Vol 3 Chapter 2667: Inject insulin to the cake
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Live Surgical Broadcast
- 真熊初墨
- 1257 characters
- 2021-03-01 09:07:06
Liu Hui froze for a moment, and she ran over immediately.
She didn't know what happened, but Liu Hui made the extremely correct choice-120 first aid.
In the ambulance, Tang Liu's assistant immediately told the visiting doctor that Tang Liu had relatively stubborn hypoglycemia. She did n’t eat much today ’s plane meal, considering it may be caused by hypoglycemia.
A fingertip blood glucose was measured on the car, 1.22mmol / L!
The emergency doctor immediately pushed 50ml of high sugar intravenously. When the high sugar was advanced, Tang Liu's symptoms were quickly relieved, and a false alarm occurred.
When I came to the 912 emergency department to review the blood glucose, the result was 13.94 mmol / L. The high blood sugar value is related to the bolus of high glucose, and Zhou Litao didn't care.
After the examination, Tang Liu opened a CT scan of the skull. It is recommended to do a CT to check whether there are any diseases such as intracranial hemorrhage.
After Liu Hui followed the busy schedule, Zhou Litao was also very busy. He did not know Tang Liu, a "famous" pharmacologist.
In his view, this is just a "patient", because of a coma caused by hypoglycemia, which was relieved by intravenous injection of high glucose. According to 120 doctors in the emergency department, this should not be the first time a similar thing has happened.
Zhou Litao wanted to put the patients in hospital, and the recurrent hypoglycemia was quite fatal. Once this happens at night and there is no one around, the only thing waiting for the patient is death.
However, Tang Liu refused to be admitted to the hospital resolutely, and Zhou Litao took great efforts to persuade her to do a skull CT.
The patient went for an examination, and Zhou Litao was busy again.
After treating two patients, he walked out of the rescue room and saw Boss Zheng and Su Yun standing at the door.
"Boss Zheng, Brother Yun, are you busy today?" Zhou Litao asked with a smile.
"We are going to take a look at Lao Cui after work, how about you?" Su Yun said.
"I don't have time." Zhou Litao was frustrated, he said sadly: "These two days are not enough manpower, so please don't go off."
Su Yun shrugged his shoulders and said with a smile, "Go for a cigarette."
"Oh." Zhou Litao still had no energy, he followed the outdoors, lit the cigarettes for Boss Zheng and Yuner, and took a deep breath.
"Brother Yun, Cui Lao's health is a bit poor. I went there the day before yesterday." Zhou Litao said.
Physical condition is almost expected, Cui is always old and various organs are aging. Being sick is more difficult than getting sick.
"Well, let's take a look." Su Yundao, "In the afternoon we went to have a look at Director Miao."
"How is Director Miao?"
"Fortunately, I can go downstairs now." Su Yun said with a smile: "He has to dance a square dance at night, there is no special difference between the ordinary old man and old lady.
"Hey, Director Miao goes to the square dance?" Zhou Litao had a hard time imagining the picture. In his impressions, Director Miao has always been the unsmiling old director with a majestic energy.
But as long as you live, is dancing an entertainment activity? No one wants to recall what happened before, and Director Miao has recovered.
When Zheng Ren and Su Yun visited him last time, Zheng Ren carried him downstairs. After more than two months, I can dance the square dance, which is a huge improvement.
But the three did not want to say more, either Cui Lao or Director Miao. Zhou Litao immediately broke the topic and said, "Boss Zheng, Brother Yun, met a patient with high blood sugar in the afternoon, which is very strange."
"Oh? How weird?"
"The patient is 43 years old. He is an executive of a company. He is generally healthy, which means that the blood sugar control is not good. It can not be said that it is not well controlled, he has no control at all." Zhou Litao said.
This is more common. There are more people who have uncontrolled high blood sugar, uncontrolled high blood pressure, and uncontrolled coronary heart disease.
Even more and more cases now show that cerebral hemorrhage caused by hypertension and sudden death caused by coronary heart disease are getting younger. These conditions have something to do with the popularity of physical examinations and the fact that patients do not pay much attention to them.
"They originally went to Director Ma, who is an endocrinologist, but they were just catching up with Director Ma to go out of the clinic, so they came to me to take a blood glucose measurement first." Zhou Litao said, "What is your blood glucose guess?"
"30mmol / L."
"28mmol / L."
Zheng Ren and Su Yun gave numbers that they thought were unacceptable, and the two numbers were closer.
"33.02mmol / L." Zhou Litao said, "I was very surprised when I saw the value. He was also introduced to Director Ma, and it should not be so bad for blood sugar control."
"What later?" Su Yun asked.
"I asked after a while, and I won't say more details, this person ..." Then, Zhou Litao sighed and said, "I don't know who has a good brain and who has a bad brain. Boss Zheng, Brother Yun, you said that the executives of well-known companies should be high IQ people. "
"It's almost the same, it can't be generalized," Zheng Rendao said.
Su Yun pouted his lips and said scornfully, "Can't you just keep talking?"
"I'm telling the truth."
"What's the difference between not saying? I want to say that as long as it's a person, there is always a time for the brain to flood." Su Yun said with certainty.
"Cough ..." Zhou Litao was clearly accustomed to the situation in front of him. He coughed twice and continued: "I asked at that time, did you not use insulin to control blood sugar? Do you usually not monitor blood sugar yourself at home?"
"Sure it is, just too lazy to do it." Su Yun said affirmatively.
"He said he did, but he couldn't measure the value. Insulin is also useful, but it is not well controlled." Zhou Litao said, "I didn't think about it at the time, but I thought it might be wrong, and I asked Director Ma to modify the drug The amount will be fine. But he may be hospitalized because it is too high. "
Zheng Ren nodded.
"I said I would give him a urine test to see if he had any ketones. With the test sheet open, he asked casually how much insulin was used."
"He scratched his head and said that the doctor said he didn't understand what was going on."
"I guess so ~ EbookFREE.me ~ It must be the wrong dose of subcutaneous insulin." Su Yundao.
Zhou Litao shook his head and said, "Brother Yun, it really isn't."
"Ok?"
"He ate a cake before dinner at noon, saying it was the same every day. He injected insulin into the cake before meals and then took it orally." Zhou Litao said.
"..."
No matter how clever Su Yun is, he would never expect someone to inject insulin into the cake.
"Cake? Insulin?" Zheng Ren asked with a frown. "How does he usually measure blood sugar?"
"It was said that the test paper was stuffed into the cake and it was taken out for a look. It had no effect. Finally, I was injecting insulin and taking the cake orally." Zhou Litao said helplessly.
The black hair of Su Yun's forehead fluttered, and it seemed that he did not believe what Zhou Litao said.
(End of this chapter)