I can see health

Chapter 83 Poke Poke Poke!
09:30 in the evening.

A middle-aged woman walked into the doctor's office in the second endocrinology department.

She held a brown paper bag in her hand.

"Excuse me, is Dr. Min, the doctor on duty, here?"

Min Ling looked back.

"I am."

"I'm the mother of Lu Luxi, the patient who just arrived." The middle-aged woman walked to Min Ling's side and put the cowhide bag in her hand on the table, "This is the medical record of her hospitalization in the county hospital two months ago. Bring them all."

Min Ling nodded.

"Okay, leave the medical records with me first, and return them to you after reading them. You should go back to the ward first."

The middle-aged woman pursed her lips, looking hesitant to speak.

"Is there anything else?" Min Ling asked suspiciously.

The middle-aged woman paused, "Doctor Min, is my daughter's condition serious now?"

Min Ling looked serious, and said in a deep voice: "At present, it seems that until the cause is found and the hypokalemia is completely resolved, the patient is at risk of malignant arrhythmia or even sudden death at any time."

The middle-aged woman's complexion darkened, she sighed, and then said, "Thank you doctor, I understand."

……

After the middle-aged woman left the ward.

Min Ling sat with Lu Chen and checked the patient's past medical records.

This medical record is the medical record of the patient when he was hospitalized in the local county hospital two months ago.

At that time, the girl was admitted to the hospital because of "weakness of limbs".

After being admitted to the hospital, relevant examinations were completed, and the results reported: potassium ions were 2.3mmol/l, and the remaining ions were generally normal.

AST212U/L, creatine kinase 929U/L, and the other two isoenzymes are about 5 times higher than normal, not as obvious as this.

Continue to read the medical records.

The girl's blood pressure is normal, thyroid function is normal, complement, immunity, anti-nuclear antibody, etc., everything can be checked, and there is no abnormality or roughly normal.

First of all, the blood pressure is normal, and diseases such as primary aldosteronism and pheochromocytoma are basically ruled out.

Second, normal thyroid function ruled out thyroid myopathy.

"Hey, why are the test results normal?" Min Ling snorted lightly, "It shouldn't be, there must be a reason."

Turn the medical records to the last discharge record.

Lu Chen noticed that the discharge diagnosis given by the county-level hospital was hypokalemia, the cause of which is yet to be investigated.

At the same time, it is recommended that the higher-level hospital seek further treatment.

After reading the entire medical record, Lu Chen couldn't help sighing, what a strange patient!

"Teacher, can you see the cause of the patient now?"

Min Ling shook her head.

"Except for muscle enzymes, all other indicators are normal. I can only check the previous tests again to see if there are any laboratory errors. Secondly, improve other laboratory tests, such as 24-hour urine potassium."

"However, according to literature reports, about 1/3 of patients with hypokalemia will never find the cause in their lifetime, which is called idiopathic hypokalemic peripheral paralysis."

"For the time being, the potassium is increased, and the cause of low potassium will be slowly investigated in the future."

Lu Chen nodded, it seems that this is a very difficult patient.

"Doctor, it's time to test your blood sugar before going to bed."

At this time, the nurse on duty walked into the office and said.

Lu Chen was taken aback, what did she say?
Need another blood sugar test?
Min Ling saw Lu Chen's doubts and coughed lightly.

"Xiao Lu, it is true that you need to test your blood sugar before going to bed, but many patients are asleep, and those who are asleep don't need to be tested."

"Okay." Lu Chen said helplessly, and it was time to poke his finger again.

Lu Chen was holding a blood glucose meter and a treatment tray, ready to test the blood sugar of all diabetic patients in the ward.

"Hey, wait a minute." Min Ling suddenly stopped Lu Chen.

Lu Chen looked back at Min Ling suspiciously.

"Little Lu, you have to test your fasting blood sugar at six o'clock tomorrow morning." Min Ling smiled.

Lu Chen: "..."

ah?There is actually one more time, poke poke poke!
……

Take the blood glucose meter and walk into each ward.

Test blood sugar for diabetics who are not asleep.

Lu Chen could clearly feel that he was getting more and more proficient at measuring blood sugar levels.

Before, I was a little bit afraid of hurting the patient, so I was careful every time and didn't dare to use force.

But the more it is like this, the more difficult it is for blood to come out, so you have to pierce it a second time.

Double pain!

The current Lu Chen is hitting the nail on the head!
Many patients are asleep at night, so there are not many patients who measure blood sugar.

It took Lu Chen less than 10 minutes to transfer the entire department.

It was already ten o'clock in the evening.

Go back to the doctor's office.

"Xiao Lu, it's getting late, go to the duty room and sleep." Min Ling said, "The nurse will check the blood potassium again for the patient with hypokalemia just now, and if there is any problem, I will deal with it. "

"Okay, teacher." Lu Chen nodded.

Taking advantage of the blood sugar test just now, he checked all the patients again.

Except for the "hypokalemia" patient who was just admitted to the hospital, everyone's health is above 60!

Lu Chen came to the postgraduate duty room, took off his white coat, took out a bottle of mineral water from his bag, and started gulping it down.

After going through a rescue tonight, Lu Chen was a little tired.

And he has to work the day shift tomorrow morning, so he really needs to go to bed early.

However, before going to bed, Lu Chen habitually went through the system space and continued to practice pericardiocentesis.

Even though he is already very proficient, even with a success rate close to 95%, every time he trains, Lu Chen can learn some small skills from it, but the 80% completion rate has not changed.

Slowly, Lu Chen began to fall asleep.

……

3 points in the early hours.

"Bang... bang... bang"

Lu Chen was woken up by a sudden knock on the door.

open the door.

The night nurse stood by the door.

"Doctor Lu, bed 31, the patient's blood sugar is 3.4mmom/L, dizzy and sweating all the time."

"Let her eat some candy or a snack quickly."

"She won't eat."

Lu Chen picked up the white coat on the table and quickly put it on.

"I'll go see her."

……

Bed 31 is an old lady.

I was just admitted to the hospital recently. Because I was diagnosed with diabetes, my blood sugar was extremely high, and my fasting blood sugar reached 25mmol/L.

So she has been afraid to eat more vegetables.

I didn't eat dinner this evening, but I took insulin as usual.

Hypoglycemia in the middle of the night.

"Mother-in-law, you have to eat. If you don't eat, you won't be able to keep up with your nutrition, and you'll be prone to hypoglycemia." Lu Chen persuaded.

"My blood sugar is so high, I'm prone to stroke!" The old woman was more stubborn, "My wife has high blood sugar, so the stroke is gone."

"Grandma, sometimes hypoglycemia is more harmful than high blood sugar!" Lu Chen said.

"Hypoglycemia, human brain cells do not have blood sugar supply, it is easy to suffer from ischemia and hypoxia, leading to coma!"

"Once this person is in a coma, he will definitely not be able to wake up!"

When the old woman heard this, she hesitated.

"Really?"

"Grandmother, I'm a doctor, why should I lie to you?" Lu Chen couldn't help laughing, "You're getting older, sometimes your blood sugar is a little higher, it's not a big problem, I'm just afraid that the blood sugar will be low, in case you fall into a coma Well, that's not good!"

"Then, can I eat then?"

"Of course I can eat it, just exercise regularly." Lu Chen smiled.

"Okay, then, then I'll eat something."

The old woman hesitated for a while, and finally let go, picked up the bread on the table, and took a few bites.

"Ding, congratulations, received the thank you from Cao Yulan +1!"

(End of this chapter)