Zhang Yi glanced at the information that the nurse handed over.
Gao Lang, male, 39 years old, was sent to the hospital by his family at 2:02 a.m. due to sudden precordium crushing pain and confusion. Physical examination: T37.8 ° C, P123 beats/min, R24 beats/min, and BP130/78mmhg. The initial diagnosis of the emergency department was acute myocardiac arrest.
Zhang Yi looked at Gao Lang's heart condition. It was not a heart attack caused by a heart attack. It was very likely to be a heart attack caused by overwork or a lack of rest.
Most of the cases of cardiac arrest were based on the occurrence of heart disease, which meant that the lack of blood in the heart caused by the development of coronary-artery plaque was called cardiac arrest.
However, there were also heart attacks that were not caused by heart disease. For example, fatigue, emotional agitation, excessive eating, smoking, and drinking could cause heart attacks.
People in this generation often stayed up late and did not pay attention to rest time, so the incidence of heart attack was slowly increasing. Many news reports had seen a certain young man playing games all night in an internet cafe, only to suddenly fall to the ground and not get up. This sudden death was also caused by acute heart failure.
Just like the semi-conscious Gao Lang in front of him, a 40-year-old man in the middle of the night should not be overly excited. The possibility of him eating and drinking was not too high. Looking at his thick dark circles and dark skin, Zhang Yi guessed that he should have suffered from cardiac arrest caused by overwork.
At this moment, the patient's family members also came over. They looked at Zhang Yi and said with tears and snot in their eyes,"Doctor, how is my husband? Was there anything wrong? He's the pillar of our family, he can't die…"
" Your husband has a heart attack," Zhang Yi consoled." But his condition isn't too serious. He'll be able to stabilize after receiving an infusion immediately." But what happened to him?”
"Maybe it's because he's under too much pressure. Business hasn't been good recently, and he hasn't slept for a few days thinking about work every day.”
Zhang Yi nodded. It was almost as he had guessed.
"Okay, I got it. Don't worry, the nurse will give him an infusion immediately. Just be careful not to disturb the patient's rest.”
After that, Zhang Yi returned to his office and immediately gave out the doctor's orders.
The patient's primary problem was pain. The most typical manifestation of a myocardiac arrest was precordium crushing pain, which was commonly known as heartache.
Usually, a small amount of 10 milligrams of intravenous morphine was used as a painkiller.
If the patient was in constant pain and did not have low blood pressure, he could be given intravenous drip of glycitrin to relax the surrounding blood vessels, reduce the peripheral resistance, reduce the amount of blood returning to the heart, reduce the cardiac output, reduce the burden on the heart, and reduce the oxygen consumption of the heart muscle, which would relieve the pain.
After that, he had to solve the problem of blood volume and immediately establish a venous access to give fluid replacement treatment.
If it was sporadic premature beats, no medication could be used. However, if it was severe frequent premature beats or premature beats, lidocain should be injected immediately, followed by a slow and continuous infusion.
Finally, it was low fever. Gao Lang's current temperature was 37.8 degrees Celsius. His body temperature was not too high, so he could ask the nurse to lower his temperature physically first. As long as the temperature was not too high, it would not be a big deal.
After settling everything, Zhang Yi looked out the window. The sky was already bright.
" Sigh, it's almost five o'clock. It's another night with my eyes wide open…"
"Doctor Zhang, the patient's condition has stabilized a lot. He's already awake.”Zhang Yi's nurse, Xiao He, reported at the door of the office.
Zhang Yi nodded." Alright, I understand. Sit down and rest for a while. You've been busy all night."”
"Hey, why are you resting? It's almost time for the shift change. I haven't written my shift change record yet!”Nurse He was annoyed when she thought of the long handover record.
At this moment, the sound of high-heeled footsteps could be heard from the corridor. They were approaching the office.
"Wow, Qingqing, why are you here so early?!”Little He was stunned when he saw Su Qingqing. It was only five o'clock and the sky was not bright yet. Why did she come so early?
After Su Qingqing glanced at Zhang Yi, she placed the breakfast in her hand on the table and said,"I had a little insomnia yesterday, so I thought I might as well come to the department earlier. Here, this is the breakfast I bought for you. I thought you must have been busy all night and didn't eat anything, so I bought some casually.”
"Wow…you call this buying some? How can the two of us finish such a big bag?”Xiao He smiled and walked forward to pick up a piece of bread and started eating.
"It's okay. The two of you can't finish it.”As Su Qingqing spoke, she took out a piece of bread and handed it to Zhang Yi.""Have some? You've been busy all night, haven't you?"
Zhang Yi nodded and took the bread.
"Mmm, it's not bad. It's quite delicious. Thank you.”Zhang Yi raised the bread and thanked Su Qingqing.
"Hehe, as long as you like it. There's milk over there.”
Before he could finish speaking, Su Qingqing had already brought over a bottle of milk.
Even if Little He was blind, he would still think that he was a third wheel. As expected, after Little He reacted, he took a few pieces of bread and milk and quietly returned to his nurse's office.
After breakfast, Zhang Yi was writing down the notes for the morning meeting. She turned around and realized that Su Qingqing had fallen asleep on the table.
"Pig!" Zhang Yi cursed softly and walked forward to put a white coat on Su Qingqing.
This book comes from：m.funovel.com。