{"id":28351,"date":"2026-01-14T09:00:45","date_gmt":"2026-01-14T00:00:45","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/14\/28351\/"},"modified":"2026-01-14T09:00:45","modified_gmt":"2026-01-14T00:00:45","slug":"%ea%b9%94%eb%81%94-a-%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%9d%91%ea%b8%89%ec%8b%a4%ec%bc%80%ec%9d%b4%ec%8a%a4","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/01\/14\/28351\/","title":{"rendered":"\uae54\ub054] A+ \uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 \ucf00\uc774\uc2a4\uc2a4\ud130\ub514(\uc751\uae09\uc2e4\ucf00\uc774\uc2a4), \uc2ec\ubd80\uc804(heart failure), \uac04\ud638\uc9c4\ub2e8 4\uac1c \uc911 1\uac1c\uc758 \uac04\ud638\uacfc\uc815(\uc9c4\ub2e8\uc801, \uce58\ub8cc\uc801, \uad50\uc721\uc801 \uacc4\ud68d\uc73c\ub85c \ub098\ub268)"},"content":{"rendered":"

<\/p>\n

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

I. \ubb38\ud5cc\uace0\ucc302<\/p>\n

II. \ub300\uc0c1\uc790 \uc0ac\uc81511
\n1) \ubcd1\ub825\uae30\ub85d11
\n2) \uc2e0\uccb4\uac80\uc9c412
\n3) \ub300\uc0c1\uc790\uc758 \uc9c4\ub2e8\uc801 \uac80\uc0ac \uacb0\uacfc\ub97c \ud574\uc11d14
\n4) \ub300\uc0c1\uc790\uc758 \uc57d\ubb3c\uce58\ub8cc21
\n5) \uc751\uae09\ub300\uc0c1\uc790\uc758 \ucc98\uce58 \ud604\ud66925
\n6) \ub300\uc0c1\uc790\uc758 \uac04\ud638\uc9c4\ub2e8\ubaa9\ub85d27
\n7) \ub300\uc0c1\uc790\uc758 \uac74\uac15\ubb38\uc81c \ud574\uacb0\uc744 \uc704\ud55c \uac04\ud638\ub97c \uacc4\ud68d, \uc218\ud589 \ubc0f \ud3c9\uac0028<\/p>\n

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

1) \ubcd1\ub825\uae30\ub85d <\/p>\n

(1) \uc8fc \ud638\uc18c : dyspnea, mild chest pain, edema <\/p>\n

(2) \ucd08\uae30 \ud65c\ub825\uc9d5\ud6c4: BP 120\/70, PR 111, BT 36.2, PR 89, RR 24, SpO\u2082 93<\/p>\n

(3) \ubc1c\ubcd1\uc77c : \ub0b4\uc6d0 15\uc77c \uc804 <\/p>\n

(4) \ub0b4\uc6d0 \ub3d9\uae30 \ubc0f \ud604 \uc0c1\ud0dc
\n\u2460 \ub0b4\uc6d0 \ub3d9\uae30
\n : \ub0b4\uc6d0 15\uc77c \uc804\ubd80\ud130 \ud638\ud761\uace4\ub780\uacfc \uacbd\ud55c \ud749\ud1b5 \uc99d\uc0c1\uc774 \uc788\uc5c8\uace0, 10\uc77c \uc804\ubd80\ud130 voiding \uc904\uc5b4\ub4e4\uc5b4 119\ud1b5\ud574 \ubcf4\ud638\uc790(\uc544\ub0b4)\uc640 \ud568\uaed8 \uc751\uae09\uc2e4\ub85c \ub0b4\uc6d0 (\ubcf5\uc6a9\uc57d \uc788\uc73c\ub098, \uc798 \ucc59\uaca8\uba39\uc9c0 \ubabb\ud588\ub2e4\uace0 \ud568)<\/p>\n

\u2461 \ud604 \uc0c1\ud0dc
\n\u25cf dyspnea
\n\u25cf both foot pitting edema G3 (3+: \uc911\uc99d \uc694\ud754\uc131 \ubd80\uc885 :1\ubd84 \uc774\uc0c1 \uc9c0\uc18d, \ubc1c\uacfc \ub2e4\ub9ac \ubd80\uc885 \ub3d9\ubc18\ud55c 6mm \uc2ec\ubd80 \ud568\uc694)
\n\u25cf general edema G1
\n\u25cf \ud1b5\uc99d NRS 3, \ud1b5\uc99d \uc591\uc0c1: \ub204\ub974\ub294 \ub4ef, \ud1b5\uc99d \ubd80\uc704: \uac00\uc2b4
\n\u25cf BST 217mg\/dL
\n (\ubcf5\uc6a9\uc57d \uc788\uc73c\ub098, \uc798 \ucc59\uaca8 \uba39\uc9c0 \ubabb\ud588\ub2e4\uace0 \ud568)<\/p>\n

\u2462 \uc8fc\uc9c4\ub2e8\uba85: \uc0c1\uc138\ubd88\uba85 \uc2ec\ubd80\uc804 \/ \uc0c1\uc138\ubd88\uba85 \ud611\uc2ec\uc99d<\/p>\n

\uc911\ub7b5…..<\/p>\n

5) \uc751\uae09\ub300\uc0c1\uc790\uc758 \ucc98\uce58 \ud604\ud669<\/p>\n

AM 10:11
\n\uc751\uae09\uc2e4 \ucd08\uc9c4 \uae30\ub85d \uc791\uc131 BP 120\/70, PR 111, BT 36.2, PR 89, RR 24, SpO\u2082 93%<\/p>\n

AM 10:12
\nO\u2082 2L inhalation via nasal prong
\n->53\ubd84 \ub4e4\uc5b4\uac10
\nsemi-fowler\u2019s position change <\/p>\n

AM 10:25
\nLab sampling
\nX-ray \ucd2c\uc601
\n\ub77c\uc2dd\uc2a4(\ud504\ub85c\uc138\ub9c8\uc774\ub4dc) 2 amp IV side<\/p>\n

AM 10:34
\nfoley catheterization 18Fr.<\/p>\n

\uc911\ub7b5…..<\/p>\n

\uac04\ud638\uc9c4\ub2e8. \ud749\ub9c9 \uc0bc\ucd9c\uacfc \uad00\ub828\ub41c \ube44\ud6a8\uacfc\uc801 \ud638\ud761 \uc591\uc0c1 <\/p>\n

\u2022 \ubc94\uc8fc: \uc601\uc5ed 4. \ud65c\ub3d9\/\ud734\uc2dd
\n\u2022 \uc815\uc758: \uc801\uc808\ud55c \ud658\uae30\ub97c \uc2dc\ud0a4\uc9c0 \ubabb\ud558\ub294 \ud761\uae30\uc640 \ud638\uae30
\n\u2022 \uad00\ub828\uc694\uc778: \uc2ec\ubd80\uc804, \ud749\ub9c9 \uc0bc\ucd9c, \ud638\ud761\uadfc \ud53c\ub85c, \ubd84\ube44\ubb3c \uc99d\uac00, \uccb4\uc704, \uadfc\uace8\uaca9\uacc4 \uc190\uc0c1, \ucc99\uc218 \uc190\uc0c1, \uacfc\ub3c4\ud658\uae30, \uacfc\uc18c \ud658\uae30 \uc99d\ud6c4\uad70, \ud1b5\uc99d, \ud749\ubcbd \uae30\ud615, \ubd88\uc548, \uc5d0\ub108\uc9c0 \uac10\uc18c\/\ud53c\ub85c, \uc2e0\uacbd\uadfc\uc721 \uc7a5\uc560<\/p>\n

Subjective Data
\n\u201c\uc228\uc774 \ucc28\uc11c \ud798\ub4e4\uc5b4\uc694.\u201d
\n\u201c\ub77c\uc2dd\uc2a4 \ube68\ub9ac \ub194\uc918\uc694.\u201d<\/p>\n

Objective Data
\n\u2022 Chest X-ray: pulmonary edema and pleural effusion
\n\u2022 V\/S BP 120\/70, PR 111, BT 36.2, PR 89, RR 24, SpO\u2082 93
\n\u2022 EKG: \uc2ec\uadfc\uacbd\uc0c9\uc99d\uc774 \ubc1c\uc0dd\ud588\ub358 \uac83\uc73c\ub85c \uc758\uc2ec\ub418\ub294 \ube44\uc815\uc0c1\uc801\uc778 \uc2ec\uc804\ub3c4
\n\u2022 \ud608\uc561\uac80\uc0ac\uacb0\uacfc
\n -NT-pro BNP 21700(\u25b2)
\n -BUN 29.6(\u25b2)
\n -Total bilirubin 2.0(\u25b2)
\n -ALT(SGPT) 83(\u25b2)
\n -ALP 154(\u25b2)
\n -Platelet 144(\u25bc)
\n -RDW \uc99d\uac00 + MCV \uac10\uc18c<\/p>\n

\uc911\ub7b5….<\/p>\n

<\uc218\ud589>
\n1. \ucc98\ubc29\uc5d0 \ub530\ub77c \uc0b0\uc18c\uc694\ubc95\uc744 \uc2dc\ud589\ud558\uc600\ub2e4.
\n \u2022AM 10:12
\n O\u2082 2L inhalation via nasal prong
\n \u27a0 53\ubd84 \uc720\uc9c0
\n \u2022AM 11:05
\n O\u2082 4L\/min increased<\/p>\n

3. \uce68\uc0c1 \uba38\ub9ac\ub97c \uc62c\ub824
\nsemi-fowler\u2019s position\uc744 \uc720\uc9c0\ud558\uc600\ub2e4.<\/p>\n

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

\ubaa9\ucc28 I. \ubb38\ud5cc\uace0\ucc302 II. \ub300\uc0c1\uc790 \uc0ac\uc81511 1) \ubcd1\ub825\uae30\ub85d11 2) \uc2e0\uccb4\uac80\uc9c412 3) \ub300\uc0c1\uc790\uc758 \uc9c4\ub2e8\uc801 \uac80\uc0ac \uacb0\uacfc\ub97c \ud574\uc11d14 4) \ub300\uc0c1\uc790\uc758 \uc57d\ubb3c\uce58\ub8cc21 5) \uc751\uae09\ub300\uc0c1\uc790\uc758 \ucc98\uce58 \ud604\ud66925 6) \ub300\uc0c1\uc790\uc758 \uac04\ud638\uc9c4\ub2e8\ubaa9\ub85d27 7) \ub300\uc0c1\uc790\uc758 \uac74\uac15\ubb38\uc81c \ud574\uacb0\uc744 \uc704\ud55c \uac04\ud638\ub97c \uacc4\ud68d, \uc218\ud589 \ubc0f \ud3c9\uac0028 \ubcf8\ubb38\ub0b4\uc6a9 1) \ubcd1\ub825\uae30\ub85d (1) \uc8fc \ud638\uc18c : dyspnea, mild chest pain, edema (2) \ucd08\uae30 \ud65c\ub825\uc9d5\ud6c4: BP 120\/70, PR 111, […]<\/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":[9301,3559,20925,5286],"class_list":["post-28351","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-3559","tag-20925","tag-5286"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/28351","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=28351"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/28351\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=28351"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=28351"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=28351"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}