Signing in at the hospital, the first operation shocked the whole country!

Xu Tiantian frowned slightly after watching the film, and then handed it to Qin Feng.

"Yes, yes, I am used to sleeping on my side, but I have been used to it for so many years."

Hearing what the patient said, Xu Tiantian and Qin Feng next to him looked at each other.

"Well, you go for an angiography. I suspect that you have oppressed one arm all year round, causing blood vessel blockage or deformation."

......

In this way, the two clinics continued to accept patients, although it was inevitable that some patients with doubts would be encountered.

But with Qin Feng present, they were all diagnosed and resolved quickly.

at this time,

A woman in her early thirties walked in with the help of an old lady in her 70s and [-]s.

The old lady seemed to be in a bad mood, walking staggeringly, covering her head and kept 'humming~'

"Sit down, what's the matter?"

Seeing this, Xu Tiantian motioned for the old lady to sit down and disinfect her hands.

"Doctor, my mother's blood pressure has been very unstable recently, fluctuating from time to time. It seems to have gotten worse in the past two days. She almost passed out this morning."

The woman next to her looked eager and said quickly.

"Do you have a history of high blood pressure?"

"Yes, this is a case. My mother has had high blood pressure for more than ten years."

Upon hearing this, the woman handed over the case in her hand.

Hypertension is a relatively common disease encountered in outpatient and emergency departments.

Nowadays, a large number of people have more or less three highs, so they have seen a lot.

After reading the case, Xu Tiantian probably understood the situation, and put it in front of Qin Feng.

Qin Feng took a brief look. The patient is 62 years old this year and has a history of hypertension for 17 years.

According to previous examinations, the patient has reached the range of severe hypertension.

"Come on, give me your arm and I'll take your blood pressure."

Xu Tiantian took out the blood pressure monitor and measured the old lady's blood pressure.

The next second, when the value appeared, Xu Tiantian was taken aback!

Systolic blood pressure 220mmHg, diastolic blood pressure 160mmHg!

This is already an extremely dangerous state for the elderly!

Severe grade three hypertension!

"Quick! Hurry up and help her lie down."

Xu Tiantian immediately stood up and walked over, helping the old lady to lie down, and then notified the head nurse Liu Juan to dispense the medicine.

"Nurse head Liu, severe hypertension, intravenous sodium nitroprusside."

"Ok."

You know, even for young people, having a blood pressure over 220 is a scary thing.

As the body function of the elderly declines, the cells lose their activity, and the cardiovascular and cerebrovascular are extremely fragile.

Many of them outside the brain are due to high blood pressure, coupled with the sudden over-excitement, the blood pressure instantly exploded and broke through the blood vessels.

Severe cerebral hemorrhage is caused, and timely rescue is also a stroke, and he is paralyzed in bed.

There are still many who are not even in time for surgery, and those who are sent to the hospital are already dead.

This is also one of the high incidence cases of sudden sudden death in the elderly!

As for the old lady in front of her, her blood pressure is so high that it can be said that as long as there is an accident, the blood vessel may burst at any time.

At that time, it will not be a problem of lowering blood pressure, but living in pain for the rest of my life.

"Pay attention to controlling the rate of blood pressure reduction, and the 24-hour reduction rate should be within 30%."

At this time, Liu Juan had already come in with the rehydration solution, and the nurse said while giving the old lady an injection.

Qin Feng nodded slightly, after all he was experienced.

In fact, Liu Juan, the head nurse, is even more powerful than Zhao Yitian and Xu Tiantian in comparison!

An experienced and skilled head nurse has no lower status than the attending physician.

Because although doctors are responsible for the diagnosis and treatment of patients, the actual treatment process is still operated by nurses.

So once a nurse has a problem, even the doctor may not be able to respond in time.

This requires a head nurse who can take full control and give nurses all the time.

Not only to be responsible for the work of the nurses, but also to take care of the patients, the accuracy of medication, and concern for life.

It's not easy for nurses~

Liu Juan has worked with three directors, from the triage table to the operating room patrol, equipment, and head nurse, for more than ten years.

This grasp of various diseases is even better than that of ordinary residents!

"Send the patient away for observation, and the family members for a while."

Qin Feng looked at the situation in front of him and said immediately.

"Who are you to the patient?"

"I am her daughter."

The woman also had some anxiety on her face when she heard the words.

"I want to tell you about the current situation. Your mother's high blood pressure has reached a very serious level."

Qin Feng took the initiative to speak to her and said,

"The high pressure is 220, the low pressure is 160, and blood vessel rupture may occur afterwards. At that time, people may say that they are gone.

Therefore, as family members, you must let the elderly take the medicine on time, and do not have major psychological fluctuations. "

"Doctor, we also know this."

The woman's expression suddenly became a little helpless and sullen when she heard the words.

"But she didn't listen to us at all, and asked her to take her medicine on time, but she would throw away the medicine secretly every time.

We have to go to work again, so we can’t be around every day, and when we go home at night, we will let her take medicine. She can even hold the medicine in her mouth and spit it out after we leave.

What do you think we can do? "

Speaking of this, the woman covered her face with her hands, her voice full of grievances.

Qin Feng and Xu Tiantian also sighed secretly after listening.

There are indeed too many such situations. Many elderly people think that taking medicine is useless, or they themselves resist taking medicine.

In addition, the disease of high blood pressure will not break out until the critical moment, so I feel that I am fine.

But in fact, if you don't pay attention to a little increase in blood pressure, once it accumulates to the verge of an explosion, even a single standing up will cause blood vessels to rupture.

By that time, I have no regrets about taking the medicine.

"Think of a way. As children, you have to let her learn to accept it."

Qin Feng shook his head and continued to persuade.

"Actually, it's not that my mother doesn't believe it, but she just doesn't want to take the medicine in the pharmacy, and instead secretly buys other antihypertensive medicines by herself."

"Other antihypertensive drugs?"

Qin Feng frowned slightly: "What antihypertensive medicine?"

"I don't know, it's like a kind of Chinese medicine."

The woman thought for a while, then said.

traditional Chinese medicine?

hypotensive?

Qin Feng immediately became alert when he heard the words, and hurriedly asked.

"Did you bring the medicine you took?"

"Oh, I brought it to you when I was leaving."

The woman nodded, took out a small blue porcelain bottle from her bag, and put it in front of the two of them.

Qin Feng quickly took it over, and when he opened the cork, a strong smell of traditional Chinese medicine wafted out.

He poured out two small, dark-looking pills from it.

this taste~

Doesn't seem right!

He has long signed ancient medical books including "Qing Nang Jing" and "Qian Jin Fang", and he is familiar with the identification of traditional Chinese medicine.

And this pill has a very fierce licorice smell.

Licorice itself contains a lot of glycyrrhizic acid and glycyrrhetinic acid, which are ingredients that can easily stimulate blood pressure.

It is not a big problem for patients with first and second grade hypertension to take a small amount, but this patient has already reached grade three severe hypertension.

And coupled with the amount of daily consumption, it is no wonder that such a serious situation occurs!

"Which pharmacy did you buy this medicine from?"

"No." The woman shook her head, "It seems that a friend of my mother recommended it, and then bought it for her. She said it was very effective, and she also ate it herself."

"Do you have the phone number of the patient's friend? Call now and ask about the purchase channel of this medicine."

Qin Feng immediately said with a serious expression.

"What's wrong? Is there something wrong with the medicine?"

The woman was taken aback when she heard the words, and immediately realized that she took out her mobile phone and dialed a number.

"Hey, Aunt Zhang, I want to ask where did you buy the antihypertensive medicine you bought for my mother?"

"No, no, I'm not suspicious of you, it's~~~ I have a colleague, her father also has high blood pressure and has not been very good, she knows that the medicine my mother takes also wants to buy two boxes to try.

Please ask me where you bought this medicine, so I can rest assured. "

Qin Feng was very clever when he heard the woman's words.

"What?! Friends on the Internet!"

Immediately afterwards, the woman's voice instantly increased several times, and she bounced off the chair with an extremely ugly expression.

"Aunt Zhang, didn't you say you bought it from a pharmacy in another place? Why is it online again!

My mom is in the hospital now!You tell me clearly! "

Hearing this, the hearts of Qin Feng and Xu Tiantian sank suddenly.

problem occurs!

......

After a while, the phone was hung up, and the woman's face was livid, obviously very angry.

"Where did you buy this medicine? How much did it cost?"

Qin Feng asked calmly.

"Yes... She saw the information in WeChat Moments, and then added friends to buy it. A box is 790 yuan, and my mother bought more than 5000 medicines."

The woman gritted her teeth and said with unspeakable bitterness.

Good guy!

Undoubtedly counterfeit medicine!

"Okay, your mother's situation should be stabilized, you should call the police first, it's enough to file a case."

Qin Feng handed her the payment slip and persuaded her.