"High caffeine consumption is associated with a range of psychiatric problems, from anxiety and dysthymia to mania and psychotic episodes. In addition, excessive consumption of energy drinks may induce certain physical problems, including acute renal failure."
"Well, that sounds quite nice." Su Yun nodded.
"What's wrong?" Zheng Ren was surprised.
"You are too pretentious to say that there are 116 case reports and so on. We are all our own people, so it is better to speak simply." Su Yunshun said.
"I'm too lazy to say more." Zheng Ren said flatly: "But there are only three reports in the world about the simultaneous occurrence of mental symptoms and acute renal failure caused by functional drinks + coffee, one from the United Kingdom... "
Zheng Ren didn't know if he was inspired by Su Yun, so he immediately began to elaborate in detail.
Zhou Litao listened silently, dumbfounded. The detailed data provided by Boss Zheng is one thing, but more importantly, functional drinks + coffee can cause kidney failure.
"It's so serious." Zhou Litao whispered.
"Yes, of course." Zheng Rendao: "The nephrologist and I told him to diagnose tubulointerstitial nephritis caused by toxins; the patient has elevated creatine kinase, which may be caused by physical restraint, psychomotor agitation, and impairment of renal clearance ability. The losses are caused jointly.”
"Are there any test results to support this?" Lin Yuan asked.
"I'm currently undergoing a puncture biopsy and a series of related tests. So far... By the way, you haven't seen the emergency renal function test in the emergency department." Zheng Ren remembered, "Creatinine is 1205 μmol/L, and urea nitrogen is 22 μmol/L."
"Is acute renal failure so serious?" Su Yun frowned.
The normal range of creatinine is 59-104 μmol/L, and the normal reference range of urea nitrogen is 2.9-6.4 μmol/L.
Both values of the patient increased several times or even ten times, which is consistent with the performance of acute renal failure.
"I estimate that the blood gas analysis... indicates acidosis. If Mr. Zhou is interested, he can consult a nephrology doctor after the test results come back." Zheng Ren already knew it and said with certainty.
Zhou Litao and Lin Yuan unanimously wrote this down silently.
It's not that I doubt Boss Zheng. He dared to say it in such detail, as if he had seen the test report with his own eyes. He must have a reason.
"By the way, how many functional drinks do you think the patient drank?" Zheng Ren asked.
"Hurry up and tell me where you can guess where this thing is." Su Yun said disdainfully: "I don't believe you can guess it before you go to the kidney to meet Lao Cui."
"It is said that from last night until the onset of illness, I drank 12 bottles of functional drinks and more than 20 bags of coffee." Zheng Rendao.
The reason why Zheng Ren was unwilling to drink the medicine given by the system frequently was because he was afraid of being in a state of drug agitation.
"Tsk, tsk, how sleepy are you?" Su Yun immediately looked at Zhou Litao.
Zhou Litao's spine felt hairy because he often drank coffee.
"Mr. Zhou, you have to be careful."
"ah… "
"My boss and I will definitely not drink refreshing things like this." Su Yun said with a smile, "Caffeine poisoning has many overlaps with anxiety disorders at the physiological and psychological levels. It mostly occurs when the daily intake of caffeine exceeds 1,000 mg. Severe caffeine poisoning can be fatal, and the blood caffeine concentration can be ≥70mg/L."
Zhou Litao took a long breath and said, "Don't worry, Brother Yun. I just get a cup of coffee in the morning, and I won't drink more."
"Symptoms of the caffeine stage will appear after you get used to a cup of coffee." Su Yun threatened and intimidated Zhou Litao with a smile.
"Don't listen to him, a cup of coffee contains very little caffeine." Zheng Ren didn't want Zhou Litao to leave a psychological shadow, and immediately said: "Only about 10.2% of patients will experience mild withdrawal symptoms, and it's fine. "
Zhou Litao was shocked, 10.2% is also possible! Even mild withdrawal symptoms are withdrawal symptoms.
"Boss, you are so boring." Su Yun said contemptuously: "Just now I saw that the freckles on Mr. Zhou's face were all dark, didn't you notice?"
Zheng Ren didn't understand his bad taste and ignored Su Yun. He just smiled at Zhou Litao and said, "Mr. Zhou, let's go first."
"Boss Zheng, don't you want to talk more?" Zhou Litao asked.
"No, I'm a little tired after the surgery." Zheng Ren's smile was a little stiff.
Huh? Is the iron-clad Boss Zheng tired? Didn't he say that Boss Zheng performed the surgery for three days and three nights in Pengxi Township
But no matter what, Boss Zheng made it clear that he was tired, and it was difficult for Zhou Litao to stay, although he had a lot to say to Su Yun.
After all, WeChat is not very convenient. Zhou Litao is more accustomed to looking into the other person's eyes and speaking like asking for a medical history.
After leaving the emergency department, Lin Yuan asked strangely: "Boss Zheng, are you sick?"
"No." Zheng Ren said expressionlessly.
"His father-in-law is coming back. I'm feeling depressed. You'd better not provoke him." Su Yun chuckled and told the truth.
This reason... Is the relationship between Boss Zheng and Xie Yi so bad? Lin Yuan said he didn't understand.
…
…
Imperial Cancer Hospital, Dean Lin is presiding over the emergency consultation in the operating room.
Something happened to a male patient.
A few months ago, he was diagnosed with acute lymphoblastic leukemia through a tumor examination in Imperial Capital. Before the second course of chemotherapy, a professional nurse performed central venous catheter insertion under local anesthesia.
The catheter is a three-way valve-type peripherally inserted central catheter (PICC) made in the United States, 4f, and 60cm in length.
A PICC was inserted through the left median vein and delivered to the superior vena cava. Leave 44cm inside the body, leave it outside the body, and cut off 5cm. Postoperative routine X-rays were taken to confirm the position.
The patient did not experience problems such as catheter blockage, difficulty in blood withdrawal, infection, or phlebitis during the PICC treatment and during the intermittent period.
However, it was supposed to be the fifth chemotherapy session. The patient was admitted to the hospital today, and the nurse discovered that there was only a connector under the patch on the patient's left forearm, but not the external part of the PICC catheter. It was considered that the catheter had slipped into the body.
The patient does not know when it fell off or the specific circumstances at that time.
The patient developed the triad of pulmonary embolism including chest pain, hemoptysis, and dyspnea in the past week.
An emergency X-ray examination showed that the tip of the PICC catheter had reached the right pulmonary artery, and the end was left in the left subclavian vein on the inside of the shoulder joint. If it is confirmed that the PICC catheter has fallen into the body, inform the patient and family members immediately.
That alone is definitely not enough, this patient needs emergency surgery!
The cancer hospital does not have a circulatory department and is a specialized hospital.
Although the PICC tube detachment is rare, it has happened. The department urgently reported it to the medical office. The medical office contacted the circulatory specialist hospital and reported it to Director Lin.
Intervention to obtain PICC pipelines was accomplished through this technical means in the previous times.
So a team of experts in circulatory interventional surgery was invited from the nearest circulatory specialist hospital to perform emergency surgery.
…
…
Note 1: I drink 3 bags of coffee every day, and I feel like I have difficulty breathing when I write this...