The patient's emergency examination report will be released as quickly as possible.
The serum potassium was 9.8 mmol/L, which was standard hyperkalemia.
Blood gas analysis: pH 7.3, arterial blood carbon dioxide partial pressure 38.2 mmHg, arterial blood oxygen partial pressure 124 mm Hg, Hmol/L, alkali excess 6.5 mmol/L, standard alkali excess -3~+3 mmol/L, arterial blood oxygen saturation Degree 98.4%.
Zhou Litao asked the nurse to inject 10 ml of calcium gluconate into the patient's veins, and then added a 250 ml bottle of 5% sodium bicarbonate.
After ten minutes of observation, the patient's condition gradually stabilized.
When consciousness returned, the ECG gradually changed to sinus rhythm.
The resident of the Nephrology Department pushed the patient away, the nurse started cleaning and disinfecting, and the emergency rescue was over.
This speed and level are so capable! Zheng Ren was also very impressed in his heart.
The technical level of 912 is strong, there is no denying this.
Zhou Litao walked back with a smile, apparently forgetting about the patient who had just eaten a banana.
This kind of resuscitation is done at least four or five times a day in the emergency department, and sometimes more than ten times a day. It is not worth remembering at all.
If you didn’t have kidney failure and could eat dozens of pounds of bananas, it would still be worth mentioning. But there is kidney failure, and the patient who just finished dialysis is greedy... Speaking of this, I feel a little sad, and it is really not worth remembering.
"Boss Zheng, when will you and Brother Yun go back?" Zhou Litao asked with a smile.
"Waiting for Sister Lin's examination to come back." Zheng Ren said, "I guess I will have to be hospitalized and use sodium dimercaptopropanesulfonate for mercury removal treatment for a few days."
"As long as it can be cured, it doesn't matter how many days you stay in the hospital." Lin Jiaojiao looked much better and said softly.
I'm not afraid of getting sick or being hospitalized. I'm just afraid that the doctor will say with regret, "Where are your family members?" Or just tell me, what should I eat when I get home
That was the rhythm of the pills, and now, Lin Jiaojiao didn't think it was a big problem. But I have to be careful in the future. If I really go to Boss Zheng again because of mercury poisoning, I won’t be able to justify it.
"By the way, Sister Lin, this is Mr. Zhou from the emergency department." Su Yun remembered something and introduced it to Lin Jiaojiao.
Lin Jiaojiao was about to stand up, but Su Yun pushed her back and said with a smile: "Isn't it time for Mr. Zhou to be hospitalized? He wants to find a girlfriend. Please help and see if he has a good temper. The key is to be able to bear it." It’s a girl with a lumpy head like the boss.”
Lin Jiaojiao smiled and said: "Brother Yun, you can't say that, Boss Zheng is very smart."
"It's just good luck." Su Yun said disdainfully.
Zheng Ren smiled honestly and had no idea about Su Yun's words. I am indeed lucky. The halo given to me by the big pig's trotters is no joke.
The few of them chatted for a while and knew that the results would be out soon, so they did not find a place for Lin Jiaojiao to rest.
This is a hospital, and treatment is the most important thing. Whoever has nothing to do comes here to take a vacation.
More than ten minutes later, Director Kong strode back with the test sheet in his hand.
"Jiaojiao, look at you, you are fooling around!" Director Kong said in a reproachful tone.
Zheng Ren took the test form and took a glance at it.
The blood mercury concentration was 19.6ng/ml, and the urine mercury concentration was 28.2ng/ml, 4-5 times higher than the normal value.
It is estimated that the mercury content in the cosmetics used by Lin Jiaojiao slightly exceeded the standard, and the amount was relatively large.
But fortunately, this kind of numerical symptomatic treatment will be no problem after a period of time.
If you don't pay attention this time, or if you treat nephrotic syndrome for a period of time and relapse, even gods can't do anything about it.
"Boss Zheng, I don't understand this, I just know Gao, what should I do?" Director Kong's tone seemed different from before.
Zheng Ren's heart moved slightly, but he didn't make any noise. From the corner of his eye, he saw Su Yun restraining his various expressions and moving closer to him, pretending not to hear anything.
"It's okay, director." Zheng Ren said calmly, "Sodium dimercaptopropanesulfonate 0.25g is injected intramuscularly once a day for 3 days, and 4 days off is a course of treatment."
"Is it that simple?" Director Kong didn't want to believe it.
"Uh... If you are hospitalized, you can use some energy mixtures, trace elements, calcium supplements, volume expansion and diuresis and other symptomatic treatments." Zheng Ren continued quickly.
Director Kong smiled with satisfaction after hearing a lot of drugs that seemed useful, but in fact, when he thought about it carefully, he found that these drugs would never help the disease by more than 5%.
This person, if he cares, he will be in chaos.
Director Kong, an old doctor with many years of experience, is not immune to this.
Only one drug was used, and it was injected intramuscularly, which gave people a very informal feeling. This is heavy metal poisoning, accompanied by nephrotic syndrome and edema of both lower limbs. What if you run out of urine!
Zheng Ren quickly asked Zhou Litao for a pen, wrote down what he just said, and signed his name on the back.
After thinking for a while, he drew a smiling face on it.
"What are you doing?" Su Yun didn't understand.
Seeing Zheng Ren handing the paper to Director Kong, he asked in a low voice.
"After all, you're not the director of another department or the chief resident. Don't you think it's too awkward to go there with diagnosis and treatment?"
"Boss, you're talking like who can overturn the diagnosis." Su Yun said disdainfully: "Be as domineering as you should be, why be so pretentious and make people uncomfortable to watch."
Zheng Ren felt that Su Yun was really crooked. He just painted a smile to express his goodwill, but why did it turn out to be hypocritical.
"Director, Sister Lin is fine, we are going back." Su Yun then told Director Kong.
"Well, trouble." Director Kong arrived.
"Director, look at what you said." Zheng Ren and Su Yun rarely said the same thing in unison.
Without staying long, the two of them spoke to Zhou Litao and strode back.
"Why are you in such a hurry?" Zheng Ren asked.
"Don't you think Director Kong was a little angry just now?" Su Yun asked with a smile.
"I don't think so. It's probably because the director is still worried about what happened back then." Zheng Ren said.
"Pretend, you can pretend as hard as you can." Su Yun said contemptuously: "Boss, it's just the two of us, please tell us what's on your mind."
"This is what I'm thinking, why are you so dark?"
"Just talk nonsense." Su Yun suddenly said: "I forgot something!"
"how?"
"I forgot to tell Sister Lin to send her bottle of whitening cosmetics for testing," Su Yundao said.
"It is estimated that the mercury content exceeds the standard. You can know it without testing." Zheng Rendao, "It is the same as using hormones for patients with fever. The effect is particularly good."
"It's of some use, but not much."
It's really hard to explain these things clearly.
Under nightfall, the two walked home.
It took a long time to wait for the laboratory examination, and it was already late. Xie Yi and Chang Yue went to sleep, but they still left a light for them in the entrance hall.
After opening the door, Heizi squatted there with his tongue hanging out, waiting for the two of them to come back.
Zheng Ren changed his shoes, crossed his head and went to bed.