With the arrival of the ECG machine, Chen Cang quickly began to connect each lead!
Fatigue!
Abnormal reaction of digestive tract!
Dyspnea and suspected respiratory muscle problem!
Flustered!
Diabetes!
Combined with various factors, Chen Cang thought of a terrible and even life-threatening disease!
And it could be life-threatening at any time!
However, the ECG hasn''t been done yet.
Kobayashi shouted, "Dr. Chen, there are only 20 heartbeats!"
Chen Cang suddenly looked general: "atropine!"
Nurse Lele quickly started the injection!
But after dopamine injection, the effect is still very general!
The patient''s condition did not improve.
At this time, the ECG machine slowly spit out the ECG.
Chen Cang tore off the ECG, picked it up and looked at it carefully. His face suddenly changed.
right enough!
ECG waveform, combined with all the manifestations of patients, everything can be explained clearly!
Chen Cang can''t help but feel a little lucky. Fortunately, he didn''t need urgent rehydration.
Otherwise, the old lady is really over.
At that time, there will be no way to return to heaven.
Looking at the ECG, Chen Cang felt his hands shaking.
Kobayashi continued, "Dr. Chen, the heart rate is still decreasing!"
At this time, the old man looks very grim. He has been suffering from diabetes for some years. Some of them are thin, and eighty of them are old, so the face itself is skin and bones.
At this time, the ferocious facial expression, the rapid breathing of opening your mouth, and the shouting in your mouth immediately asked several rules to accompany the students who came to watch the "excitement" and couldn''t help but step back!
It''s horrible!
This time!
Atropine seems to be of no use at all. The heart rate is still only 20 beats.
Chen Cang thought about it and immediately changed his policy: "isoproterenol!"
In the first aid box, there is a complete set of rescue materials and a whole row of rescue drugs. Lele quickly began to look for... Preparation.
At this time, Chen Cang said to Kobayashi:
"Prepare 10ml of calcium chloride! Intravenous injection!"
"Also, insulin, 10 units, is also intravenous!"
As soon as this remark came out, a group of GUI Peisheng behind him suddenly became dumbfounded!
At this time, I have to use calcium!
They looked at a loss. They didn''t know why Chen Cang suddenly began to use intravenous calcium supplement after he finished his ECG.
Patient... Calcium deficiency?
A group of people are a little confused!
Xu Dongdong was a little confused to tell the truth, but he still stood behind him and took a notebook to write down every word Chen Cang said.
Because calcium chloride and insulin are not in the rescue drugs, they need to go to the nurse station temporarily.
After coming, Chen Cang quickly looked at Xiao Lin and told him word by word:
"Remember! Calcium chloride, slow down, 10ml, give it in five minutes!"
"Insulin is also intravenous!"
After the explanation, Chen looked at the monitor. At this time, the heartbeat had reached 45 times per minute!
It seems that it should be isoproterenol!
But this is not the time to be happy.
The most important cause of the patient has not been eliminated!
This can endanger life and cause sudden cardiac arrest in an instant!
At this time, Li Baoshan happened to pass by the emergency department. After learning that a patient was being rescued, he hurried in!
Li Baoshan watched Xiao Lin inject medicine.
Chen Cang asked, "what''s the situation with the patient?"
At this time, all the guipeisheng behind are confused!
They have no idea what happened.
Although the full name follows, but... I don''t understand at all!
What the hell happened?
Why do we look like weak chickens?
Why did Chen Cang start such a cumbersome operation after reading an ECG.
Even Xu Dongdong knows nothing about it.
The man behind him who just talked to Xu Dongdong is also a little discouraged. Isn''t it electrolyte disorder?
Chen Cang was relieved to see that his heart beat and blood pressure gradually recovered.
Hearing Li Baoshan''s question, he immediately turned around and said, "director!"
"Patients should be hyperkalemia, accompanied by diabetic ketosis, and blood potassium may be as high as eight points!"
After hearing the blood potassium, Li Baoshan immediately pulled down his face.
More than eight o''clock blood potassium, this is fatal!
Normal blood potassium is between 3.5 and 5.5 mmol / L.
When it exceeds 5.5, it is hyperkalemia.
Hearing that the blood potassium was so high, Li Baoshan immediately asked, "didn''t the serum electrolyte come out?"
Chen Cang shook his head: "just smoked and sent it for less than ten minutes. It''s not so fast!"
As soon as Chen Cang said this, the people around him immediately calmed down!
Without serum electrolyte indicators, how did Chen Cang say that blood potassium was more than 8:00?
How did you guess that the patient was hyperkalemia!
Chen Cang did an ECG from beginning to end.
At this moment, the surrounding guipeisheng suddenly became curious!
Chen Cang can''t say he guessed it!
When Li Baoshan heard Chen Cang say so, he quickly picked up the ECG, looked carefully, and immediately frowned!
"What did you use?"
Chen Cang: "calcium, calcium chloride, the patient''s blood sugar is more than 16 points. I added 10 units of insulin."
At this time, Li Baoshan went aside and looked at the patient.
At this time, we can only wait and see.
Chen Cang has done everything he should do.
Li Baoshan is really more and more satisfied with Chen Cang now.
It is really impossible for ordinary people to diagnose patients sensitively through details.
Not to mention anything else, Chen Cang alone can determine the blood potassium value through ECG, which is a skill.
In a few years, Taoism can''t do it!
In the emergency department, we race against time. If we wait until the serum electrolyte comes out, people will really be cold!
The disposal given by Chen Cang is also in place.
This makes Li Baoshan feel that he is really a good young man.
Chen Cang has all the things he should go on. If he can''t do it again, he will have to go on dialysis.
Time passed minute by minute.
The numbers on ECG monitoring keep jumping, just like the rhythm of life.
The heart rate gradually stabilized at about 50, the patient''s breathing was stable, and the blood pressure was stable.
At this time, Chen Cang and Li Baoshan were relieved.
The patient''s condition should be stable.
The old man also opened his eyes and breathed a sigh of relief. She felt that she had broken through a ghost gate.
……
……
At this time, the woman who just sent her mother to the hospital paced restlessly at the door of the observation room!
I''m so nervous!
I''m afraid something''s wrong with my mother.
Seeing this, emergency security uncle Qin Taishan couldn''t help comforting him: "big sister, don''t worry. Don''t worry. Director Li has gone in. It''s no problem!"
Having said that, how can a woman rest assured.
Hearing Qin Taishan say so, he couldn''t help choking!
"I shouldn''t have told her. I should have repaired the blood glucose meter earlier. It''s all my fault!"
"I must have nagged her too much at ordinary times. I won''t talk about her again in the future..."
"God, bless my mother, please, let her survive!"
……
The woman''s voice choked and her mood was very unstable. Qin Taishan didn''t know what to say.
The nurse on one side looked at the woman crying like this and couldn''t help sighing. This is the girl!
Mother made a mistake, blame is blame, after all, the old man is old, they say old back to small, old back to small, people are not sensible when they are old, just girls nagging in your ears, others don''t care about you.
But nagging belongs to nagging and blame. If the old man is ill, the girl is really worried as if she is ill.
At this time, the old man slowly came over.
However, at this time, hemp skin should not be careless.
There are many reasons for hyperkalemia. Diabetic ketosis is a type of hypercholesterolemia, but it can not be ruled out. Therefore, we need to wait for the results of physiological and biochemical results, and then transfer.
Li Baoshan called the laboratory. After urging, the result came out soon!
The nurse quickly printed out the test sheet and handed it over!
Li Baoshan, bring it here.
"Blood potassium: 8.1!"
Fortunately, the rescue was timely. If the serum electrolyte came out, the man... Would be dangerous.
After taking a curious look, GUI Peisheng was suddenly dumbfounded!
It''s really more than eight!
At this moment, they are very curious about how Chen Cang guessed the patient''s blood potassium concentration!
Xu Dongdong is even more excited!
In just two days, I saw another tense first aid!
Although his face was at a loss, there was a feeling of ignorance and severity.
But
It''s too difficult for Mr. Chen to find and find the key factors and take timely treatment from various complex conditions and symptoms under such urgent conditions!
It''s great!
To tell the truth, Xu Dongdong is really satisfied with Chen Cang at this moment!
be sincerely convinced!
……
……
PS: Hey hey, I''ll see you at noon tomorrow. The specific answer will be announced at noon tomorrow.
By the way, on Christmas Eve tonight, I wish you all peace - the most sincere blessing from Chen Cang.
By the way, my smelly socks have been hung up. See if there are any gifts tomorrow!