Chapter 784: : Successful rescue!

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In a word, choked everyone around!
After the little nurse saw Chen Cang, her eyes lighted up.
Isn't this the male at the time?
Everyone didn't expect to meet Chen Cang!
Chen Cang did not hesitate, and now is not the time to hesitate, he hurriedly said, "Let's go!"
Shen Xiuyuan nodded quickly.
Here, Chen Cang introduced: "This is the president of the Second Provincial Hospital, Dean Qin, this is the emergency doctor Qin Yue, let them come in, I hope to help!"
When Shen Xiuyuan heard it, he suddenly widened his eyes. Dean Qin?
He nodded quickly: "OK! OK!"
Someone had an idea. This is a good thing. Shen Xiuyuan quickly said to the nurse: "Call the chief of planning and say ..."
The little nurse nodded.
Qin Xiaoyuan kept looking at Chen Cang and didn't talk much. If Chen Cang said something wrong, he would remind him.
but!
He found that Chen Cang's choices from scratch were all correct, even the best.
Chen Cang glanced at the nurse and said quickly:
"Clear the nose and mouth secretions, keep the airway open, and prepare for oxygen!"
After organophosphorus poisoning, the activity of cholinesterase is inhibited and the activity of hydrolyzing acetylcholine is lost, so it will cause the accumulation of acetylcholine!
Acetylcholine receptors show symptoms of muscarinic or nicotine and the central system.
Therefore, the core treatment during treatment is anticholinergic therapy.
However, currently there is no anticholinergic drug on the market that can better combat these three types of symptoms at the same time, and only one of them can have a significant effect.
Therefore, Chen Cang couldn't take care of this poisoned rescue, which is why he didn't let Shen Xiuyuan be responsible.
Because in comparison, he is more willing to believe in himself!
At this point, the patient has drawn blood.
"Intubate, put on diuretics!"
"Stomach wash!"
At this time Li Dan had urinary incontinence, and diuresis could also accelerate metabolism.
Four or five little nurses are immediately busy!
Soon, the ECG monitor was ready.
As soon as the monitor started working, Didi's alarm sounded!
Chen Cang looked up, his heart rate was getting lower and lower, his blood oxygen protection was falling, and his blood pressure was falling!
Chen Cang frowned!
Quickly said: "Prepare atropine!"
Shen Xiuyuan has already begun to prepare here. Dichlorvos is a common sense for the use of atropine in poisoning these organophosphorus pesticides. Shen Xiuyuan is no stranger.
but!
Chen Cang suddenly said: "16 mg!"
This sentence directly shocked Shen Xiuyuan, and even the tune that ran in suddenly stopped.
"How many?"
Chen Cang continued, "16 mg, intravenously!"
Chen Cang's words were like a thunder in the emergency department, which scared Shen Xiuyuan and the director of the emergency department who just came in.
16 mg of atropine intravenously!
Is this crazy?
16 mg!
Not intramuscular!
Not even an IV drip!
"Isn't it too much?" Ji Qu frowned directly.
Chen Cang said in a deep voice: "It must be so!"
Qin Xiaoyuan also said at this time: "Atropine should be used in sufficient quantities for the first time to achieve an effective drug concentration in the blood as soon as possible. This can effectively avoid the aging of poisoning enzymes and reduce or even eliminate the symptoms of poisoning for a period of time!"
"The latest guidelines can use 20 mg, yes, no problem, and intravenous injection can quickly reach effective blood concentration!"
"The patient now has a higher poisoning score, which is severe!"
When I heard Qin Xiaoyuan say this, Ji Qu didn't say much. Qin Xiaoyuan was a famous doctor in the country and everyone in internal medicine.
Is very convincing!
This is the frightening power of fame.
This is why Qin Xiaoyuan came, he was worried that Chen Cang could not hold the scene.
Here, gastric lavage has begun.
16 mg of atropine also started to take effect!
The nurse immediately saw the ECG monitor:
"Heart rate is back, the pulse is also faster, the blood oxygen protection is increased, and it is basically normal!"
Chen Cang looked down and checked, and there was no atropinization testimony.
Time passes by every minute!
The rescue continues.
Half an hour ... It has passed, Chen Cang frowned, and hasn't responded to atropine?
"Continue intravenous atropine!"
Shen Xiuyuan is not hesitating here, continue to prepare!
This rescue should have been sufficient in the beginning and repeated medication!
But ... he just didn't know how much was enough to be enough!
In fact, they are worried about atropine poisoning.
Drug poisoning is also dangerous.
In fact, first aid is dancing on the tip of a needle!
Constantly staged the rescue of the peak and limit.
Continuously make adjustments and treatment according to the patient's performance and symptoms.
This is the so-called tactics, the soldiers will block!
If first aid is the most beautiful art, no one should doubt it.
Because the human body itself is one of the most amazing works of nature.
Holding the human body's life as a bet, every time, you must go all out.
The grasp of every emergency medicine is very important for emergency doctors!
The difference is absolutely thousands of miles away!
And Chen Cang's grasp of emergency poisoning is perfect, plus his grasp of emergency rescue drugs is also perfect!
Through the patient's symptoms and signs score, he can determine what Li Dan's index is now!
In his eyes, on the four-dimensional model map, Chen Cang seems to be able to understand his symptoms, his toxins, atropine, acetylcholine, etc. through his symptoms at this time!
At this time, Li Dan suddenly started to twitch again!
Chen Cang thought for a moment and immediately said, "Scopolamine, 2gm, intravenous injection!"
Atropine is mainly targeted at the M receptor, which is muscarinic.
Scopolamine targets the N receptor, which is nicotine.
The two are very different.
Scopolamine has a moderate cardiovascular effect, but it has a significant effect on the nervous system, can relieve central excitement, and has a significant effect on muscle tremor.
"Clophostine ..."
Needless to say, this Chen Cang, Shen Xiuyuan also understands.
Chlorhexidine has a very good effect, and it is currently the drug of choice to rescue organophosphorus pesticide poisoning!
Each doctor's order is issued continuously!
Li Dan's symptoms are also being relieved, and the poisoning effect is also improving.
But no one dares to neglect.
Because there is a rebound problem in the treatment of organophosphate poisoning.
And this rebound mechanism lacks unclear standards.
There is currently no effective solution for kickback.
To put it simply, it is safe to not bounce back after the first round is cured.
It's GG!
Busy in the middle of the night ~ EbookFREE.me ~ Li Dan finally stabilized.
Seeing that it stabilized, everyone was relieved.
Ji Qu looked at Shen Xiuyuan: "Doctor Shen, work hard at night, this ... Dean Qin, Director Chen, you can also go back to rest, there should be nothing.
Chen Cang nodded and looked at the time, it was already over six.
If it's summer, the sky is bright.
Unconsciously, it's this time.
Chen Cang glanced at Qin Xiaoyuan and Qin Yue with a tired look, and said distressed: "Uncle, Yue Yue, don't go back today, take a day off, and return tomorrow?"
Qin Yue also yawned, and everyone was a little sleepy.
In particular, Qin Xiaoyuan drove up early yesterday, but he didn't take a good rest. After so much toss, he was a bit tired.
Qin Xiaoyuan nodded, relieved.
Out of the rescue room, Wang Fan's parents stood up in a hurry, with anxiety on their faces, not knowing when, Wang Fan would also come, disheartened.
Wang Fan hurriedly came: "Cang Cang! Chen Cang ... how is Dandan?"
Wang Fan's parents were also eagerly watching Chen Cang.
Chen Cang breathed a sigh of relief: "It's much better for the time being, we still have to see if we can stabilize it."
Chen Cang is telling the truth.
And here, Chen Dahai also hurried in.
He came to pick up Chen Cang and heard that it was all right, he was relieved.
"go home!"
...
: Dichlorvos still has salvation, but ... paraquat really has no solution, just like a book friend said, it gives you time to regret, but it doesn't give you a chance to live.
A chance to write about paraquat.
Maybe with the development of science and technology, these will be saved. The only thing that is not saved is gambling.
Cherish life and stay away from yellow gambling drugs! (No billing.)
(End of this chapter)
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