Doctor: I picked up attributes in the hospital

Chapter 173

Chapter 173

After half an hour.

Zhao Heng stood beside the hospital bed, holding the urgent blood test results in his hand, his face was very serious.

Because Zhao Heng saw on the blood test sheet that the patient's blood potassium was only 2.5mmol/L.

You should know that as long as the blood potassium is lower than 3.5mmol/L, it can already become hypokalemia, and now this patient is as low as 2.5mmol/L, which is already a very dangerous value.

Serum potassium is an important ion to maintain the excitability of the cardiovascular system and neuromuscular. Only when the blood potassium is within the normal range can the normal operation of the body be maintained. Low or high blood potassium will not work. Maintaining blood potassium is very important.

Once the blood potassium drops to a certain level, the nervous system and cardiovascular system will be affected immediately, and paroxysmal paralysis and various urgent arrhythmias will occur, and in extreme cases, cardiac arrest may even occur.

The biggest problem now is that Zhao Heng doesn't even know what drugs this patient has taken before taking sildenafil. Otherwise, just overdosing sildenafil would not cause such severe hypokalemia of.

"Doctor, he'll be all right, right?"

Seeing Zhao Heng's solemn expression, the young woman asked in a trembling voice.

"Have you contacted your family?"

Zhao Heng asked.

"Not yet...not yet..."

The young woman said with evasive eyes.

How dare she contact this man's family members? If the family members come, they must not eat her raw!

"Ready to supplement potassium."

Zhao Heng looked at the young woman and said to Tian Zhen.

"OK, all right."

Tian Zhen nodded and immediately went to dispense the medicine.

Soon, Tian Zhen prepared a potassium supplement liquid.

When the potassium supplement liquid is infused into the patient's body, the missing potassium ions in the patient's body are quickly replenished.

"Doctor...doctor, my...stomach... hurts..."

At this moment, the middle-aged man was sweating profusely, his face was pale, he was covering his stomach, and spoke to Zhao Heng with great effort.

Drop drop!

At this moment, the life monitor began to alarm frantically.

"Doctor Zhao, the patient's blood pressure is 80/40!"

Tian Zhen hurriedly reported from the side.

"A unit of epinephrine pushes, pumps dopamine!"

Zhao Heng immediately issued an order.

"it is good."

Tian Zhen nodded, and arranged the liquid very neatly.

5 minute later.

With the injection of adrenaline and dopamine, the sirens of the beeps are lifted.

"Doctor Zhao, the patient's blood pressure is 120/70mmHg!"

Tian Zhen continued to report the real-time blood pressure value of the patient.

Call ~

Hearing this, Zhao Heng breathed a sigh of relief.

Severe pain in the abdomen and a rapid drop in blood pressure are symptoms of emergency shock caused by massive blood loss. Combined with the patient's overdose of sildenafil, Zhao Heng immediately had a guess in his mind, but this guess needs to be confirmed.

"Contact the Cardiac Surgery Department and say that there may be an abdominal aortic dissection here."

Zhao Heng said to Tian Zhen in a calm voice.

"Huh? Abdominal aortic dissection?!"

Hearing what Zhao Heng said, Tian Zhen immediately widened his eyes.

Abdominal aortic dissection is a rupture in the abdominal aorta, and blood rushes into the rupture, causing the abdominal aorta to tear. This is a catastrophic critical emergency of cardiovascular disease. If it is not diagnosed and treated in time, it will die within 48 hours rates as high as 50% or even higher.

It can be said that abdominal aortic dissection is definitely a reminder of death!

"Well, the probability is very high."

Zhao Heng nodded solemnly.

Now he can basically be sure, but he still needs to know the patient's past medical history and medication records.

"Okay, I'll go right now."

Tian Zhen nodded and went to contact the heart surgery doctor.

This aortic dissection, in general, is an emergency of cardiovascular surgery, so it is necessary to contact the cardiac surgery department.

At this time, from outside the ward, a rich, slightly plump middle-aged woman who was covered in jewels and jewels suddenly rushed in. As soon as she came in, she saw her husband who was pale and pained lying on the hospital bed clutching his stomach, and her face suddenly turned pale. There was a flash of distress.

But as soon as she turned her head and saw the young woman standing next to her with an anxious expression and looking very flustered, the distress on her face disappeared, and she immediately became as cold as ice.

"Smelly watch!"

The rich middle-aged woman exhaled fragrance, and raised her hand to give the young woman a big beep!

Seeing the violent scene of the middle-aged woman, Zhao Heng was stunned for a moment. This was the first time he had seen such a scene.

After the beating was over, the middle-aged woman seemed to have calmed down, and turned to Zhao Heng and said, "Doctor, how is he? Is there any help?"

"At present, it is considered to be abdominal aortic dissection. His condition is very dangerous. Besides taking Weige, has he had any other medical history before, and has he taken any other drugs?"

Zhao Heng was shocked by the calmness of the woman after the violence, but he still spoke professionally.

"Brother Wei?"

Hearing these two words, the face of the middle-aged woman suddenly became gloomy again.

"What did you feed him?"

The middle-aged woman turned around and looked at the young woman with very unfriendly eyes.

My bad man has high blood pressure and has been taking medicine. The doctor also said that brother Wei must not take this kind of medicine.

"No... no... it's me... it's... he wants to eat..."

The young woman was about to cry, she covered her flushed cheeks, and stammered.

"You can't run away. If he dies, you can go to jail!"

The middle-aged rich woman looked at the young woman and said word by word with a cold expression.

Wow!

As soon as the middle-aged rich woman said this, the young woman's psychological defense was defeated. She immediately sat down on the ground, covered her face with her hands, and sobbed.

"Does the patient have a history of high blood pressure? What are the daily medications?"

Zhao Heng glanced at the slumped young woman and sighed slightly, but he didn't bother with her, the priority now was to save her.

"Doctor, he has always had high blood pressure. This is the medicine he has been taking."

The middle-aged rich woman took out a box of medicine from the bag she was carrying and handed it to Zhao Heng.

Hurrying here, I can still remember the medicine my husband usually takes. This middle-aged rich woman is very thoughtful. After beating someone, she can still talk to Zhao Heng so calmly. It can be seen that her psychological quality is also extremely high. powerful.

"Indapamide?"

Zhao Heng took the medicine box and looked at it, and immediately understood the reason why the patient had hypokalemia.

This indapamide is a thiazide diuretic, which belongs to the blood pressure lowering drug. After using this drug, the patient urinates more frequently and the urine volume increases, so the potassium ions excreted from the body are correspondingly reduced. If it increases, the potassium ions in the body will naturally decrease.

However, under normal circumstances, taking indapamide alone will not cause such severe hypokalemia.

This sildenafil is originally a vasodilator drug, which has a certain antihypertensive effect. This overdose, and the patient usually uses indapamide, an antihypertensive drug, does not cause hypotensive shock and hypokalemia. Blood disease is strange!

(End of this chapter)