368 Is it possible to be "irritable"

Ji Xiang was stunned, and the patient seemed to be a little irritable.

Before you start gastric lavage, are you already grumpy?

The emergency physician also frowned at the patient, as if assessing the patient's medical compliance.

"Doctor......" The patient was a little embarrassed at this time, and quickly endured his discomfort and explained, "I'm so uncomfortable, I'm sorry, I'm sorry." ”

"Lie flat, I'll see." The emergency physician did not bother with the patient and began to examine the patient.

The patient's heart rate was 100 beats/min, blood pressure was 98/65mmHg, he was conscious, mildly irritable, his skin was dry, and there was no abnormality on cardiopulmonary auscultation.

The medical history is clear, and at around 16 o'clock in the afternoon, he developed symptoms such as nausea and vomiting after taking a bottle of about 300ml of toilet water.

The emergency physician instructed the nurse to connect the QZD-B automatic and efficient gastric lavage machine to take a small amount of liquid, low pressure, and repeated irrigation.

After giving the doctor's order, the emergency physician didn't bother to look at the patient and turned away.

For emergency doctors, whether they eat half-cooked beans or drink 300*** dew, the disposal is the same.

Gastric lavage, rehydration, etc., vomit out the "overnight meal" in the stomach and arrange for observation, and seriously use some proton pump inhibitors, the routine is simple and clear.

The emergency physician thought it was routine, but Ji Xiang watched it with relish.

The patient who drank 300*** dew turned out to be this manifestation, Ji Xiang remembered this scene deeply, and he would definitely not panic when he encountered similar patients in the future.

By the way, Ji Xiang took out his mobile phone and searched for the effect of oral toilet water.

"Old Meng, what are you doing?" The emergency physician walked out of the emergency room and saw Meng Qingfei, who had just heard the patient's roar and came out to see the situation.

Meng Qingfei seemed to be a little sluggish, he hesitated, and Ji Xiang noticed that his gaze had been staring at the patient in the emergency room.

"Old Meng, what's wrong?" Emergency physicians were also a little confused.

"Nope." Meng Qingfei subconsciously put his hands behind his back and wiped them on the buttocks of the white clothes, as if he had just washed his hands.

"Patients may have poor alcohol metabolism, redness, hot hair, and drunkenness, what's the matter! I'm going to get busy. The emergency physician hurriedly trotted all the way back to the room, where there were already signs of piles of patients.

"Teacher Meng, what's wrong with you?" Ji Xiang asked.

"I've seen 6 patients who drank toilet water and wanted gastric lavage, but this patient was different." Meng Qingfei's eyes flickered as he looked at the patient who was preparing to wash his stomach, with a solemn expression.

"Different?" Ji Xiang was surprised, "The symptoms of the examination and physical examination are exactly the same as what Brother Zhao said." ”

Meng Qingfei thought about it and tilted his head, as if he was thinking, but smiled helplessly after a few seconds.

"Maybe I'm suspicious."

He glanced at the patient's ECG monitoring again, turned around and left with Ji Xiang.

"Xiao Ji, I ordered dumplings with beef filling for you." Meng Qingfei said, "Last time I ordered rake beef, I saw that you ate it very fragrantly." ”

"I eat the same thing." Ji Xiang said, "Teacher Meng, what do you think is wrong with the patients in the emergency room?" ”

Even if Meng Qingfei wanted to forget the feeling that he was uncomfortable just now, he couldn't stand Ji Xiang's repeated reminders.

"I can't say it, I just think there's something wrong." Meng Qingfei was full of suspicion, "The patient's vital signs are stable, and there should be no problem if I think about it......"

As he spoke, Meng Qingfei "walked" forward with his upper body, his feet were nailed to the ground like nails, if it wasn't for Ji Xiang reaching out to help him, he was afraid that he would fall flat on the ground.

"Teacher Meng, be careful."

"Uh...... Hahaha, I'm Alzheimer's, and my hands and feet are uncoordinated. Meng Qingfei teased himself.

"Vomit vomit gash ~~~" A violent vomiting sound came from behind him.

Not to mention Meng Qingfei, even Ji Xiang is accustomed to the sound of vomiting from patients with gastric lavage in the emergency department.

There will be gastric lavage patients in every class, and now this point is fine, and more people come to the hospital for gastric lavage and infusion after drinking too much in the middle of the night.

"Doctor Lang! The patient is not cooperative, you see! The nurse shouted angrily as she stood at the door of the emergency room.

Meng Qingfei shrugged his shoulders, "Stomach lavage is so uncomfortable, it's strange to cooperate." ”

He said, looking back again.

Ji Xiang also looked over, and the patient's family pressed the patient's body, but the patient's hands were still waving, as if he was struggling.

The heart rate on ECG monitoring has reached 130 beats per minute, and it is considered that it should be caused by the violent refusal of gastric lavage.

"Xiao Ji, are you drinking?" Meng Qingfei asked absentmindedly.

"I can drink some, but I don't drink at all." Ji Xiang replied, "Every year during the Chinese New Year family gathering, I drink two cups, but only two cups. ”

"Drink less." Meng Qingfei returned to the emergency surgery room, and almost hit his head on the door when he turned around.

"Brother Meng, be careful, what's wrong with you?" Zhao Zhe asked suspiciously.

Ji Xiang saw that Meng Qingfei was uneasy, and he remembered the elderly patient who had eaten estazolam all year round and a lot of grapefruit.

If Meng Qingfei hadn't woken up, the patient would have fallen asleep in the waiting hall, and when rhabdomyolysis was found, I am afraid that no one would be able to save him.

This was the old doctor's intuition, Ji Xiang felt that it was not so simple, and entered the system space with bated breath.

"Brother Meng, it should be fine, there is alcohol in the flower water, it is estimated that it is alcohol intolerance, which is the same as drinking too much." Zhao Zhe said, "I have seen similar patients who can't pull after drinking too much.

Once the traffic police investigated drunk driving and pulled a drunk buddy to draw blood, the guy was really arrogant, and said that he would not let blood be collected if he died. ”

"I almost beat the nurse in the disposal room, I quickly pulled the nurse out, and then it was banging inside, and finally the guy was stunned and didn't let the blood be taken, and the traffic police couldn't do anything. I'm really afraid of being stunned, and I'm afraid of being stunned. People who drink a lot are like this, if they really drink into a puddle of mud......"

Zhao Zhe was still chattering, and suddenly Ji Xiang's expression was serious, "Teacher Meng, can this behavior of the patient be called irritability?" ”

"Fidgety?" Meng Qingfei's eyes lit up, but then he fell into a long exam.

Ji Xiang's words pointed out a direction, if it weren't for the patient's agitation due to gastric lavage, it seems that more can be thought of if it is explained by irritability.

"Family, hold people down!" The voice of the emergency physician came.

This is also normal, gastric lavage, many times you have to hold the patient down.

Meng Qingfei turned around suddenly, the "problem" of uncoordinated hands and feet disappeared, and he trotted to the emergency room.

"Xiaolang, don't take off the ECG monitor yet!" Meng Qingfei said.

"Ah, old Meng, what's going on?" The emergency physician is removing the electrode membrane and preparing to hold the patient for gastric lavage. She raised her head when she heard Meng Qingfei's words and looked at Meng Qingfei suspiciously.

"Look again, look again." Meng Qingfei didn't know why, but his intuition told him that it was wrong. Especially the sentence that Ji Xiang asked - irritability, like a key, has opened the door.

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