Standard care for dehydration and altered mental status is normally utilized and this can also include airway management, along with other management techniques routinely given to coma patients. Although many patients with HHS respond to fluids alone, IV insulin dosage similar to those used in DKA have been known to correct a case of hyperglycemia. However, the EMT must remember that insulin used without concomitant vigorous fluid replacement increases the risk of shock. [26] | | | | | | | | |