At nine o'clock in the morning, a mother and daughter walked into the emergency room!
My daughter is in her forties and is thin. At this time, she holds the old man and nags at the old man: "I don't want you to eat. You have to eat now? Vomiting and diarrhea! At such an old age, tell me about you!"
The woman seems to have a quick and sharp mouth. She keeps talking to the old man endlessly.
"I can't eat cold food. I have to come to the hospital if I have a bad stomach! Do you think you're causing me trouble? I'm good at work and have to run back to the hospital for you! You can't save me snacks."
The old man was submissive and didn't say a word. Only after half a sound did he say, "I think so... I can't waste it. This good jelly is not bad again!"
The old mother is 80 years old, with wrinkles and white hair. Although she is a little thin, her skeleton is bigger than her daughter's. it seems a little laborious for her daughter to help her!
After entering the emergency room, the woman was panting, but she still carefully helped the old man for fear of being knocked.
Chen Cang and Xu Dongdong just came out of the ward round. When they saw it, they hurriedly said, "Xiao Lin, push a bed out."
Seeing this, Kobayashi nodded quickly. She moved very quickly and ran out soon.
Chen Cang and Xu Dongdong helped to send the old man to bed. The thin woman finally breathed a sigh of relief, but she didn't come and have a rest, so she hung up an emergency number in a hurry.
Chen Cang hurriedly asked, "what's the matter, old man?"
The old man closed his eyes and didn't say a word. He lay in bed as if he was tired.
The thin woman said, "is it estimated that she collapsed? After I went to work this morning, my father called me and said that my mother had diarrhea in the morning and had vomiting and diarrhea several times."
"When I asked carefully, I knew that she had eaten the jelly last night! She must have had a bad stomach."
After listening, Chen Cang nodded: "Oh! Did you have any old diseases before?"
The woman thought, "there are diabetes and hypertension, but the antihypertensive drugs are also eaten. Diabetes is taking insulin. High blood pressure is Extended Release Nifedipine Tablets, one tablet a day, insulin is used... 8 units in the morning..."
The woman said it in detail, which made Chen Cang look sideways: "do you study medicine?"
The woman shook her head and sighed: "no, my mother has been ill for so many years and has been following me. She doesn't take medicine well and always thinks it's expensive. I give her medicine regularly every day."
At this point, Chen Cang couldn't help looking at women more. After all... There are not many children who can do this.
The incessant nagging just now should be the same nagging as the mother to the child when she was a child.
not to mind taking the trouble.
When people get old, their roles will change.
But even so, after listening to the woman, Chen Cang didn't believe it all.
Habitually picked up the stethoscope and listened to it on the stomach. The bowel sounds are indeed a little hyperactive.
At this time, the old man opened his eyes.
Chen Cang asked, "old man, what's wrong with you? Tell me."
The old man's voice was very low and seemed tired and weak. He said, "I feel uncomfortable in my stomach. In addition, I have no strength all over. I feel pain everywhere. Oh... I'm a little flustered."
Chen Cang hesitated when he heard this.
Electrolyte disorder?
Low potassium can cause a series of symptoms, such as weakness, arrhythmia, or some neurological diseases, similar to myasthenia.
Thinking of this, Chen Cang said to the nurse, "Xiao Lin, check your blood sugar. Also, check your blood routine and electrolytes."
The elderly must pay attention when replenishing electrolytes.
He is much more sensitive than young people.
While talking, the old man was pushed into the observation room.
Reasonably speaking, such symptoms are very common. If the elderly eat bad stomach, it may cause electrolyte disorder. This symptom is also normal.
Xu Dongdong looked at Chen Cang and asked Chen Cang, "Mr. Chen, is this electrolyte disorder, causing low sodium and low potassium? It should be good to replenish fluids!"
Chen Cang looked at Xu Dongdong and couldn't help shaking his head: "rehydration can't be done casually, especially for the elderly. Without the return result of serum electrolyte, any sodium and potassium supplementation may be a crime!"
Like Xu Dongdong, several young people in a dormitory came together when they saw the patient.
Hearing Chen Cang's words, my heart was full of thoughts.
Chen Cang entered the observation room. The man smiled and looked at Xu Dongdong: "it's so complicated. When I was in the hospital, I saw many such patients! Just lose some sugar and salt water!"
Although Xu Dongdong felt that what the man said was unreasonable, he didn't argue, so he got up and went into the observation room.
The man couldn't help laughing. He looked at Xu Dongdong and Chen Cang and shook his head: "hey... Young man, it's too mysterious. How can there be such a mysterious thing!"
The blood glucose query was very fast. It didn't take long. The blood glucose was: "16.4!"
Chen Cang frowned when he saw the blood sugar!
According to the dictation of the patient and his family, the patient's blood glucose should be one hour after meal, but... It is still a little high.
Chen Cang looked at the woman and said, "the old man's blood glucose control is not very good, 16.4 mmol."
As soon as the woman heard this, she blushed: "sorry, doctor, the blood glucose meter in my family is not accurate. It has not been adjusted. It has not been measured for some time, but there are injections of insulin every day."
At this time, the old man suddenly had difficulty breathing. He opened his mouth and wanted to breathe in.
This suddenly attracted Chen Cang's attention.
Chen Cang hurriedly asked, "did the old man have heart disease, lung disease or kidney disease before?"
When the woman saw the old man like this, she was immediately startled. She was a little flustered and quickly shook her head: "no, absolutely not!"
Seeing this, Chen Cang quickly connected the patient with oxygen.
Then Chen Cang picked up the stethoscope and listened in the lung and heart areas.
He heard a faint breath and his heart beat slowly!
At this moment, Chen Cang was puzzled.
"Shangxin electric monitor!"
At this time, the old man's breathing is still very difficult. It seems that oxygen has little effect. He still opens his mouth and inhales.
At this moment, Chen Cang became nervous!
Kobayashi skillfully received a kind-hearted electric monitoring. Chen Cang said to Xu Dongdong, "the family members will wait outside."
Seeing this, Xu Dongdong greeted the woman out of the observation room.
Chen Cang soon saw the value on the monitor!
Blood pressure is getting lower and lower!
7040mmHg!
The heartbeat is getting slower and slower!
43 times!
Shortness of breath!
Snort, snort, make the whole atmosphere serious.
Seeing this, Chen Cang hurriedly said, "ECG!"
Then quickly untie the old man's clothes!
Now, Chen Cang has realized that things are not as simple as he sees!