The patient's emergency test report came out as quickly as possible.
Blood potassium 9.8
Mmol/L, standard hyperkalemia.
Blood Qi analysis: pH
7.3, arterial blood carbon dioxide partial pressure 38.2
MmHg, arterial blood oxygen partial pressure
Hg, HCO3 –
19.5
Mmol/L, alkali excess 6.5
Mmol/L, standard alkali excess -3 ~ + 3
Mmol/L, arterial blood oxygen saturation
98.4%。
Zhou Litao asked the nurse to inject 10ml of calcium gluconate into the patient's vein and inject a 250ml bottle of 5% sodium bicarbonate.
After ten minutes of observation, the patient's condition gradually stabilized.
Consciousness recovered, and the electrocardiogram gradually became a sinus rhythm.
The chief resident of the Department of Nephrology pushed the patient away. The nurse began to clean and disinfect. The emergency treatment was over.
This speed and standard were simply too capable! Zheng Ren was also very impressed in his heart.
The technical level of the 912 was strong. This was undeniable.
Zhou Litao walked back with a smile. It seemed that he had forgotten about the patient who had just eaten a banana.
The emergency department talked about this kind of treatment four or five times a day. Sometimes, it was more than ten times a day. It was not worth remembering.
If there was no kidney failure, eating dozens of pounds of bananas would be worth mentioning. However, there was kidney failure. The patient who had just finished dialysis because of gluttony … This matter was a little sad. It was really not worth remembering.
"Boss Zheng, when are you and Brother Yun going back?" Zhou Litao asked with a smile.
"When Sister Lin's examination comes back," Zheng Ren said. "I reckon that she will have to be hospitalized and treated with sodium dimercaptopropane sulfonate for a few days."
"As long as it can be treated, it doesn't matter how many days she stays in the hospital," Lin Jiaojiao's expression was much better as she said softly.
She was not afraid of getting sick or being hospitalized. She was afraid that the doctor would say with a regretful expression, "Where's your family? Or just say what you should eat when you go home. "
That was the rhythm of the pill. Lin Jiaojiao did not think that the problem was big. However, she had to be careful in the future. If she really looked for Boss Zheng because of mercury poisoning, she would not be able to justify it.
"By the way, Sister Lin, this is Chief Zhou from the emergency department." Su Yun remembered something and introduced him to Lin Jiaojiao.
Lin Jiaojiao was about to stand up, but Su Yun pressed her back down. He smiled and said, "Chief Zhou, isn't it time for you to be the chief resident? You want to find a girlfriend. Help me take a look and see if she has a good temper. The key is if she can stand a stubborn girl like Boss. "
Lin Jiaojiao smiled and said, "Brother Yun, you can't say that. Boss Zheng is very smart."
"I'm just lucky," Su Yun said disdainfully.
Zheng Ren smiled honestly and did not think much of Su Yun's words. His luck was indeed good. The protagonist halo given by the System was no joke.
They chatted for a while. Knowing that the results would be out soon, they didn't find a place for Lin Jiaojiao to rest.
This was a hospital. Treatment was the most important thing. Who would come here for a vacation?
More than ten minutes later, Department Chief Kong strode back with the test results in his hand.
"Jiaojiao, look at you. You're messing around!" Department Chief Kong said in a reproachful tone.
Zheng Ren took the test report and glanced at it.
The blood mercury concentration was 19.6 ng/ml, and the urine mercury concentration was 28.2 ng/ml, which was four to five times higher than the normal value.
It was probably because the mercury content of the cosmetics Lin Jiaojiao used was slightly over the limit, and the amount was relatively large.
Fortunately, this kind of numerical treatment would not be a problem for a period of time.
If he did not pay attention this time, or if he treated it as nephrotic syndrome for a period of time and it recurred, even a god would not be able to do anything.
"Boss Zheng, I don't understand this. I only know it's high. What should I do?" Department Chief Kong's tone seemed to be different from before.
Zheng Ren's heart skipped a beat, but he did not make it public. From the corner of his eye, he saw Su Yun restrain his various expressions. He also moved closer to him and pretended not to hear anything.
"It's okay, Chief," Zheng Ren said lightly. "Sodium dimercaptopropyl sulfonate.
0.25g
Intramuscular injection once per day for three days in a row.
Stop for four days for a course of treatment. "
"It's that simple?" Department Chief Kong was a little unwilling to believe it.
"Uh … If you're hospitalized, you can use some energy mixtures, trace elements, calcium supplements, and volume expansion diuresis," Zheng Ren quickly continued.
After hearing a lot of drugs that seemed to be useful, but when he thought about it carefully, these drugs would definitely not help the condition by more than 5%, Department Chief Kong revealed a satisfied smile.
People were confused when they cared about each other.
Department Chief Kong, who had been an old doctor for many years, was no exception.
Using only one kind of drug, and it was an intramuscular injection, gave people a very informal feeling. This was heavy metal poisoning, accompanied by nephrotic syndrome, and swelling of both lower limbs. What if there was no urine!
Zheng Ren quickly asked Zhou Litao for a pen, wrote down what he had just said, and signed his name at the back.
After thinking for a while, he drew a smiling face.
"What are you doing?" Su Yun did not understand.
Seeing Zheng Ren hand the paper to Department Chief Kong, he asked in a low voice.
"After all, you're not the department chief or chief resident of someone else's department. Don't you think it's too awkward to go over with a diagnosis and treatment?"
"Boss, you make it sound like anyone can overturn the diagnosis," Su Yun said disdainfully. Su Yun said disdainfully, "If you need to be domineering, then be domineering. Why do you have to be so hypocritical? It makes people uncomfortable."
Zheng Ren felt that Su Yun was really crooked. He just drew a smiling face to express his kindness. How did it become hypocritical?
"Chief, Sister Lin is fine. We'll go back," Su Yun said to Department Chief Kong.
"Okay, sorry to trouble you," Department Chief Kong said.
"Chief, look at what you said." It was rare for Zheng Ren and Su Yun to say the same thing at the same time.
They did not stay for long. The two of them said goodbye to Zhou Litao and strode back.
"Why are you in such a hurry?" Zheng Ren asked.
"Don't you think that Department Chief Kong was a little flustered and exasperated just now?" Su Yun asked with a smile.
"I don't think so. It's probably because the chief still has a barrier in his heart about what happened back then," Zheng Ren said.
"Pretending, you keep pretending," Su Yun said disdainfully. "Boss, it's just the two of us. Tell me what's on your mind."
"This is what's on my mind. Why are you so dark?"
"You're talking nonsense," Su Yun suddenly said. "I forgot about something!"
"What is it?"
"I forgot to tell Sister Lin's bottle of whitening cosmetics to send her for a test," Su Yun said.
"The mercury content is probably over the limit. I don't need to test it to know," Zheng Ren said. "It's the same as giving hormones to patients with a fever. The effect is especially good."
"However, it's a little useful, but not much."
These things were really difficult to explain clearly.
Under the night sky, the two of them walked home.
It was already late when the test took a long time. Xie Yiren and Chang Yue went to sleep, but they still left the lights on at the entrance for the two of them.
After opening the door, Hei Zi squatted there and stuck out its tongue, waiting for the two of them to come back.
Zheng Ren changed his shoes, curled his head, and went to sleep.
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