Chapter 160: Isolation
For patients with bacterial infection, Zuoli is given moxifloxacin to fight infection. For patients with respiratory failure, Zuo Li was considered to be methicillin-resistant Staphylococcus aureus infection, and vancomycin was used for anti-infective therapy.
Several cases had high fevers, fever to 40 degrees, and Zuo Li was treated with acetaminophen antipyretic. There was a patient who vomited and diarrhea and was extremely weak, so Zuoli gave the patient domperidone or metoclopramide for antiemetic, and montmorillonite powder or hydrochloric acid and alkali for diarrhea.
A critically ill patient has been bleeding from the digestive tract and blood in the stool. Zuo Li used Omela to stop the bleeding, and the other patient was in severe pain and cried all night. Left force gives ***** pain relief. Another patient had abnormal anxiety, difficulty falling asleep, and had sleep disorders.
In addition to the symptomatic treatment of these seriously ill patients, Zuo Li also has another thing that he has never experienced that he needs to learn to do, that is, hospice care.
Some patients are dying and cannot be treated, they are scared and need psychological counseling. Although Zuo Li has no experience in this area, he knows that it is useless for patients to talk about their illness at this time, so they can only distract him and talk about local life, his family and the past.
Zuo Li found that the most effective psychological counseling is to talk to them about the past, and when entering the memories of the past, the patient will temporarily forget the horror of death, and will also evoke many sweet memories.
In the middle of the night, most of the patients slept, and Zuo Li was too sleepy, so he returned to his tent after simple disinfection, and did not take off his protective clothing, and directly lay on the marching bed and fell asleep. Because he has already informed the doctors and nurses on duty, he will call himself if anything happens.
Sure enough, he slept until the second half of the night, and the nurse on duty came to call him. Say that a patient's breathing has stopped.
Zuo Li immediately rushed to the intensive care ward and gave the patient cardiopulmonary resuscitation.
Fortunately, the patient's heartbeat was restored, and Zuo Li was administered symptomatic medicine again before returning to his residence and sleeping.
But after sleeping for less than an hour, he was called up again and said that another patient was in critical condition. Zuo Li immediately threw himself into the rescue, but unfortunately, he couldn't save the patient this time, and watched his heartbeat become a straight line.
Zuo Li basically didn't sleep well that night, and at dawn, another patient also died. He tried to rescue again, but he couldn't.
Early the next morning.
Chen Tianming's car appeared outside the quarantine area, and Zuo Li heard Jin Yuji's voice calling out to himself.
Zuo Li hurriedly went out and saw Jin Yuji's anxious gaze. Behind her, Chen Tianming and others were there.
Chen Tianming's gaze was gentle, not as eager as Jin Yuji.
Zuo Li was far away and said loudly, "Don't worry, I'm fine, Doctor Kim." ”
Then, he said to Chen Tianming: "Tianming, you have to be extra careful and do a good job of protection. There may be latent Ebola patients among the patients in your white zone, but nothing can happen. ”
Chen Tianming smiled and said, "It's okay, if I get infected, won't the two of us have company?" ”
Zuo Li said angrily: "Don't talk nonsense! ”
Jin Yuji had already quickly stepped into the quarantine area, and said to Zuo Li: "I'll go change clothes, let's hurry up and see those patients, I really want to know the treatment effect of our Korean medicine." Have you seen my patients? ”
Jin Yuji found exactly the question that Zuo Li had to answer, and Zuo Li had no choice but to say, "Your patients are in good condition, and several of them are already showing signs of improvement. ”
Speaking of this, Zuo Li saw that Chen Tianming had already taken Qiang Niu and Meng Xin to the white area, while Dolei got on the Humvee and went on patrol with the soldiers. So Zuo Li had no choice but to follow Dr. Hua and start a busy day after they changed their clothes.
………………
The next fourteen days.
This is how Zuo Li passes every day. He no longer sleeps at night, because he is often called up at night, and during the day he goes to his tent whenever he is free.
He is mainly responsible for the treatment of intensive care units. What worried Zuo Li was that the old man's condition that had scratched his gloves became even heavier.
After Zuo Li discussed with Jin Yuji, he adjusted the prescription again.
This time, he used the thinking of traditional Chinese medicine and Korean medicine to adjust the prescription, purging away stasis, clearing heat and water, and using the formula of walnut Chengqi decoction plus or minus, which increased the local medicine of Korean medicine, clearing heat and cooling blood.
After using this recipe, it still had no effect, and the condition continued to deteriorate, and I became unconscious, sweating profusely, and my pulse was slight.
Zuo Li, Jin Yuji and Dr. Hua consulted and judged that it was a fever syncope caused by hemorrhagic fever.
Jin Yuji asked Zuo Li puzzled: "He scratched your gloves, and you still save him like this?" ”
Zuo Li smiled and said, "He didn't mean it, let's treat it as much as possible." ”
"How are you going to save it this time?"
"I want to use it to clear heat and promote depression, open qi and paralysis, and use Zhibaodan and Angong Niuhuang Pills. If that doesn't work, then I'm helpless. ”
After administering the medicine to the patient, Zuo Li sat on the side of the old man's bed for a long time, waiting to see the effect.
The old man suddenly woke up and asked Zuo Li in a weak voice where he was.
Zuo Li asked him if he wanted to video with his relatives?
The old man shook his head, saying that his family was sick and dead like him, and that he was the last one left, and that he had sent them all away, and that he was going to follow now, and as he spoke, he closed his eyes.
………………
The fourteen-day quarantine period has finally expired.
Zuo Li showed no signs of illness and a negative nucleic acid test proved that he was not infected with the Ebola virus.
Zuo Li was very happy, and when the results of his blood test came out, it was already close to dusk. Chen Tianming: They were busy with the operation in the white zone.
Zuo Li took a shower and changed into his own clothes, which was the first time in fourteen days that he wore his own casual clothes, and he felt extremely relaxed. No more stuffy in hot protective clothing, every day is a stinky sweat.
He walked out of the locker room, out of the quarantine area, and waited for the jeep.
Finally, I saw Chen Tianming, Meng Xin, and Qiang Niu coming over from a distance. Chen Tianming saw Zuo Li, quickened his pace, and came to him. Although she tried to calm herself, she could tell that she was very nervous, and she knew that the test results would be available today.
Zuo Li deliberately let out a long sigh and looked at Chen Tianming with a gloomy face.
The smile on Chen Tianming's face froze, although her reason told her that since Zuo Li could stand in front of her and speak, she must not be infected, otherwise she would be isolated, but Zuo Li pretended to be too similar, and she was too concerned that her face couldn't help but change color.
Seeing that she was scared, Zuo Li hurriedly smiled and said, "I'm alone these days, I don't have to worry about anything, how relaxed and comfortable." But now that these days are over, I have to start busy again, because, the result is negative, and I am not sick. ”
Chen Tianming screamed, cried with joy, and threw himself into his arms desperately, hugging him tightly.
Zuo Li hugged her and whispered, "Everyone is watching!" ”
Chen Tianming ignored it completely, hugged him tightly, tears flowing, the worry and fear of these days were about to make her collapse, and they were all released at this moment. She sobbed and said, "I don't care, they can watch it if they like it!" ”