FVN Chapter 264
Chapter 264
After talking about "nitroglycerin" earlier,
Let's talk about the "quick relief pill".
Many TV series will mention this drug, which is the most exposed drug, often the elderly cover their chest and fall to the ground, and then find a quick-acting heart-saving pill.
It belongs to proprietary Chinese medicine, which can play the effect of promoting qi and blood circulation and expanding blood vessels.
"Proprietary Chinese medicine": Chinese herbal medicine products are processed into certain dosage forms under the guidance of Chinese medicine theory under the guidance of Chinese medicine theory.
It is a Chinese medicine in itself.
However, it does not work as fast as nitroglycerin.
Therefore, when there are two drugs at the same time, nitroglycerin is still the first choice.
(PS: nitroglycerin has side effects, some patients can not use it, need to replace with quick-acting heart-saving pills.) ）
......
It is worth noting that
Once the symptoms of angina in patients with coronary heart disease do not relieve for more than 15 minutes, it is necessary to suspect myocardial infarction.
Myocardial infarction (acute myocardial infarction (plug)), which means that the angina (plaque) falls off, blocking the blood vessels and forming a "thrombus".
At this time,
Neither "nitroglycerin" nor "quick-acting heart-saving pill" is useful.
Lucky patients may get through this difficult life.
Unlucky patients can die quickly.
The corresponding drug is "aspirin enteric-coated tablets", which is an antiplatelet aggregation drug.
......
New day,
At 1 a.m.,
Lin Feng was on the night shift.
Doctors generally do not need to manage patients, but nurses are required to visit various wards every half an hour or an hour to check patients to avoid accidents.
Lin Feng was in the lounge, writing the paper "Marnifi Blue Fungus"...
suddenly
There was a loud noise.
"How can you remove the oxygen mask without our consent?"
"Didn't I want her to talk more easily and not have to speak hard against an oxygen mask?"
"Do you know that the oxygen mask is very important, you will deprive her of oxygen, it is very dangerous." "
"No way, I've checked Baidu!"
"What Baidu Baidu, our doctor said it!"
"Oh, why are you nurses like this, they are all picked up, isn't it okay?"
"It's okay here, the blood oxygen has dropped to 87%!"
Lin Feng was far away, and he could hear the angry voice of a nurse Xiao Chen.
"Don't be so unreasonable, I said, I checked Baidu!"
"Ahhh~~ Auntie, I repeat, don't trust Baidu!"
The movement is getting bigger and bigger.
It also woke up patients in other wards around him.
Lin Feng rushed out,
Come to the door of that ward.
Other doctors and nurses also arrived.
Lin Feng looked at the patient's ECG monitor and showed that
Oxygen saturation 90%! (normal 95%-99%)
The patient, male, in his 40s, was admitted to the eight groups of hearts, and should have a more serious heart condition, so he was connected to the ECG monitor.
Xiao Chen, a nurse, was crying.
Apparently frightened!
I'm angry too!
Fortunately, she patrolled in time and found the problem, otherwise this patient may be killed by his wife.
At that time, it will be another medical trouble.
"Okay, okay, the patient should be fine. Lin Feng pulled nurse Xiao Chen to leave.
The aunt (the patient's wife) was still hard-mouthed at this time,
"I just want to talk to my husband, I saw my husband talking muffled, so I took off the oxygen mask, who knew it would be like this..."
The attending doctor naturally criticized her and talked about the important role of oxygen masks.
Lin Feng shook his head and sighed: Some family members can always come up with some strange things...
Oxygen mask, that's the lifeline!
"Woo hoo..." Nurse Xiao Chen was still crying.
"Don't cry, don't cry, the patient is fine..." Lin Feng comforted nurse Xiao Chen on the side.
"Dr. Lin, just really scared me to death, 87%, if I hadn't found out in time, it is estimated that the entire patient would be gone." "
"Uh-huh, that's right, that family member is just messing around..."
Lin Feng calmed Xiao Chen for a few more minutes.
Ding dong......
At this moment,
Xiao Chen's mobile phone rang.
Wechat:
Boyfriend: "I'm sorry, you're too busy, you're in the hospital every day, sometimes you don't come back for 24 hours after the last operation, I thought for a long time, let's break up... Thank you for the company of these 5 years, I left the imperial capital... Goodbye..."
Xiao Chen panicked on the spot.
Quickly wipe away your tears and call over.
As a result, the phone calls again and again were hung up...
"Woooo
Suddenly, nurse Xiao Chen squatted by the wall on the spot and cried.
"How can this be, 5 years, are about to get married, why break up!"
"Why..."
"Men are scumbags, scumbags ~~~"
I was scared by my family in the front, and I was broken up by my boyfriend in the back...
The heart collapsed directly.
"Woooo
Lin Feng was on the side, not knowing how to comfort him.
Thought about it
Lin Feng online search: "How to comfort a lovelorn little girl"
Then a cascade of results is obtained:
You can ask her to go to K songs together and yell out all the unpleasantness. Women are very emotional, and they can't help you as soon as they are moved
We can tell her that there is nothing wrong with losing someone who does not know how to love you, not your fault, but his loss, because no one will love him as much as you do again!
·......
Lin Feng tried a few...
"Knock Nima!"
"What a shit method, it's completely useless!!"
Nurse Xiao Chen continued to cry.
"Otherwise, I'll send you a blind date post and find you a better boyfriend..."
“.................."
Nurse Xiao Chen cried again.
Lin Feng: "........."
scratching your head,
Women are so troublesome!
......
suddenly
Beep beep ~~~~
A hurried sound came from outside.
At this moment, Lin Feng's blood suddenly became active, and his spirit suddenly lifted.
"Something happened!"
It's late at night,
Unless it is a real emergency, the patient will delay coming until the next day.
Therefore, now 120 people are all patients in urgent condition!
And Xiao Chen, who was crying, stopped crying all of a sudden.
It turns out: work is medicine!
soon
A young female patient was sped in.
"Doctor Lin!"
Lin Feng went out,
Patient, female, about 26 years old...
Husband/boyfriend followed...
Slightly shortness of breath
Mild cyanosis of the lips (ps: pronounced gan four, meaning slightly reddish black)...
・ A nasal cannula was used to suck in oxygen (oxygen cylinders), but apparently not enough...
The patient is awake, but his mental state is not very good.
Now, that's all you know.
"Send to the rescue room!"
Lin Feng ordered.
Then turned to the 120 ambulance doctor and asked.
Tell me..."
Doctor Che naturally knew Lin Feng, and said quickly with respect and respect:
"Dr. Lin, this patient, 26 years old, coughing at home for 2 days, suddenly had difficulty breathing tonight, called us 120 cars, measured blood pressure on the spot is still normal, blood oxygen saturation is only 95%. Considering it is pneumonia, it is estimated to be severe pneumonia. "
"Okay, thanks. "
Soon, the female patient was pushed into the emergency room.
Without Lin Feng's orders, several emergency nurses and nurses here have already helped the patient connect to the ECG monitoring.
The data comes out.
Blood pressure 98/60mmHg, which is in the normal range, but relatively low
Heart rate 120 times / min, breathing 26 times / min, heart rate is relatively fast, normal should be 100 times / min...
Blood oxygen saturation of 95%, which is also the lowest value of normal value.
Lin Feng ordered:
"Change to a mask for oxygen!"
"Yes!"
Soon, the nasal view took oxygen and changed it to a mask for oxygen.
Oxygen from a mask provides a higher oxygen concentration, which is better than a nasal cannula. For hypoxic patients, face masks are a more suitable option.
But not always, for example, in the unlikely event that a patient has CO2 retention, you can make CO2 more difficult to rule out and worsen CO2 retention.
"Retention zhuliu": refers to the abnormal accumulation of liquids and gases in the body.
Lin Feng touched the female patient's arm.
As soon as I touched it, I suddenly felt a kind of heat.
"Flebrial?"
"Take her temperature!"
"Yes!"
soon
Fast ear temperature gun, out of the results.
red
39.2C！
Flepsy!
At this time, the husband/boyfriend outside the door was already nervous.
He looked inside, a group of busy figures were rescuing, one instrument after another completely incomprehensible (above the head is ECG monitoring, on the left is the medicine cabinet, on the right there is a ventilator, endotracheal intubation box, etc.), when did he see this kind of battle?
It's hairy and flustered to watch!
But what made him happy was that the doctor turned out to be Lin Feng!
Lin Feng's strength is widely spread on the Internet.
This made him feel a lot more relaxed.
And at this time,
Lin Feng observed the patient and became clearer.
Half sitting on the bed with beads of sweat on his forehead,
Gently panting,
・The clavicle and suprasternal fossa are more concave when inhaling, which is a typical manifestation of hypoxia and hard inhalation.
Lin Feng roughly judged that it was a heart and lung problem.
"I'll give you a heart and lungs now..."
Lin Feng looked at the female patient.
The female patient nodded slowly, feeling a little laborious.
stethoscope
Listen to the heartbeat first...
Apart from the fast heartbeat mentioned above, there are no other special problems...
Let's start with the lungs...
・There are a few crackles
What is a cracker?
If there is fluid in the bronchi and alveoli, then air will cut through these blisters when entering and exiting the airways, which is called a crackle.
That is, the lungs may be inflamed, causing fluid to leak out.
。