Chapter 784 : Successful rescue! (Tiger who walks the catwalk for the leader 2)(1/2)
One sentence stunned everyone around him!
When the young nurse saw Chen Cang, her eyes suddenly lit up.
Isn’t this the male god at that time?
Everyone didn't expect to meet Chen Cang again!
Chen Cang did not hesitate, and now it is not the time to hesitate. He hurriedly said, "Let's go together!"
Chen Xiuyuan nodded quickly.
Chen Cang introduced here: "This is the president of the Second Provincial Hospital, President Qin, and this is the emergency doctor Qin Yue. Let them come in, hoping it will be helpful!"
When Chen Xiuyuan heard this, his eyes widened. President Qin?
He nodded quickly: "Okay! OK!"
Someone came up with an idea and this was a good thing. Chen Xiuyuan hurriedly said to the nurse: "Call Director Ji and say..."
The young nurse nodded one after another.
Qin Xiaoyuan kept looking at Chen Cang and didn't say much. If Chen Cang said it wrong, he would remind him.
but!
He found that Chen Cang made his choice from scratch was all the correct, even the best choice.
Chen Cang glanced at the nurse and said quickly:
"Cleaning out the secretions of the mouth and nose, keeping the respiratory tract open, and preparing to inhale oxygen!"
After the organophosphorus poisoning, the activity of cholinesterase is inhibited and the activity of hydrolyzing acetylcholine is lost, which will cause the accumulation of acetylcholine!
The acetylcholine receptor will have muscarinic or nicotine and central system symptoms.
Therefore, the core treatment during the treatment process is anticholineral therapy.
However, there is currently no anticholiner on the market that can fight these three types of symptoms better at the same time, and can only treat one or two of them with significant effects.
Therefore, Chen Cang cannot be careless about the rescue of this poisoning, which is why he did not let Chen Xiuyuan take responsibility.
Because in comparison, he is more willing to believe in himself!
At this moment, the patient has completed the blood draw.
"Insert the urinary catheter, diuretic!"
"Stomach lavage!"
At this time, Li Dan had already had incontinence and diuresis could also accelerate metabolism.
Four or five young nurses immediately started to get busy!
Soon, the ECG monitor was ready to be completed.
As soon as the monitor started working, the Didi alarm sound began to sound!
Chen Cang looked up and saw that his heart rate was getting lower and lower, his blood oxygen protection was also decreasing, and his blood pressure was also decreasing!
Chen Cang frowned immediately!
He quickly said, "Prepare atropine!"
Chen Xiuyuan has already started preparing here. It is common sense to use atropine to poison organophosphorus pesticides such as DDT and DTT. Chen Xiuyuan is no stranger to it.
But!
Chen Cang suddenly said, "16 mg!"
These words directly scared Chen Xiuyuan, and even Ji Qu who ran in was stunned!
"How many?"
Chen Cang continued: "16 mg, intravenous injection!"
Chen Cang's words were like a thunder in the emergency room, which scared Chen Xiuyuan and Ji Qu, the director of the emergency department who had just arrived, were a little stunned!
16 mg of atropine intravenously!
Is this crazy?
16 mg!
Not an intramuscular injection!
Not intravenous drip!
"Will there be too many?" Ji Qu asked directly with a frown.
Chen Cang said in a deep voice: "This must be done!"
Qin Xiaoyuan also said at this time: "For the first time, atropine should be used in sufficient quantity to achieve effective drug concentration in the blood as soon as possible. This can not only effectively avoid the aging of poisoning enzymes, but also reduce or even eliminate the symptoms of poisoning within a period of time!"
"The latest guide can use 20 mg, yes, no problem, and intravenous injection can quickly achieve effective blood drug concentration!"
"The patient's poisoning score is relatively high now, which is severe!"
When Ji Qu heard Qin Xiaoyuan say this, he didn't say much. Qin Xiaoyuan is a famous doctor in the country and a master of internal medicine.
It's very convincing!
This is the deterrent force of fame.
This is also the reason why Qin Xiaoyuan came, and he was worried that Chen Cang could not hold on to the scene.
Here, stomach washing has begun.
16 mg of atropine also begins to take effect instantly!
When the nurse saw the electrocardiogram monitor, she was immediately delighted:
"The heart rate is back, the pulse is also increasing, and the blood oxygen protection level is increasing, which is basically normal!"
Chen Cang lowered his head and checked, but there was no evidence of atropinetic.
Time passes by minute by minute!
Rescue continues.
Half an hour... it has passed, Chen Cang frowned, but hasn't atropine reacted yet?
“Continue atropine intravenous injection!”
Chen Xiuyuan was not hesitating here and continued to prepare!
Originally, this kind of rescue should be sufficient initially and the medication should be used repeatedly!
But... he just didn't know how much it was to be enough!
In fact, what they are worried about is atropine poisoning.
Drug poisoning is also relatively dangerous.
In fact, first aid is dancing on the tip of the needle!
Continuously staged peak and extreme treatment.
Continuously adjust and deal with the patient's symptoms accordingly according to the patient's performance.
This is what is called "dealing with each other" and "soldiers come to stop them!"
If first aid is the most beautiful art, no one would doubt it.
Because the human body itself is one of the most magical works of nature.
Taking the life of the human body as a bet, every time, you must do your best.
The grasp of every first aid drug is very important for emergency doctors!
A slight difference can lead to a thousand miles of mistakes!
Chen Cang's grasp of emergency poisoning is perfect, and his grasp of emergency rescue medicine is also perfect!
By the patient's symptoms and sign score, he can tell what Li Dan's current indicators are!
In front of him, on the four-dimensional model diagram, Chen Cang seemed to have an intuitive feeling about his signs, as well as poisons, atropine, acetylcholine, etc. through the patient's symptoms at this time!
At this time, Li Dan suddenly started to twitch again!
Chen Cang immediately pondered for a moment and immediately said: "Scopolamine, 2gm, intravenous injection!"
Atropine is mainly targeted at m receptors, that is, muscarinic.
Scopolamine mainly targets n receptors, that is, nicotine.
The two are completely different.
Scopolamine has a general effect on cardiovascular, but has significant effects on the nervous system, can relieve central excitation and have significant effects on muscle tremor.
“Chlorophosphidine…”
Needless to say, Chen Xiuyuan also understood this.
Chlorophosphidine has very good results and is currently the first choice for rescuing organophosphorus pesticide poisoning!
To be continued...