{"id":40428,"date":"2026-05-15T09:00:26","date_gmt":"2026-05-15T00:00:26","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/05\/15\/40428\/"},"modified":"2026-05-15T09:00:26","modified_gmt":"2026-05-15T00:00:26","slug":"dka-case-study%eb%8b%b9%eb%87%a8%eb%b3%91%ec%84%b1-%ec%bc%80%ed%86%a0%ec%82%b0%ec%a6%9d","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/05\/15\/40428\/","title":{"rendered":"DKA case study[\ub2f9\ub1e8\ubcd1\uc131 \ucf00\ud1a0\uc0b0\uc99d]"},"content":{"rendered":"

<\/p>\n

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

1. \ucd1d\uad04\uc801 \uc18c\uacac
\n2. \uc9c8\ubcd1\uc5f0\uad6c
\n3. \uac04\ud638\uc9c4\ub2e8 \ubc0f \uc6b0\uc120\uc21c\uc704<\/p>\n

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

\ud658\uc790\ubd84 74\uc138 \ub0a8\uc131\ubd84\uc774\uc2dc\uba70 \ub0b4\uc6d0\ub2f9\uc77c(7\/11) \uac11\uc790\uae30 \uc7a0\ub4e0\ubaa8\uc2b5\uc744 \ubcf4\uc600\ub2e4\uace0\ud558\uba70 \uadf8\ud6c4\ubd80\ud130 \ud5c8\ub9ac\uc544\ub798\ub85c \ud798\uc774\uc5c6\uc5b4 \uc77c\uc5b4\uc11c\uc9c0 \ubabb\ud558\uace0 dysarthria \ub3d9\ubc18\ub418\uc5b4 119\ub85c ER\ud1b5\ud558\uc5ec adm \ud558\uc2e0 \ubd84\uc785\ub2c8\ub2e4.
\n ER \ucd08\uae30\uc0ac\uc815 \ub2f9\uc2dc BP 110\/70 , 78, 20, 36.6 97%\uc774\uba70 BST\ub294 \uce21\uc815\uc2dc \uae30\uacc4\uc218\uce58\uac00 high\uc774\uba70 mental\uc740 drowsy\ud55c \uc0c1\ud0dc\uc600\uc2b5\ub2c8\ub2e4. \uacfc\uac70\ub825\uc73c\ub85c\ub294 HTN\/DM\/spinal stenosis \uc788\uc73c\uc2dc\uba70 DM\uc758 \uacbd\uc6b0 local\uc5d0\uc11c medi \uc911\uc774\uc9c0\ub9cc \uc815\ud655\ud55c \uc815\ubcf4\ub294 \uc54c \uc218 \uc5c6\uc5c8\uace0 spinal stenosis\ub85c \ubcf8\uc6d0 NS f\/u\uc911\uc785\ub2c8\ub2e4.
\nC.C \ub85c\ub294 LBP, weakness[weakness\uc774\ub098 motor grade\ub294 \uc0c1\ud558\uc9c0 \ubaa8\ub450 5\/5\ub85c \ud655\uc778\ub428], dysarthira , syncope\uc774\uba70 \ud2b9\uc774 \uc0ac\ud56d\uc73c\ub85c\ub294 \ub4f1\uc758 \uc885\uae30\uac00 \uc788\uc73c\uba70 6\uac1c\uc6d4 \uc804\ubd80\ud130 \uc788\uc5c8\ub2e4\uace0 \ud569\ub2c8\ub2e4. \uc785\uc6d0 \uc9c4\ub2e8\uba85\uc740 1. Lumbar spinal stenosis. 2.cellulitis,abcess 3.HHS(hyperglycemic hyperosmolar state) \uc600\uc73c\ub098 HHS\uc9c4\ub2e8\uc740 DKA\ub85c \ubcc0\uacbd\ub418\uc5c8\uc2b5\ub2c8\ub2e4.
\nICU\ub85c \uc804\uc2e4 \ud6c4 BST \uce21\uc815\uc2dc 564 \ud655\uc778\ub418\uc5b4 Humulin R 6U \ucc98\ubc29\ubc1b\uc544 \uc801\uc6a9\ud558\uc600\uc73c\uba70 3\uc2dc\uac04 \uc774\ud6c4 251\ub85c \uce21\uc815\ub418\uc5c8\uace0 poly insert \uc774\ud6c4 keep \uc911\uc774\uc2ed\ub2c8\ub2e4.
\nHD#1 WBC 32.1 Seg.N 91 D-dimer 708 ,Urine Glucose 250 ketones 5 \ud655\uc778\ub418\uc5b4 \ub2f9\ub1e8\uc640 \uac10\uc5fc\uc774 \ucd94\uc815\ub418\ub294 \uc0c1\ud0dc\uc600\uc2b5\ub2c8\ub2e4. [BT 38.2\ub85c Dengan PRN\ucc98\ubc29\ub0a8]GCS 356 P 3\/3
\nHD#2 \uc624\uc804\uc911 cellulitis \ub54c\ubb38\uc5d0 DR\uc640 \ud611\uc9c4 \uc694\uccad\ud558\uc600\uace0 \uc774\ud6c4 \ud658\uc790 \ubcf8\uc778\uc774 \ud1b5\uc99d\uc744 \ubabb\ub290\ub080\ub2e4\uace0 \ud558\uc5ec \ub9c8\ucde8 \uc5c6\uc774 incision \ud558\uc600\uace0 \uc774\ud6c4 culture\uc640 anti order, dx\ubc1b\uc558\uc2b5\ub2c8\ub2e4. ABGA\uc0c1 PCO2 26.8, PO2 75 ,HCO3 17.6, TCO2 18.4\ub85c \ucf00\ud1a4 \ud655\uc778\ub418\uc5b4 \ucf00\ud1a0\uc0b0\uc99d\uc73c\ub85c \ucd94\uc815\ub418\ub294 \uc0c1\ud0dc\uc600\uc2b5\ub2c8\ub2e4. [BT 37.9 \ud655\uc778\ub418\uc5b4 PRN \uc801\uc6a9\ud568] GCS 356 P 3\/3<\/p>\n

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

\ubaa9\ucc28 1. \ucd1d\uad04\uc801 \uc18c\uacac 2. \uc9c8\ubcd1\uc5f0\uad6c 3. \uac04\ud638\uc9c4\ub2e8 \ubc0f \uc6b0\uc120\uc21c\uc704 \ubcf8\ubb38\ub0b4\uc6a9 \ud658\uc790\ubd84 74\uc138 \ub0a8\uc131\ubd84\uc774\uc2dc\uba70 \ub0b4\uc6d0\ub2f9\uc77c(7\/11) \uac11\uc790\uae30 \uc7a0\ub4e0\ubaa8\uc2b5\uc744 \ubcf4\uc600\ub2e4\uace0\ud558\uba70 \uadf8\ud6c4\ubd80\ud130 \ud5c8\ub9ac\uc544\ub798\ub85c \ud798\uc774\uc5c6\uc5b4 \uc77c\uc5b4\uc11c\uc9c0 \ubabb\ud558\uace0 dysarthria \ub3d9\ubc18\ub418\uc5b4 119\ub85c ER\ud1b5\ud558\uc5ec adm \ud558\uc2e0 \ubd84\uc785\ub2c8\ub2e4. ER \ucd08\uae30\uc0ac\uc815 \ub2f9\uc2dc BP 110\/70 , 78, 20, 36.6 97%\uc774\uba70 BST\ub294 \uce21\uc815\uc2dc \uae30\uacc4\uc218\uce58\uac00 high\uc774\uba70 mental\uc740 drowsy\ud55c \uc0c1\ud0dc\uc600\uc2b5\ub2c8\ub2e4. \uacfc\uac70\ub825\uc73c\ub85c\ub294 HTN\/DM\/spinal stenosis \uc788\uc73c\uc2dc\uba70 DM\uc758 \uacbd\uc6b0 local\uc5d0\uc11c medi […]<\/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":[21840,4997,3559,50641,5631],"class_list":["post-40428","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-aidma","tag-dka","tag-3559","tag-50641","tag-5631"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/40428","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=40428"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/40428\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=40428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=40428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=40428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}