After less than 20 minutes, all the physiological and biochemical results of the patient came out!
Increased blood ketone body!
Combined with the patient's performance, it can now be confirmed as:
Main diagnosis: Hyperkalemia
First diagnosis: diabetic ketoacidosis.
Chen Cang began to contact the endocrinology department.
Hyperkalemia in patients is also caused by diabetic ketoacidosis.
Cang Cang turned around and saw Xu Dongdong holding a pen to record something in the book, saying, "Dong Dong, let the family come in."
Xu Dongdong heard Chen Cang call himself, quickly put away the book, nodded quickly: "Okay!"
The woman prayed at the door for a long time at this time!
But over time!
虽然 Although she doesn't understand medicine, she knows that the longer the time, the bigger the problem!
The more so, the more uneasy she was!
冬 Xu Dongdong pushed the door and saw the woman standing nervously, staring at the door with hope and hope in her eyes.
Seeing Xu Dongdong coming out, the woman rushed over!
"Doctor! Doctor! How is my mother?"
Xu Dongdong smiled: "Don't worry, Doctor Chen will let you in."
冬 Xu Dongdong didn't say whether the patient was stable or not, just said that Dr. Chen let you in.
The woman heard the sound and walked in quickly.
"Doctor Chen, how is my mom?"
Chen Cang said: "The elderly is now basically stable, but I recommend going to the endocrinology hospital for treatment. She now has diabetic ketoacidosis, which causes an increase in blood potassium in the body. It seems that this situation should not be Two days a day! "
所以 "So, I suggest you go to the endocrinology department and let the elderly's diabetes be corrected, and the hyperkalemia treatment will be sufficient. You should not worry too much."
After listening to the woman, she was finally relieved.
However, Chen Cang turned and said to the old man: "Old man, you should pay more attention to your blood sugar in the future! You ca n’t eat anything, you know it, it ’s almost dangerous just now! After listening to your girl more, she still Can harm you! "
The old man also slowed down at this time, exhaling a long breath: "Hey doctor, thank you!"
I was called "you" by the old man, and Chen Cang was still a little uncomfortable.
My uncle's daughter saw her mother calm down, came over quickly, squatted beside the bed, holding her mother's skinny hands in both hands, and some were cold, which was caused by the poor microcirculation caused by diabetes for a long time.
But the woman was not disgusted at all, squatting there, and stroking her mother's hand on her face, tears dripping down.
"Mom, you scared me!"
The old man blushed and didn't know what to say. He could only rub his daughter's face with his hands.
She touched her like this when she was young, now she is so big.
I am old!
The daughter was really frightened: "Mom, do I usually say you talk too much, you are upset, I wo n’t say it later, OK? But you have to take the medicine on time, do n’t save me, save What are you doing, how can I be happy? "
The old man also touched his eyes hazy.
沧 At this time, Chen Cang picked up the phone and started to contact the endocrinology department.
After a short while, the endocrinologist Yan Dongxue came down anxiously. After seeing Chen Cang, he greeted with a smile: "Little Chen!"
沧 Cang Cang smiled. Yan Dongxue was the son-in-law of the emergency department, Zhang Hu's husband, and currently the deputy director of endocrinology.
"Mr. Yan, the patient is inside." Chen Cang walked in with Yan Dongxue.
Yan Dongxue looked at the test sheet and the electrocardiogram, and was shocked: "This is going to kill someone!"
Chen Cang nodded: "Well."
Yan Yanxue looked at the woman: "Diabetes in the elderly requires a period of monitoring, and insulin injections"
The grandma was very cooperative: "OK! I will listen to you, doctor."
Yan Yanxue went up after looking at the patient.
老人 The old man also sat up at this time, and his daughter helped to go to the endocrinology department and go through the hospitalization procedure.
When Chen Cang saw the woman so tired, he suddenly said, "Push a wheelchair?"
The grandma smiled: "No, I'm used to it."
After I finished speaking, the two of them walked away with support.
Occasionally, I can hear women's “sharp and mean” and the old man's “Weinuo Nuo”.
I heard far away, Chen Cang shook his head, this may be love!
I seem to have been fighting for a lifetime. When I was a kid, my mother missed my girl. When I was old, the girl whispered to the old man.
Tatars are this one cycle.
He is a cycle of love and responsibility.
It's just this seemingly ordinary picture. I don't know why it becomes a little touching and makes my eyes a little hazy.
Xiao Xiaolin still like crying nose like before.
Tears came out when the nose was sour.
Even Chang Lina, who was usually able to speak, took a deep breath, and said to herself, "Like me and my mother, when she was a kid, she was annoying me, and I was so bored, now that she is old, I am Hit her, she must be too annoying. "
Perhaps, this is the only way to kiss girls, right?
Although Chen Cang doesn't understand girls, this relationship can be felt regardless of gender.
Many students witnessed a seemingly simple but hidden rescue!
If it is really just ordinary diarrhea ~ www.novelhall.com ~ Treatment according to this situation, maybe the old man is dead.
However, Chen Cang could find the cause of these complex factors and start treatment directly, which made these groups of students feel a little bit surging and some worship!
If you are brave, ask directly:
老师 "Mr. Chen! How did you know that the patient had hyperkalemia? At first, I thought it was hypokalemia caused by diarrhea. If you had a fluid replacement patient, it would be gone!"
Chen Cang looked at the students, his eyes filled with curiosity, and he couldn't help saying, "The principle of emergency is to save lives first, then save the sick."
"If the elderly is just ordinary diarrhea, it may cause electrolyte disturbances. You are correct, you should consider low potassium."
"But!"
"When we diagnose a disease, we must not only make a judgment based on the patient's current symptoms, but also take into account the previous medical history and comprehensive consideration!"
"The patient's illness is caused by eating jelly diarrhea and has a history of diabetes for many years. At this time, you must consider whether diabetes can cause diarrhea, and then judge it with signs, performance and symptoms!"
"The patient has an abnormal reaction to the digestive system. As you have seen just now, accompanied by an abnormal heart rhythm, a respiratory disorder immediately appeared, accompanied by fatigue and weakness in the whole body! At this time, you must think of a critical condition. Diseases of life: hyperkalemia! "
At this time, Xu Dongdong couldn't help asking: "How do you know that Mr. Chen has more than eight o'clock in the blood potassium?"