21. Qi Jing's request
Qi Sen asked in confusion: "My husband is not around, so who sent her?"
"Pretty-in-law and sister-in-law."
"Then let's talk to them about the general situation of ectopic pregnancy, and then..."
Before he finished speaking, Qi Jing interrupted him: "Mom, isn't her husband here?"
“Yes, not here.”
“How long have you been away?”
"It's been over a year."
Xiao Yu said it very lightly, but Qi Jing's face was extremely exciting after hearing it: "Then you can't find your parents-in-law and sister-in-law, just report it to your superiors."
"Which superior?"
"I just want to blame this. I can't bear it." Qi Jing shook his hand and pointed at Qi Sen, "By the way, I'll just look for my dad, the president, whoever he likes to sign."
At this moment, Xiao Yu couldn't help but smile on his face. Looking at Qi Sen, who was still confused, he said, "But your father said he was looking for his parents-in-law."
"No need to guess that, I won't sign it."
Qi Sen bit the chopsticks in his mouth, and saw that he couldn't get this point, and his face looked bad: "Human life is at stake, why don't you sign it?"
"Dad, are you confused? You have two months of amenorrhea and your husband is not a year old. He suspects ectopic pregnancy. He is so green and his in-laws are not fools."
Qi Sen unexpectedly expected the result of being cuckolded and eventually lost.
The two rounds ended, Qi Jing: Xiao Yu: Qi Sen was 2:1:0, Qi Sen didn't get a single point. He looked at the bowls and chopsticks left on the table and felt particularly complicated.
It is rare to prepare so many meals, and my son told me not to eat before he got off work. Of course, this is a common thing. It would be nice to have three suppers at home a week.
But it is rare that my son is working in clinical work on the first day and is hoping to be a cushion to take over the work of washing dishes on his own. Unexpectedly, the competition will be the result.
"Dad, my question is the key."
"Tell me quickly, I'll thank you, I'll never fail me in the exam."
Qi Jing's case has a strong personal style.
The patient, male, had just returned to China at the age of 30. He decided to break up because he had an unhappy relationship with the woman's family. Half an hour after the woman received the farewell message, he was found lying on the bed. His whole body was sweating and cold, and there were red wine bottles and a box of foreign medicine boxes beside the bed.
The wrapping paper of the medicine box was just torn open, and the inside was empty, and the cork of the wine bottle was just opened, and the inside was empty. In addition, there was a large pool of vomit on the ground, with the food I ate that night.
The body temperature was checked at 35.5, blood pressure was 105/50, heart rate was 126, and breathing was 24. Except for the disorder of consciousness, there were no other symptoms or abnormal examinations.
The question is very direct: First of all, what is suspected, differential diagnosis and treatment methods during first aid.
"Foreign medicine?" Qi Sen frowned and scratched his head, "Where did you get the case from?"
“Watched online.”
"Symptoms look like drug poisoning." Qi Sen asked, "What words? Can you tell me the ingredients in the drug?"
"I can't understand Japanese."
Qi Sen:......
Why are both mother and mother so fond of playing tricks? One needs to sign and the other is playing foreign languages. It's so difficult for me.
"It's only half an hour, what kind of medicine is not the most important thing."
Xiao Yu thought about it and said that this was not her profession after all, so she could only half guess and half answer:
"From the symptoms, drug poisoning is basically clear, and it is aggravated by a large amount of alcohol consumption. The main thing is to check the differential diagnosis of liver function. Generally, the most harmful damage to the poisoning is the liver. If the diagnosis is drug poisoning, gastric lavage and liver protection must be performed first."
“The risk of gastric lavage is quite high.”
"You have to wash even if you are big! You can wash the tube, otherwise you may not be able to save it."
"My mom is amazing." Qi Jing clapped her hands, "Xiaofen's mom leads 1:0."
"You're playing a small score too?" Qi Sen suddenly saw the turnaround, "Is there still a second half of this question? Just wash your stomach and liver and maintain your vital signs. Whether you live or die, you have to wait until the drug is metabolized."
"Of course there is." Qi Jing asked with a smile, "The second half is to guess what this box of medicine is."
Qi Sen was still thinking about winning back the battle, but he didn't expect that his son had such a trap for him. A medicine box with Japanese words and there was no real thing, so he asked them to guess the name of the medicine. Isn't this intentional trouble?
“It’s too difficult.”
"It won't affect the result." Qi Jing made a gesture, "I'll just ask two questions. Dad, if you can't answer it, do it well."
"All right......"
Qi Sen had no choice but to smile and clean up the dishes. Xiao Yu, who was beside him, didn't say much, still sat on the chair and looked at his son: "Mom can't guess, tell me the answer."
In fact, most drugs combined with alcohol will mostly offset the effect of the drug, but a small number of drugs will cause serious consequences.
It contains four categories.
The first type is antipyretic and analgesic, such as aspirin, ibuprofen, etc., which contain acetylsalicylic acid, which itself stimulates the gastrointestinal tract. The stimulation increases exponentially after adding a large amount of alcohol, which will trigger a severe gastrointestinal reaction, which can cause gastrointestinal bleeding.
The second category is cephalosporins, including all drugs with cephalosporin beginning.
They will inhibit the further conversion of the alcohol metabolite acetaldehyde, just like those who are unable to drink, will have flushed faces, nausea and vomiting.
Finally, it induces myocardial infarction, heart failure, dyspnea and shock.
The third category is all sleeping pills.
They have the same effect as alcohol. After being superimposed, they are not "1010=20", but "10*10=100". The symptoms are coma, inhibiting the respiratory center, sudden drop in blood pressure, and sudden death.
The fourth category is cold medicine, which also contains a large amount of acetaminophen, which will produce a metabolic substance after entering the body.
Both substances require glutathione in the liver to bind to remove toxicity. After adding them to the two, the burden on the liver will further increase, which will easily lead to acute liver failure.
"From the symptoms, low body temperature and confusion in consciousness suggest that liver failure is more likely." Qi Jing analyzed, "So in comparison, that box has a high chance of being a cold medicine."
While speaking the answer, the living room became particularly quiet, and only the sound of tap water could be heard.
Qi Jing's knowledge reserve exceeded the expectations of the couple. Qi Sen was very pleased that the decision he made yesterday was correct. Xiao Yu did not say anything, but nodded and smiled and praised, then plunged into the room to do his own thing.
"You made your mother cry again." Qi Sen lifted up her sleeves and squeezed some dishwashing liquid, and said with a smile, "Five years of undergraduate studies, she has been worrying a lot about your grades."
Qi Jing did not go to take a shower first as usual, but stood beside his father: "I know, I'm upsetting you."
"Forget it, don't talk about this."
"Dad, I have something to ask you for. There are a lot of things to do, but I think it's better to take it slowly."
Qi Jing first told Ji Qing about the information needed by the neurology department, and then urged him to switch himself to the intensive care unit. As for the new department and the time to set up his own team is not ripe, he will not receive support if he says it now.
Ji Qing left a lot of good impressions on Qi Sen.
Nowadays, there are very few people who are willing to go to the emergency room to be a permanent emergency doctor. So they just send some magazines, and there is no problem for him.
But his son suddenly wanted to change the land, which made him very worried.
"How good is your experience in the general emergency room?" Qi Sen wiped the bowl and persuaded his son while secretly checking his reaction.
"That place is too boring." Qi Jing knew what his father was thinking, "I wanted to go to the clinic because I thought it was interesting to have severe first aid. If you put me there, you will have a headache and fever, and I won't do it."
Qi Sen couldn't resist and could only nod: "Okay, okay, I'll go talk to Lao Wang tomorrow."
"I don't have a professional certificate now, so I told Director Wang not to do personnel transfers, and everything will be the same. I will watch from the side, do miscellaneous work, study more, and I won't make any trouble for you."
This speech sounds quite diligent and hardworking, which also reassuring Qi Sen, but in fact, what Qi Jing wants is such a idle position.
If he could not stop, he would take action to deal with it. If he could not stop, he would take action to solve it. He would throw it back for them to treat it after the diagnosis. As for the groceries he had taken with him, it was naturally the intern's business and had nothing to do with him.
Anyway, there is only one purpose, and there is no difficulty to follow.
Chapter completed!