A 92-year-old nursing home patient

  1. A 92-year-old nursing home patient is brought into the emergency department with hyperosmolar hyperglycemic nonketotic coma (HHNC). Her fluid and electrolyte imbalances are at a critical level. Consider the types of fluid and electrolyte imbalances she may have, and what kinds of clinical manifestations due to these imbalances that you are likely to see