medical road high rise

Chapter 334 Cardiac Arrest
Chapter 336 Sudden Cardiac Arrest
After the intravenous access was completed, the patient actually fell into a coma, which is not good news.

Qin Feng hurriedly asked Yue Meng to see if the patient's family members were there. If the patient was awake, Qin Feng only needed to ask for the patient's consent.

But now that the patient is in a coma, Qin Feng must seek the consent of the patient's family before proceeding to the next step.

Coupled with the fact that the patient is in shock, it is even more urgent to find family members.

Qin Feng looked at the patient in the hospital bed. Although he fell into a coma at this time, cold sweat continued to ooze from his face, showing a painful expression.

"Doctor Qin, the family members are here!"

When Qin Feng saw the family members coming over, he immediately started communicating with them.

"Now the patient is in a coma due to shock. This kind of shock may be painful shock caused by a decrease in blood pressure caused by severe pain. Another possibility is that the patient's kidney stones cause ureteral obstruction, which leads to infection and eventually leads to septic shock... ..." Qin Feng said.

"If it's the former, the treatment is very simple. You just need to find out the cause of the pain and prescribe the right medicine. What you fear most is the latter." Qin Feng's expression became serious, "If it's the latter, you have to be mentally prepared. The mortality rate of general septic shock is 20%, and the kidneys contain a large number of blood vessels, once infected, the bacteria will quickly spread through the blood and enter other organs, the situation will become more critical, and the body may even fail."

"Doctor, what should we do then? You are already going to save him!" the patient's mother said anxiously.

"Don't worry." Qin Feng gave the patient a doctor's order, and then the patient's mother signed it, and Qin Feng re-entered the emergency room.

"Zhang Yao, go to the laboratory and get the patient's results out urgently." Qin Feng instructed while administering the medicine to the patient.

Zhang Yao immediately walked towards the laboratory without stopping
"The B-ultrasound machine? Are you here?" Qin Feng shouted.

"Here we come." The B-ultrasound doctor pushed the B-ultrasound machine over.

The patient's kidneys were checked with a probe, and soon the patient's kidney condition appeared on the B-ultrasound machine.

The imaging shows that the patient has mild hydronephrosis, but no obvious expansion of the liquid dark area is seen, which proves that the possibility of the patient's septic shock is very small.

On the other side, Zhang Yao hastily brought back the test results.

Qin Feng took a look.

Proct0.075ng/ml, crp2.45mg/L.

These two indicators are specific indicators of bacterial infection, and now it seems that the problem is not big.

The full name of PROCT is procalcitonin, and the normal range is 0-0.05. Although the result of the patient is a little higher, it is not too high.

The full name of CRP is C-reactive protein, the normal range is between 0-5, and the patient's result is within the normal range.

As long as this value is not doubled, the problem is not big.

At least septic shock can be ruled out, which made Qin Feng heave a sigh of relief. Septic shock is also difficult to treat, because you don't know how infected it is. Well, you can't cut them all.

The worst outcome is ruled out, then only severe pain remains.

The pain was so painful that Qin Feng couldn't imagine it.

After finding the cause, Qin Feng re-arranged the administration of medicine, and delivered the pain-relieving medicine into the patient's body in the form of rehydration and volume expansion.

After everything stabilized, Qin Feng asked the nurse to watch over here and call him if something happened, then Qin Feng took Zhang Yao and the two back to the outpatient clinic.

"Ding Ding Ding!"

Qin Feng's phone rang again.

"A patient undergoing surgery has suffered a cardiac arrest. Hurry over and have a look."

Qin Feng hurried to the first aid room, just came back from the first aid room, and entered the first aid room again, the watching nurse also looked at Qin Feng in surprise.

"Where is the patient in cardiac arrest?" Qin Feng asked.

At this time, the door of the emergency room opened, and Zhao Guoping and Li Xuewen followed, along with a group of interns and regular trainees.

"A few days ago, Dr. Yang from the General Surgery Department performed a total gastrectomy on the patient, but now Dr. Yang happened to be away from home, and the General Surgery Department couldn't help, so he sent him to our emergency department." Zhao Guoping said briefly.

Qin Feng nodded, and then took a look at the patient's past medical history. The patient had no underlying heart disease. It could even be said that the patient's heart function was quite good, but why did the problem occur?Why did cardiac arrest suddenly occur?
A set of instruments was sent to the patient, and Qin Feng, Zhao Guoping, and Li Xuewen were not idle, but became busy.

One examines the abdominal cavity, another examines the pleura, and a third examines surgical infections.

Everyone is working in a division of labor. The patient is now in cardiac arrest. One doctor checks so many links. After the check, the patient should be dead.

The abdominal cavity was examined by Qin Feng. Qin Feng first took a look at the drainage bag. There was no obvious accumulation of blood or fluid in the drainage bag, which proved that the patient's cardiac arrest had nothing to do with the bleeding.

Just as Qin Feng was about to continue the examination, the nurse monitoring the ECG shouted.

"The patient has ventricular fibrillation!"

Qin Feng looked over quickly, and the nurse subconsciously handed over the defibrillator to Qin Feng.

"Director Zhao, come and defibrillate, I'll give the patient chest compressions!" Qin Feng said.

"it is good!"

Qin Feng is a young man, so chest compressions are better than Zhao Guoping and the others. Everyone wants to obey the old.

"boom!"

The defibrillator is pressed against the patient, and a powerful voltage bounces the patient off.

Qin Feng stepped forward quickly, folded his hands, and began to perform chest compressions.

After five cardiopulmonary resuscitation cycles, Qin Feng stepped aside again, and Director Zhao performed defibrillation again.

The job of the defibrillator is to completely depolarize the myocardium through a high-voltage discharge, so that the heart's own pacemaker can re-control the heart's beating.

The correct method is to defibrillate first, then perform five cardiopulmonary resuscitations, evaluate the heart rate, and then determine whether to continue.

While Director Zhao was defibrillating, Qin Feng took a look at the blood gas analyzer. The patient's pH value was 6.921, which is normally between 7.35 and 7.45. At the same time, the patient's lactic acid content unexpectedly reached 11.21mmol/L.

This is already severe acidosis. It is important to know that the higher the lactic acid content, the greater the chance of death and the more dangerous the patient is. Even if they are rescued, lactic acid will make the patient's prognosis less optimistic.

"Is the bed doctor here?" Qin Feng turned his head and shouted.

"exist!"

A clean-looking doctor with glasses came out, looking a bit restrained.

"Tell me about the patient's specific situation."

"One hour before the patient, when I checked the bed, the patient suddenly developed a sinus tachycardia, and then his blood pressure dropped. During the examination of the patient, the patient's blood pressure disappeared. I judged it to be a cardiac arrest."

"Later, Dr. Li and I ruled out the cause, but the patient's myocardial infarction indicators were not abnormal, and there was no diagnostic paracentesis, so the cause of the cardiac arrest is unknown now."

(End of this chapter)