Chapter 66 Tetanus for burns
Zhou Yewu has not seen a patient with paranoid disease in his internship for a year.
There is no clinical experience in the diagnosis and treatment of such patients, or even diagnosis.
"This is really a problem of the century..." Zhou Yewu wanted to be lazy and just call a psychiatric consultation at this time.
But after all, it was the first time he had encountered a patient with a mental system disease, and he was particularly curious about this.
I really want to try to get in touch, after all, such clinical experience is very rare!
According to internal medicine books, patients with paranoid diseases are often in a state of fear, feeling discussed, framed, plotted against, robbed of property, raped, etc., and even have attempts to commit suicide, with special personality defects, such as subjective, sensitive, suspicious, strong self-esteem, self-centeredness, fantasy, etc.
When the son of Lu Bu heard Yang Guo say that his father had paranoia caused by the murder, he nodded in agreement, "My father is indeed afraid that he will be murdered every day. Even if I pour him a glass of water, he can push me away."
Zhou Yewu stared at Lu Bu's son and said suspiciously: "Disgust for being killed is the most common type of paranoia. It is often related to patients who have been stimulated in childhood, lack of maternal love, and lack of good interpersonal relationships with others. When did your father start to get sick? How is his recent life situation?"
The middle-aged man's eyes were full of loss and even a little bit of blame: "Sorry, doctor, I have been doing business outside for many years and rarely accompany my father, so I don't know many things. What I really know is that my father has always had the habit of taking sedatives."
"Sleeping pills?" Zhou Yewu's eyes flashed.
The middle-aged man nodded, "Yes, I've been eating it for almost several years."
Zhou Yewu ignored his words and was still thinking about the possibility of other causes of the disease in Lu's tribe.
Yang Guo noticed that Zhou Yewu's eyebrows were not nervous and frowned, "Brother Xiaowu, do you have other ideas?"
Zhou Yewu: "I think the truth of the matter may not be that simple... because I have never seen any cases where an elderly person over 80 years old suffers from schizophrenia, and I have never seen a sudden simple schizophrenia."
After hearing this, Yang Guo's original idea of suspected Lu's delusional disease became less firm.
Are there other secrets hidden behind the old man's sudden "delusion of being murdered"?
Zhou Yewu didn't have time to think about this, the most important thing now is to treat the scalded skin first.
When he was checking his body, the nurse beside him had already helped to use ice water to cool the red and swollen bare skin on Lu Bu, but the effect did not seem to be very obvious.
"Wait...ice water?" Zhou Yewu looked at the nurse with a daze at the scalded skin of the nurse using ice water to Furu Lubu.
He wanted to leave the nurse to stop the ice, because this is likely to cause frostbite!
Especially the elderly have more fragile skin, which is really reckless in handling this.
But Zhou Yewu looked around and saw that the patient's family was there. If he spoke to stop him, would the nurse sister not be able to come to Taiwan? And it would be bad if the doctor and patient were caused...
Why can't you ask yourself first and then do it?
It's causing trouble.
Zhou Yewu had a little complaint in his heart.
But after all, I am a little bit weak. I am a supervisor in front of me. I am also the attending level in terms of professional titles, so I may not even bother to ask a young doctor like myself first!
Zhou Yewu looked at it and couldn't help, but the wound of Lu's tribe seemed to be a little frostbitten!
This doesn't work!
"Sister Nurse, go and do your business, I'll help you." Zhou Yewu had no choice but to come up with this bad plan, so he had to do it himself.
The nurse in charge had not realized his operational problems. She simply thought that Zhou Yewu was helping me to please me, so she really let go and stood aside.
"Yang Guo, you might as well call an urgent consultation from the neurology department first." Zhou Yewu directed Yang Guo and ran into the toilet in the ward to call a plate of warm water.
He soaked warm water at about 20 degrees in a towel and carefully wiped Lu Bu's skin.
This time, Lu's tribe seemed to have obviously calmed down.
It seems that Lu Bu's mania just now also has something to do with the fact that the nurse used ice water to cool down caused frostbite.
It's so fuckingly...
Zhou Yewu looked at the wound and his eyes became serious. He shouted: "Be prepared to break the tetanus for the patient."
The nurse on the side was stunned when she heard Zhou Yewu say she wanted to break tetanus. She said with some ridicule: "Are you sure you want to break tetanus? Do you know what the tetanus vaccine is for?"
The meaning of the nurse in charge is probably to mean Zhou Yewu, let Chen Riyuan come back and deal with it!
When Zhou Yewu heard this, he was suddenly furious!
In order to prevent the doctor-patient relationship from being tense, I didn’t say that you had a mistake in handling scalds and caused frostbite in the patient. Now I still have this kind of face?
It's so disgusting.
"Who is this? I used ice water to compress the patient cold compress, and it was frostbite?" Xu Lu arrived in time. She seemed to hear the conversation between Zhou Yewu and the nurse in charge, and directly said to help Zhou Yewu.
When he heard Xu Lu's words, the nurse in charge seemed to be a little panicked.
After all, she is the chief nurse. After Xu Lu reminded her, she immediately realized that she had made a mistake in handling it!
He was completely stunned and dared not speak anymore.
The eyes of the whole room were looking at the nurse in charge.
The son of Lu's tribe also lost his elegant demeanor and stared at the nurse in charge and cursed: "I'll ask you to wait for Dr. Zhou to come and ask him before dealing with it. You insist on saying you can do it. Now I've frostbite my father with ice water. I'll tell you, I'll complain to you later!"
"I suspect now that my father is in a worse condition, it has something to do with your frostbite!"
...
The scene suddenly became tit-for-tat.
The nurse in charge was scolded and dared not speak out.
"Stop yelling, the patient in bed 22 is mentally unstable, you have to go out and argue!" Zhou Yewu shouted.
This time, the room became quiet.
The middle-aged man also slowly walked to Zhou Yewu to help deal with his father's injuries.
After Zhou Yewu carefully treated the warm water, the Lu Bu's condition became much more stable.
"Go and prepare the tetanus vaccine." When Zhou Yewu spoke again, the nurse in charge nodded and took the opportunity to leave the ward.
After the nurse left, Xu Lu immediately helped Zhou Yewu get a second basin of warm water to prepare for the second treatment.
"Thank you." Zhou Yewu suddenly felt a little moved when he saw the appearance of the savior Xu Lu.
Although I always bully myself, I am still reliable at critical moments and will stand on my own side!
Zhou Yewu continued to explain to Lu Bu's son slowly when wiping: "Scalds are more common in clinical practice. According to the degree of the scald, then decide whether to break tetanus, 2-degree burns and 3-degree burns. The depth of the injury like your father is relatively deep. In this case, it is generally recommended to break tetanus, and tetanus antitoxin is the first choice."
After hearing this, the son of Lu Bu said straight: "Everyone is listened to you, Dr. Zhou."
Chapter completed!