Chapter 172: Being a ghost is also romantic
Half an hour later.
Zhao Heng stood on the side of the hospital bed, holding the urgent blood test results in his hand, his face was very solemn.
Because Zhao Heng saw that on the blood test sheet, the patient's blood potassium was only 2.5mmol/L.
You must know that as long as the blood potassium is less than 3.5mmol/L, it can already become hypokalemia, and now this patient is as low as 2.5mmol/L, which is already a very dangerous value.
Blood potassium is an important ion for maintaining the cardiovascular system and neuromuscular excitability, only blood potassium is within the normal range, in order to maintain the normal operation of the body, blood potassium is too low, too high is not good, it is very important to maintain blood potassium.
Once the blood potassium is low to a certain level, the nervous system and cardiovascular system are immediately affected, and episodic paralysis and various emergency arrhythmias occur, and in extreme cases, even cardiac arrest.
The biggest problem now is that Zhao Heng doesn't know what other drugs this patient has taken before taking sildenafil, otherwise, just overdose of sildenafil will not cause such severe hypokalemia.
"Doctor, he's going to be fine, right?"
Seeing Zhao Heng's solemn expression, the young woman's voice trembled and asked worriedly.
"Have you contacted the family?"
Zhao Heng asked.
"Also.
Still.
Not.
The young woman said with a dodgy look in her eyes.
Where did she dare to contact this man's family, the family came, and she was not allowed to eat her raw!
"Prepare for potassium supplementation."
Zhao Heng looked at the young woman and said to Tian Zhen.
"yes, okay."
Tian Zhen nodded and immediately went to dispense medicine.
Soon, Tian Zhen prepared a liquid for potassium supplementation.
When potassium replacement fluids are infused into the patient's body, the missing potassium ions in the patient's body are quickly replaced.
"Doctor.
Doctor, me.
Belly.
Hurt.
At this moment, the middle-aged man was sweating profusely, his face was pale, he was clutching his stomach, and he said to Zhao Heng very hard.
Drip, drip!
At this moment, the life monitor began to alarm frantically.
"Dr. Zhao, the patient's blood pressure is 80/40!"
Tian Zhen hurriedly reported on the side.
"One unit of adrenaline intravenously, pump dopamine!"
Zhao Heng immediately gave an order.
"Okay."
Tian Zhen nodded, and the liquid was very neatly disposed.
Five minutes later.
With the infusion of adrenaline and dopamine, the alarm sound of Didi Di was lifted.
"Dr. Zhao, the patient's blood pressure is 120/70mmHg!"
Tian Zhen continued to report the patient's real-time blood pressure value.
Call~
Hearing this, Zhao Heng breathed a sigh of relief.
Severe pain in the abdomen and a rapid drop in blood pressure are manifestations of emergency shock caused by a large amount of blood loss, and combined with the patient's overdose of sildenafil, Zhao Heng suddenly had a guess in his heart, but this guess still needs to be confirmed.
"Contact the Department of Cardiac Surgery, and it will say that there may be an abdominal aortic dissection here."
Zhao Heng said to Tian Zhen in a condensed voice.
"Huh? Abdominal aortic dissection?! ”
Hearing Zhao Heng say this, Tian Zhen's eyes immediately widened.
Abdominal aortic dissection is a tear in the aorta in the abdomen, and blood rushes into the tear, resulting in a tear in the abdominal aorta, which is a catastrophic critical emergency of cardiovascular disease, and if not diagnosed and treated in time, the mortality rate within 48 hours is as high as 50% or even higher.
It can be said that abdominal aortic dissection is definitely a talisman of death!
"Well, it's very probable."
Zhao Heng nodded very solemnly.
Now he is almost sure, but he still needs to know the patient's past medical history and medication history.
"Okay, I'll go."
Tian Zhen nodded and went to contact the doctor in the heart surgery department.
This aortic dissection, in general, is a cardiovascular surgical emergency, so it is necessary to contact the cardiac surgeon.
At this time, from outside the ward, a rich middle-aged woman with a bejeweled body and a slightly chubby figure suddenly rushed in, and as soon as she came in, she saw her husband lying on the hospital bed with a pale face and a painful expression, and a trace of distress flashed on her face.
But as soon as she turned her head and saw the young woman standing next to her with a worried expression and a very flustered look, the distress on her face disappeared, and she immediately became cold.
"Stinky watch!"
The middle-aged rich woman spat fragrantly, raised her hand and gave the young woman a big beep!
Seeing the violent scene of the middle-aged woman, Zhao Heng was a little stunned for a while, this was the first time he had seen this kind of scene.
After the fight, the middle-aged woman seemed to calm down, turned to Zhao Heng and said, "Doctor, how is he?" Is there any salvation? ”
"The current consideration is abdominal aortic dissection, which is dangerous for him. In addition to taking Brother Wei, did he have any other medical history before, and did he take any other medications? ”
Zhao Heng was shocked by the woman's calmness after the violence, but he still said very professionally.
"Brother Wei?"
Hearing these two words, the middle-aged woman's face suddenly became gloomy again.
"You gave him food?"
The middle-aged woman turned around and looked at the young woman with a very unkind look.
The bad man in his house has high blood pressure and has been taking medicine, and the doctor also said that Brother Wei is a medicine that must not be taken.
"Nope.
No.
It's me.
Be.
He wants to eat it himself.
The young woman was about to cry, and stammered while covering her flushed cheeks.
"You can't escape, if he dies, you just wait to go to jail!"
The middle-aged rich woman looked at the young woman and said word by word with a cold expression.
Wow!
As soon as the middle-aged rich woman said this, the young woman's psychological defense line was suddenly defeated, and she immediately sat on the ground, covered her face with her hands, and sobbed.
"Does the patient have a history of previous hypertension? What are the medications I take on a daily basis? ”
Zhao Heng glanced at the young woman who was sitting paralyzed, and sighed slightly, but he didn't care about her, now it was important to save people.
"Doctor, he's always had high blood pressure, and this is the medicine he's been taking."
The middle-aged rich woman took out a box of medicine from the bag she was carrying and handed it to Zhao Heng.
Hurrying here, I can still think of the medicine that my husband usually takes, this middle-aged rich woman is very thoughtful, and after beating someone, she can still talk to Zhao Heng so calmly, which shows that her psychological quality is also extremely strong.
"Indapamide?"
Zhao Heng took the medicine box and looked at it, and suddenly understood in his heart the reason why the patient had hypokalemia.
This indapamide, is a thiazide diuretic, belongs to the antihypertensive drug, with this drug, the patient urinate more times a day, the urine output will also increase, then the corresponding potassium ions excreted from the body will increase, the potassium ions in the body, naturally less.
However, in general, indapamide alone does not cause such severe hypokalemia.
This sildenafil, which is originally a vasodilator drug, has a certain antihypertensive effect, which is overdosed, and the patient usually uses indapamide, an antihypertensive drug, which does not cause hypotensive shock and hypokalemia!
Doctor: I'm picking up properties at the hospital.
Favorite fried potatoes remind you: remember to collect after reading