Chapter 427 It's Not That Simple!
At nine in the morning, a mother and daughter walked into the emergency room!
The daughter is in her 40s and is small and thin. At this time, she is supporting the old man, and she has been nagging at the old man with disgust: "If you are not allowed to eat, you have to eat it, is it okay now? Vomiting and diarrhea! It's so big! How old are you, tell me about you!"
The woman seems to have a very fast mouth and a sharp mouth, and has been nagging at the old man endlessly.
"You can't eat cold food, and you have to go to the hospital if you eat a bad stomach! Are you asking me for trouble? After going to work well, you have to come back and take you to the hospital! You can't save me snacks."
The old man was obedient and did not say a word. After a while, he said, "That's what I thought too... I can't waste it. This good jelly is not broken again!"
The old mother is 80 years old, her face is wrinkled, her hair is white, and although she is a little thin, her skeleton is bigger than her daughter's, and it seems a little laborious for her to support her!
After entering the emergency room, the woman was panting, but she still carefully supported the old man, for fear of being bumped.
Chen Cang and Xu Dongdong just came out of the room. After seeing it, they quickly greeted: "Xiao Lin, push a bed out."
Seeing this, Xiao Lin nodded quickly, she moved very neatly, and ran out not long after.
Chen Cang and Xu Dongdong helped and put the old man on the bed, and the thin woman finally took a breath, but before she had time to rest, she hurriedly called an emergency number.
Chen Cang hurriedly asked, "What's the matter, old man?"
The old man closed his eyes and said nothing, lying on the bed, seemingly exhausted.
The skinny woman said, "Is it prostration? After I went to work this morning, my dad called me and said that my mother had been having diarrhea in the morning, and she had vomited and diarrhea several times."
"As soon as I asked, I found out that she ate the jelly from last night! She must have eaten her stomach."
After listening to Chen Cang, he nodded: "Oh! Did you have any old diseases in the past?"
The woman thought for a while: "I have diabetes and high blood pressure, but I am also taking antihypertensive drugs, and I am taking insulin for diabetes. I take nifedipine sustained-release tablets for high blood pressure, and I take one tablet a day, and insulin is used... In the morning 8 units..."
The woman said it in great detail, which made Chen Cang look at him: "Are you studying medicine?"
The woman shook her head and sighed: "No, my mother has been ill for so many years and has been following me. She doesn't take medicine well and always thinks it is too expensive, so I will give her medicine regularly every day."
Speaking of which, Chen Cang couldn't help but look at the woman a few more times. After all... there are not many children who can do this.
The non-stop chatter just now should be the same as the mother's nagging to her child when she was a child.
Take the trouble.
As people get older, roles actually change.
However, even so, after listening to the woman's words, Chen Cang did not fully believe it.
I habitually picked up the stethoscope and listened to my stomach, and the bowel sounds were indeed a little hyperactive.
At this time, the old man opened his eyes.
Chen Cang asked, "Old man, what's wrong with you, tell me."
The old man's voice was very low, and he seemed tired and weak, and said, "I just feel sick to my stomach. Also, I'm exhausted, and my body hurts everywhere. Oh...and I'm a little flustered."
When Chen Cang heard this, he hesitated for a moment.
Electrolyte imbalance?
Low potassium can cause this series of manifestations, such as lack of energy, arrhythmia, or some neurological diseases, similar to muscle weakness.
Thinking of this, Chen Cang said to the nurse: "Xiao Lin, check a blood sugar, and also check a blood routine and electrolytes."
The elderly must pay attention when supplementing electrolytes.
He is more sensitive than young people.
While speaking, the old man was pushed into the observation room.
It stands to reason that such symptoms are very common. The elderly eat a bad stomach, which may cause electrolyte disturbances. This symptom is also normal.
Xu Dongdong, who was on the side, watched Chen Cang's examination and asked Chen Cang: "Mr. Chen, could this be due to electrolyte imbalance, which caused low sodium and potassium, so it should be good to refill!"
Looking at Xu Dongdong, Chen Cang couldn't help shaking his head: "Replenishing fluids can't be done casually, especially for the elderly. Without the results of serum electrolytes, any supplementation of sodium and potassium may be a crime!"
A few young people in the same dormitory as Xu Dongdong saw the patient and came over.
Hearing Chen Cang's words, each has his own thoughts.
Chen Cang entered the observation room, and the man smiled and glanced at Xu Dongdong: "It's so complicated, it's so complicated. When I was in the hospital, I saw many patients like this! Just lose some sugar and saline!"
Although Xu Dongdong felt that what the man said was unreasonable, he didn't quibble, got up and entered the observation room.
The man couldn't help but smiled, looked at Xu Dongdong and Chen Cang, and shook his head: "Hey...Young man, it's just too mysterious, how can there be such a mysterious thing!"
The blood sugar query is very fast, it came out not long after, the blood sugar is: "16.4!"
Chen Cang frowned when he saw the blood sugar!
According to the patient and family members, the patient's blood sugar should be one hour after the meal, but... it is still a bit high.
Chen Cang looked at the woman and said, "The blood sugar control of the old man is not very good, 16.4 mmol."
When the woman heard this, her face immediately flushed: "I'm sorry, doctor, the blood glucose meter in my house is not accurate, it has not been adjusted, and it has not been measured for a while, but I still have insulin injections every day."
At this time, the old man suddenly had difficulty breathing, and he opened his mouth hahaha trying to inhale.
This suddenly caught Chen Cang's attention.
Chen Cang hurriedly asked, "Has the old man had heart disease, lung disease or kidney disease before?"
Seeing the old man like this, the woman was startled and panicked, and quickly shook her head: "No, absolutely not!"
Seeing this, Chen Cang hurriedly connected the patient with oxygen.
Then Chen Cang picked up the stethoscope and listened in the lungs and heart area.
He heard faint breath sounds, and his heart was beating very slowly!
This time, Chen Cang was a little puzzled.
"Get on the ECG monitor!"
At this time, the old man's breathing was still very difficult, and it seemed that the oxygen inhalation had little effect, and he still opened his mouth to inhale.
At this moment, Chen Cang became nervous!
Xiaolin skillfully received the ECG monitoring, and Chen Cang said to Xu Dongdong: "The family members wait outside."
Seeing this, Xu Dongdong greeted the woman out of the observation room.
And Chen Cang quickly saw the value on the monitor!
Blood pressure is getting lower!
70/40mmHg!
Heart rate is getting slower and slower!
43 times/min!
Shortness of breath!
Humming, making the whole atmosphere serious.
Seeing this, Chen Cang hurriedly said, "EKG!"
Then I quickly untied the old man's clothes in a panic!
Now, Chen Cang has realized that things are not as simple as they see!