The nurse is planning interventions for the treatment of hyperosmolar hyperglycemic nonketotic syndrome (HHNS). The nurse should:

Administer normal saline at 1 L/hour for the first 3 hours.


• Patients with HHNS are dehydrated by up to 12 L. Rapid fluid infusion is needed to maintain cardiovascular integrity and prevent severe complications of dehydration

• Fluid resuscitation occurs over the first 24 hours, with 6 L of fluid over the first 12 hours

• Isotonic fluid is used, such as normal saline

• HHNS occurs when extreme hyperglycemia causes severe dehydration, increased osmolarity, and coma or death. It is usually precipitated by infection, illness, or stress

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