#4.
73 1 10 48 5mg 83 1
#5.
JCS I-3 173.0 cm, 58 kg 38.2 86/64 mmHg, 112 / SpO2 94% ( ( , ) 3L / ), 30 / , coarse crackles , , ,
#6.
WBC Neut Ly Mo Eo Baso RBC Hb Ht Plt PT-INR 15,300 85 7 7 1 0 468 13.9 42 9 1.6 /μL % % % % % /μL g/dL % /μL TP Alb AST ALT γ-GTP LDH ALP T-chol LDL-chol BUN Cr Na K 6 3.8 114 30 17 346 199 139 82 30 1.9 134 5 g/dL g/dL IU/L Cl Glu CRP IU/L 97 98 22 4.2 mEq/L mg/dL mg/dL mmol/L IU/L IU/L 3L/ IU/L mg/dL mg/dL mg/dL mg/dL mEq/L mEq/L pH PaCO2 PaO2 HCO3- 7.3 32 60 14 Torr Torr mEq/L
#7.
1 A B C D E ⾒
#8.
⾒ 1 D qSOFA
#9.
• • ICU ⾒ ⾒ ICU qSOFA SOFA 2
#10.
quick SOFA (qSOFA) • ICU • • • 2 22 / (GCS < 15) 100mmHg × SIRS SIRS qSOFA
#11.
1 A B C D E 2000 mL 2000mL
#12.
1 2000mL C 3 30mL/kg
#13.
Q. A. 2021 58kg 30ml/kg × 58 = 1740 (ml)
#14.
α FiO2 P/F ?! ⾒
#15.
1 A B C D E 4.2 mmol/L 9 /µL 15,300 pH 7.30 D 3.4μg/mL
#16.
1 A 4.2 mmol/L 2mmol/L
#17.
1 A B C D E 80/60 mmHg 85/55 mmHg 95/60 mmHg 95/45 mmHg 100/50 mmHg
#18.
1 D 95/45 mmHg 65mmHg 2mmol/L ( )÷3 D 65mmHg
#19.
Q. A. ?! (3 ) ⾒
#20.
α FiO2 P/F ?! ⾒
#21.
P/F A B C D E 120 160 190 240 300 1
#22.
P/F C 1 190 P/F PaO2 ÷FiO2 3L/ FiO2
#23.
FiO2 L/min • • 0.21 1 0.24 2 0.28 3 L/ 3 0.32 4 0.36 5 0.4 6 0.44 5-6 0.4 6-7 0.5 7-8 0.6 6 0.6 7 0.7 8 0.8 5 L/ • 0.32 0.4 8 L/ • 4 FiO2 0.8 9 0.8 10 0.8
#24.
P/F • FiO2 PaO2 • P/F FiO2
#25.
P/F 400 • • • • ARDS ARDS ARDS 300 200 100 PaO2 60 Torr P/F 60 ÷ 0.32 = 187.5
#26.
ARDS (ARDS) • ARDS • ARDS • ARDS ARDS • P/F 40% ARDS
#27.
α FiO2 P/F ?! ⾒
#28.
qSOFA • • P/F • ⾒ ARDS
#29.
• • • ⾒ ⾒
#30.
⾒ • • • ⾒
#31.
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