Chapter 1998： Possible withdrawal symptoms

“A large intake of caffeine is associated with a range of mental problems, from anxiety, bad mood to mania and psychosis. In addition, excessive intake of energy drinks may also induce certain physical problems, including acute renal failure.”

"Well, this is quite good to hear." Su Yun nodded.

"What?" Zheng Ren is strange.

"You have to say 116 case reports and what is still too much. It's all about yourself. It's better to talk a little easier." Su Yunshun spouted.

“It’s much lazy to say.” Zheng Renping said: “But functional beverages + coffee lead to mental symptoms and acute renal failure at the same time, there are only three reports in the world, namely the British...”

Zheng Ren did not know if he was inspired by Su Yun and began to elaborate on it.

Zhou Litao listened silently, and the whole person was dumbfounded. The data provided by Zheng Boss is one-sided, but more importantly, functional drinks + coffee can actually lead to kidney failure.

"So serious." Zhou Litao whispered.

"Well, of course." Zheng Rendao: "I and the kidney physician said that the diagnosis of toxin-induced tubulointerstitial nephritis; patients with elevated creatine kinase may be caused by physical constraints, psychomotor agitation and renal clearance The damage is caused together."

"Is there any test results?" Lin Yuan asked.

"Now a needle biopsy and a series of related tests are being done. Until now... Yes, you have not seen the emergency kidney function of the emergency department." Zheng Ren thought, "creatinine 1205μmol/L, urea nitrogen 22μmol/L. ”

"Acute kidney failure is so heavy?" Su Yun frowned.

The normal value of creatinine ranges from 59 to 104 μmol/L, and the normal reference range for urea nitrogen ranges from 2.9 to 6.4 μmol/L.

Both of these patients' values ​​are several times as high as ten times higher, consistent with the performance of acute renal failure.

"I estimate blood gas analysis... There should be acidosis. If you are interested, you can wait for the results of the test to come back and consult the doctor of the Department of Nephrology." Zheng Ren has already counted in his heart.

Zhou Litao and Lin Yuan unanimously wrote down this point.

I am not skeptical of Zheng Boss, dare to say so meticulously, just like seeing a test list with his own eyes, there must be his truth.

"Right, guess how many functional drinks the patient drank?" Zheng Ren asked.

"Hurry and say, where do you guess this stuff?" Su Yun said, "I don't believe you can guess before you meet with Lao Cui in the kidney."

"It is said that from last night to the onset, I drank 12 bottles of functional drinks and more than 20 bags of coffee." Zheng Rendao.

The reason why Zheng Ren is not willing to drink the system's medicine often is because he is afraid of the state of this drug.

"Hey, this is what it is like." Su Yun immediately looked at Zhou Litao.

Zhou Litao's spine is hairy because he also often has coffee.

"Zhou, you have to be careful."

"what……"

"My boss and I will definitely not drink such refreshing things." Su Yun said with a smile. "Caffeine poisoning has many overlaps with anxiety disorders in physical and psychological aspects. It occurs mostly when the intake of caffeine exceeds 1000mg per day. Caffeine poisoning can kill, at this time the concentration of caffeine in the blood can be ≥70mg/L."

Zhou Litao took a long breath and said: "Do not worry, Yun Geer. I am going to have a cup of coffee in the morning, and I will not drink any more."

"Caffeine stage symptoms, a cup of coffee will be used after the habit." Su Yun smiled and threatened Zhou Litao.

"Don't listen to him, a cup of coffee contains a small amount of caffeine." Zheng Ren did not want Zhou Litao to leave a psychological shadow, and immediately said: "Only about 10.2% of patients have mild withdrawal symptoms, nothing. ”

Zhou Litao was shocked, 10.2% is also possible! A slight withdrawal symptom is also an indication of withdrawal.

"Boss, you are really boring." Su Yun said, "I just saw the freckles on Zhou’s face are dark, you didn't find it."

Zheng Ren did not understand his bad taste, did not pay attention to Su Yun, but rushed Zhou Litao and smiled. "Zhou Zong, then let's go first."

"Is Zheng boss not talking more?" Zhou Litao asked.

"No, under the surgery, a little tired." Zheng Ren's smile is a bit stiff.

Huh? Are the iron bosses like Zheng tired? Doesn't it mean that Zheng Boss in Pengxi Township has been doing surgery for three days and three nights?

But in any case, Zheng boss clearly said that he was tired, Zhou Litao is not good to retain, although he has a lot of words and want to talk to Su Yun.

After all, WeChat is not very convenient. Zhou Litao is more accustomed to asking the other person's eyes to talk like a medical history.

Leaving the emergency department, Lin Yuan asked strangely: "Zheng boss, are you sick?"

"No." Zheng Ren said with no expression.

"His old man is coming back, his heart is depressed, you better not to provoke him." Su Yunxiao smiled and said the truth.

This reason... Is the relationship between Zheng Boss and Xie Yi’s family worse? Lin Yuan said that he did not understand.

......

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Emperor Tudou, Lin Dean is presiding over the emergency room consultation in the operating room.

A male patient has an accident.

A few months ago, he was diagnosed with acute lymphoblastic leukemia in the Imperial Metro. Before the second course of chemotherapy, a professional nurse underwent central venous catheterization under local anesthesia.

The catheter is a three-way valve-type central venous catheter (4f) that is placed in the United States, 4f, and has a length of 60 cm.

The superior vena cava is delivered through the left median vein. Indwelling 44 cm in the body, leaving the body outside, and cutting 5 cm. Postoperative routine X-ray examination confirmed the position.

There were no problems such as catheter blockage, difficulty in blood withdrawal, infection, phlebitis, etc. during the patient's treatment period and intermittent period.

However, the fifth chemotherapy should have been used. www.novelhall.com~ Today, the patient was admitted to the hospital. The nurse found that the patient had only the connector under the left forearm film, but did not see the extracorporeal part of the catheter, considering that the catheter had been detached into the body.

As for when the patient fell off, the patient at the time did not know.

The patient had a triad of pulmonary embolism with chest pain, hemoptysis, and dyspnea in the last week.

An X-ray examination of the emergency department indicated that the tip of the catheter had reached the right pulmonary artery and the end was left to the inside of the shoulder joint in the left subclavian vein. Confirm that the catheter has fallen into the body and immediately inform the patient and family.

This is definitely not enough, this patient needs emergency surgery!

The Cancer Hospital does not have a circular medicine department and belongs to a specialist hospital.

Although the tube was detached, it was rare, but it also happened. The department immediately reported to the medical office, and the medical department contacted the revolving specialist hospital and reported it to the dean.

Intervene to take the pipeline, the first few times are done by this technical means.

Therefore, from the recent cycling specialist hospital, a team of experts in the interventional surgery was invited to start the emergency.

......

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Note 1: I drink 3 packs of coffee a day. When I write this, I feel that I have difficulty breathing...

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