blenderwars Chapter 284
Chapter 284
Chapter 284
In severe cases of generalized muscle weakness, generalized muscle weakness can occur, even involving respiratory muscles, leading to respiratory failure.
“Xiao Ai, flat car!”
“Send to the rescue room!”
Lin Feng shouted.
The next patient who wanted to come in was stunned at this moment.
The old woman panicked and hurriedly shouted: “Old man, old man, what’s wrong with you?”
soon,
Several nurses hurriedly pushed the flat car and ran over.
Work together to lift the flat car.
In the process of pushing past, Lin Feng gave the patient “Bromopistigmine” to increase the dose!
The purpose is to suppress muscle weakness throughout the body.
soon,
Pushed into the rescue room…
Link to the ECG monitor.
Within a few minutes, the data of the ECG monitor began to drop.
·Reduce blood oxygen…
·Heart rate increases…
·High blood pressure……
obviously,
There is respiratory muscle weakness!
In other words, even though the amount has been increased, the effect of bropistigmine is not significant.
“Prepare gamma globulin!”
Lin Feng told the nurse.
Lin Feng decided to use the C ball for impact.
Gamma globulin is an immunoglobulin, and shock therapy can inhibit the production of anti-AchR antibodies in patients with myasthenia gravis, thereby alleviating the symptoms of myasthenia.
soon,
Gamma globulin use…
Next,
Just wait,
Wait for the result to see how the elderly will continue to be.
The ECG monitor has been on and has not been withdrawn, monitoring the patient’s condition in real time.
…
Lin Feng was waiting,
Not idle, continue to go back to the clinic and see the patient.
There are many patients in the emergency department, and it is impossible for Lin Feng to watch this elderly patient for a long time.
Continue to see a doctor.
·Patient, 08 male, 54 years old, the symptoms are easy to be hungry, eat three bowls of rice with one meal, thin body, easy to sweat, fatigue, dizziness, often sudden tears…
“Easily hungry?”
“Cold sweats, fatigue, dizziness, it feels like low blood sugar…”
“Eating three bowls is still thin…”
Lin Feng probably thought about it.
I think it may be “hyperthyroidism.” (Chapter 280 “Hypothyroidism”)
Hyperthyroidism is also called big neck disease, but it does not necessarily lead to a big neck.
“Go and check the “B-ultrasound of the thyroid gland” and the “A technique blood draw”…”
Lin Feng brushed out the bills and asked the patients to do the check-ups.
Continue to receive patients,
Half an hour later,
Patients with suspected “hyperthyroidism” returned with B-ultrasound results.
·B-ultrasound: goiter is enlarged, blood flow is full
·Hyperthyroidism: confirm hyperthyroidism!
Lin Feng took a look at the B-ultrasound results, no surgery is needed, just take medicine.
Prescription: “Formamide Imidazole”…
Finish,
Press the number calling machine.
“Patient Chen*wen, go to Clinic No. 3…”
Hasn’t started yet,
“Dr. Lin, it’s not good. The blood oxygen saturation of the old man with muscle weakness suddenly dropped to 90%!”
A nurse broke in and shouted anxiously.
90%
Lin Feng was surprised! !
This surprise is the lowest normal value!
“Sorry, I will save people first…”
After speaking, Lin Feng ran out of the consulting room quickly.
Female patient: “……………………”
soon,
Lin Feng ran to the rescue room.
At this time, the rescue room was in a mess.
Nurses, interns and doctors are like headless flies.
The alarm of the ECG monitor kept sounding.
“Doctor Lin!”
Intern Wang Rui, sweating profusely, quickly reported to Lin Feng.
“The patient was intubated with a ventilator to assist breathing… A minute ago, he suddenly convulsed, became unconscious, and sweated all over his body. The blood pressure suddenly rose to 220/120mmHg, and the oxygen saturation dropped to 88% now…”
Lin Feng was surprised.
Why did it become so serious all of a sudden?
With such high blood pressure, cardiac arrest or even death may occur at any time!
“Muscle weakness crisis!”
Lin Feng suddenly thought of this term.
XXX crisis generally refers to the most serious situation encountered by the patient.
The patient in front of him is obviously already in a crisis of muscle weakness, which is caused by respiratory failure and serious systemic complications after muscle weakness affects the respiratory muscles.
Lin Feng calmed down.
Staring at the data of the ECG monitor,
Various plans flashed through my mind.
Lin Feng is now looking at the patient’s blood gas analysis to see what the patient’s blood is now.
but,
The critical juncture has come, and the blood gas analysis results will take an hour to come out, which is too late.
now,
All the nurses and doctors are looking at Lin Feng.
Lin Feng is Dinghai Shenzhen. As long as Lin Feng is there, everything will be stable!
finally,
Lin Feng made the decision:
“Inject methylprednisolone!!”
Lin Feng decided to give a shock to methylprednisolone (hormone).
Lin Feng made a decision, and the nurse started to execute it without hesitation.
The first injection!
1 minute later…
Lin Feng looked at the data, the situation is not optimistic, the effect is not enough!
“Go on, add half the dose!”
The second time, injection!
finally,
The patient’s condition gradually recovered, and blood oxygen began to rise.
“Go get some blood, do a blood gas analysis…”
“Yes.”
after an hour,
The blood gas analysis results come out.
·The pH is only 7.0!
(The pH of normal people’s blood remains relatively constant, and the range of variation is between 7.35 and 7.45.)
·Partial pressure of carbon dioxide: 104mmHg!
Good guys!
Normal human carbon dioxide partial pressure: the highest is 47mmHg.
Obviously, this old man has severe respiratory acidosis.
That is carbon dioxide poisoning!
Is carbon dioxide poisoning?
Can!
There are two situations of carbon dioxide poisoning:
·The first type: long-term exposure to low-concentration carbon dioxide environment
·The second type: caused by sudden entry into a high-concentration carbon dioxide environment.
The second manifestation is: cerebral hypoxia symptoms, which can cause reflex respiratory arrest and sudden death.
Lin Feng’s next two hours,
Never left the emergency room again, and kept the patient’s vital signs stable.
Various inspections are constantly being done.
Then take symptomatic medications for the indicators.
Other doctors also come to see the situation from time to time.
After 3 hours of rescue, the old man was finally rescued back.
And at this time,
The old woman was already outside the rescue room, and her daughter-in-law was supporting her, she was terrified.
The son also heard the news and hurried back by plane from other provinces.
fine,
With Lin Feng’s efforts, after a day of continuous treatment, the elderly patient finally cured myasthenia gravis temporarily and recovered health.
Can be discharged.
In the next month, he will need to continue to take medicine to relieve the symptoms of muscle weakness.
Until you can start surgery, cut off the “thymoma” in the chest cavity.
…
the next day,
Lin Feng started the night shift.
Late at night, at 1 o’clock, there are no patients.
Lin Feng was boring to chat with the nurses, telling jokes that belonged to the doctor.
Nurse Xiaofeng:
“I have a classmate who works at the dental hospital. The story is like this…
A patient had a severe toothache, so he went to see the dentist he had seen before.
After sitting down, the patient said: “Doctor, I visited you last time for a doctor, don’t you remember?”
The doctor said, “I don’t remember.”
This patient talked a lot about the last time, etc.
The doctor just couldn’t remember and was confused.
The doctor was helpless: “Let’s see the disease first, open your mouth…”
The patient opened his mouth: “Ah~~~”
The doctor looked inside and said, “Oh, it’s you, I remembered.”
…
“Hahaha~~~ This story is fine!”
“The special memory of dentists…”
“Hahaha~~~~”
The audience laughed.
“I also have a joke… It’s funny…” Nurse Xiao Chen laughed at this time.
Everyone quieted down and listened.
“There was a doctor who was an anorectal doctor, and he asked him why he chose such a department at a meeting.
The buddy sighed and said that when he was still transferring departments, he had a meal with a few 987 old doctors in the hospital, so he inquired about which department of the hospital made more money, some of them were in surgery, some were in orthopedics.
At this time, a respected old director of the hospital said: Fart! Ophthalmology makes the most money!
So the buddies finally chose the anorectal department. ”
…
“Puff~~~~~~~”
Lin Feng and others, all laughed!
This joke has a taste!
That’s hilarious!
It’s all because of being obedient and not listening clearly, leading to the wrong course!
…
Sudden,
The telephone at the nurse’s station rang.
“Hello, this is the Harmony Emergency Department.”
“What? A 3-month-old baby is foaming at the mouth? Is it being delivered? There are 10 minutes left?”
“Is there anything unhealthy to eat? No, all breast milk?”
“Families say they like to shake the baby? Think it’s a brain injury?”
“Okay, let’s prepare right away.”
The phone hangs up.
At this time, all the nurses looked at Lin Feng.
Because Lin Feng is a doctor on duty.
Lin Feng put away the smile just now, his face serious.
Start analysis:
“March babies, foaming at the mouth, breast milk, that should not be poisoned, and the family members say that they shake the baby, so you should really consider the possibility of “shaking baby syndrome”, brain problems…”
“Xiao Chen, contact the imaging department, wake up if you fall asleep, and get a CT for the patient later!”
“Yes!”
“Xiaofeng, please contact the operating room…”
“Yes.”
At this moment, everyone has restored the strong qualities of the elite team.
High morale.
10 minutes later……
“Beep Beep Beep Beep~~~~~~”
The sound of an ambulance came from outside the emergency department.
Lin Feng and others greeted them outside the gate.
The baby is 3 months old, and the parents, grandparents and 4 people, the whole family is here.
soon,
The baby in March was sent to the imaging department in a stroller.
symptom:
·Already fainted…
·Foam at the mouth…
On the way to the imaging department,
Lin Feng spoke quickly: “Tell me about the situation…”
. .