This doctor is great

Chapter 182 Insulin Suicide!

"Doctor Zhou!"

As soon as the door opened, Zhou Mo saw a young woman with a panicked expression.

Seeing Zhou Mo, I was very pleasantly surprised.

"Quick, come in!" The woman anxiously pulled Zhou Mo and walked in.

"What's the situation?" Zhou Mo walked in quickly and asked.

"My friend, she committed suicide!"

"what?"

suicide? !
Zhou Mo was taken aback, he ran quickly, walked through the living room, and came to a room.

Immediately, he saw his neighbor Li Chunling lying on the ground with his eyes closed.

There's a syringe on the floor...

And several small pill bottles...

Zhou Mo flew over,

Feel the pulse of the neck.

Very faint!

Grab your hands again, it's icy cold!
"Chunling...Chunling...Chunling..."

The female roommate is nearby, screaming in panic

No matter how you shout, you won't wake up.

At this moment, Zhou Mo looked at the bottles on the ground.

insulin!
Zhou Mo was taken aback!
How many doses do you need for these bottles!

Insulin suicide?

Insulin is the "only" hormone in the body that directly lowers blood sugar, and can also promote the synthesis of glycogen, fat, and protein.

When Zhou Mo heard that the patient committed suicide by injecting insulin, his first reaction was to test his blood sugar.

A large amount of insulin --> break down blood sugar --> hypoglycemia --> serious consequences.

The female roommate was terrified: "Doctor Zhou, Chunling won't die, will she?"

Zhou Mo: "Thank you for calling an ambulance... No, let's go, let's go right away!"

Without saying a word, Zhou Mo picked up the neighbor and quickly went downstairs.

"Bring those bottles with you!"

"Much better."

It's about 500 meters away from the hospital, so it needs to be fast.

Zhou Mo ran all the way with the patient and his neighbors in his arms.

And the roommate is behind, galloping to follow.

quickly,

Arrived in the emergency room.

"Quick, emergency room!"

"Bring a blood glucose meter over here!"

Zhou Mo shouted.

At this time, in the middle of the night, the emergency department was not very busy. Zhou Mo's shout activated the emergency department.

A nurse rushed over.

"What exactly happened?"

"She seems to have committed suicide by injecting insulin. Now she is in a coma. I don't know if something is wrong..."

Zhou Mo said quickly.

When the nurse heard this, her expression changed, and she shouted, "Quick, bring the blood glucose meter!"

Soon, the blood glucose meter will be delivered.

A bundle!
Bring out a little blood.

Detect!
As soon as the results come out, good guy!
1.0mmol/L! (normal fasting 2.8)

too low!
Both Zhou Mo and the emergency nurse were taken aback!
"Hurry up, Sister Chen, help me get rid of those high sugars!!"

What is "high sugar"?
医药用的葡萄糖的浓度有5%、10%、20%、50%，通常所说的高糖是指50%浓度的葡萄糖。

High sugar, because the concentration is too high, it is only used in some special cases. For example, if the patient has hypoglycemia, 20-40 ml of 50% glucose mixed with water can be taken orally to correct the hypoglycemia. For severe hypoglycemia, 20 to 40 [-] ml of high glucose intravenous injection.

Quickly sent to the emergency room.

"Hey, aren't you Dr. Zhou Mozhou?"

"Yes, it's me."

"this is yours……"

"It's my neighbor, the teacher at the school!"

"what?"

It turned out to be one of our own!

At this time, the doctor rushed over after hearing the news and rushed into the emergency room.

It's Senior Brother Chen Dong.

It just so happened that Zhou Mo knew it.

"Hey, Zhou Mo..."

"Senior Brother Chen..."

The two said hello.

"How is the patient?"

"My neighbor has injected insulin. I see that there are 4 empty bottles of 5ml."

Zhou Mo Baraba spoke.

Soon, the nurse quickly opened the intravenous access, the right arm, and then injected it directly with high sugar.

However, it is a bolus injection, not an intravenous infusion.

Glucose has two usages, one is oral and the other is intravenous.

Drink, definitely not as fast as injection!

The intravenous infusion speed is too slow, and the bolus injection is faster, which can quickly bring glucose to all parts of the body and relieve hypoglycemia.

"How long has she been in a coma?" Senior Brother Chen Dong asked.

"I don't know. When I came back, Chunling was unconscious on the ground, and then Dr. Zhou came to you..." The female roommate is also a teacher. After sorting out her thoughts, she calmed down.

"Doctor, is my roommate okay?"

Senior Brother Chen Dong shook his head: "I still don't know, do you know her family?"

Female roommate: "Her family is in another province, and she might not be able to come back in time. I just knew that one of her boyfriends is in the province..."

Doctor: "Is there any contact information? Contact her boyfriend and come here quickly... I'm afraid the patient is serious, so I need to sign."

Zhou Mo nodded. This patient is indeed serious.

Why did Senior Brother Chen Dong decide that it was more serious?
Hypoglycemia is generally not serious. It is usually caused by extreme hunger, cold sweat, hunger, palpitation, trembling, pale complexion...

(Most book friends should have this experience!)

However, the above symptoms are only mild stage.

and severe hypoglycemia,
The lack of sufficient glucose supply in the brain leads to dysfunction, which eventually leads to brain dysfunction.

The patient in front of me, Li Chunling, was unconscious and unconscious, which was a manifestation of brain dysfunction.

In severe cases, brain tissue can be damaged.

Because there is no supply of blood sugar (energy), the important organs of the whole body, especially the heart, kidney and other organs, will be damaged to a certain extent. This damage is irreversible and even life-threatening.

In any case, the patient Li Chunling is so serious that she must ask her family to sign it.

If it doesn't work, you can find her boyfriend.

Senior Brother Chen Dong said to his female roommate: "Go and contact his boyfriend and family."

Female roommate: "Okay, okay."

At this moment,
Brother Chen Dong told the nurse:
"Connect her to an ECG monitor!"

a test,
Good guy!
Blood oxygen saturation has dropped to 84%!

"Quick, give her oxygen!"

Senior Brother Chen Dong quickly shouted.

Masks, oxygen...

"Doctor, it's not good...a mask was given, but oxygen is difficult to come up..."

The nurse yelled anxiously.

Zhou Mo glanced at the ECG monitor, the saturation was still at 90%...

"Could it be that the heart and lung functions have been damaged?"

This is the last thing Zhou Mo wants to see.

"Try intubation for oxygen..."

"Ok."

The nurse quickly intubated and gave oxygen...

"Draw a few tubes of blood for her, check her blood routine, liver function, kidney function, myocardial enzymes, etc..."

"it is good……"

There was a rush,
5 minutes later……

Patient Chunling's blood oxygen saturation reached 91% with difficulty...

At this moment,
The roommate said: "I'm sorry, doctor, her cell phone and her boyfriend can't get through."

Senior Brother Chen Dong: "Where is her family?"

The roommate shook her head: "I called three times, but they couldn't get through. Maybe her family is asleep at night."

Zhou Mo said: "Contact your superiors, we can only go through a special procedure at this time."

Senior Brother Chen Dong nodded and told the nurse to go to the superior.

At this moment,
Zhou Mo: "Test your blood sugar again..."

Senior Brother Chen Dong: "After taking 50ml, the blood sugar should go up after so much high sugar..."

Zhou Mo: "It's better to be steady..."

soon.

After another measurement, it turned out that the blood sugar concentration in the patient Li Chunling's body did not increase much!

Brother Zhou Mo, Chen Dong, and the nurses were shocked!

That's 50ml of high sugar!
"something wrong!"

Everyone frowned.

"Probably more insulin is being injected than we thought!"

"And it may take a long time!"

"Continue, a total of 20 ml of 200% glucose..."

Brother Chen instructed.

suddenly,

"Look, she seems to be twitching!"

cried the nurse suddenly.

Senior brothers Zhou Mo and Chen Dong felt tense.

.

(End of this chapter)