bookpower Chapter 476
Chapter 476
Lin Feng couldn't help but scold him: "Quick, lie on the bed, take the electrocardiogram..."
At this time,
An ECG must have specific results.
1 minute later...
The ECG is out...
Suggest a slight elevation of the ST-T segment.
Lin Feng's heart tightened.
This manifestation may be because the heart is ischemic at this time.
Then compared the previous electrocardiogram, it really got worse.
Lin Feng is now worried about myocardial infarction.
"Go get some blood... Look up troponin..."
Troponin is a protein found in heart cells, but when heart cells are necrotic and ruptured, troponin will leak out into the blood, and the amount of troponin will be increased when blood tests are drawn. (Similar to bilirubin running out because of cell rupture, jaundice symptoms)
But
This check takes time.
At this moment,
A new situation has happened.
The electrocardiogram, which had been pulling, suddenly pulled into a straight line.
Lin Feng: "????? "
Xiao Ai, Xiao Ru: "????? "
"Not good, the heart stopped!"
Lin Feng's face changed, and he quickly ran to the patient, touched his hand, and sure enough, there was no pulse.
Hurry up CPR!
"Quick, send to the rescue room!!"
Quickly pushed the bed and rushed out.
Things were moving so fast that everyone was confused all of a sudden.
The patient's wife stayed in place, just now the husband was still alive and jumping, very excited, why suddenly there was no heartbeat?
She felt like the sky was falling.
If her husband dies, then what can she and her son do in the future!
Lin Feng's side, CPR all the way, alarmed others all the way, and rushed to the rescue room.
Arrive at the rescue room,
"Quick!"
Under Lin Feng's constant shouting, other doctors and nurses came to the rescue, giving anesthesia, itching tubes, even ECG monitors, adrenaline...
Busy in a mess.
Fortunately, I am also experienced, so I didn't mess around.
And the wife, who woke up, walked around outside the rescue room, panicked, and had already called home and asked her mother-in-law and father-in-law to come over.
When the mother-in-law heard the phone, she almost fainted on the ground.
"Dead?"
"The son died?"
When the whole family feels bad news,
Fortunately,
In the 11th minute,
After Lin Feng and others' rescue, the patient's heartbeat recovered.
"Whew~~~"
"Great, the rescue is back!"
All the doctors and nurses breathed a sigh of relief.
When the wife outside the door heard the news, she immediately cried with joy and thanked the nurse who informed the news.
Lin Feng looked at the ECG monitor.
Blood pressure: 180/120...
Frowning.
Before CT, Lin Feng had already ordered the patient to take antihypertensive drugs, but why is the blood pressure still so high now?
"Oral antihypertensive drugs are not enough, it seems that intravenous antihypertensive drugs are needed..."
That's right
In addition to the oral antihypertensive drugs that people with high blood pressure have been taking, there are also intravenous antihypertensive drugs, which are injected from the vein.
But
The effect of intravenous antihypertensive drugs will be more violent.
It is generally mainly used for the treatment of hypertensive emergencies or hypertensive crises.
And when using, pay attention to start the application from a small dose, measure blood pressure once in 5-10 minutes, and gradually adjust the dosage of the drug according to the blood drug.
lest blood pressure drop too quickly and too low.
"Upper sodium nitroprusside..."
Lin Feng ordered...
soon
Antihypertensive medicinal syringe pump for injection, control the dosage...
After 5 minutes,
The effect came out.
Blood pressure keeps falling...
Lin Feng breathed a sigh of relief...
However, before Lin Feng could breathe a sigh of relief for half an hour, the sudden situation came out again.
Just when Lin Feng was receiving other patients in the consultation room,
The nurse rushed over:
"Doctor Lin, it's not good, that patient's blood pressure has dropped to 70/40..."
“？？？？？"
Lin Feng was shocked!!
What the heck?
Wasn't it 180 half an hour ago?
How did it suddenly fall to 70!!
Bungee jumping!
Hurriedly ran to the rescue room, which was already in a hurry at this time.
"Doctor Lin..."
Lin Feng looked at the patient's ECG monitor, still falling, already 68/39...
"Give a booster, quick!"
Vasopressors are quickly used,
The patient's blood pressure finally stabilized.
Lin Feng fell into confusion instead.
Why is blood pressure extremely high and then extremely low?
Problems with intravenous antihypertensive drugs?
This blood pressure suddenly goes up and down, and the value is outrageous, which is not a good thing for the patient.
If vasoconstriction and relaxation change too much, it is likely to burst directly.
At this point, the patient's wife was waving outside.
"Doctor Lin, the result of that blood draw is out..."
Lin Feng walked over and took the report.
Troponin: within normal values...
That is, there is nothing wrong with the heart!
"Not the heart..."
"What the hell is the problem?"
Lin Feng began to consider: the reason for regulating blood pressure!
The human body regulates blood pressure in the following two aspects:
Neuromodulation
Fluid regulation
suddenly
Lin Feng thought of "adrenal glands"!
"Epinephrine" "Norepinephrine"... These two drugs have been heard a lot.
But it is estimated that many people do not know that "adrenaline" is "adrenal gland" + "vegetarian", and think it is "kidney" + "adrenaline"...
Above the left and right kidneys of the human body (adhering kidneys), each has a gland called the "adrenal gland".
It is a fairly important endocrine organ in the human body!
At this point,
Lin Feng thought of the disease "adrenal adenoma".
If the adrenal gland grows a tumor, the tumor may secrete a lot of hormones, including epinephrine, norepinephrine, etc., which act in the human body to stimulate the sympathetic nerve, such as leading to high blood pressure, fast heart rate, sweating, excitement, restlessness and so on.
(Many novels depict the adrenaline rush when the protagonist is in danger, that's what it means)
It corresponds to the patient's sudden hypertension, and the effect of antihypertensive drugs is not obvious.
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PS: End of update.
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