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


• 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, such as normal saline, is used.

• 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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