Chapter 784

In a word, the people around me were stunned!

When the little nurse saw Chen Cang, her eyes lit up.

Isn't this the male god at that time?

Everyone didn't expect to meet Chen Cang!

Chen Cang did not hesitate. Now is not the time to hesitate. He hurriedly said, "let's go together!"

Shen Xiuyuan nodded quickly.

Here, Chen Cang said: "this is the president of the second provincial hospital, President Qin. This is the emergency doctor Qin Yue. Let them come in. I hope it can help!"

When Shen Xiuyuan heard this, he immediately opened his eyes. Dean Qin?

He nodded hurriedly, "OK! OK!"

It's a good thing for someone to give an idea. Shen Xiuyuan quickly said to the nurse, "call the director of accounting and say..."

The little nurses nodded one after another.

Qin Xiaoyuan kept looking at Chen Cang and didn't talk much. If Chen Cang was wrong, he would remind him.

But!

He found that the choices Chen Cang made from scratch were all very correct, even the best choice.

Chen Cang glanced at the nurse and hurriedly said:

"Clean up oral and nasal secretions, keep the respiratory tract unobstructed, and prepare for oxygen inhalation!"

After organophosphorus poisoning, the activity of cholinesterase is inhibited and the activity of hydrolyzing acetylcholine is lost, so it will cause the accumulation of acetylcholine!

Acetylcholine receptors experience muscarinic or nicotinic symptoms and central system symptoms.

Therefore, the core treatment in the treatment process is anticholinergic treatment.

However, at present, there is no anticholinergic drug on the market that can better resist these three kinds of symptoms at the same time. It can only treat one and two of them with significant effects.

Therefore, Chen Cang can't be careless about the rescue of this poisoning, which is why he didn't let Shen Xiuyuan take charge.

Because in contrast, he is more willing to believe in himself!

At this moment, the patient has completed the blood drawing.

"Put in a catheter and diuretics!"

"Gastric lavage!"

At this time, Li Dan has urinary incontinence, and diuresis can also accelerate metabolism.

Four or five little nurses began to get busy immediately!

Soon, the ECG monitor is ready.

As soon as the monitor began to work, Didi's alarm began to ring!

When Chen Cang looked up, his heart rate was getting lower and lower, his blood oxygen protection was also declining, and his blood pressure was also declining!

Chen Cang immediately frowned!

Hurriedly said: "prepare atropine!"

Shen Xiuyuan has begun to prepare here. Atropine is common sense for dichlorvos poisoning with organophosphorus pesticides. Shen Xiuyuan is no stranger.

But!

Chen Cang suddenly said, "16 mg!"

This sentence directly startled Shen Xiuyuan, and even the Jiqu who ran in was stunned!

"How much?"

Chen Cang continued, "16 mg, intravenous!"

Chen Cang's words were like a thunder in the emergency department. Shen Xiuyuan and Ji Qu, the director of the emergency department who just came in, were stunned!

16 mg atropine intravenously!

Is this crazy?

16 mg!

Not an intramuscular injection!

Not an intravenous drip!

"Will it be too much?" Ji Qu asked directly with a frown.

Chen Cang said in a deep voice, "it must be so!"

Qin Xiaoyuan also said at this time: "atropine should be used in sufficient amount for the first time to make the blood reach the effective drug concentration as soon as possible, which can not only effectively avoid the aging of toxic enzymes, but also reduce or even eliminate the symptoms of poisoning for a period of time!"

"The latest guidelines can use 20 mg, yes, no problem, and intravenous injection can quickly reach the effective blood concentration!"

"The patient's poisoning score is relatively high, which belongs to severe!"

Hearing Qin Xiaoyuan say so, Ji Qu doesn't say much. People say that Qin Xiaoyuan is a famous doctor in the country and a master of internal medicine.

Is very convincing!

This is the deterrent of fame.

This is also the reason why Qin Xiaoyuan came. He was worried that Chen Cang could not hold the scene.

This way, gastric lavage has begun.

16 mg atropine also takes effect in an instant!

The nurse was delighted when she saw the ECG monitor:

"The heart rate is back, the pulse is also faster, and the protection of blood oxygen is increased. It's basically normal!"

Chen Cang looked down and found no evidence of atropinization.

Time goes by!

The rescue continues.

Half an hour... Has passed, Chen Cang frowned, and there was no atropine reaction?

"Continue atropine intravenous injection!"

Here, Shen Xiuyuan doesn't hesitate and continues to prepare!

Originally, this rescue should be sufficient and repeated!

But... He just doesn't know how much is enough!

In fact, they are still worried about atropine poisoning.

Drug poisoning is also dangerous.

In fact, first aid is dancing on the tip of a needle!

Constantly perform peak and limit treatment.

Constantly make corresponding adjustment and treatment according to the patient's performance and symptoms.

This is the so-called open move when you see it. Soldiers will block it!

If first aid is the most beautiful art, no one should doubt it.

Because the human body itself is one of the most magical works of nature.

Taking human life as a bet, every time, we must go all out.

It is very important for emergency doctors to grasp every emergency medicine!

The difference is a hundred miles!

Chen Cang's grasp of emergency poisoning is perfect, and his grasp of emergency rescue drugs is also perfect!

Through the patient's symptom and sign score, he can judge what Li Dan's current index is!

In front of him, on the four-dimensional model map, Chen Cang seems to have an intuitive feeling about his physical signs, poisons, atropine, acetylcholine... Through the patient's symptoms at this time!

At this time, Li Dan suddenly began to twitch again!

Chen Cang immediately thought for a moment and immediately said, "scopolamine, 2gm, intravenous injection!"

Atropine mainly targets M receptor, that is, muscarinic.

Scopolamine mainly targets the N receptor, that is, nicotine.

The two are very different.

Scopolamine has a general cardiovascular effect, but it has a significant effect on the nervous system. It can relieve central excitation and has a significant effect on muscle tremor.

"Chlorophosphoridine..."

It goes without saying that Chen Cang and Shen Xiuyuan understand.

The effect of chlorophosphoridine is very good. It is the first choice for rescuing organophosphorus pesticide poisoning at present!

Doctor's orders are issued continuously!

Li Dan's symptoms are also alleviating, and the poisoning effect is also improving.

But no one dares to be careless.

Because there is a rebound problem in the treatment of organophosphorus poisoning.

However, there is no clear standard for this rebound mechanism.

There is no effective solution to the rebound at present.

To put it simply, if the first round is cured and does not bounce back, it may be safe. If the bounce back

It's GG!

After working hard in the middle of the night, Li Dan finally stabilized.

Everyone was relieved to see that it had stabilized.

Jiqu looked at Shen Xiuyuan: "doctor Shen, work harder at night. This... President Qin and director Chen, you should go back and have a rest. There should be nothing wrong."

Chen Cang nodded and looked at the time. It was already more than six o'clock.

If it's summer, the sky will be bright.

Unknowingly, this is the time.

Chen Cang glanced at Qin Xiaoyuan and Qin Yue, looking tired and distressed, said, "uncle, Yueyue, don't go back today. Take another day off and go back tomorrow?"

Qin Yue also yawned. Everyone was a little sleepy.

In particular, Qin Xiaoyuan drove over early yesterday. He didn't have a good rest. After such a toss, he was a little tired.

Qin Xiaoyuan nodded and breathed a sigh of relief.

Out of the rescue room, Wang Fan's parents stood up in a hurry, with a worried face. I don't know when Wang Fan also came, lost his soul.

Wang Fan hurriedly ran to him: "Chen Cang! Chen Cang... How's Dandan?"

Wang Fan's parents are also eager to look at Chen Cang.

Chen Cang breathed a sigh of relief: "it's much better for the time being. We have to see if we can stabilize it."

Chen Cang is telling the truth.

Here, Chen Dahai hurried in.

He came to pick up Chen Cang and them. He was relieved to hear that it was all right.

"Go home!"

……

PS: dichlorvos can still be saved, but... Paraquat really has no solution. Just as the book friend said, it gives you time to regret, but does not give you a chance to live.

Have the opportunity to write about paraquat.

Perhaps with the development of science and technology, these are saved. The only thing that has not been saved is gambling.

Cherish life and stay away from pornography, gambling and drugs! (no charge.)