Chapter 427: : Convinced orally!

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With the move of the ECG machine, Chen Cang started to pick up the leads!
Weak body!
Abnormal reactions in the digestive tract!
Difficulty breathing and suspected a problem with the respiratory muscles!
Flustered!
diabetes!
Combining all these factors, Chen Cang thought of a terrible and even life-threatening disease!
And it can be life threatening at any time!
However, the ECG has not had time to do it.
Kobayashi shouted, "Doctor Chen, my heartbeat has only been 20 times!"
Chen Cang's face was suddenly ordinary: "Atropine!"
Nurse Lele hastened to start the injection!
But after dopamine injection, the effect is still average!
The patient's condition did not improve.
At this time, the ECG machine slowly spit out the ECG.
Chen Cang tore off the electrocardiogram, took it for a closer look, and suddenly his face changed.
Sure enough!
The ECG waveform, combined with all the patient's performance, everything can be explained clearly!
Chen Cang couldn't help but feel fortunate, but fortunately did not rush to rehydration.
Otherwise, the old lady is really over.
At that time, there will be no surgery.
Looking at the electrocardiogram, Chen Cang felt his hands shaking.
Kobayashi continued: "Doctor Chen, the heart rate is still falling!"
At this time, the old man was pale and had a lot of diabetes for many years. Besides, he was 80 years old, so his face was skinny!
At this time, the sloppy facial expression, the rapid breathing of the open mouth, and the screaming in the mouth, suddenly let a few come to see the "lively" rules to accompany the students to take a step back!
horrible!
at this time!
Atropine seems to be of no use at all, and the heart rate is still only 20 times.
Chen Cang thought about it and immediately changed his policy: "Isoproterenol!"
In the first aid box, there was a complete set of rescue materials, and a whole row of rescue drugs was very complete. Lele quickly began to search for ... preparation.
At this time, Chen Cang said to Xiaolin aside:
"Prepare 10ml of calcium chloride! Intravenous!"
"Also, insulin, 10 units, also intravenously!"
As soon as this word came out, a group of Jian Peisheng behind them was dumbfounded!
At this time, even use calcium!
Their faces were bewildered, and they did not know why Chen Cang started using intravenous calcium supplementation after doing an ECG.
Patient ... calcium deficiency?
A group of people are a little stingy!
To tell the truth, Xu Dongdong is also a little bit confused, but still standing behind him, holding down a notebook and writing down every word that Chen Cang said.
Because calcium chloride and insulin are not included in the rescue medication, they need to be taken to a nurse's station temporarily.
After coming, Chen Cang quickly looked at Xiaolin and urged word by word:
"Remember! Slowly calcium chloride, 10 ml, give it in five minutes!"
"Insulin is also injected intravenously!"
After the explanation was finished, Chen looked at the monitor, at this time the heartbeat had reached 45 times per minute!
It seems to be the credit for isoproterenol!
But this is not the time to be happy.
The most important cause of the patient has not been eliminated!
This can be life-threatening and cause sudden cardiac arrest in no time!
At this time, Li Baoshan happened to pass by the emergency department and learned that some patients hurried in after the rescue!
Li Baoshan watched Kobayashi injecting drugs.
Asked Chen Cang: "What about the patient?"
At this time, all the following Pei Peisheng are aggressive!
They don't even know what happened.
Although the full name follows, but ... don't understand at all!
In the end what happened?
How do we look like weak chickens?
Why did Chen Cang start such a complicated operation after watching an electrocardiogram?
Even Xu Dongdong knew nothing about it.
The man who talked with Xu Dongdong just behind him was also a bit suffocated, wasn't it the electrolyte disorder?
Chen Cang saw his heartbeat and blood pressure gradually recover, and finally relieved.
Hearing Li Baoshan's question, he suddenly turned around and said, "Director!"
"Patient should be hyperkalemia, accompanied by diabetic ketones, and the potassium may be as high as eight o'clock!"
After Li Baoshan heard the blood potassium, his face suddenly pulled down.
More than eight o'clock blood potassium, this is terrible!
Normal blood potassium is between 3.5 and 5.5 mmol / L.
When it exceeds 5.5, it is hyperkalemia.
Li Baoshan heard the blood potassium so high and immediately asked, "Did the serum electrolytes come out?"
Chen Cang shook his head: "It just took less than ten minutes to send it, no such fast!"
As soon as Chen Cang said this, the people around him suddenly became quiet!
Without serum electrolyte indicators, how did Chen Cang come up with blood potassium at eight o'clock?
How did you guess that the patient was hyperkalemia!
Chen Cang did an electrocardiogram from beginning to end.
At this moment, the surrounding Pei Sheng was curious!
Chen Cang can't say he guessed it!
When Li Baoshan heard Chen Cang say this, he quickly picked up the ECG on the side and looked carefully, and immediately frowned!
"What did you use?"
Chen Cang: "Calcium, calcium chloride, the patient's blood sugar was more than 16 points, I added 10 units of insulin."
At this time, Li Baoshan stepped aside and looked at the patient.
At this time, you can only watch it change.
Chen Cang has done everything.
Li Baoshan is now more and more satisfied with Chen Cang.
The patient can be diagnosed keenly through the details, which is really not what ordinary people can do.
Not to mention anything else, just that Chen Cang can determine the blood potassium value through the electrocardiogram, this is a skill.
It can't be done in a few years!
Emergent and emergency, race against time, if you wait until the serum electrolytes come out, you are really cold!
The disposal of Chen Cang was also in place.
This makes Li Baoshan feel a bit emotional, really a good young man.
Chen Cang should have gone, if he can't do it anymore, he will have to go to dialysis.
Time passes by every minute.
The numbers on the ECG monitor keep jumping, just like the rhythm of life.
The heart rate gradually stabilized at about fifty, and the patient's breathing was stable, and blood pressure was stable.
At this time, both Chen Cang and Li Baoshan were relieved.
The patient's condition should be stable.
The old man also opened his eyes, relieved herself, she felt that she had broken through the ghost door once.
...
...
At this time, the woman who had just taken her mother to the hospital was pacing at the entrance of the observation room.
Nervous to death!
I'm afraid of something wrong with my mother.
Seeing this, Uncle Qin Taishan from the emergency department couldn't help but comfort him: "Big sister, don't worry, rest assured, Director Li has gone in, no problem!"
Having said that, how can a woman be at ease?
When I heard Qin Taishan say this, I couldn't help but choked suddenly!
"I shouldn't say her, I should fix the blood glucose meter earlier, I blame me!"
"I must have been too embarrassed about her, and I will never say her again ..."
"My God, please bless my mother, please, let her stand up!"
...
The woman's voice was choked and her mood was very unstable, so that Qin Taishan on the side did not know what to say.
The nurse on the side watched the woman cry like this and couldn't help sighing, this is the girl!
The mother made a mistake, and the blame was the blame. After all, the old man is old, and he says that when he is old, he will not be sensible when he is old, and the girl will be in your ear. It's up to you.
But Guigui, blame blame, if the old man is really sick, the girl really feels the same as herself.
At this time, the old man slowly and slowly came over.
However, at this time, you can't be careless.
There are many causes of hyperkalemia. Diabetic ketosis is one type, but other things cannot be ruled out, so it is necessary to wait for the results of physiology and biochemistry to come out before transferring to the department.
Li Baoshan called the laboratory, and after urging, the results came out soon!
The nurse quickly printed the test report and handed it over!
Li Baoshan brought it here.
"Blood potassium: .1!"
Fortunately, the rescue is timely. If the serum electrolytes really come out, this person ... can be dangerous.
Ji Peisheng on the side looked at it curiously, and then he was dumbfounded!
It's really over eight!
At this moment, they were very curious, how exactly did Chen Cang guess the concentration of potassium in the patient's blood!
Xu Dongdong is even more excited!
In just two days, I saw another nervous first aid!
Although my face was bewildered ~ EbookFREE.me ~ I had a kind of unclear feeling.
but……
Watching Mr. Chen find and discover the key factors and take timely treatment from various complex conditions and symptoms under such emergency conditions, this is too difficult!
Too cool!
To tell the truth, Xu Dongdong really convinced Chen Cang at this moment!
Convinced orally!
...
...
PS: Hey, for the time being, I will see you tomorrow at noon. The specific answer will be revealed tomorrow at noon.
By the way, tonight on Christmas Eve, I wish you all peace and happiness-the most sincere blessing from Chen Cang.
By the way, my stinky socks have been hung up. See if there are any gifts tomorrow ~ Looking forward to ing!