Chapter 41: Zhang Yue is useless (asking for recommendation votes)
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Methamidophos is a highly toxic pesticide and has not been allowed to produce it in recent years, but I don't know where this Aunt Li got such a bottle, and it seems that she has drunk a lot. (To read the latest chapters of this book, please visit the biquge.info of Wèn Aishang Novel Network)
Zhang Yue stood there, trembling a little, looking at Jiang Yuan, who was constantly pressing Aunt Li's abdomen to induce vomiting, he felt a burst of fear in his heart.
If this Aunt Li is allowed to leave like this just now, then it will cause big trouble, and as long as the situation is delayed for another ten or twenty minutes, it will be difficult for this Aunt Li to be rescued.
Although he will not be revoked from his practice, he will be subject to waves of investigations, which will bring uneliminable negative effects to the clinic, and the clinic will need to pay a huge amount of compensation;
From now on, his future will be bleak, at least for the next four or five years, he doesn't want to have any chance of turning around.
But now, Zhang Yue is worried that although he began to rescue the patient, he misdiagnosed it, which will leave an extremely bad impression on Doctor Hu's heart.
Thinking of this, Zhang Yue's face turned pale when he stood here, didn't he come here to work, didn't he just want to use the fame and connections of Old Doctor Hu to make a good future for himself in the future?
At this time, Xiaoli had already pushed the ambulance over, Jiang Yuan stretched out his hand and said in a deep voice: "Normal saline"
Xiaoli hurriedly took out a large bottle of normal saline from the ambulance and opened it with a bottle opener, and handed it over.
Jiang Yuan took the bottle, then reached out and lifted Aunt Li's mouth, gently pressed her chin, asked her to open her mouth, and then directly poured saline into her mouth.
This Aunt Li finally began to struggle, but this would make her stuck by Jiang Yuan's hands, and she couldn't pull Jiang Yuan's hand away when she reached out, so she could only passively "coo-dong" and swallow the saline directly poured into Jiang Yuan.
Uncle Li next to him finally confirmed that his wife was drinking pesticides at this time, and with tears in his eyes, he hurriedly stepped forward to help Jiang Yuan hold down his mother-in-law's two hands, and persuaded him with a cry: "Mother-in-law, don't move, doctor, this is to save you, let's quarrel with the old husband and wife, why can't you think about it?"
Jiang Yuan poured saline water on this side, and asked in a deep voice, "Did you call the hospital?" β
"Sister Wu has already been beaten," Xiaoli hurriedly replied.
Jiang Yuan nodded, looked up at Zhang Yue, who was in a daze on the side, and couldn't help but feel a burst of fire in his heart, and said angrily: "Zhang Yue, what are you doing in a daze, command the rescue, and tell SΓΉ Xiaoli to use medicine."
"Ahhh
It's just that he stood there and hesitated for a long time, and then he said loudly: "Xiaoxiaoli, atropine 5 mg intramuscularly"
Hearing Zhang Yue's words, Xiaoli hurriedly smoked 5 mg of atropine and leaned over to inject the patient.
And after Zhang Yue gave such a medical order, he stood there and did not give any other medical order.
This Jiang Yuan was on the side, listening to Zhang Yue's doctor's advice, and looking at Zhang Yue, who was obviously very nervous and seemed to be a little at a loss, his brows furrowed slightly.
In his memory, in the books he has read in the past few years, the rescue specification about organophosphorus pesticide poisoning: "The principle of early, adequate and repeated medication, especially atropine, should be used in large doses, so that patients can achieve atropine as much as possible, which is the key to saving patients"
But why did Zhang Yue look like this, he only used five milligrams of atropine once, and then stopped using other medicines? This guy wouldn't be stupid enough to just wait for an ambulance to come, would he? Still is
Thinking of this, Jiang Yuan glanced at Zhang Yue and asked in a deep voice, "Zhang Yue, have you rescued a patient with organophosphorus pesticide poisoning before?" β
"Ah, of course there was"
Looking at Zhang Yue's frightened and perfunctory expression, Jiang Yuan exhaled lightly, knowing that this guy was really unreliable this time. οΌ
Thinking of this, Jiang Yuan couldn't help but curse secretly, what he was most familiar with before was Chinese medicine, and this Western medicine was really a bit
But at this time, Jiang Yuan couldn't do it, this Zhang Yue couldn't be trusted, so he could only rely on himself, and while quickly recalling and analyzing the information in his memory about organophosphorus pesticide poisoning rescue, he casually threw away the empty saline bottle at hand, and then stretched out his hand to Xiaoli and said, "Another bottle"
Waiting for Xiaoli to open a bottle of normal saline and hand it over, Jiang Yuan had reluctantly sorted out the procedures and medications for rescuing organophosphate poisoning, took the saline bottle and continued to pour water to Aunt Li, while looking at Xiaoli and said in a deep voice: "Establish two intravenous channels with 255 sugar plus pralidoxime 1.0 intravenous drip, 50ml glucose plus 20mg atropine intravenously for ten minutes"
"Yes" Originally, Xiaoli had been waiting for Zhang Yue to give a doctor's order, but seeing that Zhang Yue couldn't do it, she was also very nervous, and at this time, Jiang Yuan came out to preside, and she couldn't help but be relieved, and immediately began to dispense medicine and injections with her hands and feet.
Zhang Yue next to him stood there with an embarrassed face, not knowing what he should do, and finally saw that Xiaoli was not good at getting injections alone, so he hurriedly went up to help press Aunt Li's hand.
Jiang Yuan finished pouring another bottle of normal saline in his hand, and then pulled Aunt Li forward again, and gently pushed his right hand to his stomach;
This Aunt Li was filling her stomach full of saline, and when Jiang Yuan pushed her hand like this, she immediately vomited again.
After watching Aunt Li spit out more than 1,000 milliliters of normal saline that had just been poured down, Jiang Yuan said to Xiaoli: "Take 2% sodium bicarbonate"
Xiaoli glanced at the syringe in her hand that was pushing the medicine, but at this time it was a little difficult to do.
Zhang Yue, who was looking embarrassed and idle, hurriedly stretched out his hand and said, "Come on, I'll push the medicine, Xiaoli, you go get the medicine."
"Okay, I'm sorry for you, Doctor Zhang" Xiaoli carefully handed the syringe into Zhang Yue's hand and said, "The rest of the medicine will be pushed for six minutes!" β
"Okay, okay, you go and hurry up," Zhang Yue nodded hurriedly.
After taking the two large bottles of prepared sodium bicarbonate solution handed over by Xiaoli, Jiang Yuan began to pour it into Aunt Li again.
The most important step in rescuing patients with organophosphate pesticide poisoning is to wash the stomach, and only by washing away the residual poison in the stomach can we ensure that the best results can be achieved in the rescue of patients.
So what Jiang Yuan is doing now is to keep using water and medicine to wash and neutralize the poison
After a few minutes, the medicine in Zhang Yue's hand was finally finished, and outside the clinic, the alarm of the ambulance also sounded
Two nurses and doctors ran in quickly with stretchers.
"The patient's face is flushed, he is not sweating, his pupils begin to dilate, his heart beats one hundred and six times per minute, and his mental irritability has reached atropine."
After the doctor who led the team nervously examined the patient, he finally breathed a sigh of relief, nodded and confirmed with satisfaction, and then reached out to take the medication written by Jiang Yuan, shook hands with Jiang Yuan and said, "Your measures are very timely, and the rescue effect is also very good, and then we will take over the hard work!" β
Jiang Yuan smiled and nodded, and then sent the patient and the doctor out of the door, and Uncle Li shook hands with Jiang Yuan again and again, and said excitedly: "Doctor Jiang, thank you, thank you"
--- relatives and friends ask for recommendation votes
I also thank Jiaqi and Wudao Immortal Venerable for their tips
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