Chapter 205: A Strange Allergy Patient
Next.
Nine a.m.
within the ward.
The next batch of neural stem cells has not yet been cultivated, and the operation is scheduled for two days later.
Zhao Heng's side can be regarded as returning to normal work.
Today, Zhao Heng is on duty, that is, responsible for dealing with patients who cannot be handled in the emergency and ICU.
"Dr. Zhao, I feel like I'm back to normal."
Tian Zhen stood next to Zhao Heng, watching him tap the keyboard quickly, and said with some sighs.
"Back to normal? Aren't they all going to work all the time? ”
Zhao Heng was a little puzzled and said casually.
"I mean, Dr. Zhao, you haven't been in the hospital these days, I'm not used to it, but now that you're back, I feel back to normal."
Tian Zhen said.
"Hmm.
This ward is estimated to be a long time away, so get ready. ”
Zhao Heng thought for a while and said.
The anaesthesia and perioperative center was his base and his birthplace, and he would not have gone anywhere else.
Moreover, although there are only 10 beds in this ward now, this is only the beginning.
The treatment of Sun Xinxin has made a good start.
The impact on Sun Xinxin's treatment is spreading further.
"What preparation?"
Tian Zhen asked.
"It's going to get busier and busier in the future."
Zhao Heng said.
"Then Dr. Zhao, will you be the deputy director, or even the director?"
Tian Zhen asked with some expectation.
"The teachers are still the deputy director, you want me to rebel."
Hearing Tian Zhen's words, Zhao Heng smiled and said.
"Sooner or later."
Tian Zhen also said with a smile.
At this time, Wang Tao, a resident doctor in the emergency department, and a nurse came in with a transfer bed, and on the transfer bed, an old man who looked to be in his sixties was lying on the transfer bed, with a pale face, weak breathing, eyes closed, and a red rash on his face.
Coming in with the transfer bed was an anxious old lady who looked to be about sixty.
Come to life!
Seeing this scene, Zhao Heng saved the document and stood up.
"What's the patient's condition?"
Zhao Heng was not polite, and asked bluntly.
"The patient is 68 years old, an elderly man, who has a history of hypertension and coronary heart disease for more than 10 years, before being admitted to the hospital, because of cough, he went to the pharmacy to buy cough syrup, drank it for about half an hour, the patient had difficulty breathing, chest tightness, and red rash and itching began to appear on his limbs and face. The patient's family called 120, and when the ambulance arrived, the patient was unconscious. ”
"First aid has been administered at the scene, but it has not worked very well."
Emergency resident Wang Tao quickly stated the patient's condition.
"Well, what kind of medicine was used on the scene?"
Zhao Heng asked.
From the description of the condition of the emergency resident Wang Tao, Zhao Heng preliminarily concluded that the patient should be allergic, but it is still unclear what kind of cause of allergies.
"The on-site doctor measured blood pressure of 65/43mmHg at that time, and immediately opened intravenous access with epinephrine and dexamethasone, and at the same time rehydrated and expanded the volume, considering that it was anaphylactic shock."
Wang Tao said quickly.
"Okay, I'll leave it to you."
Hearing Wang Tao's story, Zhao Heng nodded.
In every sense, this patient is very consistent with the symptoms of anaphylactic shock.
"Hmm."
Wang Tao nodded to Zhao Heng, turned around and left with the nurse, the emergency department was very busy, and he still had a lot to do.
If it weren't for the fact that the emergency department was already at full capacity or even overloaded, in fact, ordinary emergency patients would not have been sent to Zhao Heng.
In fact, don't talk about Dongfang Hospital, the emergency departments of tertiary hospitals across the country are all like this, all of them are full or even overloaded.
Basically, all emergency doctors, 24 hours or even 48 hours in a row, are already the norm.
"What kind of cough syrup did the patient drink before?"
Zhao Heng asked the old lady who was standing aside with an anxious expression.
Now the first thing is to find out what the patient is drinking, find out the cause of the allergy, and then prescribe the right medicine.
"Doctor, I brought this bottle, you can show it."
Hearing Zhao Heng's words, the old lady hurriedly took out a bottle from her pocket and handed it to Zhao Heng.
"Hmm."
Zhao Heng took the bottle and looked at it carefully.
Loquat dew?
Seeing the brand on the bottle, Zhao Heng was a little surprised.
This ** loquat dew belongs to a very safe class of cough medicines, basically, I have not heard of an allergic reaction, let alone an example of causing anaphylactic shock leading to coma.
Therefore, such a severe anaphylactic shock in this old man is most likely not caused by drinking cough syrup.
Thinking of this, Zhao Heng asked the old lady again: "Does the patient have any allergies to any drugs, or what they eat?" ”
"It doesn't seem like there's any, doctor."
"You can eat anything, fish, shrimp and crabs."
The old lady thought seriously for a moment and said.
"Well, think about it again, have you ever had a reaction to taking medicine or injections before?"
Zhao Heng was not very satisfied with the old lady's answer, and continued to ask.
"Hmm.
。 ”
"By the way, doctor, the year before last, when I was on an intravenous drip in the clinic, it seemed that there was an old horse who said that his skin would itch, and then he didn't care about it, and he was fine."
The old lady thought hard for a moment, and then said.
Hearing the old lady's words, Zhao Heng suddenly became vigilant, and immediately asked, "Do you remember what injections you took at that time?" ”
The old lady frowned, thought hard, and then squinted her eyes and said, "I don't remember very well, it seems to be a cephalosporin."
”
Cephalosporin?!
Hearing these two words, Zhao Heng suddenly felt like he had been struck by lightning.
"Did he eat cephalosporin today?"
Zhao Heng asked hurriedly.
"Lao Ma has been coughing for the past two days, as if he has eaten."
The old lady thought hard for a while, and then said with some uncertainty.
Drip, drip!
At this time, the life monitor sounded a shrill alarm, and Zhao Heng turned around to see that the life monitor was already red.
"Dr. Zhao, the patient's blood pressure is 50/30mmHg."
Tian Zhen said hurriedly.
Zhao Heng saw that the old man who was still lying on the transfer bed at this moment was already pale, and Zhao Heng immediately stepped forward and grabbed the old man's right wrist.
No pulse on the right side!
Zhao Heng was suddenly excited.
"One unit of epinephrine, dopamine pumping, preparation for endotracheal intubation."
Zhao Heng said to Tian Zhen.
"Okay."
Tian Zhen nodded, and went to prepare neatly.
"Doctor, save old Maa!"
Seeing this scene, the old lady instantly felt that her eyes were dark, her heart was pinched, and she pleaded with Zhao Heng.
"You sit here and rest, and the patient will leave it to me."
Zhao Heng saw the crumbling old lady, helped her to the side and sat down, and after a brief comfort, he threw himself into the rescue work.