"High caffeine intake is associated with a range of mental problems, ranging from anxiety and dysthymia to mania and psychotic episodes. In addition, excessive energy drink intake may also cause some physical problems, including acute kidney failure. "
"En, your words are quite pleasant to hear." Su Yun nodded.
"Why?" Zheng Ren was curious.
"It's too pretentious of you to talk about 116 case reports and whatnot. We're all on the same side, so it's better to keep things simple, "Su Yun said.
"I'm too lazy to explain," Zheng Ren said calmly. "However, there are only three cases of mental symptoms and acute kidney failure caused by energy drinks and coffee in the world, and they're from the United Kingdom …"
Zheng Ren did not know if he was inspired by Su Yun, but he immediately began to elaborate in detail.
Zhou Litao listened quietly and was completely dumbfounded. The detailed data provided by Boss Zheng was one thing, but more importantly, energy drinks and coffee could cause kidney failure.
"It's that serious," Zhou Litao whispered.
"Yes, of course," Zheng Ren said. "I told the nephrologist that the diagnosis is tubulointerstitial nephritis caused by toxins. The patient has elevated creatine kinase, which may be caused by physical restraint, psychomotor agitation, and impaired kidney clearance."
"Is there any test results to support this?" Lin Yuan asked.
"We're doing a biopsy and a series of related tests so far … Oh, you didn't see the emergency kidney function test in the emergency department," Zheng Ren remembered. "Creatinine 1205μmol/L, urea nitrogen 22μmol/L."
"Acute kidney failure is that serious?" Su Yun frowned.
The normal range of creatinine was 59-104μmol/L, and urea nitrogen was 2.9-6.4μmol/L.
The patient's values were several to ten times higher than normal, consistent with acute kidney failure.
"I think the blood gas analysis … should indicate acidosis. If Chief Zhou is interested, you can consult a nephrologist after the test results come back," Zheng Ren said with certainty.
Zhou Litao and Lin Yuan silently noted this down at the same time.
It was not that they doubted Boss Zheng, but he had his reasons for being so detailed, as if he had seen the test results with his own eyes.
"Right, how many energy drinks do you think the patient drank?" Zheng Ren asked.
"Hurry up and tell me. Where can I even start guessing?" Su Yun said in disdain, "I don't believe that you can guess it before you meet Lao Chui in the kidney."
"I heard he drank 12 bottles of energy drinks and more than 20 packets of coffee since last night," Zheng Ren said.
The reason why Zheng Ren did not want to drink the System's medicine too often was because he was afraid of triggering the effects of the drug.
"Tsk tsk, how tired are you?" Su Yun then looked at Zhou Litao.
Zhou Litao felt a chill down his spine because he often drank coffee too.
"Director Zhou, you have to be careful."
"Ah …"
"The boss and I definitely wouldn't drink something so refreshing." Su Yun smiled and said, "Caffeine poisoning overlaps with anxiety disorders on a physiological and psychological level. It mostly occurs when you consume more than 1 gram of caffeine a day.
At 10,000 mg, severe caffeine poisoning can be fatal. At this time, the concentration of caffeine in the blood can be ≥ 70 mg/L. "
Zhou Litao let out a long sigh and said, "Don't worry, Brother Yun. I'll just have a cup of coffee in the morning, no more. "
"The symptoms of the caffeine phase will also appear after you get used to a cup of coffee," Su Yun threatened Zhou Litao with a smile.
"Don't listen to him. The amount of caffeine in a cup of coffee is very small." Zheng Ren did not want Zhou Litao to be traumatized, so he immediately said, "Only about 10.2% of patients will have mild withdrawal symptoms. It's fine."
Zhou Litao was shocked. 10.2% was also possible! No matter how mild the withdrawal symptoms were, they were still withdrawal symptoms.
"Boss, you're really boring," Su Yun said disdainfully. "I saw the freckles on Director Zhou's face turn black just now. Didn't you notice?"
Zheng Ren did not understand his bad taste. He ignored Su Yun and just smiled at Zhou Litao. "Director Zhou, we'll be leaving first."
"Boss Zheng, don't you want to chat a little longer?" Zhou Litao asked.
"No, I'm a little tired after the surgery." Zheng Ren's smile was a little stiff.
Huh? Boss Zheng, who was like an iron man, was tired? Didn't they say that Boss Zheng would perform surgeries for three days and three nights in a row in Pengxi Village?
However, no matter what, Boss Zheng clearly expressed that he was tired. Zhou Litao could not keep him, although he had a lot to say to Su Yun.
After all, WeChat was not very convenient. Zhou Litao was more used to looking at the other party's eyes and talking like he was asking about his medical history.
After leaving the emergency department, Lin Yuan asked curiously, "Boss Zheng, are you sick?"
"No," Zheng Ren said expressionlessly.
"His father-in-law is coming back and he's depressed. You'd better not provoke him." Su Yun chuckled and told the truth.
This reason … Was the relationship between Boss Zheng and Shay's family so bad? Lin Yuan expressed his confusion.
…
…
Director Lin was presiding over the emergency consultation in the operating theater.
Something happened to a male patient.
A few months ago, he was diagnosed with acute lymphoblastic leukemia after an examination at the Imperial Capital Tumor Hospital. Before the second course of chemotherapy, a professional nurse performed a central venous catheter under local anesthesia.
The catheter was a three-way valve central venous catheter (PICC) made in the United States. It was 4f and 60cm long.
The PICC was placed through the left median vein and delivered to the superior vena cava. 44cm was left in the body, and the rest was left outside the body.
cm。 The position was confirmed by routine postoperative X-ray radiography.
The patient carried PICC. During the treatment and the interval, there were no problems such as catheter blockage, difficulty in blood withdrawal, infection, phlebitis, etc.
However, it was supposed to be the fifth round of chemotherapy. When the patient was admitted to the hospital today, the nurse realized that there was only a connector under the film on the patient's left forearm. There was no external part of the PICC catheter, so she thought that the catheter had already dislocated into the body.
As for when it fell off and the specific situation at that time, the patient had no idea.
In the past week, the patient had chest pain, hemoptysis, and dyspnea due to pulmonary embolism.
X-ray examination in the emergency department showed that the tip of the PICC catheter had reached the right pulmonary artery, and the end was left in the left subclavian vein, medial shoulder joint. After confirming that the PICC catheter had fallen into the body, inform the patient and his family immediately.
This alone was definitely not enough. This patient needed emergency surgery!
The oncology hospital did not have a circulatory department. It was a specialized hospital.
Although it was rare for a PICC tube to detach, it had happened before. The department urgently reported it to the medical administration division. The medical administration division contacted the Circulation Specialist Hospital and reported it to Director Lin.
The previous few times they had intervened to remove the PICC pipeline, they had used this technique to complete it.
Therefore, they invited a team of specialists in circulatory interventional surgery from the nearest circulatory specialist hospital to perform an emergency surgery.
…
…
Note 1: I drink three packets of coffee a day. When I write this, I feel that I have difficulty breathing …
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
