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HHS Managementfluid replacement fluid losses in HHS are estimated to be between 100 - 220 ml/kg IV ==== solution typically given at 0.5 - 1 L/hour depending on clinical assessment ==== levels should be monitored and added to fluids depending on the levelinsulinshould not be given unless =====venous thromboembolism prophylaxis patients are at risk of thrombosis due to hyperviscosity

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