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Chapter 163: Treatment of acute left heart failure

"Doctor Wu, what you said is too accurate." The nurse stared at Wu Xiangdong with an incredulous expression.

The patient woke up when he told him to. This was amazing. Although she didn't know how Wu Xiangdong did it, it didn't stop her from admiring Wu Xiangdong.

"Ahem, it's all based on experience, it's no big deal."

Wu Xiangdong looked at the almost fanatical look in the little nurse's eyes, cold sweat broke out on his forehead, and he immediately changed the topic to the patient's condition.

Regarding the acute left heart failure of the old man in front of him, Wu Xiangdong thought for a moment and then said to the nurse.

"Since the old man has developed edema in his lower limbs, let him use furosemide to urinate once and relieve the burden on his heart."

"Okay, Doctor Wu, do you have any other instructions?"

Sure enough, the nurse suddenly became serious when she heard that she was going to give medicine to the patient.

Facing the inquiry, Wu Xiangdong thought again, "In this way, you first establish an intravenous access for him, and then give him a dose of morphine to relieve the pain."

"Secondly, 20 mg of nitroglycerin and 50 ml of physiological sodium chloride were pumped intravenously to dilate his blood vessels and reduce the load on the heart."

"Then use a 20ml tube of deacetyllanosin 0.2mg 5% glucose injection and inject it slowly intravenously to enhance the contractility of the patient's myocardium. At the same time, during the injection process, pay attention to observe that the patient's heart rate does not fall below 60 beats/

Minutes to prevent bradycardia.”

"Finally, give him 5 mg of dexamethasone intravenously, and use hormones to enhance the effect of the combined medication."

A series of medical instructions came out of Wu Xiangdong's mouth, and the little nurse was immediately confused.

At first she could still remember the name of the drug and the dosage and concentration used, but later, as Wu Xiangdong gave more and more medical orders, she was confused.

Seeing the nurse's troubled expression, Wu Xiangdong took out a paper and pen from his arms and said, "Inject him first. I will write down the rest of the medical orders. You just follow the instructions above."

"That's really great."

When the nurse heard this, her anxious heart finally fell. After all, it was really a headache for her to remember so many medicines at once.

As the nurse began to prepare relevant supplies, Wu Xiangdong also came to the old man's bedside.

At this time, the old man had just woken up from his previous coma. Seeing the battle in front of him, he no longer knew what to say.

At this time, Wu Xiangdong was the first to speak, "Uncle, you have seen what happened just now. Our disease needs to be treated properly, otherwise it will be too dangerous."

"But……"

Seeing that the old man was still hesitant, Wu Xiangdong said with a smile: "Uncle, don't worry about it. What could be more important than saving lives? Just treat yourself well here and don't have any mental burden. It won't take long to recover."

of."

Wu Xiangdong's words were very sincere, especially seeing his sincere eyes, which made the old man who had experienced many vicissitudes of life feel inexplicably moved in his heart. This long-lost concern made the old man's eyes full of tears.

He swallowed hard and looked at Wu Xiangdong, his lips kept trembling, but in the end he didn't say a word.

At this time, the nurse had prepared all the supplies. She pushed the treatment cart to the old man's side and prepared to give him an injection.

"Uncle, the blood vessels on your arms are so slippery."

The nurse disinfected and applied a tourniquet, but found that the blood vessels hidden under the skin of the old man's arm were like little twisting green snakes, which were very difficult to fix.

"It's okay, just prick it. I'm old and can't feel the pain."

Facing this group of kind people, the old man was grateful, so he didn't care about the nurse's failure to insert the needle.

At this time, he seemed a little silent, and the nurse beside him, who was concentrating on the injection, did not notice the old man's reticence.

With the use of diuretic, cardiotonic, vasodilator and other drugs, the old man's vital signs gradually returned to normal.

Wu Xiangdong looked at the various values ​​​​on the monitor and personally checked the old man's heart and lungs with a stethoscope. It was indeed much better than when he arrived.

"How are you doing, doctor?" The old man looked up at Wu Xiangdong, his expression a little nervous.

Wu Xiangdong put down the stethoscope in his hand and said to the old man with a smile: "It's okay, it's fine. You usually are in good health. This time it's mainly because of the overload on your heart caused by labor."

"After the injection is finished, I will prescribe some oral medicine for you. Just follow my doctor's instructions and take it carefully. You will be fine."

As he spoke, Wu Xiangdong took out the medical record book and wrote down all the oral medications the old man needed to take every day.

The old man looked at Wu Xiangdong's extremely serious expression when writing medical orders. This made his nose sore and almost brought tears to his eyes.

"Doctor, thank you." The old man said gratefully.

"It's okay, as long as the disease can be cured." Wu Xiangdong responded with a smile.

Then, he tore the doctor's order out of the book and handed it to the old man.

"If you find it inconvenient to come to the hospital, you can also go to nearby clinics or pharmacies to buy some oral medicines that are very common and very effective and don't cost a lot of money."

As soon as he said this, the old man's body froze, and the hand that was stretched out in mid-air to receive the doctor's order froze on the spot.

He suddenly looked up at Wu Xiangdong, only to find that the latter was just looking at him with a smile, his eyes were clear and transparent, and there was no trace of disgust or disgust.

"I'm sorry, I'm sorry for causing you trouble." The old man lowered his head guiltily and muttered to himself.

The old man's sudden apology, especially his strange expression, left the nurse on the side a little confused.

"Uncle, you trust us by coming to the hospital to see us. It's too late for us to be happy. How can you cause trouble?"

"Otherwise, I will stay here with you today, and I will leave after your treatment is over."

The nurse instinctively thought that the old man was a little scared because he was receiving treatment alone in the hospital, so he said some inexplicable words.

But just when she was about to keep guarding the old man, Wu Xiangdong suddenly coughed in her ears.

"Doctor Wu, what's wrong?" The nurse turned to look at Wu Xiangdong.

"Leave it to me to take charge here." Wu Xiangdong said with some embarrassment.

"Why?" the nurse asked with a puzzled look.

"Your duty today is to be responsible for the entire emergency department. It's not appropriate to stay in the emergency room all the time, right." Wu Xiangdong explained.

After all, there is only one nurse on duty in the emergency department during the day shift. If she stays here all the time, she will be overwhelmed if patients come from other places.

"Then what should we do? We can't leave this place unattended."

The nurse was a little anxious. After all, she was responsible for the old man in front of her, and during the entire treatment process, the old man's humble and cooperative attitude made the nurse have a good impression of him. Therefore, she did not want him to be alone in the emergency room and worry about his injuries.

Afraid.

Wu Xiangdong was a little surprised by the nurse's warm-heartedness. He took a deep look at the nurse in front of him, and then said: "Well, you'd better go out and do your work first. If there are other things here later, how about I call you over?"

?”

"Then we can only do this for now."
Chapter completed!
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