바오로천사 | 저나트륨 혈증과 저칼륨 혈증 - Daum 카페

<P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 18pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">저 나트륨 혈증 </SPAN><SPAN style="FONT-SIZE: 18pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">: 혈중 Na 농도가 135mEq/ℓ이하</SPAN><SPAN style="FONT-SIZE: 18pt"> </SPAN></P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"><BR></SPAN></P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">※ 치료</SPAN> </P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"> -체액량 결핍 동반시 : isotonic saline, hypotonic saline 투여</SPAN> </P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"> -체액량 증가시 : 수분 및 염분의 제한  hypotonic saline 또는 </SPAN></P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">                  hypotonic saline과 함께 furosemiole등 이뇨제 병용</SPAN> </P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"> -체액량 정상 : 수분제한 hypotonic saline과 furosemiole 병용요법</SPAN> </P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"><BR></SPAN></P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 18pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 18pt">저 캴륨 혈증 </SPAN>: </SPAN><SPAN style="FONT-SIZE: 18pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">혈중 K농도가  3.5mEq/ℓ이하</SPAN><SPAN style="FONT-SIZE: 18pt"> </SPAN></P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"><BR></SPAN></P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">※ 치료</SPAN><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"></SPAN> </P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"></SPAN><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">-Kcl 용액은 40mEq/20㎖를 시간당 20mEq 이하의 속도로 하루에</SPAN> </P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">  80~120mEq 이하의 K투여</SPAN> </P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify"> -고칼륨혈증이 발생되지 않도록 2~4시간마다 혈중 K치 측정</SPAN> </P> <P style="FONT-SIZE: 12pt; MARGIN: 0pt; COLOR: #000000; TEXT-INDENT: 0pt; LINE-HEIGHT: 160%; FONT-FAMILY: '굴림체'; TEXT-ALIGN: justify"><SPAN style="FONT-SIZE: 12pt; COLOR: #000000; LINE-HEIGHT: 19.2pt; FONT-FAMILY: '굴림체'; LETTER-SPACING: 0pt; TEXT-ALIGN: justify">  K를 다량 투여 시 심전도 감시가 필요</SPAN>  <DIV class=autosourcing-stub> <P style="PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: 12px; PADDING-BOTTOM: 0px; MARGIN: 11px 0px 7px; PADDING-TOP: 0px; FONT-STYLE: normal; FONT-FAMILY: Dotum"><STRONG style="PADDING-RIGHT: 7px; PADDING-LEFT: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px">[출처]</STRONG> <A href="http://blog.naver.com/meang79/50038065631" target=_blank><U><FONT color=#0000ff>저나트륨혈증/저칼륨혈증의 치료</FONT></U></A><SPAN style="PADDING-RIGHT: 7px; PADDING-LEFT: 5px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px">|</SPAN><STRONG style="PADDING-RIGHT: 7px; PADDING-LEFT: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px">작성자</STRONG> <A href="http://blog.naver.com/meang79" target=_blank><U><FONT color=#0000ff>수수꽃나무</FONT></U></A></P></DIV> <P></P>

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