Chapter 148: Anaphylactic shock
Looking inside the observation room, a man was lying on the ground at this time, and the person standing beside him was the head nurse Zheng Hong who had called someone just now.
At this time, Zheng Hong was holding the man's mandible with her hands and trying to turn his face to one side, while she kept calling him.
"Comrade, wake up, don't sleep, open your eyes and look at me."
However, Zheng Hong's shouting didn't seem to have any effect. The man still had his eyes closed, and there was a whistling noise in his throat, just like a drunkard snoring.
"What's going on with him? Check his blood pressure quickly to see if he has a cerebral hemorrhage." Standing next to them was a female doctor in a white coat.
She was short in stature and had red-rimmed eyes. She was at a loss as to what to do.
"I'm afraid he's aspirated and won't be able to free his hands. Come over and help him test." Zheng Hong became a little anxious when she saw that the female doctor in front of her was only focused on giving instructions. There was a hint of sternness in her words.
The female doctor was a little confused after hearing this. Although she was a little angry, after all, life was at stake now and no one would be in trouble if something happened. So she immediately picked up the blood pressure monitor from the ground and prepared to measure the patient's blood pressure.
However, after tinkering for a long time, she still saw no fluctuation in the mercury column, so she said angrily: "Is this blood pressure monitor of yours broken? How come you can't even get a number after taking measurements for a long time?"
Zheng Hong was startled when she heard this, "It's impossible, this is my new blood pressure monitor."
"Then what you mean is that there is something wrong with my operation?" The female doctor didn't know if her aunt was here, and her temper was a bit hot. She slammed the blood pressure monitor and said angrily: "How did you get the consultation you just called for?"
No one is here yet?"
"Xiao Liu has already called. It will take time for them to come down from the ward, not so fast." Zheng Hong was upset by the sudden rage of the female doctor in front of her.
However, the female doctor acted as if she had not seen it and was still complaining: "I have reported this in the hospital before. The specialists in the ward are not capable of emergency treatment, but they refused to listen and insisted on putting us on duty here."
"I'm an endocrinologist. It's okay to ask me to adjust my blood sugar. But if I'm asked to go to the emergency room, how can I save the patient?"
The female doctor even cried as she spoke, and the tears could not stop flowing from the corners of her eyes. Maybe she really had nothing to do in the face of the current situation. She felt aggrieved and helpless for a while and completely collapsed.
"This..." Zheng Hong has worked in hospitals all her life. She thought she had seen all kinds of storms, but the scene before her still made her want to explode.
At this time, the patient was unconscious and in urgent need of rescue, but except for her, no one could rely on her. This deep feeling of powerlessness drove Zheng Hong almost crazy.
At this moment, the patient, who had been unconscious, suddenly began to tremble all over, and his muscles became even tighter.
"It's broken. We didn't call the neurology doctor to come over. Will he have cerebrovascular disease?" Zheng Hong was even more desperate now. She could only try to keep the patient's airway open to prevent aspiration.
Just when she didn't know what to do next, the door to the observation room was suddenly pushed open from the outside, and Wu Xiangdong walked in pushing an ambulance.
"So serious?!" The moment Wu Xiangdong came in, he had already seen the situation at the scene.
"Doctor Wu, this way!"
Zheng Hong also saw Wu Xiangdong rushing over at this time. Her expression was as if she had seen a savior, and her dim eyes immediately brightened up.
"What's his condition now?"
Wu Xiangdong took a quick step and came to the patient's side. He could see that the patient's condition was very bad at this time.
"The patient is unconscious now. When I arrived, he was already lying on the ground. As for what happened before, I don't know very well."
Zheng Hong quickly recounted what she knew to Wu Xiangdong.
"Trismus, poor breathing, and clammy skin all over the body are symptoms of shock." Based on his clinical experience, Wu Xiangdong immediately recognized the patient's condition at this time.
"How's his blood pressure?"
It is common sense for patients with shock to pay attention to their blood pressure. However, when asked, Zheng Hong blushed because until now, they have not measured an accurate value for the patient.
"It may be a problem with the sphygmomanometer. When I took the measurement just now, the mercury column never came out." The female doctor on the side also adjusted her mood at this time. Seeing Wu Xiangdong asking about blood pressure, she immediately reported the situation back.
"Is there something wrong with the blood pressure monitor?" Wu Xiangdong frowned when he heard this. He looked at the brand new blood pressure monitor placed aside and suddenly thought of a possibility.
"It's not the blood pressure monitor's problem, it's that his blood pressure is too low, which is why the blood pressure cannot be measured."
After Wu Xiangdong said this, images of diagnosis of the causes of shock quickly emerged in his mind.
The first is hypovolemic shock caused by trauma, such as blood loss, burns, trauma, etc. However, based on their descriptions and the man's own condition, Wu Xiangdong ruled out this type of shock first.
The second type is cardiogenic shock, which is caused by insufficient circulatory power caused by heart disease, resulting in myocardial infarction, heart failure or arrhythmia. For young men, this is the case unless there is an organic problem with the heart.
, otherwise the possibility of cardiogenic shock is unlikely.
After Wu Xiangdong analyzed the first two, only the last diagnosis was left in his mind. He came to the patient's side, sniffed it with his nose, and his face changed slightly.
Then he immediately turned around and came to the rescue vehicle, reached out and opened the drawer on the first floor.
There are hundreds of dazzling glass ampoules in it, all with different models and specifications. Some ampoules are thicker than your thumb, while others are as small as a fingernail.
Wu Xiangdong scanned it with his eyes, finally locked on the grid in the upper left corner, and took out a medicine.
"Epinephrine hydrochloride?" Wu Xiangdong's unexpected behavior immediately caught Zheng Hong's attention, but when she saw the medicine in Wu Xiangdong's hand, she had a look of surprise on her face.
After all, epinephrine is the first-choice rescue drug and is generally used for patients with cardiac arrest. However, the patient's heart was clearly beating well, and even faster than the average person's heart due to shock.
If another shot of adrenaline were given, the heartbeat would not jump to more than 200 times?!
"He was in shock caused by penicillin allergy, and epinephrine was the drug of choice to rescue him."
After Wu Xiangdong said that, he took off the ampoule cap, drew it into a 2ml syringe, and injected it into his muscle with one injection.
Chapter completed!