증례 challenge · 신장내과 · 응급 · 내과 · teaching

처리 경로 · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on 2023 UKKA / 2018 KDIGO

Case #1신장내과 · 응급 · 내과

📋 Case data

평가예(ECG / K⁺≥6.5 / 있음)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · 평가

다음 중 하나라도 해당합니까: 심전도 변화 · 혈청 칼륨 ≥6.5 mmol/L · 증상 있음?

💡 먼저 가성 고칼륨을 배제한다(용혈, 채혈 시 주먹 쥐기, 혈소판·백혈구 과다). 급성 고칼륨은 만성(예: 투석 환자)보다 위험하다. 경증 5.5–5.9, 중등증 6.0–6.4, 중증 ≥6.5 mmol/L. 심전도: 뾰족한 T파, P파 소실, PR 연장, QRS 확대, 사인파 형태.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.