My medical skills are a billion points

Poisoning can occur even if you accidentally drink the water in which the oleander twigs are soaked.

What's more, this girl still had oleander leaves in her mouth, which is why these head poisoning symptoms appeared.

One of the girls who came together still didn't believe it.

Because she has never learned about this aspect of knowledge, nor has she heard that phlox is poisonous.

She also took out her mobile phone and searched online.

After this search, I was immediately taken aback.

"Ah, Xiaohan is really poisoned by oleander, what should I do!"

This girl named Xiaohan has such a big heart that she took a photo with an oleander leaf in her mouth.

Those who don't know are really fearless!

"Okay, you two don't search on the Internet, go to the hospital for your friend, she needs an infusion to relieve the symptoms of poisoning, otherwise, she will get worse and worse."

Xiao Chu urged.

Chapter 320 The patient who vomits blood

It can be said that the two girls who helped the patient came had big hearts.

My friend has been poisoned, and I am still looking for the cause on the Internet, so I don't hurry to go through the formalities.

After Xiao Chu's reminder, two friends of the patient hastily went through the hospitalization procedures on her behalf.

At this time, the patient's young lady was so weak that she couldn't walk, and she couldn't even sit up alone.

Xiao Chu had no choice but to ask Wang Panpan to push the gurney and push her to the ward.

In fact, there is no good antidote for oleander poisoning, it is just symptomatic infusion treatment.

Generally, it is an antiemetic drug that promotes metabolism, so that toxins can be excreted from the body as soon as possible.

In the case of a girl, the poisoning is not serious because the leaves are only bitten, and the infusion can be cured in about two days.

However, because of this incident, the three girls also saw the power of chyana.

It also made them re-acquainted with some plants, which look beautiful, but have the function of killing people.

After the girl's companion completed the hospitalization procedures, Xiao Chu asked Wang Panpan to do relevant examinations for her.

Such as blood routine, liver and kidney function, and electrolytes, these are all items that must be checked.

Moreover, oleander toxin is a neurotoxin, and severe poisoning has a certain impact on the nerves.

However, in clinical medicine, there is no targeted antidote to the toxins of oleander, only symptomatic treatment.

Xiao Chu asked Wang Panpan to do an electrocardiogram for the patient lady.

It was not a big deal to find out that there was a problem with her electrocardiogram.

It shows that the toxin has not yet had a significant effect on her heart.

This also made Xiao Chu heave a sigh of relief.

If the patient's sister has heart disease such as arrhythmia, it means that the toxin has already affected her heart, and it will be relatively troublesome to treat.

Fortunately, the current patient's condition is only mild poisoning, and timely symptomatic treatment can be cured.

Moreover, it did not affect the liver and kidney functions. Relatively speaking, this girl is quite lucky.

Then Xiao Chu asked Wang Panpan to prescribe a doctor's order.

It mainly uses esomeprazole, some vitamins, and [-]% of people's glucose to promote metabolism.

The girl underwent oxygen inhalation infusion, gastric mucosa protection, nerve protection and other drug application.

After about 10 minutes, she felt that her symptoms were relieved a lot.

The girl felt weak and less serious.

And palpitation and shortness of breath, the situation has eased.

The dizziness is not obvious, at least there is no more nausea and vomiting.

Strictly speaking, if a girl eats oleander leaves into her stomach, she still needs gastric lavage.

And she just bit the oleander leaf, and the mucous membrane of her lips absorbed some oleander juice, which led to her poisoning.

Therefore, there is no need for gastric lavage treatment, and the girl is relieved of the pain of gastric lavage.

After Xiao Chu's careful medication, her symptoms have improved.

Therefore, I am very grateful to Xiao Chu, but he is still very weak and needs to continue taking medicine.

It was about to get off work, so Zhou Ziqiang also came over to get off work with Xiao Chu.

Then roll a skewer.

After all, during the operation before, he had already promised Xiao Chu that he would treat him to dinner at night.

In fact, Zhou Ziqiang meant to be a teacher.

No matter what Zhou Ziqiang meant, Xiao Chu naturally couldn't refuse ruthlessly.

And Xiao Chu just came out of the consulting room, and was about to go back to the office to wash his hands, but suddenly found a man in his thirties who staggered in from the door of the emergency room.

What is frightening is that the man spit out a mouthful of blood when he took a step.

Behind him, there was a long series of bloodstains, very bright and dazzling.

People who passed by him, like the god of plague, stayed away from him.

And when this man saw Xiao Chu wearing a white coat, his gloomy gaze instantly lit up a bit of energy.

He paused for a moment, then quickly walked towards Xiao Chu.

However, as his pace quickened, the speed at which he vomited blood also quickened.

The blood in his mouth kept spitting out as if he didn't want money.

There was a big puddle of bright red and dazzling blood under his feet and behind him.

The scene is extremely scary!

There are still many patients in the outpatient hall. Seeing this scene, the timid people screamed in fright.

Xiao Chu could tell at a glance that this man had gastrointestinal bleeding.

Rather than massive respiratory hemoptysis.

Respiratory hemoptysis, it is impossible to keep bleeding like this.

Only when the gastrointestinal tract is bleeding, will he spit out like this.

Before the man could reach Xiao Chu, he collapsed.

Xiao Chu hastily held him up to prevent him from falling on the hard floor.

Xiao Chu made a rough estimate, and felt that the man spit out about a thousand milliliters of blood.

Now that he is in this situation, he is obviously in shock.

Xiao Chu hurriedly called for someone to push the gurney over, but he didn't care about the blood on the man's body, so he carried him onto the gurney and hurriedly pushed him into the emergency room.

The man also had no family members and came to the hospital alone.

As a doctor in the emergency department, the most important thing now is to save lives. Regardless of whether the family members are present or have money, the patient must be rescued first.

The man lying on the rescue bed was still sane, but unable to speak.

When Xiao Chu asked, he could only nod or shake his head.

The nurse measured his blood pressure, and it was only [-] to [-], and he was in hemorrhagic shock.

In this case, he should be urgently given blood transfusion, and the application of rehydration fluid to replenish blood volume.

Moreover, this man may continue to vomit blood. If he continues to vomit blood, he will die soon.

Because the patient was already in the early stage of shock, Xiao Chu asked him a few words, but couldn't answer, just nodded or shook his head.

Xiao Chu didn't get any effective information.

Now Xiao Chu and Zhou Ziqiang don't care whether they are off work or not, the priority is to rescue the patients.

Several people quickly got busy, first urgently handled the hospitalization procedures for the man, and then checked the blood type and prepared blood.

At this point in time, just when the day shift and the evening shift are handing over, the manpower is relatively sufficient.

Although the man was in critical condition, the doctors and nurses were methodical and rescued him.

The patient's gastrointestinal bleeding, the diagnosis is clear.

However, what is the specific reason for the gastrointestinal bleeding requires further examination.

The most urgent task is to transfuse blood as soon as possible to ensure the man's blood pressure is stable, and he must not be made unconscious.

Soon the man's blood routine and hemoglobin results came out, indicating that his hemoglobin was only 55.

The hemoglobin of a normal adult man should be between 55 and [-], but this man is only [-].

Hemoglobin between 90-120 belongs to mild anemia.

Between 60-90 belongs to moderate anemia.

Between 30-60 belongs to severe anemia.

<30 belongs to extremely severe anemia.

If it is extremely severe anemia, people are basically gone.

The man's hemoglobin is only 55, which obviously belongs to severe anemia.

Blood transfusion must be done as soon as possible, otherwise life is in danger.

However, when his blood type came out, Xiao Chu was dumbfounded!

Here's to trouble!

Chapter 321 It's Panda Blood, Dangerous

The man's blood type turned out to be type A blood Rh negative.

Type A blood is very common, but Rh-negative blood is extremely rare.

This blood type is also known as panda blood.

Xiao Chu didn't expect that the man lost so much blood, and it turned out to be rare panda blood.

Big trouble now!

You must know that no matter how big the hospital is, panda blood is not routinely kept.

Only when needed, will the citizens with the same blood type as panda blood be called and asked to come to the hospital to donate blood.

But now the man is in shock, in a critical condition, and needs a timely blood transfusion.

And now the hospital doesn't have his panda blood at all, what should we do?

Zhou Ziqiang, Zhao Fangshu, who was on the night shift, and others also saw the man's blood type, and they were stunned for a while.

Although panda blood is rare, they have seen it as doctors in the emergency department.

But this is the first time they have seen a patient with panda blood who needs an emergency blood transfusion.

When they performed surgery before, they checked the patient's blood type and found panda blood.

However, the surgery they performed was an elective surgery, not an emergency.

So patients can wait.

But the patient in front of me has suffered severe blood loss, so I can't wait!

The patient needed an emergency blood transfusion, but the hospital's blood bank had no blood, so Xiao Chu could only use succinylated gelatin, a large amount of normal saline and dopamine to maintain the patient's blood pressure.

Succinylated gelatin is an artificial colloid that can replenish blood volume, but it is only temporary after all.

In such a situation, the blood transfusion department does not store panda blood at all, and in an emergency, the medical department needs to be notified.

It was already past six in the afternoon. If you want to transfuse the patient's blood as soon as possible, you need the joint efforts of the medical department and the blood transfusion department.