bookmarkrole Chapter 266
Chapter 266
Chapter 266
After talking about “nitroglycerin”,
Let’s talk about “Quick-acting Jiuxin Pills.”
Many TV dramas mention this medicine, which is considered to be the medicine with the highest exposure rate. It is often the elderly people who fall to the ground holding their chests, and then look for quick-acting heart-relief pills.
It belongs to Chinese patent medicine, which can promote qi and blood circulation and expand blood vessels.
“Proprietary Chinese Medicines”: Chinese medicinal products are processed into certain dosage forms using Chinese medicinal materials as raw materials under the guidance of Chinese medicine theory and according to prescribed prescriptions and preparation techniques.
It itself is a kind of Chinese medicine.
However, it is not as effective as nitroglycerin.
So when there are two medicines at the same time, nitroglycerin is still the first choice.
(Ps: Nitroglycerin has side effects, some patients cannot use it, so they need to use Suxiao Jiuxin Pills instead.)
…
It is worth noting that
Once the symptoms of angina pectoris in patients with coronary heart disease have not been relieved for more than 15 minutes, they will begin to suspect a myocardial infarction.
Myocardial infarction (acute myocardial infarction (plug)) means that the angina pectoris (plaque) falls off, blocks the blood vessels, and forms a “thrombus.”
At this moment,
Neither “nitroglycerin” or “quick heart-relief pills” are useful.
Fortunate patients, they may get through this life hurdle by luck.
Unlucky patients will die quickly.
The corresponding medicine is “aspirin enteric-coated tablets”, which is an anti-platelet aggregation drug.
…
New day,
1am,
Lin Feng is on night shift.
Doctors generally do not need to manage patients, but nurses are required to go to each ward to inspect patients every half an hour or an hour to avoid accidents.
Lin Feng is in the lounge, writing the thesis of “Blue Bacteria Marneffei”…
Sudden,
There was a loud noise.
“How can you unplug the oxygen mask without our consent?”
977
“Don’t I want her to talk more easily, without having to speak with an oxygen mask?”
“Do you know that an oxygen mask is very important? You will make her hypoxic, which is very dangerous.”
“Impossible, I checked Baidu!”
“What Baidu Baidu, our doctor said it!”
“Oh, why are your nurses doing this, all of them are stripped off, isn’t it all right?”
“Where is it all right, blood oxygen has dropped to 87%!”
Lin Feng could hear the anxious voice of a nurse Xiao Chen far away.
“Don’t be so unreasonable, okay, I said, I checked Baidu!”
“Ah ah~~ Auntie, I’ll say it again, don’t trust Baidu!”
The movement is getting bigger and bigger.
He also awakened the patients in other wards around him.
Lin Feng rushed out,
Come to the door of that ward.
Other doctors and nurses also arrived.
Lin Feng looked at the patient’s ECG monitor,
Blood oxygen saturation is 90%! (Normal 95%-99%)
The patient, male, in his 40s, was admitted to the eight groups of the heart. He should have a serious heart condition, so he was connected to the ECG monitor.
Nurse Xiao Chen is crying.
Obviously scared!
Also very angry!
Fortunately, she patrolled in time and found the problem, otherwise the patient might be killed by his wife.
At that time, it will be another medical disturbance.
“All right, the patient should be fine.” Lin Feng took the nurse Xiao Chen away.
That aunt (the patient’s wife) still has a stiff mouth at this time,
“I just want to talk to my husband. I saw that my husband was muffled, so I took off the oxygen mask. Who knew this would happen…”
The attending doctor naturally criticized her and talked about the important role of the oxygen mask.
Lin Feng shook his head and sighed: Some family members can always do something strange…
Oxygen mask, that is the lifeline!
“Uuuuu…” Nurse Xiao Chen was still crying.
“Don’t cry, don’t cry, the patient is fine…” Lin Feng comforted Xiao Chen, the nurse.
“Dr. Lin, I was really scared to death just now, 87%. If I didn’t find out in time, I guess the entire patient would be gone.”
“Yeah, yes, that family member just came here…”
Lin Feng comforted Xiao Chen for a few more minutes.
Ding Dong…
at this time,
Xiao Chen’s cell phone rang.
WeChat:
Boyfriend: “Sorry, you are too busy. You are in the hospital every day. Sometimes you don’t come back 24 hours after the last operation. I thought for a long time. Let’s break up… Thank you for your company over the past 5 years. I have left the capital… …goodbye……”
Xiao Chen panicked on the spot.
Wipe away the tears quickly and call.
As a result, the phone calls were hung up again and again…
“Woohoo~~~~”
Suddenly, nurse Xiao Chen squatted against the wall on the spot and started crying.
“How can this be done? It’s been 5 years, and I’m about to get married, so why break up!”
“why……”
“Men are all scumbags, scumbags~~~”
I was frightened by my family in the first place, and then I was broken up by my boyfriend…
My heart broke directly.
“Uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu…
Lin Feng was on the sidelines, not knowing how to comfort him.
Thought for a while
Lin Feng searched on the Internet: “How to comfort a broken love girl”
Then come up with a series of results:
·You can ask her to go to karaoke together, and shout out all the uncomfortable. The woman is very emotional, she can’t help herself when moved
·We can tell her that there is nothing wrong with losing someone who doesn’t know how to love you. It’s not your fault, but his loss, because no one will love him so much in the future!
·……
Lin Feng tried a few…
“Knock f*ck!”
“What kind of shit method, it’s completely useless, OK!!”
Nurse Xiao Chen continued to cry.
“Or, I will post a blind date to find you a better boyfriend…”
“………………”
Nurse Xiao Chen cried again.
Lin Feng: “…”
Scratching his head,
Women are so troublesome!
…
Sudden,
Beep Beep Beep~~(aicc)~~
A hurried sound came from outside.
At this moment, Lin Feng’s blood became active all at once, and his spirit suddenly lifted.
“problem occurs!”
It’s late at night,
Unless it is a real emergency, the patient will be delayed until the next day.
Therefore, the 120 people who come here are all patients with urgent illnesses!
And Xiao Chen, who was crying and crying, didn’t cry anymore.
Facts have proved: work is the medicine!
soon,
A young female patient was pushed in quickly.
“Doctor Lin!”
Lin Feng went out,
·Patient, female, about 26 years old…
·Husband/boyfriend follow over…
·Slightly shortness of breath
·Mild cyanosis of the lips (ps: pronounced gan four tones, meaning slightly reddish black)…
·I used a nasal cannula to suck oxygen (oxygen cylinder), but it was obviously not enough…
·The patient is awake, but not in a good state of mind.
At present, all we get is this information,
“Send to the rescue room!”
Lin Feng ordered.
Then turned to the 120 ambulance to follow the doctor and asked.
“What’s the situation? Tell me…”
The doctor who followed the car naturally knew Lin Feng and said quickly respectfully:
“Dr. Lin, this patient, 26 years old, has been coughing and sputum for 2 days at home. He suddenly had difficulty breathing tonight and called our 120 car. The blood pressure measured on the spot was still normal, and the blood oxygen saturation was only 95%. Consider. It’s pneumonia, probably severe pneumonia.”
“Okay, thanks.”
Soon, the female patient was pushed into the rescue room by everyone.
Without Lin Feng’s order, several emergency nurses and nurses here have quickly connected the patients to ECG monitoring.
The data comes out.
·The blood pressure is 98/60mmHg, which belongs to the normal range, but relatively low
·The heart rate is 120 beats/min, the breathing is 26 beats/min, the heart rate is relatively fast, the normal rate should be 100 beats/min…
· The blood oxygen saturation is 95%, which is also the lowest value of the normal value.
Lin Feng ordered:
“Change to a mask for oxygen!”
“Yes!”
Soon, nasal oxygen inhalation was changed to mask oxygen inhalation.
Mask oxygen can provide higher oxygen concentration, which is better than nasal cannula. For patients with hypoxia, a mask is a more suitable choice.
But this is not always the case. For example, in case the patient has CO2 retention, it will be more difficult to eliminate CO2 if you buckle a mask, which will aggravate CO2 retention.
“Retention zhuliu”: Refers to the abnormal accumulation of liquid and gas in the body.
Lin Feng touched the arm of the female patient.
When I touched it, I suddenly felt a kind of hotness.
“Have a fever?”
“Take her temperature!”
“Yes!”
soon,
Quick ear thermometer, the result came out.
Red,
39.2C!
Have a fever!
At this time, the husband/boyfriend outside the door is already very nervous.
He looked inside, a group of busy figures were rescuing them, and they couldn’t understand all the instruments (the top of the head is the ECG monitor, the medicine cabinet on the left, the ventilator, the tracheal intubation box, etc. on the right). When did he ever see this? Battle?
It’s hairy and flustered to see!
But what makes him happy is that the doctor turned out to be Lin Feng!
Lin Feng’s strength is widely spread on the Internet.
This made him a lot easier.
And at this time,
Lin Feng observed the patient and became clearer.
·Half sitting on the bed with sweat beads on his forehead,
·Gently panting,
·When inhaling, the clavicle and suprasternal fossa are more concave, which is a typical hypoxia and hard inhalation performance.
Lin Feng roughly judged that it was a heart and lung problem.
“I will give you a heart and lung…”
Lin Feng looked at the female patient.
The female patient nodded slowly, feeling a little laborious.
Stethoscope,
Listen to the heartbeat first…
Apart from the fast heartbeat mentioned above, there are no other special problems…
Start with the lungs…
·Some wet rales
What is wet rales?
If there is liquid in the bronchi and alveoli, these blisters will be cut when air enters and exits the airway. This is called wet rales.
In other words: the lungs may be inflamed, causing fluid to leak out.
. .