Chapter 427 : Convince yourself!(1/2)
With the introduction of the electrocardiogram machine, Chen Cang quickly began to connect the leads!
Weakness on the body!
Abnormal reactions in the digestive tract!
Difficulty in breathing, and suspected that it is a problem with the respiratory muscles!
Pity!
diabetes!
Combining all kinds of factors, Chen Cang thought of a terrible, and even life-threatening disease!
And it may be life-threatening at any time!
However, the electrocardiogram has not yet been done.
Kobayashi shouted: "Doctor Chen, his heartbeats only 20 times!"
Chen Cang's face suddenly turned alike: "Atropin!"
Nurse Lele quickly started the injection!
However, after dopamine injection, the effect is still very average!
The patient's condition did not improve at all.
At this time, the electrocardiogram machine slowly vomited out the electrocardiogram.
Chen Cang tore off the electrocardiograms and picked them up and looked carefully. His face changed immediately.
It's true!
The waveform of the electrocardiogram, combined with all the patient's performance, can be explained clearly!
Chen Cang couldn't help but feel a little lucky, but fortunately he didn't rush to rehydrate.
Otherwise, the old lady will be finished.
By then, there will be no way to turn things around.
Looking at the electrocardiogram, Chen Cang felt his hands trembling.
Kobayashi continued: "Doctor Chen, his heart rate is still decreasing!"
The old man at this time had a ferocious expression. He had been suffering from diabetes for many years and was a little thin. In addition, he was an elderly man in his 80s, so his face was skinny and bone-like!
At this time, the ferocious facial expression, the rapid breathing of opening his mouth, and the ah-ah-ah-screaming sounds in his mouth, which made several students who came to see the "lively" couldn't help but take a step back!
Too scary!
This time!
Atropine seems to be of no use at all, and its heart rate is still only 20 times.
Chen Cang thought about it and immediately changed his policy: "Isoprene!"
In the first aid kit, there was a complete set of rescue supplies and a row of rescue medicines. Lele quickly began to search... prepare.
At this time, Chen Cang said to Xiaolin beside him:
"Prepare 10ml of calcium chloride! Intravenous injection!"
"Also, insulin, 10 units, is also intravenous!"
As soon as these words were said, the group of jujube students behind him were stunned!
At this time, I actually need to use calcium!
They looked confused and had no idea why Chen Cang suddenly started to use intravenous calcium supplements after the electrocardiogram.
The patient...is calcium deficiency?
A group of people were a little confused!
To be honest, Xu Dongdong was a little confused, but she was still standing behind her, holding her notebook and remembering every word Chen Cang said.
Because calcium chloride and insulin are not included in the rescue drug, we need to temporarily go to the nurse's station to get it.
After coming, Chen Cang hurriedly looked at Xiaolin and reminded him word by word:
"Remember! Calcium chloride is slower, 10 ml, and it will be finished in five minutes!"
“Insulin is also intravenous!”
After giving the explanation, Chen looked at the monitor and his heartbeat had reached 45 times per minute at this time!
It seems that it should be the credit of isoproterenol!
But it's not the time to be happy.
The most important cause of the patient has not been eliminated!
This can endanger life and cause cardiac arrest in an instant!
At this time, Li Baoshan happened to pass by the emergency room and learned that a patient was rescued and hurriedly walked in!
Li Baoshan watched Xiaolin injecting drugs.
Asked Chen Cang: "What is the patient's condition?"
At this time, all the students who were later were confused!
They also had no idea what was going on.
Although the full name follows, I don’t understand it at all!
What exactly happened?
How do we look like weak chickens?
Why did Chen Cang start such a tedious operation after seeing an electrocardiogram?
Even Xu Dongdong knew nothing about this.
The man behind him who was talking to Xu Dongdong just now was also a little unconfident. Could it be that the electrolyte is disordered?
Chen Cang finally breathed a sigh of relief when he saw his heartbeat and blood pressure gradually recovering.
Hearing Li Baoshan’s question, he immediately turned around and said, “Director!”
"The patient should have hyperkalemia, accompanied by diabetic ketopathy, and the blood potassium may be as high as eight o'clock!"
After hearing the blood potassium, Li Baoshan's face suddenly fell down.
The blood potassium is over 8 o'clock, it's so fatal!
Normal blood potassium is between 3.5 and 5.5/.
When it exceeds 5.5, it is hyperkalemia.
When Li Baoshan heard that the blood potassium was so high, he immediately asked: "Where is the serum electrolyte not coming out?"
Chen Cang shook his head: "I just sucked it and sent it to me less than ten minutes, and it's not that fast!"
As soon as Chen Cang said this, the people around him suddenly became quiet!
Without serum electrolyte indicators, how did Chen Cang say that blood potassium was over 8 o'clock?
How did you guess that the patient has hyperkalemia?
Chen Cang had an electrocardiogram test from beginning to end.
At this moment, the surrounding students became curious!
Chen Cang can't say that he guessed it himself!
When Li Baoshan heard Chen Cang say this, he quickly picked up the electrocardiogram beside him, looked carefully, and frowned immediately!
"What did you use?"
Chen Cang: "Calcium agent, calcium chloride, the patient's blood sugar was over 16 o'clock, so I added 10 units of insulin."
At this time, Li Baoshan walked aside and looked at the patient.
At this time, I can only wait and see what’s going on.
Chen Cang has done everything he should do.
Li Baoshan is really becoming more and more satisfied with Chen Cang now.
It is really not something that ordinary people can do to diagnose patients through keen details.
Not to mention anything else, Chen Cang can determine the blood potassium value through electrocardiogram, which is a skill.
It’s impossible to do it in a few years!
Emergency and emergency departments are racing against time. If you really wait until the serum electrolyte comes out, you will be really cold!
The handling given by Chen Cang is also very good.
This made Li Baoshan feel a little moved. He is really a good young man.
Chen Cang has also applied all the things he should do. If it doesn’t work, he will have to undergo dialysis.
To be continued...