In hyperglycemic hyperosmolar state, what is the urine output goal during fluid therapy?

In hyperglycemic hyperosmolar state, what is the urine output goal during fluid therapy?

• A. 20 mL/h
• B. 50 mL/h
• C. 100 mL/h
• D. 25 mL/h

Answer: (B)

In hyperglycemic hyperosmolar state, the fluid strategy aims to restore circulating volume and improve renal perfusion so the kidneys can begin to excrete osmoles and clear glucose as the state improves. Urine output serves as a practical gauge of how well perfusion and hydration are progressing. A moderate, steady urine flow indicates the kidneys are being adequately perfused and that rehydration is proceeding without pushing fluids too aggressively. If urine output stays too low, hydration is insufficient and dehydration persists; if it rises too high, there’s a risk of overhydration and potential electrolyte shifts as osmolar balance shifts. The best target is the middle option because it represents a balanced rate that shows effective perfusion without overdoing fluids. The other values would suggest under-resuscitation or over-resuscitation, respectively.

In hyperglycemic hyperosmolar state, the fluid strategy aims to restore circulating volume and improve renal perfusion so the kidneys can begin to excrete osmoles and clear glucose as the state improves. Urine output serves as a practical gauge of how well perfusion and hydration are progressing. A moderate, steady urine flow indicates the kidneys are being adequately perfused and that rehydration is proceeding without pushing fluids too aggressively. If urine output stays too low, hydration is insufficient and dehydration persists; if it rises too high, there’s a risk of overhydration and potential electrolyte shifts as osmolar balance shifts. The best target is the middle option because it represents a balanced rate that shows effective perfusion without overdoing fluids. The other values would suggest under-resuscitation or over-resuscitation, respectively.