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Chapter 3: Pregnancy is fatal

When the blood pressure came out, Wu Xiangdong also had some palpitations. No wonder the nurse couldn't measure the patient's accurate blood pressure just now. After all, the manual sphygmomanometer of more than 20 years ago is different from the current electronic sphygmomanometer that can achieve one-click measurement, automatic analysis and other operations.

, manual blood pressure monitors can only be operated by experienced medical staff to obtain a relatively accurate value.

However, when Wu Xiangdong was preparing for further examination, the patient who was lying motionless on the examination bed suddenly reacted.

"young married woman?!"

The man on the side thought she was awake and hurriedly approached her, but the situation was not what he imagined.

"It hurts! My head feels so dizzy!" The patient seemed to wake up from the pain. After she spat out these words with difficulty, an uncontrollable pain stimulated every nerve in her brain, causing a strong feeling of dizziness.

It made her light-headed, and then the gastric contents flowed upstream and opened her cardia, and she was vomited out.

"I..." The outpouring of enlightenment suddenly sprayed all over the man, but before he could react, the patient's condition worsened again.

The pregnant woman's facial muscles began to beat, her neck gradually stiffened, and the corners of her mouth twitched. After a while, the muscles all over the pregnant woman's body began to show tonic twitching.

The violent shaking of the body made the examination bed creak, and the permeating metallic friction sound from the constant friction between the bed's feet and the ground was about to pierce everyone's eardrums, making people feel panicked.

Wu Xiangdong ignored the stains all over his body and quickly held down the pregnant woman's shoulders, shouting at the frightened man on the side: "She's having an epileptic seizure. Don't be stunned. Come over and hold her up so she doesn't fall to the ground."

The man woke up from a dream and immediately came to help, but after the pregnant woman experienced convulsions for a few seconds, she began to foam at the mouth, stared at her, and her face turned purple and frightening.

"Change the position, let her lie on her left side, and turn her head to one side to prevent suffocation."

"Nurse! I'll open the patient's mouth soon. Come over and put gauze in her mouth to prevent her from biting off her tongue with her teeth!"

After Wu Xiangdong said this, he stretched out his right hand to pinch the patient's mandible, pressed the chin with the fish muscle of his palm, and pulled it back hard.

As the mouth opens, the nurse sees the right moment, wraps the white gauze cloth around her finger, puts it into the patient's mouth and quickly cleans the secretions.

Wu Xiangdong, on the other hand, stared at the patient closely, observing her condition at all times to prevent another epileptic attack.

Fortunately, the patient did not enter status epilepticus, but slowly returned to calm after one attack.

Wu Xiangdong did not dare to be careless when he saw this. With the current condition of the pregnant woman, her condition could change at any time.

So he turned to look at the nurse: "The patient's blood pressure is 260mmhg/140mmhg, he has a grand mal epilepsy, and his brain is hypoxic. Immediately give him 6l/min oxygen through a mask and establish a venous access."

"7.5g magnesium sulfate injection + 250ml 0.9% sodium chloride intravenous drip can relieve the patient's eclampsia symptoms and prevent the recurrence of tonic spasms."

"50ml of 5% glucose injection + 50mg of sodium nitroprusside are pumped intravenously to reduce the patient's blood pressure to less than 200mmh first."

"20 mg of furosemide is injected intravenously to excrete potassium and diuresis, reducing the patient's systemic edema."

"Give her a quick intravenous infusion of 250ml of mannitol to reduce intracranial pressure."

Wu Xiangdong chose magnesium sulfate as an anticonvulsant because it is often used in patients with pregnancy-induced hypertension. It can not only treat preeclampsia, but can also be used as a tocolytic drug, making it one of the first-choice drugs for pregnant women.

However, Wu Xiangdong's series of medical orders made the nurse a little confused, and she obviously did not keep up with him.

The nurse looked guilty and stammered: "Dr. Wu, can you repeat that again? I have never come into contact with some of the medicines before, so I'm afraid I might have mixed them up."

As soon as these words came out, Wu Xiangdong frowned. The key to rescuing patients is the word "quick". If the patient's condition changes at this time, will he have time to repeat it a second time?

Besides, these medicines are commonly used in emergency medicine. As an emergency nurse, how could he have never been exposed to them? Wu Xiangdong looked ugly, but when he saw the simple diagnosis and treatment facilities behind the nurse, he was startled.

It is now 1999. At this time, emergency medicine has just emerged in the country. Not to mention the staffing, even the facilities are extremely rudimentary.

There are only a few hospitals with a long history in the country that have rich emergency experience, and the Hamada Hospital where Wu Xiangdong is located is just a temporary emergency department built in a hurry to cope with the third-level review.

At this time, the entire emergency department, not to mention the doctors, even the nurses were temporarily seconded from various departments and lacked corresponding first aid knowledge.

Thinking of this, Wu Xiangdong's tone began to slow down: "It's okay, everything needs to be done step by step. It will be fine when you have enough experience."

Wu Xiangdong, who was a little impatient at first, suddenly calmed down. He repeated the doctor's instructions, even the dosage concentration that was a bit difficult to pronounce, but he did not forget to warn him.

"Okay, Doctor Wu, I'll go get it now."

The nurse was relieved. She had been prepared to accept a storm of reprimands from Wu Xiangdong. After all, she had been transferred from the surgical system before and had already experienced the tempers of surgeons. She had even heard that they would be embarrassed by the instruments when they went to the operating table.

The nurse gets furious when the wrong pair of scissors is handed to her, and some people even stop doing so and refuse to continue the operation until they force the nurse to temporarily change the instruments in the operating room.

However, instead of being reprimanded, she was even comforted by Wu Xiangdong, which made the nurse burst into tears of gratitude, and she felt a good impression of the handsome and unrestrained Dr. Wu in front of her.

When the nurse went out to get the medicine, apart from the patient, only Wu Xiangdong and the man were left in the consulting room.

At this time, the man had not recovered from the thrilling scene just now. He was in a state of confusion and kept mumbling: "We are just here to see the fever, how could it become like this?"

Hearing this, Wu Xiangdong suddenly became furious: "Your wife has pregnancy-induced hypertension. According to her current clinical manifestations, she already has signs of severe eclampsia, but this cannot occur in a day or two.

Haven't you noticed anything unusual before?"

When questioned, the man was still confused: "What is pregnancy-induced hypertension? I don't know. My wife hasn't told me what's wrong with me these days."

Hearing this, Wu Xiangdong squinted his eyes and asked in a deep voice: "She is pregnant and has such a big belly. Have you never taken the initiative to ask her what's wrong?"

"No, she is usually in good health. She can work in the fields even though she is pregnant. The house is also well arranged. Every day when I come home, the food is ready. She can even satisfy me when I need it at night. How can I be sick?

signs.”

Looking at his plausive expression and his words that seemed to contain some element of showing off, Wu Xiangdong could not suppress the anger in his heart. After all, the rapid development of the condition of a pregnant woman had a lot to do with the lack of attention of the man in front of him.

"Yes, she was healthy before. You think it's okay, but pregnancy and childbirth can kill people. Do you understand?!"
Chapter completed!
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