This Doctor is Great

Chapter 180 New way to lose weight?

Chapter 171

First, the arterial blood gas analysis is performed, the arterial blood is drawn, and then the blood is directly put into the instrument.

The result came out at once:

pH 7.3

Didn't run away, metabolic acidosis!

"Go to the hospital, get rehydration right away...and insulin!"

"Zhou Mo, you don't come out of the outpatient clinic first, and you take the patient back to the hospital. There happens to be an empty bed over there, so just stay in the bed you manage."

Zhou Mo nodded: "Okay, teacher!"

Then Teacher Zhang Luojia communicated with the parents of the patient Li Bingmei,

The girl Li Bingmei's diabetes certainly didn't start when she had abdominal pain. It must have been a long time since it could cause such severe ketoacidosis.

After such a long period of high blood sugar diabetes, there will definitely be various acute or chronic complications: diabetic ketoacidosis is one of them, as well as diabetic nephropathy, cardiovascular disease and retinopathy, etc...

Seriously, it will be disabled.

All inspections must be done,

Of course, the most important thing is to check what is causing diabetes, is it insulin deficiency?

These should be carefully checked.

Therefore, hospitalization is the best way.

If you don't go to the hospital, but go to the outpatient clinic, it may take seven or eight times or more than ten times, and the gain outweighs the loss. On the contrary, the admission will be checked more carefully.

The girl's mother asked another question at this time: "Doctor, then my daughter's stomach pain...is it also caused by diabetes?"

According to her understanding, high blood sugar should not cause stomach pain?

Teacher Zhang Luojia explained: "This is because high blood sugar causes changes in osmotic pressure, microvascular lesions, and blood supply problems to various abdominal organs. Naturally, serious damage can lead to organ damage...so stomach pain..."

"It's better to send it to the hospital quickly, and explain the rest after admission..."

"Okay, okay." The parents were also a little scared at this time, and quickly nodded in agreement.

Zhou Mo: "Come with me."

With a family of three, they left the outpatient clinic and walked quickly to the inpatient area of the gastroenterology department.

The patient Li Bingxue was carried by his father behind his back.

...

Come to the ward,

While going through the admission procedures, waiting for the test results.

not long,

The blood ketones and urine sugar that were urgently sent for examination were reported by the laboratory department.

Ketone body 4+, urine sugar 3+

Normally, it should be negative, but now, it is all 3+,

obviously,

It is indeed "diabetic ketoacidosis"!

Zhou Mo hurriedly arranged for rehydration, and soon the nurse gave the patient rehydration and insulin to lower the blood sugar first.

Insulin (drug) is a commonly used drug for lowering blood sugar.

Islets are irregular groups of cells scattered throughout the pancreas.

Insulin is a hormone secreted by the pancreas.

(picture)

Insulin is used to break down blood sugar and lower blood sugar.

All patients with hyperglycemia will always have this insulin drug and inject it every day to control their own hyperglycemia.

"Don't worry, it should be fine..."

Zhou Mo comforted the patient's parents.

Nurses are building intravenous access, rehydration + insulin, injecting it, correcting acid-base balance, and lowering blood sugar.

The next step is to draw blood, do tests such as liver function, kidney function, myocardial enzymes, etc. to see if the patient has other complications of diabetes.

In addition, it is also necessary to find out what type of diabetes the patient has, whether it is "type 1 diabetes" or "type 2 diabetes".

However, the patient is so small, coupled with the patient's symptoms, type 1 diabetes is more likely.

also,

Zhou Mo also checked the eyes of the patient Li Bingmei.

Some diabetic patients have eye lesions.

Fortunately, Li Bingmei's eyes did not find any problems, only a slight sunkenness. This is because the patient is in the dehydration stage, which will cause the subsidence, and it should be able to recover after rehydration.

for the next few hours,

Perhaps it was Zhou Mo's Ouhuang physique. The patient Li Bingmei did not suffer from shock and other dangerous situations that Zhou Mo was worried about. His condition fell safely, his acid-base was corrected, and his blood sugar was decreasing.

...

Afternoon, 17:10,

"Xiao Mo, how is the condition of that little girl now?"

Teacher Zhang Luojia and Li Dongmei came back from the outpatient clinic to check the ward immediately.

Zhou Mo calmly reported: "The test results are ketone body 4+, urine sugar 3+... It is confirmed that it is ketoacidosis caused by diabetes... I have already rehydrated and corrected acid, and there is no danger at present. In addition, each Several examinations, including liver and kidney function, urine test, blood routine, heart... I have done them for her, waiting for the test results. By the way, there is nothing wrong with her eyes."

Zhang Luojia nodded.

At this time, she looked back at Li Dongmei.

Li Dongmei: "!!!!"

danger!

The life-threatening serial question, it's coming!

Ah Chao, come quickly and help me come to the bottom!

(Huang Zhichao: emmmm~~~)

Teacher Zhang Luojia began to ask: "How does ketoacidosis occur?"

Li Dongmei breathed a sigh of relief, this question is simple!

Started talking nonsense.

"When the patient has insufficient insulin secretion or excessive insulin-antagonizing hormones, the body cannot metabolize blood sugar due to lack of insulin, resulting in blood sugar retention and rapid rise in concentration, resulting in hyperglycemia."

"Because blood sugar cannot be used, the human body can only metabolize fat in order to replenish enough energy, and fat decomposition will produce a large amount of ketone bodies, and finally the acid-base balance of the blood is broken, leading to acidosis... This is ketoacidosis !"

Li Dongmei is worthy of being a god of learning, and she answered extremely fluently.

At this time, Huang Zhichao came out of the duty room and was about to eat, when he saw Teacher Zhang Luojia, Zhou Mo, and Li Dongmei in the ward.

Huang Zhichao: "!!!"

danger! !

Quickly pretended not to see it, and walked quickly to the dining hall!

Li Dongmei was trembling at this time, and she was overjoyed when she saw Huang Zhichao.

His eyes lit up, and he shouted enthusiastically: "A Chao, are you going to eat?"

Huang Zhichao: "..."

Turning around, she squeezed out a surprised expression: "Hey, senior sister... teacher!"

Zhang Luojia glanced at Huang Zhichao: "Come here..."

Huang Zhichao's forehead was sweating, and he walked over quickly.

Zhang Luojia: "Come on, please answer, why do diabetic patients urinate more?"

Huang Zhichao breathed a sigh of relief. The question was simple, and he quickly answered: "Elevated blood sugar and increased urine sugar can cause osmotic diuresis, which can cause symptoms of polyuria."

Zhang Luojia continued to ask: "Why do you urinate less in the middle and late stages of ketoacidosis?"

? ? ?

Huang Zhichao was stunned for a moment, then glanced at the patient Li Bingmei on the hospital bed.

This patient, is diabetes caused ketoacidosis?

Huang Zhichao thought for a while and said: "Patients with moderate to severe ketoacidosis often have dehydration symptoms. Those with dehydration reaching 5% may have dehydration symptoms, such as decreased urine output, dry skin, sunken eyeballs, etc..."

Zhang Luojia was satisfied: "Not bad!"

Huang Zhichao was instantly elated!

Zhang Luojia looked at Li Dongmei: "Tell me about three more and one less diabetes."

This is a basic question, and Li Dongmei cannot be troubled.

Li Dongmei: "I mentioned excessive urination earlier, so let me talk about excessive drinking: because the body is dehydrated in large quantities, it can stimulate the thirst center in the hypothalamus, thereby causing symptoms of thirst and excessive drinking."

"Eating too much is still a problem with the central reaction, because the body's energy is not enough, which stimulates people to eat more to replenish body energy."

"Weight loss, because the glucose in the body cannot be metabolized, so the consumption of protein and fat increases, which causes fatigue and weight loss..."

"In the end, the more the patient eats, the higher the blood sugar will be, the more sugar will be lost in the urine, and the hunger will be stronger, which eventually leads to a vicious circle..."

Zhang Luojia nodded in satisfaction.

Yes, fully explained the three more and one less.

And it is not a scripted answer, but has its own understanding.

"That's it... get off work!"

Turn around and leave.

Li Dongmei and Huang Zhichao breathed a sigh of relief.

The frightening series of deadly questions is over.

"Hey, wait!"

Huang Zhichao asked curiously, "Why didn't the teacher ask Zhou Mo?"

Li Dongmei rolled her eyes: "This kind of question, can Zhou Mo be a pervert? It's useless to ask!"

Huang Zhichao was at a loss for words.

It makes sense, there is no way to refute it!