Chapter 19: The Healer or Indifferent to Life and Death
Ye Nan nervously ran to the intensive care unit with his stethoscope, secretly asking himself, did he use the wrong medicine?
With a puzzled attitude, Ye Nan walked into the intensive care room, and at this time, the patient's husband saw Ye Nan come in, and said in a panic: "Doctor, come and see, my wife has fainted again, and she can't wake up when she shouts, please help me take a look!"
Ye Nan's heart tightened, he went over and took a flashlight to shine on his pupils, and now it has shrunk to about 1mm, and his whole body began to sweat again, and his heart rate gradually began to slow down to about 90 beats per minute.
There is really a rebound, Ye Nan sighed secretly, there are at most one or two of the ten pesticide poisonings that have rebound, this woman is really damned, drink so much, if you don't rebound, who should rebound?
Although depressed, Ye Nan still quickly analyzed, most of the rebound is due to two reasons, one is not complete gastric lavage, and the other is that the amount of atropine is not enough, and the atropine is not maintained!
As for gastric lavage, Ye Nan himself also looked at the situation, and it should be said that he washed two or three buckets of water, and finally the water became clear, so there must be no problem.
As for the dosage of atropine, it is actually not small, but since it rebounds, it is still possible that the dosage is not enough, so we can only continue to use it to see! At present, it should be quite far from the boundary of atropine poisoning, and it should not be a big problem to add more!
After thinking about it, Ye Nan explained to the nurse on the side: "Atropine 10mg is pushed intravenously immediately, and then maintained at 5mg once every half an hour!"
The patient's husband saw that his wife's condition had repeatedly worsened, but he also knew that Ye Nan had tried his best, so he didn't say anything, just left tears and asked Ye Nan: "The doctor still asks you to continue to treat it as hard as you can, if you can't save it." It's her life, too! I won't blame the hospital!"
Seeing that the patient's family understood his words, Ye Nan also put his mind at ease, what he is most afraid of now is the unreasonable patient, although he has no problems in treatment, and he is not afraid that the other party will find trouble, but if such a situation really occurs, after all, it is still a thing that does not have a good impact!
Now Ye Nan didn't dare to relax at all, and after half an hour, he went to see the patient again. At this time, the patient was still unconscious, and his pupils still did not change much, and his skin was still wet. Lin Lei Ye Nan was shocked. What's going on, the ten milligrams of atropine went in, and there was no reaction, how could it be?
Ye Nan, who was a little surprised, touched his chin and thought for a while: "Could it be that there is a low efficiency of atropine? But how is it possible? First of all, the effect is not bad, but now there is such a situation! It's really incomprehensible!"
"The patient suddenly fell into a coma again. Most cases may be caused by cerebral edema. But generally under the effect of atropine, these should be reversible, how can there be no reaction?" Ye Nan thought about this question, he was a little unsure, whether to continue to use atropine or stop using it, because a very small number of people can also show the possibility of low atropine efficiency if they have atropine poisoning!
If the efficacy is low due to atropine poisoning, then use atropine. It is undoubtedly sending the patient into the abyss of death, but if it is not caused by atropine poisoning, and atropine is stopped, it will be difficult for the patient to survive, Ye Nan is between the two sides, swaying!
Ye Nan took a deep breath. At this time, he had to calm down. Make a choice. Ye Nan's mind was constantly turning, carefully analyzing the situation in the treatment area bit by bit. Don't be careless at this time. A little negligence can lead to the death of a patient!
Ye Nan, who was analyzing the patient's performance in the treatment process little by little, found that there was no mistake in all his treatment methods, and before the patient fell into a coma again, the patient's condition was also developing in the direction he expected, but the problem suddenly appeared.
And no one can grasp this problem, just because although this rebound is mostly caused by two factors, there are also a few other factors, and no one in this world can be sure what the specific reasons are!
Ye Nan sighed helplessly and wondered, "How do I analyze this?" In a moment of annoyance, a flash of inspiration suddenly flashed in his mind, and he grasped a critical problem, that is, after the ten milligrams of atropine was pushed into the patient's body just now, the patient did not change at all, and even the pupils did not improve at all, and it is generally impossible to have such a situation!
If the first dose of medicine is not maintained enough, the addition of these 10 milligrams will have a little reaction anyway, but there is no reaction now! It only shows one thing, that is, this 10 milligrams of atropine has no effect! Then why is it ineffective? Only if the atropine has already been overdosed, it will have no effect!
Thinking of this, Ye Nan's eyes lit up, and he understood! Atropine must be stopped immediately, and now only by switching to dopamine to improve circulation, and have a smooth and mild diuretic effect, this can effectively alleviate cerebral edema and promote the patient's awakening!
Ye Nan, who had figured it out, hurriedly shouted loudly to stop the nurse who was about to push atropine for the second time, and hurriedly explained: "Stop all atropine! Change to 10% glucose 250ml plus dopamine 20mg intravenous drip, immediately!"
The nurse didn't understand why Dr. Yip would temporarily change the doctor's order and replace it with an inexplicable dopamine. There are not a few patients with pesticide poisoning who have participated in the rescue, and they all know that for such patients with pesticide poisoning, only atropine is the most important, but Ye Nan suddenly asked to stop using it, and they were all a little incomprehensible.
However, since it was the doctor's order, the nurse did not dare to be dismissive, and quickly put down the atropine that had been smoked, and replaced it with dopamine for the patient to hang up!
But after hanging up like this for half an hour, although the patient's heartbeat increased slightly, the reaction was still not big, Ye Nan's heart tightened, and he secretly thought to himself, his medication was still correct, but this woman was too deeply poisoned and her physique was too weak, so she would have such a reaction.
Although it has improved slightly, I don't know if this woman can hold on, if she doesn't hold on, it's over. But looking at the woman's weak appearance after poisoning, Ye Nan really didn't know the bottom in his heart, but he was afraid that it would not be easy to get through.
If this woman is really dead, and she violates the normal principle of medication, I am afraid that there will be trouble when the time comes, Ye Nan sighed helplessly when he thought of this, he had to think of a way.
was stunned, Ye Nan suddenly remembered a Dao talisman "Rejuvenation Talisman" This Dao talisman is also a talisman that Ye Nan learned after accepting the inheritance of the Heavenly Rune, it has the effect of mobilizing aura to quickly replenish people's essence and spirit, and his own jade liquid is just barely usable, maybe it can be effective for this woman's current weakness.
Ye Nan was overjoyed, and he did it when he thought of it, anyway, this talisman had no side effects, so he secretly drew it in the air with his fingers, condensed the power of the Dao talisman on the tip of his fingers, pretended to check the patient, and quietly threw the Dao talisman on the patient.
After throwing it on, Ye Nan looked at it with a blank eye, and finally after half a minute, the heartbeat displayed on the monitor increased significantly, Ye Nan was overjoyed, and quickly looked at the patient's pupils again, and now the pupils have also increased by about a millimeter, Ye Nan finally breathed a sigh of relief, and the rejuvenation charm took effect!
At this time, the nurses next to them also breathed a sigh of relief, they had never seen such a drug, and they had always been concerned about it, for fear that after stopping atropine, the patient's condition would get worse and worse. They even made a plan that if the patient's condition began to deteriorate, they had to quickly and secretly notify Director Wu to take a look!
But now unexpectedly, after using dopamine, the patient's condition has improved significantly, and they all looked at Ye Nan with some surprise, and they all thought convincingly: "Doctor Ye of this round of department can't imagine that in addition to being handsome, his ability is really not small!"
In this way, after another hour, the patient gradually woke up again, Ye Nan looked at the pupils, which had expanded to 2.5mm, dry skin, and the heart rate reached 120 beats per minute, and he was sure that this time the patient had escaped, and I hope that there will be no more Lou Zi in the future, and then Lou Zi, this will be difficult to save.
After another hour, the patient's heart rate began to slow down, to 100 beats per minute, the pupils narrowed slightly, it seems that after three hours, the atropine in the patient's body has been almost excreted, and it can no longer maintain atropine, and now it is necessary to start using atropine to maintain the patient again, this time Ye Nan is more cautious, using five milligrams for maintenance.
After an hour of interval, Ye Nan gave another five milligrams, carefully forcing the patient to remain atropineized with the smallest dose, so as not to be poisoned again!
After repeated and cautious use in this way, it was not until the next day that the patient's condition was basically stable, and he had almost recovered, Ye Nan really relaxed, and now the possibility of the patient's rebound is very small.
The patient's husband was also relieved after hearing Ye Nan say that he had passed the dangerous period, he was also frightened when he stayed on the side for the past two days, seeing that his wife's situation was good for a while and bad for a while, his heart was also up and down, for fear that his wife would go by accident, and now he finally put his mind at ease.
He knew that Ye Nan had tried his best to save his wife in the past two days, so he was so excited that he took Ye Nan's hand with tears in his eyes, and said countless words of thanks and hard work incoherently!
Ye Nan chuckled and comforted the other party a few words before turning around and leaving.
This time the incident made Ye Nan feel a lot, he used to study medicine or for his own interests and hobbies, but until today, he really felt how heavy the responsibility was.
In the past, he would only treat patients according to what he knew, and there were quite a few critically ill patients who died in the rescue, but now he is wondering, although those patients in the past were indeed seriously ill and could not be saved, did they do their best at that time? Did he have thought of all the ways he could think of? Or did he fail to do a good job in some places, so that the patients lost the last hope of saving?
If, like this time, he didn't think clearly about that key point and swapped the medicine, then even if he used the rejuvenation charm, he was afraid that this patient would not be able to save him due to an overdose of atropine! Ye Nan was secretly glad that he was able to figure this out!
(To be continued)