Chapter 1260 Stay away from the emergency room and cherish life

"Everything starts!"

In the corridor of the emergency department, the roar of the emergency doctor echoed.

After hearing this, Zhou Congwen secreted various hormones randomly. Before he could see the patient, he began to be excited, and then he entered the sage's fatigue.

It’s really bad. If there was no emergency room in the world, how good would it be, Zhou Congwen thought to himself.

I just listened to the sound and walked around myself. I really don’t know why Shen Lang was obsessed with this place.

"What are you yelling at?" The patient's family was also anxious. After being yelled, they became more impatient and directly retorted.

"Hyperkalemia will die at any time, get out of the way!" The emergency department doctor used his shoulder to knock the patient's family away and rushed in directly.

Zhou Congwen sighed deeply without hiding his fatigue.

Stay away from emergency rooms and cherish life.

"Professor Zhou, isn't it too messy?" Lu Tiancheng smiled when he heard Zhou Congwen sigh, "I've been to the emergency room three times, each time half a year. The best night's sleep starts from 10 o'clock until dawn."

"Just once." Zhou Congwen asked incisively.

"Well, I later found the reason why I didn't come to the patient that time. I tried all kinds of things, and I felt that I was very lucky that day."

Of course, once in a while, this is definitely not the norm.

"Why do you think you are so loyal to your life like buying a lottery?" asked Boss Chunxiao.

"If you don't believe in fate, you can't do it. Every day when on duty, you have to pray that you will not come to the emergency room today. The patients in the ward will be quiet. If you can have a good sleep, you will have to burn incense when you go back." Zhou Congwen said helplessly.

When I arrived at the emergency room, the emergency doctor was directing the nurse to supplement potassium for the patient.

Zhou Congwen came to the emergency doctor, "Brother Qiang, are you busy?"

Emergency doctor Wang Qiang turned around and saw that it was Zhou Congwen. He was stunned for a moment, and then a look of surprise appeared on his face.

"Wait for a moment, Xiao Zhou, I'm adding potassium to the patient." Wang Qiang said hurriedly.

Although he really wanted to chat with Zhou Congwen for a while, the blood potassium in the patient's current situation was very low, and he could still tell which one was lighter or which one was heavy.

"Is the test back? Let me take a look." Zhou Congwen took the test form from Wang Qiang and glanced.

The results of urgent examinations are not many, only a few are shocking.

Blood potassium 1.5, Be 14.32, proves to be alkalosis; blood sugar is relatively normal, and lactic acid is higher than 3.4.

It was a little strange. Zhou Congwen looked at the test sheet and looked at the patient lying on the bed and humming.

"Doctor Zhou, why do you think this old man's whole body hurts?" asked Boss Chunxiao.

"Pain is a muscle spasm pain caused by low potassium, which is the most likely to lead to high lactate. It also reminds one thing that patients have rhabdomyolysis caused by low potassium, which requires rapid correction of hypokalemia." Zhou Congwen said.

"Correction, correction, every time I come, it's corrected, and it's not good at all!" A patient's family nagged next to him.

"How do you talk?" Boss Chunxiao turned his head and saw that it was an old man. He didn't say much, but kicked the butt of a young man who happened to be standing next to him.

"Why are you kicking me, Brother Chun Xiao."

"Let your family talk less. When you are in the hospital, listen to the doctor. If you have the ability, don't come to the hospital and treat it yourself at home." Boss Chunxiao cursed, "While coming to the hospital and begging other doctors to see a doctor, they are still nagging. There is something wrong with it."

If the emergency department doctor in white clothes said this, he would be able to fight at that time.

But Boss Tsing Chunxiao said that his family could only go back embarrassedly to persuade the angry old people.

"Doctor Zhou, continue talking." Boss Chunxiao said.

Zhou Congwen looked funny, but there was no way to say anything like this from a doctor's perspective, so he continued to preach, "Alkalemia is still a critical value, which proves that the patient has insufficient fluid volume recently and is very likely to use diuretics."

"You ask the patient if he has diabetes and what medicine he has taken recently."

Boss Chunxiao went to ask, and when he came back, he received it with Zhou Congwen, "I do have diabetes, and I have eaten Anda sugar recently."

Anda sugar, also known as dapagliflozin, is a new drug. Zhou Congwen doesn’t remember when he entered the clinical trial. He didn’t expect that this family would take it so quickly, and Zhou Congwen was a little surprised.

"Alkalemia aggravates low potassium, and the cause of the acute phase is alkalemia." Zhou Congwen said something stupidly and quietly watched Dr. Wang Qiang in the emergency department direct the rescue.

Boss Chunxiao said a few more words, and Zhou Congwen didn't hear it, so Boss Chunxiao shut up.

40ml potassium chloride oral liquid, 500 saline + 15ml potassium chloride intravenous drops.

Because it is an emergency department and there is no micro pump in the entire hospital now, naturally, I will not use a deep vein to place the catheter, and then directly hit the upper vena cava and pump potassium chloride into it.

If the potassium ions are too high, it will also lead to various problems, too much is worse than too much.

Potassium supplementation is to quickly supplement to a safe concentration when the patient can tolerate it.

The safe concentration is not the normal concentration, but the concentration of clinical symptoms that relieves, such as muscle weakness and soreness, that is, rhabdomyolysis is relieved.

Oral potassium chloride solution is preferred because intravenous irritation of blood vessels, potassium chloride sustained-release tablets will cause excessive local concentrations, damage the gastric mucosa and lead to bleeding.

Wang Qiang's rescue measures were relatively safe. Zhou Congwen saw the nurse piercing the drip on his back and then provided electrocardiogram monitoring to the patient.

"Cough cough cough~" the patient coughed.

"Slow down, the little bit of it that has finally been pierced." The nurse hurriedly held the patient's hand, afraid that the needle would be rolled.

"I have a back pain." The patient said while coughing.

"I know that my whole body will be cured after I use the medicine." Dr. Wang Qiang, who saw the patient's vital signs were stable, turned around and asked his family, "Didn't you tell me to go to the provincial capital to see what's going on? Have you gone?"

"I didn't go." A family member of a patient said with confidence. "I went there and took blood and tested it, but I still couldn't tell me what the disease was."

"That's right, a group of quack doctors know that they can treat headaches and heads and feet."

"That's right, doctors nowadays can't see a doctor without equipment. It's better for doctors from earlier years, and you can tell what the disease is when you look at it."

"What are you saying?" Boss Chunxiao was unhappy again. "I caught so many Chinese medicines, but it was useless after taking them. Why didn't I watch you nag?"

"..." The patient's family was stunned.

"If you have the ability to send someone to the miracle doctor you mentioned, see if they accept it."

“…”

Zhou Congwen scratched his head and suddenly remembered something, which grabbed Boss Chunxiao and ran away.

"Boss Chunxiao, what did you think about taking Chinese medicine?"

After leaving the emergency room, Zhou Congwen asked.

"Isn't this the old man coughing? I said I came to the hospital for a visit, and they insisted on finding a miracle doctor to get medicine." Boss Chunxiao said, "It's useful after taking it, but it doesn't remove the root."

"It's OK and it's OK and it's OK and it's going back and forth, tossing."
Chapter completed!