blenderwars Chapter 359
Chapter 359
Chapter 359
“How long have you been hyperthyroid?”
“More than a year…”
“Do you take medicine? What medicine? Do you take medicine on time?”
“This…” Lao Zhang hesitated.
Lin Feng saw that the patient was like this, and he knew that he had not taken the medicine as prescribed by the doctor.
at this time,
The rescue room has been rumbling~~~.
The ECG monitor was connected for the first time.
Didi didi~~~~
·Blood pressure, no problem…
·Heart rate, no problem…
·Blood oxygen, no problem…
However, Lin Feng did not dare to be careless.
Because the electrocardiogram is not deceiving.
Lin Feng thought quickly…
Hyperthyroidism, now the limbs are weak…
Lin Feng immediately thought of 2 possibilities:
·The first possibility: “Hyperthyroidism crisis”: A large amount of thyroid hormone enters the blood circulation, causing high fever, sweating, irritability, nausea, vomiting, diarrhea, arrhythmia, etc., which may be dangerous signs of death at any time .
but,
The patient has no symptoms of nausea and vomiting, nor high fever or sweating, which is temporarily ruled out.
·The second possibility: “hyperthyroidism periodic paralysis”.
A patient with hyperthyroidism may periodically experience weakness and even paralysis. 08
reason:
Excessive levels of thyroid hormone will cause excessive excretion of potassium ions in the urine, resulting in too low potassium ions in the blood, resulting in “hypokalemia” ([334] The chapter where the author of Feilu was hospitalized). Potassium ions are also the key to maintaining muscle activity. In hypokalemia, muscles will become weak and even paralyzed.
Besides that:
Potassium ions are also the key to the electrical activity of the heart. Hypokalemia can cause severe arrhythmia and even cardiac arrest.
The patient currently has a problem with the electrocardiogram.
It just corresponds to “hypokalemia”.
“Xiao Ai, take blood immediately and send it to the laboratory for blood potassium check!!”
“be quick!”
Lin Feng made a decisive decision.
“Yes!”
After thinking about it, Lin Feng said again: “Improve other tests, such as kidney function, thyroid function, myocardial enzymes, blood routine…”
Blood draw…
Xiao Ai quickly sent to the laboratory.
It is night, and there are no people doing the test, and the test results will come out sooner.
Lin Feng thought for a while,
I feel that the patient is very dangerous now.
The only possibility found is “low potassium”.
“Let the family sign, and then replenish potassium…”
Although the results of serum potassium did not come out, the patient is currently in a critical condition, so he can take the risk of potassium supplementation and try…
at this time,
Both the patient Lao Zhang and his wife were shocked.
The nurse started to teach them the “Notice of Critical Illness”…
Because of fright,
So they dare not have any delay or hesitation…
“Doctor Lin, my life is left to you…”
“Doctor Lin, you must save my husband…”
The patient’s wife burst into tears.
Sign quickly!
And on the other side,
Another nurse has already performed venipuncture on the patient quickly.
Hang up a liquid bag of potassium ion + glucose…
Intravenous drip…
15 minutes……
The “electrolyte” report, which was specially urged, came out.
· Potassium ion: 1.8mmol/L (normal value 3.5-5.5).
Lin Feng was taken aback!
So low blood potassium!
The boring doctors who came to watch around couldn’t help being stunned.
“This blood potassium is too low!”
“No wonder the ECG is like that…”
“It should be low potassium, which has affected the electrical activity of the heart…”
This time,
The intravenous drip is not fast enough!
Direct potassium chloride, intravenous injection!
Then take it orally!
Quickly raise the potassium to talk about it!
After thinking about it, Lin Feng felt that it was not enough…
The original intravenous drip was done through the vein in the right hand, but the patient is in such a hurry, and the vein in the right hand is not fast enough!
“Immediately, change the path… from the internal jugular vein puncture!!”
The other doctors were stunned, then nodded suddenly.
That’s right.
The right hand vein is too slow!
Not fast enough!
The fastest is the internal jugular vein, which is the pipeline through which blood flows from the human head to the heart.
If you enter it, you will soon reach the heart, replenish potassium ions to the heart, and ease the crisis!
“Sign it…”
Now the patient Zhang and his wife are in a daze.
Because now Lao Zhang has nothing but powerlessness!
But whether it is Lin Feng or other doctors, they are like enemies!
This contrast!
Very weird!
However, the couple still believed in Lin Feng and the harmonious doctor.
Lao Zhang: “I sign…”
Soon, the nurse went to get a very large and long intravenous needle.
Lao Zhang: “………………”
It’s so scary!
The nurse sister showed him a local anesthesia, and then pierced it with a long needle to directly puncture the internal jugular vein
Potassium chloride liquid enters the patient’s internal jugular vein at the maximum drip rate!
“call…………”
Lin Feng breathed a sigh of relief.
Now, it should be okay, right?
The other doctors also breathed a sigh of relief. If this potassium level goes on, the patient shouldn’t have any problems.
Unexpectedly!
Things turned suddenly!
Didi didi~~~~~~~
The patient’s ECG monitor sounded a strong alarm!
The patient’s electrocardiogram is straightened!
Heartbeat,
It just stopped suddenly!
“Fuck!”
“crazy!”
Lin Feng had the fastest hands and feet, and jumped onto the hospital bed without saying a word.
Start cardiopulmonary resuscitation!
The most important thing: the heartbeat stops, the patient’s heart pump does not bleed, blood + oxygen can not supply the body of 040, which will lead to brain death and so on…
Therefore, in cardiopulmonary resuscitation, the heart is strongly pressed with external force to pump the blood out and supply oxygen to the whole body.
How does oxygen come?
It is naturally artificial respiration, blowing air into the patient’s lungs, and then through the alveoli, combining oxygen + blood to the heart…
However, this is the hospital!
Naturally, artificial respiration is not so low.
“Quick, intubate!”
An attending doctor next to him quickly picked up the tracheal intubation device that had been standing next to him.
The tube was inserted by mouth… (It is best to pass through the nose, but the nose will be more difficult)
The tracheal tube passes through the oral cavity and is directly inserted into the patient’s trachea…
Connected to a ventilator…
Oxygen continuously passes through the ventilator, hits the intake pipe, and enters the lungs…
Lin Feng kept pressing…
Compression power + oxygen + blood-to ensure that the patient has sufficient oxygen supply all over the body…
And at this time,
The patient’s wife was stupid on the spot.
Just 30 seconds ago,
She still thinks that Lin Feng and others are like a big enemy, and are a little bit ‘making a big fuss’.
The result is now…
The situation has taken a turn for the worse!
Her husband had a cardiac arrest directly! !
Gudong~~~
All of a sudden, his legs were soft and he fell to the ground!
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ps: The three shifts are over…
. .