Chapter 44: Double Heartbeat, Cardiac Arrest

Seeing the nun's appearance, House immediately took the stethoscope on the side and began to auscultate.

After hearing the sound of his heart, House quickly said:

"You're having an asthma attack right now, please relax."

Then House, as she rolled up the nun's sleeve, turned her head to Du Wei and said:

"Get me a 0.1 ml bottle of epinephrine and I'm going to inject her in order to open her lungs and help her breathe."

With the adrenaline pumping, the nun's asthma improved significantly.

Haosen's expression immediately relaxed, and then he said calmly:

"It could be an allergic reaction and I would switch it to steroid medication to avoid it happening again.

Nun, are you better? ”

The latter sentence was addressed to Sister Augustine, who gasped and said:

"It's much better, but I'm feeling a little sick to my heart right now, is that normal?"

House nodded:

"Adrenaline is supposed to make your heart race, that's normal."

At this moment, Augustine's face was getting redder and redder.

Seeing this strange situation, Du Wei, who had been listening, suddenly put his finger on Augustine's wrist, and then said quickly to House with a solemn face:

"Something wasn't right, her heart was beating so fast."

House, who also felt the abnormality, changed his face after hearing Du Wei's words, felt the pulse in his own hands, and then quickly said to Du Wei:

"This heart is beating too fast, go get a defibrillator, we may have to perform CPR!"

Just a few moments after Dewey went to get the defibrillator, Sister Augustine was unconscious and slumped on the bed.

House was giving him emergency heart compressions, but it was clear that this level of compressions would not save Sister Augustine.

Without waiting for House's instructions, Du Wei had already charged the defibrillator.

House then pulled the nun's blouse open and began to resuscitate the pride of the chest.

Dewey, who was in charge of charging the defibrillator, was not attracted by the crumbling thing, but was keenly aware of the nun's tattoo of a skunk on her left shoulder.

Soon, under the emergency rescue of a defibrillator, Augustine's heart was stimulated by an electric shock and began to beat vigorously again.

House wiped the sweat from his forehead and commanded Du Wei:

"Arrange for her to be hospitalized, and then come to the diagnostic department conference room for consultation."

Du Wei nodded and began to arrange hospitalization.

When Du Wei returned to the conference room of the diagnostic department, the atmosphere in the conference room was a little strange.

Furman was standing in front of House and confronting him, and it looked like they had just quarreled over the diagnosis.

When Furman saw Du Wei walk in, he immediately sneered:

"I said, you shouldn't trust him.

In that drawer are 0.1 ml and 1 ml of adrenaline injections.

This kid must have made a mistake and handed you a 1ml adrenaline injection, which is why the patient will suffer from cardiac arrest!

This incident, Du Wei, this kid has to pay the main responsibility! ”

Hearing that Furman seemed to want to shift the blame onto Dewey, House frowned:

"No, the nun must have a history of heart disease, so the adrenaline rush will make it worse.

This has nothing to do with Du Wei. ”

Furman raised the medical record in his hand:

"But the medical records never say that the nun had a history of heart disease!

Everyone makes mistakes, and newcomers are only more likely to make mistakes!

If you still want to appoint Du Wei, then I will definitely report it to the disciplinary committee! ”

Looking at the aggressive Furman, Cameron was the first to help but say:

"Furman! Now that everything has happened, shouldn't we think about how to heal Sister Augustine first?

Now we are here to argue about this pointless matter, which will only delay the treatment of Augustine.

I think the cause of Augustine's red and swollen hands may be a skin infection, similar to a cellulite infection or something, which can also cause tachycardia symptoms.

She also has no fever and no infection on a complete blood count, but her eosinophils are slightly elevated and her sedimentation rate is slightly elevated.

I think it's a systemic allergy symptom. ”

Cameron's words succeeded in shifting the conversation from Dewey to the patient.

House did not intend to dwell on Furman as to whether Dewey had made a mistake or not, and instead said:

"It's not allergies, allergies don't cause cardiac arrest like this, it could be inflammation of the blood vessels, allergic granulomatous vasculitis.

Inflammatory reactions in the blood vessels of the heart, lungs, and skin lead to asthma, rashes, and heart problems.

This explains the whole symptom, so it has nothing to do with the amount of adrenaline.

Give her a chest tomography scan with prednisone, 40 mg, three times a day. ”

Furman shook his head and directly questioned House's diagnosis to his face:

"She came to the doctor because of a rash, and now you're diagnosed with allergic granulomatous vasculitis because of the symptoms she was forced to inject too much adrenaline?

I think you're defending the cover that Du Wei has made.

I don't understand, why would you be willing to risk a patient's life to defend an intern?

Allergic granulomatous vasculitis has a survival rate of only 62% even after five years of treatment!

Are you really sure she has allergic granulomatous vasculitis? ”

Just as House was about to speak, Dewey spoke first.

"I also don't think she's allergic granulomatous vasculitis."

Fermonton was surprised to hear that Du Wei actually agreed with his own point of view.

I'm talking about ruining Du Wei's career as a doctor.

This kid actually agrees with his own point of view, what is going on in his head?

Just when Furman was surprised, Du Wei continued:

"I noticed that she was not using the drinking water we were provided when she was taking diphenhydramine.

Instead, they use their own tea, and as far as I know, many of them have a refreshing effect.

They are often the result of increased lung capacity, increased blood pressure, and stimulation of the heart.

When we give a patient 0.1mg of epinephrine with the same effect at this time, it causes tachycardia, which can lead to cardiac arrest. ”

Bang bang bang.

Applause rang out.

House looked at it approvingly:

"Very good inference, you kid is really observant.

If your inference is correct, then she won't be allergic granulomatous vasculitis, but what Cameron calls systemic allergies.

So, Furman, did you hear the inference that Du Wei said? ”

At such a close distance, Furman naturally heard Du Wei's words clearly.

He finally knew why Du Wei had agreed with him just now.

It turned out that it was determined that Sister Augustine's cardiac arrest had nothing to do with adrenaline at all.

But as long as adrenaline was used at that time, Augustine was bound to have a cardiac arrest!

But until you see the actual tea, all this is always a deduction!

So Furman still said stiffly:

"I heard it clearly, but I don't agree, there are several effects of tea.

How do you know that the tea they drink has a refreshing effect? Maybe their tea is just used to nourish yin and reduce fire? ”

Seeing that Furman was still pouting, even Chase couldn't look at it.

He took the initiative to say:

"Then I'll take a trip, whether it was too much adrenaline that caused cardiac arrest, which is important for the diagnosis later.

We need to rule this out for a moment, wait a minute, I'll go and come. ”

(Thanks to lyp115.qdcn for the monthly pass, thank you!) )