Chapter 428 Convinced!

With the move of the electrocardiogram machine, Chen Cang hurriedly began to connect the leads!

Weary!

Abnormal reaction of digestive tract!

Difficulty breathing, and suspected respiratory muscle problems!

Panic!

diabetes!

Combining various factors, Chen Cang thought of a terrible and possibly life-threatening disease!

And it could be life-threatening at any time!

However, the electrocardiogram has not had time to do.

Xiao Lin shouted, "Doctor Chen, my heart beats only 20 times!"

Chen Cang's face suddenly turned normal: "Atropine!"

Nurse Lele hurriedly started the injection!

But after the dopamine injection, the effect is still very general!

The patient's condition did not improve in any way.

At this time, the electrocardiogram machine slowly spit out the electrocardiogram.

Chen Cang tore off the electrocardiogram, took it up and took a closer look, his expression changed suddenly.

Sure enough!

The waveform of the ECG, combined with all the manifestations of the patient, everything can be explained clearly!

Chen Cang couldn't help feeling a little fortunate, but luckily he didn't rush to refill.

Otherwise, the old lady is really finished.

At that time, it will be a waste of time.

Looking at the electrocardiogram, Chen Cang felt that his hands were shaking.

Xiaolin continued: "Doctor Chen, the heart rate is still decreasing!"

At this time, the old man had a grim face, and he had been suffering from diabetes for many years and was a little thin. In addition, he was an old man in his 80s, so his face itself was skinny!

At this time, the hideous facial expressions, the rapid breathing with the mouth open, and the ah ah ah ah ah in the mouth, suddenly made a few students who came to watch the "lively" couldn't help but take a step back!

horrible!

at this time!

Atropine didn't seem to be doing anything at all, and the heart rate was still only 20 beats.

Chen Cang thought about it, and immediately changed his policy: "Isoproterenol!"

In the first aid box, there is a whole set of rescue supplies, and a whole row of rescue medicines are very complete, Lele quickly started to search... prepare.

At this time, Chen Cang said to Xiao Lin who was beside him:

"Prepare 10ml of calcium chloride! Intravenous injection!"

"Also, insulin, 10 units, is also given intravenously!"

As soon as these words came out, the group of Gu Peisheng behind him was dumbfounded!

At this time, calcium is used!

They were at a loss, and they had no idea why Chen Cang suddenly started using intravenous calcium supplementation after the ECG was done.

The patient...is calcium deficient?

A group of people are a little confused!

To tell the truth, Xu Dongdong was a little confused, but he still stood behind him and took a notebook to write down every word that Chen Cang said.

Because calcium chloride and insulin are not included in the rescue medicine, they need to go to the nurse station temporarily to get them.

After he came, Chen Cang quickly looked at Xiao Lin and told him word by word:

"Remember! Slow down with calcium chloride, 10ml, give it within five minutes!"

"Insulin is also given intravenously!"

After explaining, Chen looked at the monitor, and his heartbeat had reached 45 beats per minute!

It seems that it should be the credit of isoproterenol!

But this is not the time to be happy.

The most important cause of the patient has not been eliminated!

This can be life-threatening and cause sudden cardiac arrest!

At this time, Li Baoshan happened to pass by the emergency room and hurried in after learning that a patient was being rescued!

Li Baoshan watched Xiaolin inject medicine.

He asked Chen Cang, "What's the condition of the patient?"

At this time, all the following Gu Peisheng were dumbfounded!

They also had no idea what was going on.

Although the full name is Follow, but... I don't understand it at all!

In the end what happened?

How do we look like weak chickens?

And why did Chen Cang start such a tedious operation after seeing an electrocardiogram.

Even Xu Dongdong didn't know anything about it.

The man behind him who was talking to Xu Dongdong just now is also a little embarrassed. Isn't it electrolyte disorder?

Seeing that his heartbeat and blood pressure gradually recovered, Chen Cang finally breathed a sigh of relief.

Hearing Li Baoshan's question, he turned around and said, "Director!"

"The patient should have hyperkalemia, accompanied by diabetic ketosis, and blood potassium may be as high as eight o'clock!"

After Li Baoshan heard the blood potassium, his face suddenly turned down.

Blood potassium at more than 8 o'clock, this is terrible!

Normal serum potassium is between 3.5 and 5.5 mmol/L.

When it exceeds 5.5, it is hyperkalemia.

Li Baoshan heard that the serum potassium was so high, and immediately asked: "Is the serum electrolyte not coming out?"

Chen Cang shook his head: "It took less than ten minutes for it to be delivered, not so fast!"

As soon as Chen Cang said these words, the people around him suddenly became quiet!

There is no serum electrolyte indicator, how did Chen Cang say that the serum potassium is more than eight o'clock?

How did you guess that the patient was hyperkalemic?

Chen Cang did an electrocardiogram from start to finish.

At this moment, the surrounding Ji Peisheng suddenly became curious!

Chen Cang couldn't say that he guessed it by himself!

When Li Baoshan heard Chen Cang say this, he quickly picked up the electrocardiogram on the side, took a closer look, and immediately frowned!

"What did you use?"

Chen Cang: "Calcium supplement, calcium chloride, the patient's blood sugar is more than 16 o'clock, I added 10 units of insulin."

At this time, Li Baoshan stepped aside and looked at the patient.

At this point, all you can do is wait and see.

Chen Cang had already done everything he had to do.

Li Baoshan is really more and more satisfied with Chen Cang now.

It is really not something that ordinary people can do to accurately diagnose patients through details.

Not to mention anything else, just Chen Cang's ability to determine the blood potassium value through the electrocardiogram is a skill.

You can't do it in a few years!

Emergency and emergency, against time, if you wait until the serum electrolytes come out, people will really be cold!

And Chen Cang's treatment is also in place.

This made Li Baoshan feel a little emotional, and he is really a good young man.

Chen Cang has all the things he should have. If he can't, he will have to go to dialysis.

Time passed by minute by minute.

The numbers on the ECG monitor kept jumping, like the rhythm of life.

The heart rate gradually stabilized at around fifty, the patient's breathing was also stable, and the blood pressure was stable.

At this time, both Chen Cang and Li Baoshan breathed a sigh of relief.

The patient's condition should be stable.

The old man also opened his eyes and breathed a sigh of relief. She felt that she had broken through the gate of hell once.

...

...

At this moment, the woman who brought her mother to the hospital just now was pacing restlessly at the entrance of the observation room!

I was so nervous to die!

I'm afraid something will happen to my mother.

Seeing this, Qin Taishan, the uncle of the emergency security guard, couldn't help comforting him: "Big sister, don't worry, don't worry, Director Li is in, there's no problem!"

Having said that, how can the woman rest assured.

Hearing Qin Taishan say this, he couldn't help but choked up in his voice!

"I shouldn't have told her, I should have fixed the blood glucose meter earlier, it's all my fault!"

"I must have nagged her too much at ordinary times, and I will never talk about her again..."

"God, bless my mother, please, let her survive!"

...

The woman's voice was choked and her mood was very unstable, so Qin Taishan who was on the side didn't know what to say.

The nurse on the side watched the woman cry like this, and couldn't help but sigh, this is the girl!

Mother makes a mistake, blame is blame, after all, old people are old, they say that old people are young, old people are young, people are not sensible when they are old, and it is the girl who is nagging in your ear, and no one else is there Take care of you.

But nagging is nagging, blame is blame, if the old man is sick, the girl is really worried as if she is sick.

At this time, the old man slowly came over.

However, at this time, you can't be careless.

There are many reasons for hyperkalemia. Diabetic ketosis is one type, but others cannot be ruled out. Therefore, it is necessary to further wait for the physiological and biochemical results before transferring to another department.

Li Baoshan called the laboratory, and after urging him, the result came out very quickly!

The nurse quickly printed out the test sheet and handed it over!

Li Baoshan brought it here.

"Blood potassium: 8.1!"

Fortunately, the rescue was timely. If the serum electrolytes were really released, this person would be in danger.

Gu Peisheng, who was on the side, glanced curiously, and was immediately dumbfounded!

It's really past eight!

At this moment, they were very curious, how did Chen Cang guess the blood potassium concentration of the patient!

Xu Dongdong was even more excited!

In just two days, I saw another nervous emergency!

Although his face was dazed, there was a sense of ignorance.

but……

Watching Mr. Chen under such urgent conditions, from various complex diseases and symptoms, to find and find key factors, and take timely treatment, this is too difficult!

So cool too!

To be honest, Xu Dongdong is really convinced by Chen Cang at this moment!

Convinced orally!

...

...

ps: Hey, let's wait for the third watch, see you at noon tomorrow, the specific answer will be revealed at noon tomorrow.