Chapter 223: Hypertonic Dehydration

Nurse Xiaoyu breathed a sigh of relief: "This kid is really angry!" ”

Although Dr. Tao didn't do anything, the child was relieved by himself, which is really a blessing in misfortune!

Xiao Sun, the nurse on the side, poked her lightly, and quietly pointed to the needle inserted in the child's chest.

Xiao Yu was taken aback when he looked at it.

Didn't the child's apnea just now recover on its own, but was saved by this needle?

She has been in pediatrics for so long and has participated in the rescue of many children, but it is the first time she has seen it with acupuncture.

She looked at the child, and then at Tao Le, and didn't know what to say for a while.

It turned out that Dr. Tao didn't do nothing.

It is such a small needle that can restore the child's breathing and buy precious time for treatment.

Dr. Tao knows acupuncture, especially good at acupuncture and anesthesia, and Corey has spread it all over the world, and he feels a little mysterious.

Now that I saw it with my own eyes, I realized how amazing it was.

And I blamed her just now. Thinking of this, Xiao Yu's face couldn't help but become hot.

Fortunately, she didn't say anything just now, otherwise, she would be in the same department in the future, how would she face Dr. Tao!

At the end of the countdown, a pleasant reminder sounded: "After the treatment is completed, the patient's health value will be increased by 8 points, and the acupuncture will increase the health value by an additional 1 point, for a total of 9 points." ”

With this prompt, the child's health value rose to 24 points, and the color of the gold finger interface also faded from a shocking purple to a deep red.

Tao Le pulled out the needle and said calmly: "This child is still in critical condition, and he will be sent to the emergency room immediately." ”

Xiao Yu and Xiao Sun had already put on an oxygen mask for the child at this time, and when they heard this, they immediately sent the child into the rescue room and connected to the monitoring equipment.

Almost at the same time, Director Bai De hurried over. As soon as he saw him coming, Tao Le immediately quickly explained the situation:

"The child had a high fever, apnea while waiting for treatment, cyanosis of the face with convulsions, and his breathing had been restored through acupuncture. At present, oxygen is given, and blood oxygen saturation is rising. ”

Bai De nodded again and again as he listened.

If such a young child has a problem while waiting for treatment, no one can bear it.

Tao Leneng found the abnormality of the child at the first time and administered first aid, which not only showed excellent acupuncture strength, but also showed her seriousness, meticulousness and rigor and responsibility.

This point is more worthy of his attention than the former.

Skills and abilities can be improved, but personality is difficult to change.

Therefore, Tao Le can keenly perceive the truth of collective poisoning, and at this age, he can also be admitted to the practice qualification of integrated Chinese and Western medicine.

Tao Le mentioned this matter to him casually when he went to the infirmary in the morning, but it made him feel a little emotional.

Western medicine and Chinese medicine are two directions, and the knowledge they need for each other is broad and profound, but Xiao Tao can use both and perform so well.

Bai De admired it in his heart, but on the surface he just nodded and didn't say much.

Young people can be sure, but they should not praise too much, so as not to breed pride and limit the way forward.

He looked at the data on the bedside monitor and learned about the mother's condition.

Tao Le also listened attentively on the side. She was actually very curious, how did this baby get hyperosmolar blood?

According to the mother's account, the child began to have diarrhea three days ago, watery stools, more than 10 times a day, accompanied by cough, nausea and vomiting, and a fever of up to 40 degrees Celsius.

The family went to the hospital at that time. Well, because the children's hospital was overcrowded, the number couldn't be hung up, so I went to the nearest friendly hospital.

The Department of Pediatrics of Youai Hospital also attached great importance to this situation, and the preliminary diagnosis was diarrheal disease, severe hypotonic dehydration, hyponaemia, and metabolic acidosis.

The child was immediately hospitalized, and was given fluid expansion, acid correction, and oral treatment such as Mamiai and Smecta at the same time.

After two days of treatment, dehydration, acidosis, hyponaemia, and shock have improved, but fever and diarrhea remain. Because the parents were in a hurry to go back to work at that time, they could not take care of them at the bedside, so they were automatically discharged from the hospital.

Today, the child had a secondary high fever and was in a very poor state, so the mother still asked for leave and took him to the pediatric outpatient clinic of a hospital.

Hearing this, Tao Le has already understood the reason why the child has hyperosmolar disease.

The body's bodily fluids contain not only water, but also sodium, potassium, and other electrolytes.

These electrolytes are also reduced when dehydration is caused by a variety of causes, but the degree of reduction can vary.

For example, when the amount of salt in the water lost by the human body is extremely large, the human body has less salt left. The clinical indicator is serum sodium less than 130 mmol/L, which is called hypotonic dehydration;

On the other hand, if the amount of salt in the lost water is very small, there will be more salt left in the human body, and the serum sodium is higher than 150mmol/L, which is hypertonic dehydration.

So why did this child have this symptom, Tao Le naturally had a conjecture - the iatrogenic factor may be the greatest.

The child was previously in a state of hypotonic dehydration at Youai Hospital, and was given too much sodium solution during the rescue volume rehydration solution, resulting in the current hypernaemia, followed by hypertonic dehydration.

Tao Le had a general understanding of the situation, and Director Bai was also suspicious, so he placed a checklist, blood routine, electrolyte (emergency test), electrocardiogram, stool routine, blood sugar and so on.

The results came out quickly, and they were about the same as the value of the golden finger, and the serum sodium reached 157mmol/L.

Director Bai's expression was very serious, and he didn't know if it was because of the patient's condition or because he was annoyed by the blind rehydration of Youai Hospital.

The child's condition was not optimistic, and he contacted the pediatric intensive care unit (PICU).

In the entire Yunshi, except for the children's hospital, there is a PICU, that is, a hospital has built such a department.

As soon as he heard that there was a seriously ill child, Gao Yuan, the chief physician of the PICU, immediately took someone down in person, had a general understanding of the situation with Bai De, and then took the child away.

The child's mother went with her to go through the formalities, and before leaving, she didn't forget Xie Taole:

"Thank you, doctor! Thank you for saving the child in time! ”

Gao Yuan glanced back at Tao Le a few times.

The relationship between pediatric intensive care and pediatrics is extremely close, but there is no subordinate relationship, so Gao Yuan met Tao Le at yesterday's commendation meeting.

At that time, although he didn't have any ill feelings towards Tao Le, a little girl who had just entered the training, he didn't feel that it might not be worthy of the name.

It's just a fluke, but the Municipal Health Bureau wants to give her such a high honor, which is actually not a good thing.

Unexpectedly, I saw her again today, and I heard the family of the child thanking her.

Didn't the child just be admitted to the hospital, it was Bai De who ordered the checklist, and it was himself who wanted to admit him to the PICU.

Bai De and he have been old partners for many years, and I don't know how many children we have treated together, but when I see his eyes at this time, I know what he is thinking there.

"Lao Gao, when the child was waiting for the doctor just now, Xiao Tao happened to see it and found that the child was abnormal."

He quickly gave Gao the truth what had just happened, and he was skeptical when he heard it.

Anyone who has worked in the PICU for so many years and is familiar with the rescue process of Western medicine is also difficult to accept that someone can prick a child back from a near-death state with a millineedle.

If this is true, it would be a waste of talent for her to stay in the clinic - the PICU is where she can let herself go!

Thinking of this, Gao Yuan looked at Tao Le with blank eyes: "Xiao Tao, the child recovers his breathing, is it really the effect of your acupuncture?" ”