1730 Diagnostic treatment
“Stop talking nonsense. But the rat poison you mentioned is really possible. ” Zheng Ren went along with Su Yun’s words.”Rats have high intelligence. If they die after eating rat poison, it’s said that they won’t touch anything around them.”
Lin Ge silently watched Zheng Ren and Su Yun discussing the patient’s condition. There was some nonsense, but it was necessary.
It was obvious that these two young men were also clueless and were trying to grasp some illusory possibilities through their conversation.
“Yes, it’s a replacement product. It’s the kind of medicine that has milder effects and eventually causes internal bleeding.” Su Yun continued explaining her point of view on the medicine.
This situation was similar to the progress of Chen zeyhui’s condition.
Eight days ago, she had symptoms of gums bleeding, but it was hard to say when it first appeared.
Two days ago, he had gone to the district Hospital for a check – up, and there was no problem. Now, in just a short 40 hours, his hemoglobin had dropped to 5.5g.
The most important thing was that after the patient fainted, her condition continued to break out after she was sent to the 912 emergency room, which was shocking!
The evidence pointed to some kind of chemical. According to Su Yun, it should be a chemical used to poison rats.
“The effect is slow … Explosive …” Zheng Ren mumbled softly.
“First – generation anti – coagulants such as sodium antirat and mousekiller have good effects and milder effects. When I was in the laboratory, there were big Wild rats that bullied my white mice, so I drugged them with mousekiller. ” Su Yun said proudly.
“I don’t really use it now.”
“Well, not too many now. Because there’s a weakness to this drug, the final effect isn’t strong enough, so the destructive power of the wild big rats before they die is quite great. “
“Do you think this patient was poisoned by the second generation hemolytic rat poison?” Zheng Ren thought about following Su Yun’s words, and he spoke faster and faster.
The more he thought about it, the more reasonable it seemed.
If it was just a guess before, Zheng Ren was now 90% sure of his judgment of the patient’s condition.
Starting from the first symptoms that the patient could ask about, such as gum bleeding, to the test results two days ago, to today’s sudden outbreak, and finally, the patient who could still struggle suddenly had low blood volume shock and massive hemoptysis.
Each of these pieces of evidence was very plain and had no direction.
However, when they were put together, Zheng Ren was sure that Su Yun’s suggestion was correct.
“Is it brodilon?” Zheng Ren thought of a few reports on brodran poisoning cases, and the situation described in those reports was very similar to the situation of the patient in front of him.
“I’m considering it. ” Su Yun said,”it has the characteristics of not easily alarming the rats and easily killing them.” It also had the prominent advantage of acute toxicity, and a single dose could effectively prevent and kill all kinds of rats.
At the same time, it could also effectively kill the rats that were resistant to the first generation of anti – coagulants. Medium toxicity to fish, aquatic insects, and other aquatic creatures. “
“If you put it that way, I think it’s brodilon.” “Then I suggest a diagnosis treatment,” Zheng Ren said. You can inject vitamin K1 into his muscles in a slightly larger amount. “
“What if it’s not effective?” Su Yun asked without thinking.
The situation was urgent, and when discussing the illness, there would always be someone who would play the most annoying role and raise objections.
“Then let’s just leave it to fate. Anyway, vitamin K1 has the effect of promoting blood coagulation. Even if the patient is not poisoned by brodilorn, injecting vitamin K1 into the patient’s skin will only bring him benefits. There are no disadvantages. ” Zheng Ren recalled the side effects of the medicine and said casually.
“Go and tell the chief resident that we’re going to carry out the diagnostic treatment.” Zheng Ren laughed dryly and did not mind. If the rare side effect of vitamin K1 really appeared, or even a lethal reaction …
Forget it. When he used the medicine, he definitely couldn’t think about the one – millionth or one – millionth of the possibility.
Once he thought that, he could not use any medicine and could just wait for death.
The general trend of today’s society and the responsibility that doctors had to bear had turned such a fallacy into reality. The doctors could only …
Zheng Ren really didn’t want to think about these unhappy things.
After an intramuscular injection of vitamin K1, it would take effect three to six hours.
If the patient was poisoned by brodran like what he and Su Yun had analyzed, then vitamin K1 was a special drug.
The muscle injection absorption was too slow, so it was better to give it to the vein. Otherwise, a two – pronged approach would be possible.
If he made a wrong judgment and it was not brodilon poisoning, he could only perform a blood filtration and talk about the rest later.
Zheng Ren and Su Yun quickly ran in. As for Lin Ge … Zheng Ren ignored him for the time being.
Lin Ge wasn’t surprised. Emergency first aid sounded like rat poison poisoning. With boss Zheng’s temper, it would be strange if he had the time to talk to Lin Ge about this.
Zheng Ren knew that he was being manipulated by Su Yun’s thoughts. However, logically speaking, Su Yun’s words were right. Hence, Zheng Ren did not object just because he wanted to.
That’s right, just execute it. Zheng Ren did not really wait for Su Yun to tell him. He became more and more certain, and his footsteps became faster and faster. In the end, he started running.
As she jogged, she almost ran into a nurse who was here to take her blood.
“Give me vitamin K1!” Zheng Ren said as he entered the ICU.
“What?” The chief resident was stunned.
“After a simple analysis, we’ve considered that it might be caused by brodilon poisoning!” “10mg into the muscle,” Zheng Ren said.”Put 80mg into the flask!”
As he spoke, Zheng Ren’s voice grew louder and more determined.
This was a unique state during resuscitation.
There was nothing to be picky about the dosage. The patient’s weight was measured according to the dosage of 5mg/kg.
The medicine took effect within three to six hours. The time taken to take effect on the vein could be shorter, but it was hard to say how long exactly. Zheng Ren didn’t leave and helped to keep an eye on the patient at the ICU.
He watched as the vitamin K1 was injected into the muscle, and the remaining eight vitamin K1 tubes entered the drip chamber. Zheng Ren turned on the speed, and it entered the vein almost in one breath.
He hoped that it would get better. Zheng Ren had already seen another diagnosis on the patient’s system panel that Wanwan was bleeding from her upper digestive tract.
After the surgery today, he had lunch and returned to Room 912 to see Zhou Litao. He didn’t expect to meet such a patient.
Lin Ge also began to nag.
The deposit for the hospitalization was to be paid in the name of the hospital administration Department. This sum of money was probably not going to be returned, so it was more practical for the hospital administration Department to step in.
He also had to communicate with the patient’s immediate family members and other things.
After 1 hour and 35 minutes, Zheng Ren did not see any new diagnosis on the system panel.
Under the effect of three sets of hemostatic agents, the patient showed no signs of further bleeding.
The patient’s blood pressure was rising steadily, and the subcutaneous congestion was relatively stable. It did not show any signs of spreading.
The diagnosis treatment seemed to be correct. It should be brodilon poisoning!
However, it had been too long, so it was probably difficult to verify the exact location of the poison and what it had eaten.
Zheng Ren’s feelings were more direct than the others.
The color of the patient’s system interface gradually darkened for more than ten minutes after vitamin K1 was injected into the patient’s skin through the muscle and vein. Then, the color no longer darkened, and it began to fade.
This was the result.
Zheng Ren only felt at ease when the blood pressure stabilized.
“Director Wu, you need to give me the vitamin K1 for a longer period of time.” “The half – life of brodran is 16 to 19 days,” Zheng Ren said.”You have to keep using vitamin K1 to counteract it. Don’t cause the disease to relapse.”
“I know!” The chief resident of ICU answered in exhaustion.