! I'm so happy I can help a nursing student from New Zealand....very awesome! I wish you the best in nursing school :)

@alexswit24 7 жыл бұрын

Wow what a great video!!!! My professor covers all what you say but you explain it so much beter!!!! YOURE A LIFE SAVERR!

@RegisteredNurseRN 7 жыл бұрын

Yay! I'm so happy I could help! Thanks for the amazing compliment! I appreciate it so much!

@Day-sy2mu 3 жыл бұрын

Hello Sarah it was only watching your videos that I understand all the concepts. I graduated 1995 and a registered nurse from the Philippines. Im waiting for my ATT to take the NCLEX. ♥️♥️♥️

@Yerfdog1 3 жыл бұрын

Thank you so much for everything you do!!!

@mbalusesay8413 7 жыл бұрын

may God bless you for this video love them please continue with the good job.

@KarlaRodriguez-mx2od 3 жыл бұрын

I'm on my 4th video of this DM series. Thanks for the content!

@theburrells_7261 8 жыл бұрын

I'm back again as I'm getting ready for an endocrine test this week. I have to tell you as I watched the video, you said everything that I have written on my notes down to the precise values.You are awesome and It helps me further understand where maybe I had a doubt about something. Keep it up, we definitely appreciate these videos.

@RegisteredNurseRN 8 жыл бұрын

Hey Jamie :) Welcome back! I'm so honored you thought to come back to my channel to help you prep for your endocrine exam this week. Thank you for watching the video, and I'm so happy I could help you review. I wish you the best on your exam and hope you ace it!

@HafizahHoshni 4 жыл бұрын

Very beautifully and clearly explained presentation! Thank you for making me understand better! Thank you so much from Malaysia 🇲🇾 4/8/2019

@127Claumc 7 жыл бұрын

Thank you for your videos. They have help me alot in school. You explain concepts really well. Thank you

@RegisteredNurseRN 7 жыл бұрын

Thank you so much for the super kind comment. I really appreciate it! I wish you the best in your studies!

@jamesjones5451 Жыл бұрын

I’m in nur 112 intro to med surg and I have my final Tuesday. I’m studying my ass off and these videos are very helpful thank you!

@johnw9782 4 ай бұрын

I liked this one, very good explanation of why it happens. I like Nurse Mike too, but I didn’t get the big picture from him, just the key points I should know. So thanks 🙏

@marthajim1098 2 жыл бұрын

You are an amazing teacher.

@lissettelinares9707 7 жыл бұрын

you are so good at explaining this material. i can only imagine the kind of nurse you are. very lucky patients!! i just wanted to thank you for all that you do for us strangers. we really appreciate your time and effort. you hit all the important points and make it clear in a way that reading the text and/or attending lecture does not. i'm so glad i found you and i'm telling all of my classmates! have a wonderful thanksgiving :)

@RegisteredNurseRN 7 жыл бұрын

Thank you SO MUCH for this very kind comment, Lissette :) I'm so happy I can help you because I know how tough school can be. I'm glad you found me too, and thank you for telling your classmates about my channel. The goal of my channel is to make your life a little bit easier. I hope you have a wonder Thanksgiving as well :)

@cierrarichardson8613 3 жыл бұрын

Thank you so so much I learn so much from watching your videos ♥️ You are a blessing to nursing students💖💖💖

@zenxcheesespectre9595 8 ай бұрын

Thank you Nurse Sarah

@benjibersilva5153 3 жыл бұрын

Thank you for this video.

@93Musume 7 жыл бұрын

This is excelent, you explain everything so good, Thank you so much for this :D

@marcialbonifacio3285 7 жыл бұрын

thanks, your videos are great, very helpful

@VANESSA-tn8gb 5 жыл бұрын

Thank you very much this was so clear, you saved our study group for the diabetes portion of exam. Love MonaLisa & Vanessa)

@1Q-211 6 жыл бұрын

Hi Sarah. I am super thankful with these videos. I find it super easy to understand and I am hoping that I can apply everything on my upcoming exam. BTW, I am officially a subscriber!

@RegisteredNurseRN 6 жыл бұрын

Hello Jamie :) Thank you for the really kind comment. I'm so glad you like them. Also, THANK YOU for subscribing....I really appreciate it!

@1Q-211 6 жыл бұрын

Hi Sarah. Thanks for the reply. Just wondering, will you touch Psych Nursing soon?

@RegisteredNurseRN 6 жыл бұрын

Hello again :) Right now, I'm completing a head-to-toe assessment video, and then I'm doing a neuro series along with some more respiratory, OB, Peds, and GI videos. I will touch on psych at some point but not in the near future. Thanks for letting me know you would like to see this covered :)

@TheBlindsReflection 7 жыл бұрын

Great video! Thank you for sharing!

@RegisteredNurseRN 7 жыл бұрын

Thank you for the the kind comment. I'm glad you like the videos! THANK YOU for watching them!

@user-nz4ux4cw2z 5 жыл бұрын

You are awesome. Thank You.

@yvonnenguyen7137 6 жыл бұрын

You are so great. Thank you, you make a difference :)

@omarxxxali 8 жыл бұрын

Sarah! We are on summer break so I'm staying away from anything related to nursing, but when I see you posted a new video I just feel I have to see it lol

@RegisteredNurseRN 8 жыл бұрын

I feel very honored that you come back to watch my new videos even though you are on break...that is so awesome. I hope you are enjoying your break (those breaks are so needed and too short lol). Hopefully, since you are keeping up with my channel during the break it will help you out next semester. Thank you for watching them :)

@rahatbahadar6402 7 жыл бұрын

Really good teacher thank youuu so much .

@ayoakin8933 7 жыл бұрын

very helpful video .Thanks so much.

@RegisteredNurseRN 7 жыл бұрын

Thank you so much for the really kind comment. I appreciate you taking the time to watch my videos. I wish you the best in your studies!

@saraaltoti9401 2 жыл бұрын

Thank you so much! this video is very helpful even in 2021 :)

@grahammckain4492 2 жыл бұрын

awesome video, awesome quiz as well... I benefit majorly from these videos because they do not make me fall asleep like my textbook is prone to doing.

@joyelechi7107 7 жыл бұрын

to even know that these videos are without charge is amazing. you are beautiful, you are a genius, you are kind, and the list continues. my only problem with your videos is the fact that i didn't know about it earlier. I mean, how could I have punished myself so terribly by going through the difficult nursing school without listening to your videos that makes nursing career and subjects so easy. i am sure your husband will be proud of you. you are the best!!!

@RegisteredNurseRN 7 жыл бұрын

Thank you so much for the super awesome comment :) I appreciate it very much! Also, thank you for taking the time to subscribe! I'm glad you finally found me, and hopefully my videos can help you get through the rest of your nursing journey. I wish the best in your studies, and thank you for watching my videos!

@monye9963 5 жыл бұрын

Thank you so much 👍

@evelynmandal1000 5 жыл бұрын

Thank you Sarah:)

@kekothegeko 7 жыл бұрын

Awesome video, thanks!

@RegisteredNurseRN 7 жыл бұрын

You're most welcome :) Thank you for the comment. I wish you the best in your studies!

@annamargaritaestrelles3292 3 жыл бұрын

i really love your videos it's very simple and easy to understand :D

@ruthnairesiai2195 5 жыл бұрын

Thank you so much😍😍

@rajbirkaur7148 7 жыл бұрын

Thanks for all videos can work for me development of all ages and psychiatric plz bcoz that's hard to understand specially defense mechanisms thanks a lot for all video u make my confidence more strong 👍🏻

@RegisteredNurseRN 7 жыл бұрын

I'm so glad the video helped! Thank you for the kind comment and for taking the time to watch the video. I wish you the best in your studies!

@cquinx 3 жыл бұрын

Thank you nurse sarah, once again you saved my cramming arse. Thank you!

@mtk1481 3 жыл бұрын

You are the best

@nursefarrah3848 8 жыл бұрын

you are the best

@RegisteredNurseRN 8 жыл бұрын

Aww, thank you so much :) I appreciate you watching the video and for taking the time to leave a comment!

@Tina06019 Жыл бұрын

Nice video.

@BuayaGuy 8 жыл бұрын

Thanks for the helpful information - I'm a recently diagnosed (2 months ago) Type 2, and I've been soaking up as much info as I can find. My numbers are back in very normal range after a complete reversal of my bad diet. I was dx'ed with glucose at 398 (but didn't feel bad, just had polyuria and slightly blurry vision), and A1c at 10.0%. I found your DKA video first, since I *have* heard of that, and was interested to find out more about it (I have a really good friend who's a Type 1.) You mentioned HHNS in that video, which brought me here. It's good to know about this - If I ever get polyuria again, I'll know to at *least* get it checked out asap. I didn't see blurry vision mentioned anywhere in these videos - is that not a common symptom of DKA or HHNS? Thanks again, will look for more diabetes-related videos from you :)

@RegisteredNurseRN 8 жыл бұрын

Hi Bryan :) Thanks for watching the videos and your feedback! I'm happy to hear you have your number back in normal range....HHNS is a scary thing that just creeps up on you. Polyuria is a big thing with it, and yes blurry vision can be a symptom....however, I tried to hit on the major symptoms (because there are a lot of them) nursing students must know for NCLEX. It is very awesome that you are educating yourself on these conditions because that is the key in preventing them. Thanks again for taking the time to watch them and for your kind words!

@katiehaefner1351 8 жыл бұрын

Can you do a video on Medical Laboratory technicians? I'm thinking about going into that field!

@RegisteredNurseRN 8 жыл бұрын

Hi Katie :) We actually already have a video on this and you can view it here: kzfaq.info/get/bejne/oq9yrauYq9Pcqqs.html Hope that helps :)

@marsol3848 7 жыл бұрын

Do you have any videos that explains med surgical questions or topics??

@RegisteredNurseRN 7 жыл бұрын

Yes, I have a video on how to study for medical surgical that you may be interested in here: kzfaq.info/get/bejne/qsmglpOop7XOoH0.html Thanks for watching my videos :)

@tn71317 7 жыл бұрын

Hi Sarah, If HHNS is a complication of Type II (i.e. have insulin resistance) why would you administer IV insulin in HHNS patient's where their tissues do not recognize / be able to utilize the insulin?

@RegisteredNurseRN 7 жыл бұрын

Great question! The main reason HHNS is so severe on the body is because of dehydration. So, really when you correct the dehydration by giving fluids this will cause the body to respond more appropriately to the insulin you will give them....because remember there is an extremely HIGH glucose level in HHNS. Therefore, insulin isn't the only thing that will help this condition but fluids will as well....it will all work together. The insulin will help take the glucose into the cell to be used. I hope that helps :)

@carlosmoscoso9128 3 жыл бұрын

Love your Hair

@craigbelgrave5041 8 жыл бұрын

I want to say you do nice job of presenting this information. I do believe this is by far one of the best Nclex Review channels on youtube. I do get much from your lectures. Please would you mind covering some topics; Cardiac Med /Anti-Arrythmics AID/HIV Patho AID/HIV Treatment plus HAART Guideline update Eye Disease Eye Meds Skin Disease Topical Medication Disease Related to Immobility Immobility Care Alternative Approach to Medicine Nutrition Teaching Education Also some health care topic aside from Nclex Vitamin Deficiencies Fat soluble ADEK Water soluble B & C Protein the Amino Acids L- Arginine L- Lysine Omega 3 to 6 Ratio Geriatric Nursing Statistics Nursing Tier system Pharm; NSAIDs, Steroids, Anti-Biotics, GI Meds Plus just Cover the whole body work section on wiki Again Love your videos

@RegisteredNurseRN 8 жыл бұрын

Thank you so much for your kind words and the topic list, Craig :) I appreciate you taking the time to view my videos. I have saved your list and added it to my "to-do list" for future videos. I'm finishing up an endocrine series right now and have to tackle some other video requests. Thank you again for using my videos as a resource for your studies....means a lot to me :)