Chapter 218: Tranquilizer
At this time, there was an emergency call. Wu Xiangdong had just finished making the call when he heard Zheng Hong's voice coming from the hall.
"Doctor Wu, come and take a look, there is something wrong with the patient."
"Something's wrong?"
When Wu Xiangdong heard this, his heart skipped a beat, and the various complications of heat stroke had already appeared in his mind.
As he ran out of the nurse's station, he immediately saw the patients lying on the hospital bed. Their faces were pale, and their hands and feet were shaking to varying degrees.
"Doctor Wu, are they shivering from the cold?" Zheng Hong remembered that Wu Xiangdong had said before that if such symptoms occur, it is likely to be related to the rapid cooling of the body.
But such speculation was quickly refuted by Wu Xiangdong. When he came to the nearest patient, he found that the originally cold sheets had begun to feel hot when he lifted the sheets covering his body.
Wu Xiangdong touched the patient's torso with his hand and felt it was hot. This showed that the body temperature was still extremely high.
"It's not frozen." Wu Xiangdong frowned, then moved his hand to the patient's fingers, and found a cold feeling like stone.
"The trunk is hot, the extremities are cold, and the limbs are twitching. This is brain damage caused by high fever, resulting in the symptoms of shock."
Following Wu Xiangdong's diagnosis, he immediately asked Zheng Hong to bring over the blood pressure monitor and measure it for the patient.
【89/47mmhg】
As the mercury on the blood pressure monitor stayed at this value, Zheng Hong became a little nervous.
"Is it possible that their blood pressure is so low?"
Just when Zheng Hong wanted to continue measuring the blood pressure of others, Wu Xiangdongran said: "It's too late, there's no need to measure it."
Looking at the pale faces of the patients at the scene, Wu Xiangdong knew that no matter how hard he measured, the value obtained could not be higher than the patient in front of him.
"First give them injections and rehydration to try to raise their blood pressure, and at the same time, they must continue to cool down. Otherwise, cardiovascular and cerebrovascular problems will occur, which will increase the risk of sudden death and cerebral infarction."
Wu Xiangdong's expression was very serious. Seeing how serious the matter was, other people present did not dare to speak for fear of disturbing them.
At this time, Zheng Hong had already pushed the treatment cart and ran over. Looking at the bottles of normal saline and a pile of infusion sets on it, everyone's throats surged involuntarily and they swallowed nervously.
"I'll exhaust the gas and you get the injection."
Zheng Hong could not complete the preparation work of seven or eight people in an instant. Upon seeing this, Wu Xiangdong immediately walked over and started to help.
Since the situation was urgent, Zheng Hong did not show any politeness. She picked up the first bottle of liquid and quickly came to the patient.
Just when she was about to give the patient an injection, her body suddenly paused, as if she thought of something, and said anxiously: "It's broken, I didn't get the infusion pole, how can I hang the hanging bottle?"
Since the hanging bottles at this time were basically glass bottles, if there was no infusion pole, it would be easy to break on the ground.
Just when Zheng Hong was in trouble, a deep voice came from the corridor not far away: "I'm here to help you hold the bottle."
"Chief Luo?"
Zheng Hong looked up and found that it was Luo Yong walking towards him.
He looked a little in a hurry, obviously running all the way. At this time, without saying anything, Luo Yong directly raised the bottle in Zheng Hong's hand.
"It's important to save people. Let's hold the bottle first and wait until the supporting comrades from behind arrive, then we'll think of a solution."
As Luo Yong spoke, the security guards and onlookers at the scene woke up from their dreams and stepped forward to lift the bottle and act as a humanoid infusion pole.
"Thanks!"
Zheng Hong thanked her and then began to focus on the patient's intravenous access.
As a veteran nurse who has been working for decades, Zheng Hong is naturally very proficient in injection skills. Although there are many patients at the scene and the blood vessel conditions are not good, she is unambiguous and basically hits the mark.
Disinfection, injections, and infusions were done. Almost as soon as Wu Xiangdong deflated the infusion set, Zheng Hong had already established an intravenous access for the patient.
“Good technique!”
Even Luo Yong, who was helping to lift the bottle, couldn't help but praise him.
Facing the compliment, Zheng Hong frowned at this moment, her eyes were fixed on the Murphy-style dropper of the infusion set.
"What's wrong? Is there something wrong with my lifting technique?" Seeing that Zheng Hong's expression was not right, Luo Yong asked immediately.
"No, look at the infusion speed. It's a little too slow. It shouldn't be." Zheng Hong pointed to the Murphy-style dropper that took a long time to instill one drop, with a somewhat puzzled expression.
"Is it possible that the needle is not in the blood vessel, or did I lift it too low?" After being reminded, Luo Yong also discovered the problem at this time.
He looked at the hanging bottle in his hand. It took several seconds for a drop of liquid to drip onto the horizontal surface. The drip rate was less than 30 drops per minute, which obviously could not meet the patient's rehydration needs.
"Probably not." Zheng Hong was very sure of her skills. Moreover, she specifically injected the needle on the patient's thicker blood vessel, and there were no branch stenosis or sinus around it, so such a situation should not occur.
Just when they were puzzled, Wu Xiangdong discovered the problem.
"Look at their bodies!"
Wu Xiangdong came to the patient's side and lifted his arm with his hand, only to find that the latter's muscles were tight and the muscle tone was very high.
"The patient's body is stiff, which is related to the central nervous system, so it causes vasospasm in the arm and the fluid cannot be input quickly."
"Then what should we do? Their blood pressure will only get lower and lower if this continues." Zheng Hong was very anxious at this time, but she was at the end of her rope.
"Use a tranquilizer!" Wu Xiangdong said.
"Tranquilizer?" Not only was Zheng Hong confused at this time, but Luo Yong on the side was also a little surprised.
You must know that the patient is already unconscious. If you use sedatives again, if you really can't wake up by then, wouldn't it be a big problem?
"Besides, their blood pressure is very low now, and sedatives will inevitably further aggravate the hypotension. This is simply not worth the loss." Luo Yong was also a little anxious.
Zheng Hong on the side also advised: "Doctor Wu, the risk of doing this is too great. Besides, the patient's blood vessels are too fragile now and cannot meet the osmotic pressure of the sedative. Superficial venous necrosis is easy to occur."
Seeing the two people objecting one after another, Wu Xiangdong was a little determined to have his own way. Of course he knew the consequences of what the two said, but judging from the patient's reaction at the scene, this was the best solution at present.
"If severe hypotension occurs, we can treat it with vasoactive drugs."
"As for the problem of superficial blood vessel damage, we can first replace it with some sedative drugs that can be injected intramuscularly. If vascular sedatives must be used, an indwelling deep vein catheter can also be used. I have just contacted Wan Zhihua and asked him to help get it
Several sets of deep venipuncture kits will be delivered soon."
At this point, Wu Xiangdong changed the topic and said seriously: "But if the patient suffers severe convulsions due to damage to the central nervous system, it will inevitably cause ischemic hypoxic encephalopathy. At that time, sedatives must be used."
As soon as these words came out, everyone suddenly realized that Wu Xiangdong had already made preparations for what was about to happen. No wonder he seemed extremely calm from the beginning.
"I don't know, I thought you gave yourself a sedative." Luo Yong couldn't help but say.
"I hope the sedative is for myself." Wu Xiangdong showed a wry smile.
Unless it is absolutely necessary, who would want to give a patient a sedative?
"Nurse Zheng, I will give you the medical order now. You go to the pharmacy to get the sedative first."
"good."
Just when Zheng Hong was about to go to the pharmacy to get medicine, there was a sudden commotion among the patients in the hall.
The patients who were originally unconscious suddenly showed expressions of pain. Their jaws were clenched and their facial muscles were shaking.
The strange behavior instantly attracted Wu Xiangdong's attention. He quickly shouted to Zheng Hong: "Quick, go get the medicine first!"
As soon as he finished speaking, the patient, who had only facial twitching at first, instantly began to tremble all over.
Immediately afterwards, one, two, and three patients became ill at the same time.
The violent shaking made the entire bed creak, and the noise caused by the friction between the ground and the metal kept reverberating in the hall, irritating everyone's eardrums.
Chapter completed!