Doctor Started a Plug-in
Chapter 87
After Chen Cang came in, he found that the thin man had begun to make trouble!
"What are you doing? Do you open the inspection without my signature? I have no money, I''ll tell you!"
Seeing this, Chen Cang hurriedly said, "don''t do this! Your wife is very dangerous now. It''s a symptom of poisoning. We must find out early. It''s likely that the symptom will worsen after more than 48 hours!"
Poisoning identification is a passive skill. Chen Cang doesn''t think women are pretending!
Some diseases can be pretended, while some diseases, you can''t pretend at all!
Can you keep your hands and feet cold? Can you set the blood pressure to 9060?
As a doctor, both internal medicine and surgery must have a pair of golden eyes.
As Wang Yong said, the patient may have come to steal money, right! This possibility is not ruled out, but he still has to consider that the patient''s life comes first.
Whether good or bad, when he is sick and lying in the emergency bed, he may be a patient.
Doctors are not that complicated. It''s good to treat patients and save people.
Chen Cang doesn''t want to judge whether it is good or bad, but he has to judge whether he is ill. This is his responsibility.
When the thin man heard Chen Cang say that his wife was dangerous, he suddenly grunted and stopped jumping. He had an idea! Just took the fat man to the bathroom.
Just entering the toilet, the thin man looked around and said to the fat man, "you hear me, my wife is very dangerous now. He doesn''t have medical insurance and you have to pay all the money."
The fat man runs a restaurant and often encounters this situation. He doesn''t want to get into trouble and directly asks, "how much do you want?"
Thin man: "5000 yuan! Look at what my wife is like. The lowest medical cost is 5000 yuan."
……
……
Chen Cang couldn''t see the deal, but nurse Xiao Lin hurried over and saw the blood glucose meter clearly!
"Blood sugar 33.3mmol!"
Chen Cang was stunned!
Stupid!
Sure enough, it''s so high!
Now Chen Cang is more confident and more certain that he is in a coma of hyperosmolar non ketotic hyperglycemia poisoning.
But we have to wait for the follow-up inspection!
Even if Wang Yong said that the other party was stealing money, and the man''s performance was very similar, Chen Cang was still careless.
Now it seems right!
33.3 blood glucose.
Kobayashi added: "Dr. Chen, the electronic blood glucose meter can only measure 33.3 at most. How much more is 33.3! We have to wait for the news from the laboratory."
Hearing this, Chen Cang immediately frowned. After thinking about it, he quickly said, "add a bottle of liquid! Where''s Wang Yong? The doctor ordered to add a bottle of liquid!"
Wang Yong''s tone was obviously a little more evasive: "what liquid? I tell you, people were also 33 last time. I don''t know how much sugar they drank!"
Chen Cang''s tone at this time was resolute: "500 ml of 0.9% sodium chloride, rapid drip!"
Wang Yong cut and said that Chen Cang''s words still had to be carried out.
Before long, Kobayashi hurriedly said, "Dr. Chen, the blood routine results came out!"
Chen Cang''s eyes brightened: "how much?"
Kobayashi: "leukocyte 18.4, neutral ratio 90%, HB (hemoglobin): 135g."
Chen Cang turned and continued: "add 0.9% sodium chloride 250ml + levofloxacin 0.4g, IVT!"
If the normal saline just now doesn''t matter, Wang Yong of levofloxacin obviously thinks Chen Cang has gone too far. He can''t help but say, "boss, people obviously touch porcelain. Do you have to do this? There are restrictions on levofloxacin in our department. Ask Xiao Lin, it''s really a naughty thing to steal money!"
There were three or four little nurses in the nurse station of the rescue room. When they saw Wang Yong talking like this, they were silent.
Indeed, people have seen the couple and have been here several times. Every time they come, they look like this.
Chen Cang turned and stared at Wang Yong: "I''m the doctor in charge. I''m responsible for everything except the patient. If you don''t go away, Xiao Lin, go and give me a doctor''s order!"
Wang Yong snorted coldly, got up and went inside: "who loves who!"
Just leave!
Kobayashi sighed and explained to Chen Cang, "don''t be angry, Dr. Chen. Dr. Wang is actually... Just a little jealous of evil. These people are not pleasing to the eye. Once Dr. Wang ordered a blackmail money. As a result... As a result, Dr. Wang got off the night shift and was beaten! I also think these people came to blackmail money..."
Chen Cang sighed and didn''t say much.
After giving the doctor''s order and waiting for less than 20 minutes, the test results came out!
Blood glucose is 35.1mmol L (the laboratory is more accurate than the blood glucose meter, the blood glucose meter is 33.3 at most, and the computer blood glucose meter is only 23.3), blood sodium is 182mmol, blood potassium is 4.95, blood chlorine is 100, urine routine: ketone body 3 +, urine sugar 3 +.
This is the serious complication of diabetes: hyperosmolar hyperglycemia coma!
Soon!
Blood gas analysis, lactic acid, etc.
The more Chen Cang looked, the colder he was.
Fortunately, timely inspection and treatment, otherwise there will be a big problem.
You know, this disease is life-threatening.
At this time, fat and thin came. I don''t know whether they reached a good agreement or how. Anyway, they met very happily and had a good chat.
The fat man got up and left.
The thin man skillfully pushed the door of the emergency room to enter.
Just saw Chen Cang coming: "your wife''s situation is very dangerous. Now she is in danger and must be hospitalized."
The man turned a deaf ear and sneered. He went up and patted the woman on the shoulder: "wife, let''s go home."
Just
After a few shots, the woman still didn''t respond.
The man was stunned and smiled: "you guy, fell asleep. I''ll carry you home."
He was about to pull out the liquid from the woman and carry it on his back. The woman wanted to go. Chen Cang saw it and stopped it quickly!
"She is very dangerous now. Don''t move." Chen Cang hurriedly walked up.
The man was stunned: "what do you mean?"
Chen Cang said: "she is now in a dangerous period. She is in a hyperosmolar non ketotic hyperglycemic coma. She is in critical condition. You are his husband and need you to sign."
As soon as the man heard this, he was stunned: "what''s the matter? You want to steal money! Did you inject him with a sedative? Don''t think I don''t know!"
Chen Cang listens to the man''s words. The man is obviously a recidivist. He has even used sedatives!
It''s really a gentleman''s belly with a villain''s heart. I can''t help admiring this logical thinking ability!
Chen Cang took the test sheet: "this is her test sheet. Look, maybe you can''t understand it, but I tell you directly that her situation is very dangerous. If she leaves rashly, her life may be dangerous. She needs hospitalization now."
The thin man suddenly changed his face and turned his head. He got up and ran. While running, he said, "I have no money, and she is not my wife. We don''t know each other."
This run is very much like... "Love".
It''s also like life!
All the people around are looking silly!
Several young nurses couldn''t help saying: slag man! Rubbish!
Chen Cang was helpless and sighed.
Perhaps, husband and wife are birds in the same forest. When a disaster comes, they fly separately?
At this moment, the nurses around Chen Cang can be said to be extremely convinced.
Chen Cang can distinguish right from wrong in such a situation, which shows that his ability is extraordinary.
His bearing and aura, especially his decisive determination in disease diagnosis, that kind of self-confidence! It''s similar to Director Li Baoshan!
Maybe, great people look the same.
Kobayashi saw this: "Dr. Chen, what should I do?"
Chen Cang sighed: "first use the first-aid funds of the emergency department, first treat, I give the doctor''s order, and you will implement it."
Kobayashi nodded, "Dr. Chen, she really didn''t pretend?"
Chen Cang nodded: "well, no, no one wants to pretend about this disease. It''s too dangerous. It''s a life and death disease!"
Kobayashi also sighed. Thinking of the scum man who ran away, he felt a little pity for the woman. He still couldn''t help asking, "OK. Dr. Chen... Will this disease kill people?"
Chen Cang shook his head and said nothing.
No matter how dangerous the disease is, is it comparable to the cruelty of the people?
No matter how cruel the illness is, is it comparable to the decision when the man left just now?
Hey
It is the heart, not the disease, that tests mankind.
After half a minute, Chen Cang had finished the doctor''s order skillfully.
The most difficult thing for this poisoning disease is to find the cause. If you find the cause, you can treat it symptomatically.
Now Chen Cang suddenly finds out how powerful the master [poisoning identification] he got from director Li!
After seeing the patient, Chen Cang''s logical thinking ability in his head was clear.
Classify the types of poisoning and clinical manifestations, so that Chen Cang can directly find the cause and find out the treatment strategy.
Wang Yong doesn''t know where he has gone. Chen Cang sighed. Maybe he has some problems in dealing with things. Find a time to communicate with Wang Yong.