"It's impossible. He came to see the doctor because of a headache. I gave him some medicine to treat the headache. I didn't give him anti-inflammatory drugs, and I didn't give him a penicillin skin test. How could he be allergic to penicillin?

"

The female doctor on the side looked like she couldn't believe it. She checked the man's face carefully and found that she had indeed not prescribed any penicillin-related medicine for him.

Zheng Hong on the side was also puzzled because she really couldn't understand how Wu Xiangdong confirmed that the patient was allergic to penicillin.

However, Wu Xiangdong had no time to pay attention to them at this time. With an intramuscular injection of epinephrine, it was obvious that the patient's condition had improved.

The original snoring and breathing sounds disappeared, and the patient who had been in a coma showed vague signs of waking up.

Upon seeing this, Wu Xiangdong said directly to Zheng Hong: "Establish an intravenous access for him and quickly instill 500ml of Ringer's solution intravenously to expand his blood volume."

For patients with anaphylactic shock, due to their own mechanism, in addition to intramuscular injection of epinephrine, fluid resuscitation is also a very important treatment option.

"good."

Zheng Hong saw Wu Xiangdong's firm expression and no hesitation at all about the patient's diagnosis, which made her instinctively follow Wu Xiangdong's doctor's instructions.

At the same time, Wu Xiangdong said to the female doctor on the side: "Bring him two pillows from the bed next door."

"Why do you want to take the pillow from the bed next door? Isn't there one next to him?" Faced with such a request, the female doctor looked at the bed next to the man in confusion. After all, this was the bed he was lying on just now.

"That won't work." Faced with the female doctor's doubts, Wu Xiangdong refused decisively, and this performance made the female doctor even more confused.

However, seeing Wu Xiangdong's serious expression at this time, she didn't dare to ask any more questions, so she directly took two pillows from the bed next door and handed them over.

"Here, put one head support and the other one in the popliteal fossa under the patient's knees. Pay attention to the elevated angle."

As Wu Xiangdong spoke, he folded one of the pillows in half and placed it on the back of the patient's neck.

"Are you in the middle recumbent position?"

When the female doctor saw Wu Xiangdong's operation, she also understood what he was going to do, so she immediately followed the gourd's instructions and placed the remaining pillow on the patient's lower limbs according to Wu Xiangdong's instructions.

At this time, the patient is like a concave character, with his body lying flat, his head raised to 30 degrees, and his legs raised to 20 degrees.

This lying position, also commonly known as the shock position, is to ensure the blood supply to important organs when the patient is in shock.

Elevating the head and lower limbs will help the patient breathe, reduce the burden on the patient's heart, and ensure blood perfusion of important organs such as the heart and brain.

When the patient's position was completed, Zheng Hong had also established an intravenous access for the patient. Wu Xiangdong looked at the rapidly falling liquid in the Murphy dropper and said to Zheng Hong: "Prepare another bottle of bicarbonate for him.

Sodium solution."

After all, anaphylactic shock generally causes acidosis. Whether it is respiratory or metabolic acidosis, the pH value in the blood will be low. Correcting the acidosis with sodium bicarbonate is the preferred treatment option.

"It would be great if there was a blood gas analyzer in the emergency department." Wu Xiangdong said with emotion. If the patient could check the arterial blood gas, he could clearly check the pH in the patient's blood.

Generally, the ph value of normal people is 7.35-7.45, but the patient in front of me not only had deep breathing, but was also accompanied by snoring. Based on Wu Xiangdong's past experience, the ph value is estimated to be around 7.10, which is a relatively serious acidosis.

.

"Okay, Doctor Wu, I'll hang it up for him right now." Although Zheng Hong looked relatively calm, in fact, there was already an uproar in her heart.

Although it was her first time to see Wu Xiangdong's rescue, she had heard about it before and was somewhat prepared. However, when she saw Wu Xiangdong's rescue in person, the shock was unforgettable.

However, Wu Xiangdong didn't know what Zheng Hong was thinking at this time. He was just following the usual procedure for rescuing patients.

Now that the liquid had been hung up, Wu Xiangdong found an oxygen tube, connected one side to the oxygen bottle, and hung the other side on the patient's nose. As he adjusted the oxygen flow, he turned around and took out two more medicines from the rescue vehicle.

One medicine is called Dexamethasone, and it comes in a glass bottle, only as big as the belly of your little finger. The other medicine is called Lobelin, which is only slightly larger than Dexamethasone.

With two crisp sounds, Wu Xiangdong opened the ampoule containing the two medicines, and then gave the doctor's orders.

"Put 5 mg of dexamethasone into an intravenous pot, and inject 3 mg of lobelin into 20 ml of 0.9% normal saline intravenously. If necessary, you can use a promethazine intramuscular injection for anti-allergy."

Because dexamethasone is a glucocorticoid, it can effectively relieve allergic symptoms, and its other important role is to reduce fever.

This is also the hormone drug that pediatricians prefer to use when many children have high fevers and go to the hospital for treatment.

As for the role of lobeline, it is actually a stimulant drug for the respiratory center, which can relieve the patient's symptoms of dyspnea, thereby effectively improving the patient's hypoxia and respiratory acidosis.

As Wu Xiangdong issued medical orders one after another, Zheng Hong was already a little overwhelmed. Fortunately, at this time, the nurse who had already made the consultation call rushed over.

"Head nurse, let me help you." The nurse rushed to Zheng Hong's side and was ready to start rescue work.

However, Zheng Hong glanced at the patient whose face was gradually turning rosy, and seemed to have thought of something in her mind. She immediately said to the nurse: "Don't worry about me for now, hurry up and make a phone call to ask their consultation doctor not to come."

As soon as this statement came out, the nurse was immediately confused, "Why are you trying to stump the patient?"

"Bah, bah, bah!" Zheng Hong was so frightened when she heard the nurse's words that she almost dropped the syringe in her hand. "Don't talk nonsense. The patient is very good. We have rescued him, so there is no need for them to come for consultation."

"Oh." The nurse quickly lowered her head, obviously shocked by her unintentional mistake just now.

"Okay, go ahead and make a call. If they ask about the reason, just say that the patient suffered syncope due to anaphylactic shock and is fine now." Zheng Hong warned.

"Anaphylactic shock? I didn't give him a skin test for penicillin or give him an injection."

When the nurse heard that this was the reason for the patient's syncope, a puzzled expression appeared on her face.

"What's going on?"
Chapter completed!