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학습 자료 둘러보기 →A blood glucose level of 380 mg/dL with ketonuria is a critical finding indicative of diabetic ketoacidosis (DKA), a life-threatening emergency. This requires immediate intervention with intravenous fluids, insulin, and electrolyte monitoring.
In patients with multiple comorbidities like heart failure and chronic kidney disease, expected findings such as 2+ pitting edema or a slightly elevated creatinine of 2.1 mg/dL from a baseline of 1.8-2.0 mg/dL are chronic management issues, not acute crises.
Never dismiss hyperglycemia with ketones as a simple glucose elevation. DKA can rapidly progress to cerebral edema, severe hypokalemia, and death. Prioritize assessment of level of consciousness and potassium levels before initiating insulin therapy.
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