{"id":19986,"date":"2025-10-22T09:01:15","date_gmt":"2025-10-22T00:01:15","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/10\/22\/19986\/"},"modified":"2025-10-22T09:01:15","modified_gmt":"2025-10-22T00:01:15","slug":"a%ec%9e%90%eb%a3%8c%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-%ec%bc%80%ec%9d%b4%ec%8a%a4%ec%8a%a4%ed%84%b0%eb%94%94%ec%82%ac%eb%a1%80%eb%b3%b4%ea%b3%a0%ec%84%9c_eicu_","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/10\/22\/19986\/","title":{"rendered":"(A+\uc790\ub8cc)\uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 \ucf00\uc774\uc2a4\uc2a4\ud130\ub514(\uc0ac\ub840\ubcf4\uace0\uc11c)_EICU_\uae09\uc131\uc2e0\ubd80\uc804(ARF, Acute renal failure)_\uac04\ud638\uacfc\uc815_\ube44\ud6a8\uacfc\uc801 \uae30\ub3c4\uccad\uacb0_\uac10\uc5fc\uc704\ud5d8\uc131_\ud53c\ubd80\ud1b5\ud569\uc131\uc7a5\uc560"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

1. \ud658\uc790\uc758 \uc77c\ubc18\uc801 \uc0ac\ud56d
\n2. \uc2e0\uccb4\uc0ac\uc815(\uc790\uc138\ud569\ub2c8\ub2e4.)
\n3. \ubb38\ud5cc\uace0\ucc30(+\ub300\uc0c1\uc790\uc640 \ube44\uad50)
\n4. \uc9c4\ub2e8\uac80\uc0ac(\uac80\uc0ac\uc218\uce58\uc640 \uc784\uc0c1\uc801\uc758\uc758 \uae30\uc7ac\ud588\uc2b5\ub2c8\ub2e4.)
\n5. \ud22c\uc5ec \uc57d\ubb3c(\uc790\uc138\ud569\ub2c8\ub2e4.)
\n6. \uac04\ud638 \uc790\ub8cc(V\/S, \ud1b5\uc99d\uc0ac\uc815, I\/O&\uccb4\uc911, BST, \uc695\ucc3d&\ub099\uc0c1, GCS)
\n7. \uac04\ud638\uc9c4\ub2e8(\uc6b0\uc120\uc21c\uc704\uc5d0 \ub530\ub77c)
\n8. \uac04\ud638\uacfc\uc815(\uc774\ub860\uc801 \uadfc\uac70O, \uac04\ud638\uc218\ud589 \uc790\uc138\ud569\ub2c8\ub2e4.)
\n9. \ucc38\uace0\ubb38\ud5cc
\n10. \uc2e4\uc2b5 \ud6c4 \ub290\ub080\uc810<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

\uc785\uc6d0 \uc9c4\ub2e8\uba85: acute renal failure(\uae09\uc131 \uc2e0\ubd80\uc804)
\n\uc8fc\ud638\uc18c: mental change (Stuporous)<\/p>\n

\uc785\uc6d0 \uacbd\uc704
\n2023.05.21. AM8:00 \uacbd mental change \ubc1c\uc0dd\ud558\uc5ec local \uacbd\uc720\ud558\uc5ec \ubcf8\uc6d0 ER \ud1b5\ud574 EICU \uc785\uc2e4\ud568. 2\uc77c\uc804\ubd80\ud130 \ud798\uc774 \uc804\ubc18\uc801\uc73c\ub85c \ube60\uc9c4 \ubaa8\uc2b5\uc744 \ubcf4\uc784(\ubcf4\ud638\uc790). ARF(\uae09\uc131\uc2e0\ubd80\uc804)\uc640 pneumonia\uc744 \ubcf4\uc5ec EICU \uc785\uc6d0\ud568.<\/p>\n

\uacfc\uac70\ub825(\uc9c4\ub2e8\ubc1b\uc740 \uc9c8\ud658)
\n1. HTN(\uace0\ud608\uc555)
\n2. DM(\ub2f9\ub1e8\ubcd1)
\n3. (2003\ub144)old CVA(\uc624\ub798\ub41c \ub1cc\uc878\uc911)
\n4. (2018\ub144)Dementia(\uce58\ub9e4)<\/p>\n

\uc785\uc6d0 \uc804 \ubcf5\uc6a9 \uc57d\ubb3c
\n1. \uace0\ud608\uc555 \uc57d\ubb3c(OO\ubcd1\uc6d0 \ucc98\ubc29)
\n2. \ub2f9\ub1e8\ubcd1 \uc57d\ubb3c(OO\ubcd1\uc6d0 \ucc98\ubc29, pen insulin)<\/p>\n

<\uc911\ub7b5><\/p>\n

\ubb38\ud5cc\uace0\ucc30
\n\uc9c8\ud658\uba85: \uae09\uc131 \uc2e0\ubd80\uc804(ARF; Acute renal failure)
\n\uc6d0\uc778 \ubc0f \ubcd1\ud0dc\uc0dd\ub9ac
\n\ubb38\ud5cc
\n1. \uc6d0\uc778
\n \uae09\uc131 \uc2e0\ubd80\uc804\uc740 BUN\uacfc \ud608\uccad \ud06c\ub808\uc544\ud2f4 \uc218\uce58\uac00 \uc0c1\uc2b9\ud558\uba74\uc11c \uac11\uc791\uc2a4\ub7fd\uac8c \uc2e0\uae30\ub2a5\uc774 \uc800\ud558\ub418\ub294 \uac83\uc774\ub2e4. \uae09\uc131 \uc2e0\ubd80\uc804\uc740 \uc2e0\uc804\uc131(prerenal), \uc2e0\uc131(intrarenal), \uc2e0\ud6c4\uc131(postrenal)\ub85c \ubd84\ub958\ub41c\ub2e4. \uae09\uc131 \uc2e0\ubd80\uc804\uc758 55~70%\ub294 \ud608\ub958\ub7c9 \uc800\ud558, \uc2ec\ubc15\ucd9c\ub7c9 \uac10\uc18c\uc640 \ud611\ucc29\uc774\ub098 \ud3d0\uc1c4\ub85c \uc778\ud55c \ub9e5\uad00\uc7a5\uc560\uc640 \uac19\uc740 \uc2e0\uc804\uc131 \uc694\uc778\uc5d0 \uc758\ud574 \ubc1c\uc0dd\ud55c\ub2e4. \uae09\uc131 \uc2e0\ubd80\uc804\uc758 25~40%\ub294 \uc2e0\uc131\uc73c\ub85c \uc2e0\uc7a5\uc870\uc9c1\uacfc \uad6c\uc870\uc758 \uc190\uc0c1 \ubc0f \uc138\ub1e8\uad00 \uad34\uc0ac, \uc2e0\ub3c5\uc131, \uc2e0\ud608\ub958\ub7c9\uc758 \ubcc0\ud654\ub85c \uc778\ud574 \ubc1c\uc0dd\ud55c\ub2e4. \uc2e0\ud6c4\uc131\uc740 \ubcf4\ud1b5 \uc2e0\uc7a5\uacfc \uc694\uad00\uc5d0 \uc774\ub974\ub294 \uc694\ub85c\uacc4\uc758 \ud3d0\uc0c9\uc73c\ub85c \uc778\ud574 \ubc1c\uc0dd\ud55c\ub2e4.<\/p>\n

\uc804\uc2e0\uc131(prerenal)
\n\u2022 \uc800\ud608\ub7c9\uc99d: \ucd9c\ud608, \ud0c8\uc218, \uad6c\ud1a0, \uacbd\ud654\uc99d, \uc124\uc0ac, \ubd80\uc801\uc808\ud55c \uc774\ub1e8\uc81c \uc0ac\uc6a9, \ubc1c\ud55c, \ud654\uc0c1, \ubcf5\ub9c9\uc5fc, \ucdcc\uc7a5\uc5fc
\n\u2022 \uc2ec\ubc15\ucd9c\ub7c9 \uac10\uc18c: \uc6b8\ud608\uc131 \uc2ec\ubd80\uc804, \uc2ec\uadfc\uacbd\uc0c9, \uc2ec\uc7a5\uc555\uc804, \uc728\ub3d9\uc7a5\uc560
\n\u2022 \uc804\uc2e0\uc131 \ud608\uad00\ud655\uc7a5: \ud328\ud608\uc99d, \uc0b0\uc99d, \ud608\uad00\uc774\uc644 \uc57d\ubb3c, \uc544\ub098\ud544\ub77d\uc2dc\uc2a4
\n\u2022 \uc800\ud608\uc555 \ud639\uc740 \uc800\uad00\ub958: \uc2ec\ubd80\uc804, \uc2e0\ub0b4\uc131 \uc1fc\ud06c(\ub0b4\uc778\uc131)<\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 1. \ud658\uc790\uc758 \uc77c\ubc18\uc801 \uc0ac\ud56d 2. \uc2e0\uccb4\uc0ac\uc815(\uc790\uc138\ud569\ub2c8\ub2e4.) 3. \ubb38\ud5cc\uace0\ucc30(+\ub300\uc0c1\uc790\uc640 \ube44\uad50) 4. \uc9c4\ub2e8\uac80\uc0ac(\uac80\uc0ac\uc218\uce58\uc640 \uc784\uc0c1\uc801\uc758\uc758 \uae30\uc7ac\ud588\uc2b5\ub2c8\ub2e4.) 5. \ud22c\uc5ec \uc57d\ubb3c(\uc790\uc138\ud569\ub2c8\ub2e4.) 6. \uac04\ud638 \uc790\ub8cc(V\/S, \ud1b5\uc99d\uc0ac\uc815, I\/O&\uccb4\uc911, BST, \uc695\ucc3d&\ub099\uc0c1, GCS) 7. \uac04\ud638\uc9c4\ub2e8(\uc6b0\uc120\uc21c\uc704\uc5d0 \ub530\ub77c) 8. \uac04\ud638\uacfc\uc815(\uc774\ub860\uc801 \uadfc\uac70O, \uac04\ud638\uc218\ud589 \uc790\uc138\ud569\ub2c8\ub2e4.) 9. \ucc38\uace0\ubb38\ud5cc 10. \uc2e4\uc2b5 \ud6c4 \ub290\ub080\uc810 \ubcf8\ubb38\ub0b4\uc6a9 \uc785\uc6d0 \uc9c4\ub2e8\uba85: acute renal failure(\uae09\uc131 \uc2e0\ubd80\uc804) \uc8fc\ud638\uc18c: mental change (Stuporous) \uc785\uc6d0 \uacbd\uc704 2023.05.21. AM8:00 \uacbd […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[9301,14863,3559,12563],"class_list":["post-19986","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-14863","tag-3559","tag-12563"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/19986","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=19986"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/19986\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=19986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=19986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=19986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}