I can see health

Chapter 169 I've learned a lot (yesterday's third update)
Jinghua Second Hospital.

The dormitory of Guipei Building.

"Congratulations, I received +1 from Fan Zhiping!"

Because it was a private chat with Fan Zhiping, other people in the group didn't know about it, so they didn't reap their gratitude.

But talk is better than nothing...

But Lu Chen felt that next time he should communicate in the group, otherwise it would be too bad!

At least a few dozen points of gratitude have been lost!

Lu Chen sighed, his consciousness re-entered the virtual space of the system, and began to train skill operations.

……

Jinghua Electrophysiology Exchange Group.

"Pushed half an atropine! The patient's atrial fibrillation quickly returned to sinus rhythm!"

A sudden message from Fan Zhiping caught the attention of all cardiologists in the group.

"Fast heart rate atrial fibrillation, static push atropine?"

"Director Fan, are you sure the patient's heart rhythm has recovered?"

"Just kidding, old Fan, I've never seen atropine used for fast heart rate!"

In the group, all cardiologists questioned Fan Zhiping's doctor's order.

There is only one exception.

That was Min Xiaobo, another elite member of the electrophysiological society in the group.

He has been paying attention to this case in the group.

It's just that he didn't have a clue for the time being, so he didn't speak.

And he was always looking forward to Lu Chen's appearance.

"Atropine?" Min Xiaobo frowned, could it be...

……

Seeing that everyone in the group did not believe it.

Fan Zhiping first reviewed an electrocardiogram for the patient, and sent the rechecked electrocardiogram to the group.

Later, he also recorded a short video of the patient's bedside ECG monitor and uploaded it to the group.

When everyone in the group saw this living evidence, they had no choice but to believe it.

"I'll go, old Fan, you can!"

"Director Fan, what is the principle?"

"Why can you lower your heart rate even after using atropine? Isn't this in line with common sense?"

Fan Zhiping looked at everyone's inquiries and just smiled helplessly.

He himself did not know the reason for using atropine.

"It's all under the guidance of Professor Lu." Fan Zhiping sent another message.

This message immediately detonated all the doctors in the group.

"Wow, you really deserve to be our Professor Lu!"

"Old Fan, you actually chatted privately with Professor Lu, you are trying to teach your secrets to Professor Lu!"

"Director Fan, we are very interested in this case, so please don't keep it up! Tell us about the principle of medication."

Fan Zhiping is also very helpless!

It's not that he doesn't want to say it, it's that he really doesn't know!
"Professor Lu only talked about medication, not the principle of medication."

Seeing Fan Zhiping's message in the group, everyone was a little disappointed.

"Where's Professor Lu? @Professor Lu, come out and explain to us!"

I don't know who is in the group @露晨.

Then, one after another.

A member of the group, Aite Lu Chen, tried to summon Lu Chen out.

"@Professor Lu Chen!"

"@Professor Lu Chen!"

Fan Zhiping quickly added: "Professor Lu has something to do."

It's just that Fan Zhiping's news was quickly overwhelmed by everyone's "summoning skills".

……

Jinghua Second Hospital, dormitory of Guipei Building.

Lu Chen was doing virtual training when suddenly the series of WeChat notifications were interrupted.

Training has been interrupted again!
What's the matter today?
With doubts, Lu Chen exited the system virtual space.

Picking up the phone, I saw the content in the Jinghua Electrophysiology WeChat group, all of which are @自己的.

He blocked the group messages, and he couldn't receive ordinary messages.

Scrolling all the way up, Lu Chen couldn't help smiling when he saw what everyone was asking for.

He was still lamenting that he hadn't received any thanks from other people.

Now everyone has taken the initiative to send thank you values!
"It seems that everyone wants to know the principle of using atropine."

After all, in the traditional concept, this is a drug that increases the heart rate, which runs counter to the treatment of atrial fibrillation.

In fact, he was able to solve this case entirely because of the "elite group assessment" he participated in some time ago.

The elite group assessment not only examines electrocardiogram knowledge, but also examines basic electrophysiology, interpretation of electrocardiogram, and treatment of arrhythmia in an all-round way.

Lu Chen experienced the devastation of countless electrophysiology books some time ago!
In addition, the aconitine poisoning that Lu Chen encountered before was also treated with atropine.

One experience, coupled with rich clinical theoretical knowledge, allowed Lu Chen to successfully solve this difficult problem.

……

"Has anyone carefully read the instructions for propafenone and atenolol?"

Lu Chen's question appeared in the group, and the noisy WeChat group suddenly became quiet.

Fan Zhiping immediately went to the Internet to check the instructions of the two drugs. After finding the results, he immediately copied and pasted them in the WeChat group.

"This is the instructions for propafenone: If there is a high degree of sinoatrial or atrioventricular conduction block, it can be rescued by intravenous injection of sodium lactate, atropine, isoproterenol or metanephrine."

"Here are the instructions for Atenolol: Overdose: Severe bradycardia with atropine 1-2 mg iv, followed if necessary by high-dose glucagon 10 mg iv, repeated or followed by iv infusion depending on response Glucagon."

Everyone in the group has seen the manual issued by Fan Zhiping.

Everyone had an idea in their hearts, their common rescue drug was: atropine!

"Professor Lu, although the common rescue drug for the two drugs is atropine, they both target slow heart rate, and there is no mention that it can treat rapid atrial fibrillation?"

Fan Zhiping's words expressed what everyone was thinking.

Although on the surface, atropine is a rescue drug for both drugs, its pharmacological indications do not include atrial fibrillation, but only sinus bradycardia.

Lu Chen smiled and quickly replied: "This involves the mechanism of the poisoning of the two drugs."

Toxic mechanism?

Everyone in the group was a little confused.

It’s okay to let clinicians like them treat diseases, but it’s a big headache for them to deal with the pathogenesis and other issues!
As soon as Lu Chen said this, the noisy group instantly became quiet again.

In the message box of the group chat, there was only a message sent by Lu Chen alone.

"Atenolol suppresses the sinus rhythm, and the ectopic heart rhythm begins to depolarize. Propafenone blocks the ectopic heart rate and causes slow atrial fibrillation, which leads to hemodynamic changes, causes myocardial cell damage, and leads to fast atrial fibrillation and premature ventricular , propafenone poisoning will definitely aggravate into other serious arrhythmias..."

……

Looking at the message sent by Lu Chen, Fan Zhiping at this moment could only sigh.

Professor Lu, awesome!
He more or less understood the mechanism of these drugs.

But it is very difficult for him to combine his clinical work with practical problems!

Most of the people in the group didn't understand Lu Chen's words.

Except for one person, that is Min Xiaobo.

When Lu Chen started, Min Xiaobo immediately understood what he meant.

"I see!"

"The cardiac reaction caused by the poisoning of these two drugs not only involves atrial fibrillation caused by conduction problems, but also severe sinus node suppression caused by atenolol, which should also be the cause of exacerbated atrial fibrillation. It is necessary to restore the function of the sinoatrial node and enhance the impulse from the orthotopic pacemaker."

"Atropine increases sinus node activity and sinus rhythm to regain the leadership of the sinoatrial node, improves atrioventricular node inhibition, and enhances ventricular rhythm."

"It can be cured in this way, it's really insightful!"

Min Xiaobo slapped his thigh and applauded repeatedly, scaring the students who were on duty with him beside him.

What's wrong, Mr. Min?

Staring at the phone, frowning for a while, and laughing for a while.

Where did Mr. Min, who was usually unsmiling in the department, go?

　This chapter is a chapter that was not published yesterday. (I still fell asleep after drinking Red Bull)
　　Today is Monday, night shift again.

　　Tomorrow, rest the day after tomorrow, and work hard to add more.More time today.

　　
　
(End of this chapter)