Chapter 145 Treatment (Fourth Update)
Why is Yang Ke here?
Guo Yongping was puzzled.
Overthinking again.
Was it Wei Ping who asked her to come back?
If so, doesn't that mean Wei Ping doesn't trust some people in the emergency room?
Especially your own people.
Once people think too much, they tend to be in a bad mood.
Guo Yongping finally sighed.
He had left just now, but came back because of the patient.
This time, he was not a pleasant person. He was scolded by the patient and made a misdiagnosis.
This was a huge blow to him.
He followed her out of the hospital's back door and muted his phone.
From now on, what happened today has nothing to do with him anymore.
He didn't want to care about it anymore.
As for Wei Ping, Yang Ke's arrival helped him a lot.
Yang Ke saw the wailing patient.
Ask: "What's wrong with this patient?"
"Aortic dissection! Type B!"
"What?"
She had only seen this disease in medical books, but had never seen a real case. But today she actually encountered it.
"What am I going to do?"
It turned out that Yang Ke had gone back, but was called back by Wei Ping.
She came back without thinking.
"Please help me measure his left ventricular systolic pressure and heart rate! I'll go get some medicine and be back soon!"
Wei Ping wanted to come himself so that he could get the medicine faster than the patient's family.
"Okay! I understand."
Yang Ke began to move the patient onto the instrument.
After she did some operations.
Wei Ping also came back with medicine.
"What's the value?"
"Systolic blood pressure 130-140 mmHg, heart rate 100 beats/minute!"
Pain may cause high blood pressure. Pain often stimulates the sympathetic nerves, which can increase the heart rate and thus lead to high blood pressure.
If blood pressure remains high, it will be extremely detrimental to the patient.
Because of the high pressure, the range of the interlayer will be increased.
"It's high. I'm using medication to keep my systolic blood pressure between 100 and 120 mmHg, and my heart rate between 60 and 80 beats per minute."
"What should we do next?" Yang Ke asked again.
She had no experience with this kind of situation.
I want to learn, so I ask carefully.
"Stop the pain first. Once the pain is reduced, the blood pressure will go down."
"What medicine are you taking?"
"Use morphine intramuscularly to relieve pain symptoms! It can also improve the control of blood pressure and heart rate!"
Afterwards, Wei Ping started giving the patient medication.
He also said, "Brother, relax. This injection is a painkiller. You will feel better after it!"
"Okay..." The man's tense muscles finally relaxed a little.
Wei Ping injected painkillers intravenously.
The woman and two children stared at Wei Ping.
"Mom, don't worry, we believe that Doctor Three Punches will definitely cure Dad!" said the boy.
"Yes, Mom believes it too."
The woman said.
Although I believe it, I am still a little worried inside.
After all, her man was in so much pain and still lying in bed.
A shot of painkiller.
Under Wei Ping's control, the medicine quickly took effect.
Wei Ping asked again: "What are your systolic blood pressure and heart rate?"
"Systolic blood pressure is 120-130 mmHg, and heart rate is 90 beats per minute! They've both dropped a bit."
"It's not enough!" Wei Ping said.
Obviously the pain relief effect is good, but the indicators are still very high.
"Okay, then?"
"Bottom blood pressure!"
"What medicine should we use?" Yang Ke asked.
"The most basic and preferred drug for lowering blood pressure is beta-receptor blockers, such as metoprolol and esmolol. When the antihypertensive effect is not obvious, it can be combined with other antihypertensive drugs.
Intravenous beta-blockers are often used in combination with sodium nitroprusside in clinical practice. However, sodium nitroprusside should not be used when heart rate control is poor to avoid the reflex release of catecholamines (epinephrine, norepinephrine, and dopamine), which can increase aortic pressure and worsen the condition.
Patients who cannot tolerate beta-blockers can be treated with intravenous non-dihydrotestosterone calcium channel blockers instead.
"I'm giving you an intravenous dose of esmolol now!"
After Wei Ping finished speaking, he began to inject the patient.
When the medicine enters the patient's body, he begins to control the medicine for treatment.
The injection took effect quickly.
Yang Ke said: "Systolic blood pressure is 110-120 mmHg, and the heart rate is 80 beats per minute! It's working!"
"Okay, okay!"
Wei Ping's forehead was already covered in sweat.
This time took up a lot of his energy.
But the result is good.
After a while, the patient fell asleep.
He probably struggled with this for a long time.
The pain was so severe that I couldn't sleep.
Now the pain is gone and my blood pressure has dropped.
call!
Wei Ping breathed a sigh of relief.
Just turn around.
The middle-aged woman asked, "What happened? How are you now?"
"It's all right now. Have you arranged for hospitalization?"
"It's done."
"That's fine. Someone will take him to the inpatient department when the time comes! We'll need to observe him for a while. If he's fine, he can basically be discharged."
Wei Ping said.
"Really? Thank you so much, Dr. Wei!"
The woman was very excited.
"Thank you, Doctor Three Punches!" the two teenagers said at the same time.
Then, a young man said, "Mom, I want to apply to medical school. I want to be like Dr. Wei!"
"Me too, Mom!"
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