If it is primary hypertension, in addition to lowering blood pressure, you also need to prevent complications caused by high blood pressure. If it is secondary hypertension, you must first find the cause of high blood pressure before you can naturally lower blood pressure. So it is not a random
Giving patients antihypertensive drugs casually can solve the problem.
The patient reported that he had no past history of hypertension. Did he not have it checked or did he really not have it?
The blood pressure of the current patient is not very high, although it is much higher than the normal value, but clinically the truly terrifying high blood pressure can reach more than 200. The important indicator diastolic blood pressure of the patient is not particularly high and does not exceed the normal value.
It is necessary to rule out possible complications caused by high blood pressure first, because this is the most obvious abnormal indicator in the patient.
For the heart examination, the electrocardiogram showed nothing for the time being, but the three items of myocardial infarction were not checked, so a laboratory test is needed to check. Judging from the patient's size, hyperlipidemia is indispensable. These need to be ordered and checked. Another terrible complication of high blood pressure is cerebrovascular disease.
The patient is conscious and the doctor can answer questions.
"Can you tell me where exactly it hurts?" Xie Wanying approached the patient with the medical record and asked for the teacher.
The male patient obviously heard her question clearly. He pointed at the area on his chest and it was so painful that he couldn't speak.
"Do you want to give him a pain-relieving injection? I think he is in so much pain that he is almost dead." Seeing her brother's pain, the patient's sister was very worried.
The patient is in severe pain now, his lips are a bit white, his face is sweating constantly, his breath is weak and he is gasping for breath.
"Analgesic injections cannot be given casually. If they are given, the specific cause of the pain will be masked by the effect of the analgesic injection. Pain is a signal for help sent by the human body when there is a problem. Use analgesic injections to cover up unexplained pain.
It will affect the doctor's judgment of his condition, leading to misjudgment, and the consequences will be more serious." The family members had this request, and Xie Wanying explained it to the patient's family members.
"What should I do if he continues to hurt like this? It will hurt him to death." The patient's sister only knew that her brother was in pain and was asking for help from her, and she was extremely anxious.
"Don't be nervous." Xie Wanying comforted her, "Find out the cause first, without using painkillers, solve the cause of his pain, and he will naturally be free of pain."
"You doctors, hurry up and check him out. We can spend any amount of money," the patient's family said.
This is not a question of money. Some diseases are difficult to diagnose. If money can solve this problem, it will not be said that some rich people may not be able to find out what diseases they have even if they spend a lot of money.
After Sun Yubo finished listening to the patient's heart and lungs, he turned back to look at the student and found that she didn't even take out the stethoscope: Is that strange? Isn't this student always very active in physical examinations?
Because at a glance, Xie Wanying did not think that this patient had cardiopulmonary problems. If there was a problem with the lungs, there must be a problem with breathing. This patient did not have it. At most, he was inhaling and pumping out because of pain. If it was the heart, the pain in the heart was like suffocation, and it was also
Not this way of breathing.
Knowing that the student had good eyesight, Sun Yubo took back his stethoscope. Anyway, he had just listened for a long time and couldn't detect any heart or lung problems. He said to the student: "Go and order a CT scan."
Instead of heart and lungs, we must consider digestive tract issues.
Regarding how to write this examination application form, Xie Wanying just thought about it in her mind. She walked to the nurse station and got a blank form. After a while, she finished it and submitted it to the teacher for review.
