When doctors have a simulated operating room

The doctor said that the patient was not pregnant.

"What the hell? Contrast agent allergy?"

"What is he talking about? What contrast agent allergy?"

"Director Hu is allergic to contrast agent? Shouldn't it be lupus erythematosus? The red spots on his body look like lupus erythematosus."

"Where did Director Hu go to infuse contrast agent? Don't talk nonsense, okay!"

At the scene, many young doctors from West China were skeptical of Zhang Yi's speculation.

Even Lu Gao, who was leaning in the corner, couldn't help but whispered:

"Contrast agent allergy? What a boast! In my opinion, it's lupus erythematosus!"

Liu Zifei turned her head and rolled her eyes quietly...

This idiot...

Just know how to sing the opposite tune, don't you know how to observe carefully? ?

She didn't think it was lupus erythematosus, but it was more like an allergy.

As for the allergen being the contrast agent, she didn't expect that.

There are also patients who are allergic to contrast agents.

A small number of patients will experience allergic reactions such as nausea, vomiting, itchy skin and erythema after cardiovascular angiography.

That's because most of the contrast agents on the market are of two types, one of which can cause severe allergic reactions.

The first type is ionic contrast agents, such as 60%-76% diatrizoate.

There is also a non-ionic contrast agent, such as Uvitra, Iohexol, Omnipaque, etc. and low-osmotic ionic contrast agents.

The first contrast agent, diatrizoate, requires an iodine allergy test before use.

If the patient is allergic to the first contrast agent, it cannot be used, and only the second one can be used.

However, a small number of patients with the second one will also experience symptoms such as nausea, vomiting, itchy skin, etc.

So what Zhang Yi said is not impossible.

But where did Director Hu get the contrast agent?

Could it be when he went to the imaging department?

Not only Liu Zifei, but also some young doctors who chose to believe Zhang Yi were also thinking about where Director Hu injected the contrast agent.

Was it injected during the examination in the imaging department?

What kind of contrast agent was injected? What was the dosage?

Gao Tianqi was stunned and looked back at Zhang Yi:

"Who are you?"

"I am an ordinary doctor. I just want to remind you that Director Hu is more likely to be allergic. Don't use drugs for lupus erythematosus to treat Director Hu.

This will not only delay the disease and cause anaphylactic shock, but also easily cause damage to other organs."

Gao Tianqi frowned and glanced at Zhang Yi.

Ordinary doctor?

Do you still know that you are an ordinary doctor?

With so many big guys in this conference room, do you have the right to speak as an ordinary doctor? ?

Haha, you are still a doctor from Tianhe People's Hospital? Cut!

When will it be your turn to make a diagnosis at West China Hospital?

Gao Tianqi only responded indifferently, and he still didn't intend to listen to Zhang Yi.

In any case, let's do the examination first.

Just as several people were about to lift Director Hu onto the stretcher, suddenly, the ECG monitor sounded a rapid alarm!

Beep! Beep! Beep!

Blood pressure is dropping!

It has dropped to 83/52mmhg!

Breathing has also begun to drop!

It was 23 times/minute just now, and now it is 14 times/minute!

And the heart rate, which was over 110 just now, has now dropped to 85 immediately!

And it's not just that, it's still dropping!

A sudden drop must be abnormal!

"One dose of adrenaline and one dose of hydrocortisone, intravenous injection!

Director Hu is indeed allergic! Look at his collarbone, there is clearly a needle hole!

How could a normal infusion lead to a needle hole here?!

It must be a heart problem, so the puncture point is placed here, which is closest to the aortic arch.

So, Director Hu must have gone to the imaging department for a cardiovascular angiography!"

After hearing Zhang Yi's analysis, everyone around was stunned.

How could he speak so clearly, as if he had seen it with his own eyes.

Jin Zhenglun also took a closer look at Director Hu's collarbone and found that there was indeed a needle hole!

"I think it should be an allergy. Let's use adrenaline and glucocorticoids for anti-allergic treatment first to avoid symptoms of shock."

Jin Zhenglun spoke, but the doctor in the emergency department was still hesitant.

Should we listen to this doctor?

What if something goes wrong?

Director Hu's blood pressure and heart rate are still dropping while he lies on the ground!

But those people in the emergency room just held the medicine but didn't use it!

Zhang Yi said anxiously:

"Hurry up and save him! Can't you confirm it's an allergy now? Do you have to wait until

You can only tell it's an allergy when it's anaphylactic shock?

Are the observation, judgment and experience of the emergency doctors in West China Hospital so bad? ! "

Zhang Yi couldn't help but say a few words.

Gao Tianqi was angry when he heard it.

You brat! Who are you saying is bad?!

"Just do what he says! Treat it according to anti-allergy! I'll call the imaging department right away to see if Director Hu did an examination this morning! Save people first, saving people is important!"

Zhou Qihong took out his mobile phone while speaking.

Zhou Qihong said, and Gao Tianqi had to obey.

One epinephrine plus one hydrocortisone, intravenous injection.

Expand blood volume and infuse a lot of fluids.

"Add two more epinephrines!" Zhang Yi said again.

Gao Tianqi glanced at him and signaled the nurse to continue giving the medicine.

"What antihistamines are in your rescue kit?"

"Injection solution? ”

“Yes, injection!”

“Promethazine, diphenhydramine.”

“Then one diphenhydramine, intramuscular injection.”

Diphenhydramine is an antihistamine, a drug for treating severe allergies.

Gao Tianqi didn’t say anything, and told the nurse to inject it intramuscularly.

At this time, Zhou Qihong came back after making a phone call.

He frowned, and when he walked in, he looked at Zhang Yi as if he had seen a ghost.

“How is it, President Zhou? Did Director Hu really do a cardiovascular angiography?” Gao Tianqi asked curiously.

Zhou Qihong tried his best to suppress his inner shock and explained:

“Director Hu…did do a cardiovascular angiography!”

“Wow!”

“Hiss!”

“What? !”

“I knock! "

The whole conference room was filled with gasps!

Oh my god, Zhang Yi actually got it right!

You can even guess this??!

It's outrageous. It's outrageous!

The young doctors in the conference room looked at Zhang Yi like a big boss.

Oh my god, he is worthy of being Dr. Zhang~!

He is handsome and capable!

Even Gao Tianqi was surprised and opened his mouth, not knowing what to say.

Not to mention the big-slicked-headed man who said it was lupus erythematosus at the beginning.

At this moment, the big-slicked-headed man was also standing there in a daze.

Damn!

It's amazing. How did he know that Director Hu had a contrast agent examination this morning??

At this moment, before everyone recovered from their shock, they heard Zhou Qihong continue:

"The imaging department said that Director Hu is allergic to ionic contrast agents, so non-ionic contrast agents are used.

But it seems that the side effects of non-ionic contrast agents on Director Hu are also very serious.

Forget it, you should send Director Hu back to the emergency department first. Remember to treat him as an anti-allergic agent, because Director Hu is allergic to contrast agents. "