This Doctor is Great

Blood pressure 196/123……

This blood pressure is very high!

Zhou Mo asked, "Have you taken any antihypertensive medicine?"

"Yes, about an hour ago..."

"I ate it an hour ago, and the blood pressure hasn't dropped yet?"

Zhou Mo was shocked.

No, could it be that the antihypertensive drug was used wrongly?

"What antihypertensive drugs have you taken before?"

"I don't know about this either..."

"Can't remember? Where did you buy the medicine? Taobao? Meituan? If you bought it online, there should be a purchase record."

"Yes, yes, I bought the medicine from a group, I will check it now..."

Soon, young patients will look through their mobile phone records and find the records of those medicines they bought.

"Here, doctor."

Zhou Mo swiped back and forth on the patient's mobile drug order.

Hydrochlorothiazide, a diuretic...

Losartan, an angiotensin...

And vasodilation...

Almost every type, there are.

"Doctor, I only dare to buy the medicine prescribed by the doctor after I went to the emergency room."

"It's useless to eat?"

"It's useless, it can only be said to slow down a little."

Zhou Mo frowned suddenly.

Antihypertensive drugs didn't help, which is really strange.

Forget it, let’s look at the headache first. The Department of Cardiology, the full name is the Department of Cardiovascular Medicine, and some hospitals will also add the Department of Cardiovascular and Cerebrovascular Medicine.

It is also closely related to the Department of Brain (some hospitals call it Shenwai, Shennei).

Therefore, Zhou Mo also has a certain understanding of brain science.

Headache + high blood pressure, what is the most likely to associate?

Stroke, that is, cerebral hemorrhage, cerebral infarction.

Zhou Mo needs to rule out this for the patient, so as not to delay the condition, and then look for the cause of high blood pressure later.

"Is there a problem with walking? Will it be skewed?"

"Won't."

"Are your hands and feet weak?"

"Won't."

"Stick out your tongue and see me..."

"Ah~~~"

No skew, just right in the middle.

Zhou Mo nodded. From these interrogations and physical examinations, it can be seen that the patient's clear thinking and fluent language are different from those of cerebral infarction and cerebral hemorrhage.

The typical symptoms of stroke are limb movement disorder and language disorder, but the patient will not.

so,

The high probability ruled out is that there is a problem with the brain.

At this moment,

The electrocardiogram that the nurse connected to the patient has also been pulled out quite a bit.

Zhou Mo picked up the electrocardiogram and looked at it,

everything is normal!

Therefore, everything still needs to help patients find the source of high blood pressure.

Sudden!

Just when Zhou Mo was about to continue the consultation,

"Hiss~~~"

The patient jerked and clutched his chest.

The girlfriend hurried over: "Brother, what's wrong with you?"

Zhou Mo: "You have chest pain?!"

The patient nods.

Zhou Mo quickly said to the nurse who hadn't left yet: "Quick, take another ECG!"

There was no chest pain just now, and the EKG was normal.

Chest pain now, EKG may show something.

Fortunately, the electrocardiogram machine was not removed, and it was connected again soon, and the electrocardiogram drawings were printed out continuously.

The patient still held his chest in pain, but it was not so painful.

Zhou Mo read while printing.

There is a certain degree of elevation of the ST-T segment.

(I originally wanted to write about the electrocardiogram in detail, but found that the content is too long, and there are too many terms, which makes people dizzy, so I just forget it.)

Zhou Mo was immediately alert.

"Myocardial infarction? Ischemia?"

Zhou Mo was worried that it was a myocardial infarction, so he immediately asked the nurse to draw blood, and then sent a tube to make a troponin...

At this time, Huang Yiming, Huang Xinyi, Xiao Tong, and Chen Sumei walked in.

"Brother Mo, let's learn."

"Okay." Zhou Mo didn't object: "Yiming, aren't you very busy?"

Huang Yiming chuckled: "I bribed Senior Brother Chen Bing with a good meal for a week."

Zhou Mo: "..."

Senior Brother Chen Bing, I didn't expect you to be bribed so easily!

Why can't you be upright, mighty and unyielding, and unyielding in poverty and humbleness like me?

(3M on Zhou Mo's neck: he~~tui!!!)

"Brother Mo, who is this patient?" Huang Yiming asked.

"Unexplained high blood pressure, no effect of antihypertensive drugs, and headache at the same time..."

"The antihypertensive drugs are useless?"

"Have you tried several types of antihypertensive drugs?"

"I've tried all of them, and they don't work very well."

All three of them were confused for a moment.

at this time,

Sudden!

The patient's chest pain froze for a moment, then he slammed on the bed and closed his eyes.

Zhou Mo: "?????"

Girlfriend: "?????"

Huang Yiming and the nurse: "?????"

Zhou Mo was startled, walked over quickly, and patted the patient: "Chen Jianxin, what's wrong? Wake up...wake up!"

Then feel the aorta of the neck.

Zhou Mo's face suddenly changed.

No more jumps!

"It's not good!" At this time, the nurse exclaimed suddenly, "Doctor Zhou, the electrocardiogram has straightened!"

"I go!"

Zhou Mo couldn't help scolding his mother.

What the hell? Huang Yiming, these four guys are poisonous, right? The patient was fine just now, but when these four guys came, the patient was finished!

No, it should be Huang Yiming!

CPR now!

Zhou Mo quickly performed CPR without saying a word.

"Quick, get the airbags! Adrenaline!"

"Brother Mo, it's none of my business!" Huang Yiming yelled and ran out, proving his innocence, but he didn't know that he was only three hundred taels of silver here.

The patient's girlfriend stayed where she was right now, and her boyfriend was still in good spirits just now, why did she suddenly lose her heartbeat?

Huang Xinyi and others rushed to help, inflated the air bag, connected the ECG monitor, injected epinephrine...

some cardiopulmonary resuscitation,

In the 5th minute, the patient Chen Jianxin was finally rescued successfully.

The ECG monitor began to show a healthy sinus rhythm.

When the girlfriend saw her boyfriend awake, she almost burst into tears, and hurried over to grab Chen Jianxin's hand.

Zhou Mo looked at the ECG monitor,

·Blood pressure: 190/125...

Blood oxygen: 89...

Heart rate:...

Blood pressure is still so high!

Zhou Mo frowned: "The cardiac arrest just now, could it be caused by high blood pressure?"

"Do you want to give him some antihypertensive medicine?"

"Since the patient's oral antihypertensive drugs are not effective, is it necessary to use intravenous antihypertensive drugs?"

The so-called intravenous antihypertensive drugs are injected into the vein.

The effect of antihypertensive drugs will be much stronger than oral administration, and they are usually used in very urgent cases, and it is best to use a syringe pump to control the speed of pumping.

Zhou Mo picked up the phone and called Senior Brother Chen Bing.

"What's wrong?" Brother Chen Bing asked.

"There is a patient here, high blood pressure, cardiac arrest..." Zhou Mo explained the patient's condition in detail, "I want to give him an intravenous injection of an antihypertensive drug, sodium nitroprusside."

Senior Brother Chen Bing: "Okay, pay attention to the speed...forget it, I'll go..."

soon,

Senior brother Chen Bing came to the ward.

Not long after, the nurse came in with sodium nitroprusside and a syringe pump.

(Syringe pump: Big brother, give me a picture, so that book friends can see it?)

soon,

The antihypertensive drug is injected with a syringe pump. Brother Chen Bing adjusted the pumping speed:

15ug/min...

After a few minutes,

The patient's blood pressure began to drop.

Slowly all the way down to 150/99...

Adjusted the speed and slowed down the pump medicine.

...

For the next time, the patient only needs to continue pumping medicine to stabilize blood pressure.

Zhou Mo and others, return to the duty room!

"Huang Yiming!"

Zhou Mo→_→! ! Looking at Huang Yiming.

Huang Yiming jumped his feet suddenly: "Brother Mo, it's really none of my business."

Zhou Mo sneered: "Hehe, needless to say, you must have a black physique! Otherwise, why did the patient go into cardiac arrest as soon as you went?"

Huang Yiming called Tian Qu: "It's really not me, it might be the three of them!"

Pointing at Huang Xinyi, Xiao Tong, and Chen Sumei.

Huang Xinyi, Xiao Tong, Chen Sumei: (#￣︿￣)

Just when Zhou Mo thought nothing was wrong,

Sudden,

The nurse at the station shouted urgently: "Doctor Zhou, the blood pressure in bed 29 has dropped to 70!!"

puff! !

Zhou Mo almost spit!

"Fuck, what's going on? Ups and downs!"

He rushed out of the duty room and went straight to bed 29!

.

I have something to do today, just these two updates, and tomorrow I will continue with the third update... Sorry, book friends~~~