bookmarkrole Chapter 360
Chapter 360
Chapter 360
“Quick, 1mg of adrenaline!!!”
Lin Feng saw that the situation was not good, and hurriedly yelled to the nurse.
The nurse’s hands and feet are very dexterous, because it is guessed that there is a heart problem, so the adrenaline has been prepared early.
Epinephrine, the main role is to increase the contractility of the cardio, increase the oxygen consumption of the cardio, increase the heart rate, dilate blood vessels, and relieve bronchospasm.
Static push!
1mg of adrenaline!
It is injected directly into the deep vein and reaches the heart.
1 minute……
2 minutes……
3 minutes……
“Come again, 1mg!!”
Lin Feng sweated profusely and shouted at the same time.
“In addition, increase potassium chloride, open two more channels, press in!”
“Yes!”
Continue to inject 1mg into it.
Then the nurse opened other channels, and then pressed the potassium chloride bag to force the liquid into the vein…
4 minutes…
5 minutes……
6 minutes…
The patient remained motionless, lying on the bed…
At this time, the patient’s wife was crying into tears, sitting on the ground.
“Uuuuuuuuuuuuuuuuuuuu don’t die…”
“You are dead, what can I do!”
The husband and wife had been married for less than half a year. It was the sweetest time when she was unable to accept the bad news that her husband died suddenly.
8 minutes……
10 minutes……
And the adrenaline didn’t stop, and I pushed it every 3 minutes.
Fortunately, Lin Feng has strong physical strength, strong strength, and fine control, so he can hold on for so long.
at this time,
What happened here attracted those boring doctors and nurses on the night shift.
One after another ran over.
“what happened?”
“It seems to be hypokalemia, which caused muscle weakness, and also caused the heart to stop… Now it is being rescued…”
“Doctor Lin has been pressing for 10 minutes…”
“4mg of adrenaline…”
“It seems that the sick man just got married, and his wife cried so badly…”
“I hope it’s okay…”
Just when everyone is staring at the ECG monitor and nervously looking forward to it,
Sudden,
The waveform of the ECG monitor, which was originally the waveform of pressing, suddenly changed.
A regular QRS complex, st-segment and t-wave, is constantly being stretched…
“It’s coming out ¨々!”
“It seems to be out!”
“It’s the waveform of the spontaneous heartbeat!”
The doctors and nurses suddenly yelled happily.
“Hahaha~~~~”
“Awesome!!”
The wife who was crying raised her head when she heard the news and looked at the electrocardiogram. Although she couldn’t understand it, she heard the response of the surrounding doctors and knew that her husband had been rescued. She burst into tears with excitement.
Lin Feng gradually let go of CPR,
Then let the patient’s heart beat on its own and slowly recover…
Soon after,
The waveform began to become healthy.
·Stable blood pressure 110/75mmHg……
·Heart rate stabilized to 98 beats/min…
·The blood oxygen saturation has risen to 96%…
“Huh~~~~~~”
At this moment, Lin Feng and other doctors and nurses breathed a sigh of relief.
Show a happy smile.
This time, it was definitely saved!
In fact, as long as potassium is added and the patient’s heartbeat recovers, then everything will be fine.
The CPR operation that Lin Feng just started was absolutely timely. Oxygen was definitely delivered to the patient’s brain and would not cause hypoxia and necrosis of the brain tissue.
…
Lin Feng left the rescue room in tears of thanks from the patient’s wife…
Looking at the watch,
It’s 22:30…
Back to the clinic,
Boring…
Then, a group of people couldn’t help but start telling jokes and gossiping…
Once I was ill and had an infusion, and I was sitting and playing with my mobile phone, and time passed quickly.
Xiao Ai told a very funny story.
The day before yesterday,
In the infusion room of the emergency department, dozens of patients are undergoing infusion.
An uncle from the Northeast was too fascinated to look at his son-in-law on his mobile phone. When he woke up, he looked up and saw that the bag of infusion was empty, and subconsciously shouted: “Girl, fill me up!”
Good guy,
Feelings, Uncle Northeast treats this as a restaurant…
At that time, the whole infusion hall burst into laughter.
When Xiao Ai tells this story, it is vivid,
Lin Feng and other doctors also laughed.
“Ring Ling Ling~~~”
at this time,
The telephone at the nurse’s station rang.
“This is the emergency department of Harmony Hospital…Is there a hematemesis? It’s in 3 minutes? Ok…we’re ready to…”
This time,
All the medical staff who just made a joke became solemn.
Lin Feng waved: “Go and prepare…”
Then I counted the things that need to be prepared, and the nurse prepared after listening…
Hematemesis is a very common symptom and often means a critical condition.
Some patients with hematemesis, he vomits violently as soon as they arrive at the hospital, and the blood transfusion is too late, and then they die from hemorrhagic shock.
…
3 minutes later…
The ambulance rushed to the hospital,
An old man in his 60s pushed out of the car, then changed the bed, and quickly moved into the rescue room.
The patient’s family came from his son, who took Lin Feng’s hand and pleaded:
“Doctor Lin, please…”
“You are waiting outside the rescue room… wait for you to sign something…”
“Okay…”
The glass door of the rescue room is closed.
The patient’s surname is Liu,
Lao Liu, 63 years old,
Lin Feng observes him, he is still in good spirits, not tired, just a little pale…
Old Liu’s clothes in front of him were stained with blood, which was obviously caused by vomiting blood.
The nurse quickly connected the ECG monitor.
·Blood pressure: 100/70……
·Heart rate: 106……
·Blood oxygen saturation: 100%……
·Waveform graph, no problem…
Lin Feng: “｀” Do you have high blood pressure? ”
Old Liu’s spirit is pretty good: “Yes, it’s been more than ten years…”
Lin Feng nodded.
Blood pressure: 100/70, which is actually normal for the average patient.
But if it is a hypertensive patient, the current blood pressure is actually considered low blood pressure, which should be caused by blood loss.
However, this patient is relatively mild compared to those with dangerous vomiting blood.
“How long does it take to cough up blood?”
“Doctor, I am not coughing up blood, but vomiting blood…”
Old Liu corrected the patient.
Lin Feng was happy and asked with a smile: “Do you still know the difference between hemoptysis and hematemesis?”
Old Liu thinks that he is always dazzling: “Of course I know, the doctor on the car told me on the way just now. Hematemesis comes from the stomach, and hematemesis comes from the lungs…”
Lin Feng nodded.
That said, it seemed like it was.
To be precise:
Coughing up blood: it is the airway and respiratory system. (Is it Zhao)
Hematemesis: It is the digestive tract, 99% is the upper digestive tract (esophagus, stomach, and duodenum), and the digestive system.
Many patients are easy to confuse, but doctors usually ask questions and will not misdiagnose.
“You said you vomited blood. How long did you vomit?”
“Two hours…”
“A lot of it?”
“It’s not very big, it’s probably just like drinking a sip of white wine…”
“………………”
Lin Feng is sure that this patient should be an alcoholic…
If according to the patient, it is hematemesis, it is the upper gastrointestinal tract.
Lin Feng’s considerations are:
·Esophageal cancer…spoon…
·Fish bones, foreign bodies pierce the artery…
·Ulcers in various parts of the upper digestive tract……
·Broken esophagus and gastric varices caused by liver cirrhosis…
(Ps: In patients with liver cirrhosis, it will be difficult for venous blood to flow into the liver, and then it will cause blood to pool and become varicose veins. It is easy to cause venous bleeding from eating hard objects…)
·Middle gastrointestinal and lower gastrointestinal bleeding are not excluded, but the probability is very small…
. .