Chapter 137: Low Potassium Is Deadly!
Chapter 37 Low potassium is deadly!
"When are the electrolytes made?" Lin Yu said as he looked at the glasses doctor.
He directly ignored Director Luo.
"When the patient comes in the morning!"
"Where's troponin?" Lin Yu asked.
"Half an hour ago"
"That's right, when the patient came in the morning, the electrolytes were normal, and then he took a day's insulin, and half an hour before the troponin was normal, and myocardial infarction was ruled out!
"No!" said Director Yang.
"Hurry up and get two pills of potassium chloride!Is there a supplement in the hospital, g, hurry up and take it!" Lin Yu ordered directly.
"What's the situation with you? I suggest that you get the ECG done as soon as possible and draw another blood! Check the electrolytes and muscle calcium! Even if you want to use medicine, you have to see the results before using it!" Director Luo felt that his authority was threatened, and immediately retorted.
"No, Director Yang, this is your mother's life, you think about it yourself, don't blame me for not reminding you?! You lost insulin like this, you should have to replenish potassium!" Lin Yu directly began to threaten.
In the face of life, this is not a joke, this has already shown clinical symptoms, and if you go for a long time, maybe on the way to the examination, the patient will be gone.
"Okay, okay, get me that potassium!" the patient asked directly.
Everyone is afraid of death! She saw that Lin Yu said so seriously, he was a doctor in a big hospital, although he was young, he came from a big hospital, that was different.
Seeing that the glasses doctor hadn't moved, she immediately yelled at Director Yang: "Hurry up, you want your mother to die! I believe the doctors in the big hospital!"
When Director Luo heard this, he threw away the consultation sheet in his hand and said, "Your director of surgery is not playing the piano indiscriminately, why are some experts still calling us?"
After saying that, he left in a rage.
He is experienced, in fact, he also has some suspicions that the patient may have hypokalemia, but this result did not come out, and the diagnosis was rashly made, which is not in line with clinical principles!
It is not in line with his own principle of prudence, what if this patient does not have low potassium, this is what he considers, at this time, seeing Lin Yu unashamedly concluded that the patient is low potassium.
He was not very happy in his heart, and it happened that the patient had this attitude, so he was even more unhappy in his heart, and secretly said that this patient is your mother of Deputy Director Yang anyway.
It's just that he was injected here, and he wasn't hospitalized, and he wasn't considered an inpatient, so he just left.
The head nurse immediately took two tablets of potassium chloride and fed them to your patient.
"Hurry up and draw blood!Call the electrocardiogram doctor to come over!The other is to prepare a set of potassium chloride saline! and open another set of intravenous access!" Director Yang immediately began to command.
The eye doctor immediately followed Deputy Director Yang's instructions to prescribe medical orders, and the nurse hurriedly carried them out!
...
This is a small episode, Lin Yu didn't expect it, he didn't want to pretend to be forced by this wave, but he just said that he had encountered it, there was no way, the level of doctors in the hospital below the secret passage would be relatively poor.
In fact, this can also be understood, the medical industry is different from other industries, this industry deals with medicine, but there is no regret medicine, Director Yang's mother's situation occurs from time to time in clinical practice.
Because of the large use of insulin, there is no monitoring of blood potassium, and malignant arrhythmia induced by low blood potassium is occasionally reported, but in fact, as long as you are careful and professional, this problem will generally not occur.
"Director Lin, we just focused all our work on appendicitis, this doctor has just been recruited, he has no certificate yet, and his clinical experience is not very rich! The main blame is on me, I asked him for insulin, and I forgot to supplement potassium!" Director Yang said embarrassedly.
When Lin Yu heard this, he secretly said that Director Yang was not bad, and when something happened, he did not put all the responsibility on the first-level doctor, but took the responsibility himself.
In this way, Lin Yu looked at him differently.
"It's okay! Let's go and see the results, there is a process for doctors to grow!" Lin Yu could only comfort that he didn't have a certificate yet.
In fact, it can also be seen from these places why there are relatively few patients in primary hospitals, while large hospitals are overcrowded.
After a while, the eye doctor came and reported the results.
There are a lot of premature ventricular contractions in the ECG, and it is really possible to develop into ventricular arrhythmias, if there is ventricular arrhythmia, or ventricular fibrillation, it is over.
There are many kinds of arrhythmias, normal people are nervous and excited, the heart may be pounding!
If there is a malignant arrhythmia, such as the heart is not beating normally, or doing some meaningless beating, the pump is not working properly and does not pump blood to the body, then it is basically not far from the ghost door.
Electrolyte potassium: /l, severely hypokalemia.
Director Yang looked at these results and was shocked, his mother was closed in the ghost gate.
If Lin Yu hadn't insisted on immediate intervention and treatment here, and pushed his mother to the electrocardiogram for a walk, and then waited for the blood drawing results, at least another hour of delay, the consequences could have been imagined.
Director Yang was apprehensive, and his admiration for Lin Yu's admiration began to look at his suspicion of being so young, to the shock of the magically fast operation on the operating table, to his admiration for diagnosing his mother's hypokalemia like a miracle.
His admiration for Lin Yu is basically to the point that the surging river is endless.
"Thank you, Director Lin, if it weren't for you!, I really don't know what the result would be?" Director Yang said sincerely.
"Then I'll go back to my girlfriend's house first, and call me if the child has any problems!" Lin Yu was ready to leave.
Yanran has been downstairs for at least an hour, I don't know if she is angry, as a doctor, there is no way, the time is not her own, she was supposed to solve the problem in half an hour, who would have thought that she would encounter this hypokalemia patient again.
"Originally, I was going to invite you to dinner! It's just that this girlfriend is a big deal! Then I can't keep it!" Director Yang said.
"Well, I'll be here more often in the future!"
"Director Lin, we will forget about the New Year in the future, I will fight you better, I can be regarded as your brother! If you can afford me, you can find me at any time when you arrive in Peach Blossom Town!" Director Yang began to approach.
Lin Yu was not very interested in these, and secretly said that it would be good if Han Qiang came, he would eat this set.
Because of his background, Lin Yu's parents died in a car accident when he was a child, and he belongs to the kind of problem schoolchildren in school who don't love his father and mother.
From time to time, I have to fight hard against my classmates who bully me, and my personality is not only a little introverted, but also occasionally a little black.
Seeing that Director Yang was so enthusiastic, he could only echo it: "It's easy to say, it's easy to say!"
Secretly, normally, he should say a word back: You came to Tanxiang City to look for me, but the words didn't come out of your mouth, you don't have any foundation in Tanxiang City, you don't have a house, why are you looking for me, the words came to your mouth, and you couldn't bear it alive.
Lin Yu said goodbye to Director Yang and came to the first floor, and suddenly found that his bladder was a little full, and he hadn't gone to the toilet to emancipate his mind and bladder just now?
He came to the toilet and felt a lot refreshed, so he took out the red envelopes in the bag and counted them, eight thousand!
Lin Yu looked at this number, and his heart trembled!
This is not a small amount! At least Lin Yu thinks so! But it is not much, because this is not a major operation, no wonder Director Yang wanted to do the operation himself just now, and gave himself 6,000 every time!
I really broke his siege just now and saved the child's life, and for the hospital to give this amount of labor fees, purely from the patient's point of view, the hospital is a loss.
It can be seen that Director Yang is very determined to set up a general surgery department! It is very likely that he has added a few thousand yuan privately, or the dean has instructed him to give so much, and it is not difficult for the hospital to make an account.
According to Director Yang, if the new dean wants to straighten him out and squeeze out the original director, there should be no angle, but it will be easy to set up a new department, not a problem.
Lin Yu stuffed the two thousand yuan that his uncle returned to him in the afternoon into the envelope.
The beauty in the car is sleeping.
"Did you sleep well?" Lin Yujia woke up, her eyes were hazy with drunkenness, and her eyes were misty as if she had drunk wine.
[Is the operation done?] Yanran was very worried about him, but she couldn't help, so she could only keep praying that her brother-in-law could take the operation down.
Lin Yu let go of the electronic handbrake, but did not step on the accelerator! Looking at her, he said: "I can't go back to the city tonight, I'm afraid that the patient has any problems, so I have to observe it all night!"
After all, he had the operation himself! If the patient has any problems, he still has to find a way to solve it, after all, he took 8,000 yuan from others, and he was short of people, Lin Yu said secretly.
Yanran thought about it for a long time, she shouldn't have woken up yet, shook her head, and felt a little sober.
[Brother-in-law!, you can arrange it!]
"Do you want to go home?" Lin Yu asked, if you can go home, it will only take more than twenty minutes to drive.
[Don't!I've already gone back, go back again, and I'll have to say goodbye to my parents again!We are famous for our hot springs here, and I haven't even soaked in hot springs!] Yanran sent a message.
"It's really fake! You're from here, and you haven't even soaked in a hot spring!" Lin Yu was a little unconvinced, and suddenly thought of Yanzhi's ashes in the trunk, and secretly said that she shouldn't have it either.
Yanran pursed her mouth, made a pitiful look, and shook her head: I really haven't been there.
"You help me count! This is my labor fee! Let's go and live the life of a rich man tonight!" Lin Yu handed over the envelope just now.
Yanran looked at the envelope and was stunned, this thickness is okay!
"I'll take a look at the hotel here! Let's have a good experience!" Lin Yu opened his phone and searched.
The car is running wildly all the way in the night, and there is a Ruipu Hot Spring Hotel fifteen kilometers away.
On the way! Yanran is doing one thing: counting money!
She counted it again! And she counted it again!
That's right! A whole hundred, 10,000 yuan!
She looked at Lin Yu puzzled, blinked her cute big eyes, and stretched out an index finger!
"Ten thousand?" Lin Yu pretended to be surprised.
Director Yang gave himself 8,000, and he quietly stuffed another 2,000 in, just 10,000, just to show Yanran.
Yan Ran nodded vigorously.
"This Director Yang is a bit interesting!" Lin Yu said with a pause.
Yanran still looked at Lin Yu in surprise, at this time, she was sideways, the seat belt pulled her body, it looked a little weird, she didn't care at all, she was surprised that her brother-in-law was so powerful, he went up for an hour, and 10,000 yuan was in hand.
Every time my father went out to do odd jobs, he worked hard under the scorching sun for a day, only two or three hundred yuan a day, and sometimes he had to owe several months to meet acquaintances.
Tang San Chinese Network
Tang San Chinese Network