radicalducati Chapter 357
Chapter 357
"How long have you been hyperthyroid?"
"More than 1 year ..."
"Take medicine? What medicine to take? Did you take your medicine on time? "
"This..." Old Zhang swallowed.
As soon as Lin Feng saw the patient like this, he knew that he must not have taken medicine according to the doctor's advice.
At this point,
Already rumbling ~~~ has advanced the rescue room.
The first time connected to the ECG monitor.
Didi ~~~~
Blood pressure, no problem...
Heart rate, no problem...
Blood oxygen, no problem...
However, Lin Feng did not dare to be careless.
Because an ECG does not lie.
Lin Feng thought quickly...
Hyperthyroidism, now limb weakness ...
Lin Feng immediately thought of 2 possibilities:
The first possibility: "hyperthyroid crisis": thyroid hormones enter the blood circulation in large quantities, causing high fever, sweating, irritability, nausea, vomiting, diarrhea, arrhythmia, etc... The kind of dangerous sign that you will die at any time.
But
There was no nausea and vomiting in front of the patient's eyes, nor high fever and sweating, which was temporarily excluded.
The second possibility: "periodic paralysis of hyperthyroidism."
A patient with hyperthyroidism may periodically experience limb weakness or even paralysis.
Cause:
Thyroid hormone levels that are too high will cause excessive potassium ions to be excreted in the urine, resulting in too low potassium levels in the blood, resulting in "hypokalemia" ([334] Chapter on the Hospitalization of the Author of Feilu). Potassium ions are the key to maintaining muscle activity, and during hypokalemia, muscles will be weak or even paralyzed.
In addition to this, there are:
Potassium ions are also key to the heart's electrical activity, and hypokalemia can cause severe arrhythmias and possibly even cardiac arrest.
And the patient is currently having an ECG problem.
It corresponds to "hypokalemia".
"Xiao Ai, draw blood immediately, send it to the laboratory department, and check blood potassium!!"
"Be quick!"
Lin Feng made a quick decision.
"Yes!"
After thinking about it, Lin Feng said again: "Improve other examinations, kidney function, thyroid function, myocardial enzyme generalization, blood routine..."
Draw blood...
Xiao Ai was quickly sent to the laboratory department.
It's evening, no one does the test, and the test results will come out relatively quickly.
Lin Feng thought about it,
I feel that the patient is in danger now.
The only possibility found is "low potassium".
"Let the family sign it, and then replenish the potassium..."
Although the blood potassium results have not come out, the patient's current condition is very critical, so you can risk potassium supplementation and try...
At this point,
Whether it was the patient Lao Zhang or his wife, they were frightened.
The nurse began to tell them about the "Notice of Critical Illness"...
Because of the intimidation,
So they didn't dare to have any delays, hesitations...
"Doctor Lin, my life will be handed over to you..."
"Doctor Lin, you must save my husband..."
The patient's wife burst into tears.
Sign it quickly!
And on the other side,
Another nurse was already speeding to perform a venipuncture on the patient.
A liquid bag of potassium ions + glucose was hung ...
Intravenous drip...
15 minutes...
The "electrolyte" report that was specially instructed came out.
Potassium ion: 1.8mmol/L (normal value 3.5-5.5).
Lin Feng was taken aback!
What a low blood potassium!
The doctors who were bored and came to watch couldn't help but be stunned.
"This blood potassium is too low!"
"No wonder the ECG is like that..."
"It should be low potassium, which affects the electrical activity of the heart..."
Now,
Jingdi is not fast enough!
Direct potassium chloride, intravenous bolus!
Then plus oral!
Hurry up and raise the potassium!
After thinking about it, Lin Feng felt that it was not enough...
The original intravenous drip was entered from the vein of the right hand, but the patient's situation is so urgent, the vein of the right hand is not fast enough!
"Right away, change the way... Puncture from the internal jugular vein!! "
The other doctors were stunned for a moment, then nodded abruptly.
That's right.
The vein in the right hand is too slow!
Not fast enough!
The fastest is the internal jugular vein, which is the line through which blood flows back to the heart from the human head.
Hit in, and soon go to the heart, replenish potassium ions to the heart, and relieve the crisis!
"Sign it..."
Now the patient Lao Zhang and his wife are confused for a while.
Because now Lao Zhang has nothing but powerlessness!
But whether it is Lin Feng or other doctors, they are like great 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 large, long intravenous needle.
Lao Zhang: ".................."
It's scary!
The nurse's sister showed him a local anesthesia, and then a long needle was inserted to pierce the internal jugular vein directly
Potassium chloride liquid, at the maximum drip rate, enters the patient's internal jugular vein!
"Whew..."
Lin Feng breathed a sigh of relief.
Now, it should be fine, right?
Other doctors also breathed a sigh of relief, such potassium, the patient should not have any problems.
Mended!
Things took a sharp turn!
Didi ~~~~~~~
The patient's ECG monitor emits a strong alarm sound!
The patient's electrocardiogram is directly straight!
heartbeat
It stopped so suddenly!
"Groove!"
"Crazy!"
Lin Feng's hands and feet were the fastest, and he jumped directly onto the hospital bed without saying a word.
Start CPR!
The most important thing: the heart stops, the patient's heart pump does not bleed, blood + oxygen can not supply the whole body, which will lead to brain death and so on...
Therefore, cardiopulmonary resuscitation uses external force to press the heart strongly to pump blood out and supply oxygen to the whole body.
How does oxygen come about?
That is naturally artificial respiration, blowing air into the patient's lungs, and then through the alveoli, combining oxygen + blood and sending it to the heart...
However, this is the hospital!
Naturally, it is not as low as artificial respiration.
"Quick, intubation!"
An attending doctor next to him quickly picked up the endotracheal intubation device that had been placed next to him.
The tube was plugged in through the mouth... (It is better to pass through the nose, but the nose will be more difficult)
The endotracheal tube passes through the mouth and is inserted directly into the patient's trachea...
A ventilator was connected ...
Oxygen constantly passes through the ventilator, into the trachea, into the lungs...
Lin Feng pressed non-stop...
Pressing power + oxygen + blood - ensure that the patient has enough oxygen supply throughout the body...
And at this time,
The patient's wife, the whole person was stupid on the spot.
Just 30 seconds ago,
She was still thinking that Lin Feng and the others were like big enemies, a little 'fuss'.
As a result, now...
The situation has taken a turn for the worse!
Her husband went into cardiac arrest!!
Gollum~~~
The whole person suddenly had soft legs and fell to the ground!
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ps: Three more ends...
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