"Don't talk nonsense. But the rat poison you're talking about is really possible, "Zheng Ren continued. "The intelligence of rats isn't low. If they die after eating rat poison, it's said that they won't touch similar things around them again."
Lin Ge silently watched Zheng Ren and Su Yun discuss the condition. There was some nonsense, but it was necessary.
It was obvious that the two young people did not know what was going on. They were grasping at some possibilities through their conversation.
"Yes, it's a new product. The medicine is milder and will eventually induce internal bleeding." Su Yun continued to explain the point of view of the preparation.
This situation was somewhat similar to the progress of Chen Zehui's illness.
Eight days ago, there were symptoms of bleeding gums. It was hard to say when it first appeared.
Two days ago, when he went to the district hospital for a check-up, there was no problem. Now, in just over 40 hours, the hemoglobin had dropped to 5.5 grams.
The most important thing was that after the patient fainted and was sent to the 912 emergency department, the continuous outbreak of his condition was shocking!
This evidence pointed straight to some kind of chemical agent. According to Su Yun, it should be a chemical agent used to poison rats.
"Slow onset … Explosion …" Zheng Ren muttered softly.
"Diphacine sodium salt, rodenticide, and other first-generation anticoagulant rat poison. The effect is not bad, and the effect is relatively mild. When I was in the laboratory, there were wild rats bullying my white mice, so I used rodenticide to poison them, "Su Yun said proudly.
"It's rarely used now, right?"
"Yes, not too much now. Because rodenticide has a weakness, the final effect is not strong enough, so the wild rats are quite destructive before they die. "
"You feel that this patient was poisoned by the second-generation hemolytic rat poison?" Zheng Ren followed Su Yun's words and spoke faster and faster.
The more he thought about it, the more reasonable it made sense.
If it was just a guess before, Zheng Ren was 90% sure about the patient's condition now.
From the patient's first symptom — bleeding gums — to the test results two days ago, to the sudden outbreak today, until the patient who could still struggle suddenly went into hypovolemic shock and hemoptysis.
Any one of these pieces of evidence was very ordinary and had no direction.
However, when put together, Zheng Ren was sure that Su Yun's suggestion was correct.
"Is it bromadiolone?" He recalled a few case reports on bromadiolone poisoning. The situation described there was very similar to the patient before him.
"I'm thinking about it." Su Yun said, "It has the characteristics of not being able to attract the attention of the rats, and it's easy to kill all the rats. Moreover, it also had the outstanding advantage of strong acute toxicity. A single dose of it could effectively prevent all kinds of mice from getting infected.
At the same time, it could also effectively kill the mice that were resistant to the first-generation anticoagulant. Moderate toxicity to fish, aquatic insects and other aquatic organisms. "
"If you say that, I think it's bromadiolone," Zheng Ren said. "Then I suggest diagnostic treatment. Intramuscular injection of vitamin K1, the amount can be slightly larger. "
"What if it doesn't work?" Su Yun asked without thinking.
In an emergency, it was always necessary to play the most annoying role of all — to raise objections.
"Then let's leave it to fate. Anyway, vitamin K1 has the effect of promoting blood clotting. Even if the patient wasn't poisoned by bromadiolone, intramuscular vitamin K1 injection would only be beneficial and not harmful, "Zheng Ren said casually as he recalled the side effects of the drug.
"Go and tell the chief resident to carry out diagnostic treatment." Zheng Ren smiled dryly and did not mind. If there really was a rare side effect of vitamin K1, or even a fatal reaction …
Forget it. When taking the drug, he must not think about one in a million things.
Once he thought about it, he could not use any medicine. He could just wait for death.
With the current social atmosphere and the responsibility of doctors, if such a fallacy became a reality, the doctor could only …
Zheng Ren really did not want to think about these unhappy things.
After intramuscular injection of vitamin K1, it would take effect in three to six hours.
If the patient was poisoned by bromadiolone, as he and Su Yun had analyzed, vitamin K1 was a special drug.
Intramuscular injection was too slow to absorb, so it was better to give it intravenously. Otherwise, it would be possible to use both methods at the same time.
If his judgment was wrong and it was not bromadiolone poisoning, he could only carry out blood filtration and then think about the rest.
Zheng Ren and Su Yun quickly ran in. As for Lin Ge … Zheng Ren temporarily ignored him.
Lin Ge was not surprised. Emergency treatment sounded like rat poison poisoning. With Boss Zheng's temper, it would be strange if he had time to say a few words to him.
Zheng Ren knew that he was being coerced by Su Yun's thinking, but logically, Su Yun's words were right. Therefore, Zheng Ren did not object because he wanted to.
Yes, he just had to carry it out.
He ran all the way and almost bumped into a nurse who came to collect blood.
"Give me vitamin K1!" Zheng Ren entered the ICU and said directly.
"Huh?" The chief resident was stunned.
"I did a simple analysis just now. Considering that it might be caused by bromadiolone poisoning!" Zheng Ren said, "10mg intramuscular injection, 80mg into the flask!"
As he spoke, Zheng Ren's voice began to grow louder.
This was a unique state during emergency treatment.
There was nothing to be picky about the dosage of the drug. The patient's weight was based on 5 mg/kg, which was more standard.
The drug took three to six hours to take effect. Intravenous injection could take less time, but it was hard to say how long it would take. Zheng Ren did not leave. He helped keep an eye on the patient in the ICU.
Watching the vitamin K1 intramuscular injection, the remaining eight vitamin K1 entered the drip pot. Zheng Ren turned on the speed and almost entered the vein in one breath.
He hoped that it would get better. Zheng Ren had already seen another diagnosis on the patient's System panel — upper gastrointestinal bleeding.
After the surgery today, he had lunch and returned to the 912 to see Zhou Litao. He did not expect to meet such a patient.
Lin Ge also started to get busy.
The advance payment of the hospitalization deposit was in the name of the Medical Administration Division. This money would probably not be returned, so it was more practical for the Medical Administration Division to step forward.
Then, there was communication with the patient's immediate family, and so on.
One hour and 35 minutes later, Zheng Ren did not find any new diagnoses on the System panel.
Under the effect of three groups of hemostatic drugs, the patient did not show any signs of continuing bleeding.
The patient's blood pressure was rising steadily. The subcutaneous extravasated blood was relatively stable, and there was no sign of it continuing to spread.
The diagnostic treatment seemed to be correct. It should be bromadiolone poisoning!
However, it had been too long. The specific location of the poisoning and what he had eaten were probably already very difficult to verify.
Zheng Ren's feelings were more intuitive than others.
After the intramuscular injection and intravenous injection of vitamin K1, the color of the patient's System panel gradually darkened for more than 10 minutes. Then, it no longer darkened. Instead, it began to fade.
This was the effect.
It was not until the blood pressure stabilized that Zheng Ren was really relieved.
"Chief Wu, the duration of vitamin K1 is a little longer." Zheng Ren finally reminded, "The half-life of bromadiolone is 16 to 19 days. You have to use vitamin K1 to resist it all the time. Don't cause a relapse."
"Got it!" the ICU's chief resident replied exhausted.
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