Chapter 785 Successful Rescue! (Add 2 for the Tiger Who Walks the Catwalk for the Leader)

In a word, everyone around was stunned by what they said!

When the little nurse saw Chen Cang, her eyes suddenly lit up.

Isn't that the guy from that time?

Everyone did not expect to meet Chen Cang!

Chen Cang did not hesitate, and now is not the time to hesitate, he hurriedly said, "Let's go together!"

Shen Xiuyuan nodded quickly.

Here, Chen Cang introduced: "This is the director of the Second Provincial Hospital, President Qin, and this is the emergency doctor Qin Yue. Let them all come in, I hope it can help!"

When Shen Xiuyuan heard this, his eyes widened, President Qin?

He nodded quickly: "Okay! Okay!"

It's a good thing that someone has an idea. Shen Xiuyuan quickly said to the nurse, "Call Director Ji and say..."

The little nurse nodded.

Qin Xiaoyuan kept looking at Chen Cang without saying much. If Chen Cang made a mistake, he would remind him.

but!

He found that the choices Chen Cang made from scratch were all very correct, even the best choices.

Chen Cang glanced at the nurse and said quickly:

"Clean up the secretions from the nose and mouth, keep the airway open, and prepare to inhale oxygen!"

After organophosphorus poisoning, the activity of cholinesterase is inhibited and the activity of hydrolyzing acetylcholine is lost, so it will cause the accumulation of acetylcholine!

However, acetylcholine receptors can cause muscarinic or nicotinic and central system symptoms.

Therefore, the core treatment in the treatment process is anticholinergic therapy.

However, there is currently no anticholinergic drug on the market that can better fight against these three types of symptoms at the same time, and only one or two of them can have a significant effect.

Therefore, Chen Cang cannot be careless about the rescue of this poisoning, which is why he did not let Shen Xiuyuan be responsible.

Because by contrast, he is more willing to believe in himself!

At this point, the patient's blood has been drawn.

"Insert the catheter, put on the diuretic!"

"Stomach lavage!"

At this time, Li Dan was already incontinent, and diuresis can also speed up metabolism.

Four or five little nurses immediately started to get busy!

Soon, the ECG monitor is ready.

Just as the monitor started to work, Didi's alarm began to sound!

Chen Cang looked up and saw that the heart rate was getting lower and lower, the blood oxygen protection level was also dropping, and the blood pressure was also dropping!

Chen Cang frowned suddenly!

He said quickly: "Prepare Atropine!"

Here, Shen Xiuyuan has already started to prepare. It is common sense to use atropine for the poisoning of organophosphorus pesticides such as dichlorvos, and Shen Xiuyuan is no stranger to it.

But!

Chen Cang suddenly said, "16 mg!"

This sentence directly startled Shen Xiuyuan, and even Ji Qu, who ran in, was stunned!

"How many?"

Chen Cang continued: "16 mg, intravenous injection!"

Chen Cang's words were like a thunderbolt in the emergency room, which scared Shen Xiuyuan and Ji Qu, the director of the emergency department, a little dumbfounded!

16 mg of atropine intravenously!

Is this crazy?

16 mg!

Not an intramuscular injection!

Not even intravenous drip!

"Will it be too much?" Ji Qu asked with a frown.

Chen Cang said in a deep voice, "It must be like this!"

Qin Xiaoyuan also said at this time: "Atropine should be used in sufficient amount for the first time, so that the effective drug concentration in the blood can be reached as soon as possible, which can not only effectively avoid the aging of poisoning enzymes, but also reduce or even eliminate the symptoms of poisoning within a period of time!"

"The latest guidelines can use 20 mg, yes, no problem, and intravenous injection can quickly reach effective blood drug concentrations!"

"And the patient's poisoning score is relatively high now, which is severe!"

Hearing Qin Xiaoyuan say this, Ji Qu didn't say much anymore. Qin Xiaoyuan is a famous doctor in the country and a master in internal medicine.

It is very convincing!

That's the power of fame.

This is also the reason why Qin Xiaoyuan came, he was worried that Chen Cang would not be able to hold the scene.

Here, the gastric lavage has already started.

16 mg of atropine also started working instantly!

The nurse was overjoyed when she saw the ECG monitor:

"The heart rate has returned, the pulse has also increased, and the blood oxygen protection has increased, which is basically normal!"

Chen Cang lowered his head to check, and there was no evidence of atropine.

Time flies by!

Rescue continues.

Half an hour has passed, Chen Cang frowned, still no atropine response?

"Continue intravenous atropine!"

Here, Shen Xiuyuan is not hesitating, and continues to prepare!

Originally, this kind of rescue should be initially sufficient and repeated medication!

But... he just doesn't know how much is enough to be enough!

In fact, they are worried about atropine poisoning.

Drug poisoning is also more dangerous.

First aid is actually dancing on the tip of a needle!

The peak and extreme treatment are continuously performed.

Continue to make corresponding adjustments and treatments according to the patient's performance and symptoms.

This is the so-called seeing tricks and dismantling tricks, soldiers come to block!

If first aid is the most beautiful art, no one should doubt it.

Because the human body itself is one of nature's most amazing works.

Taking the life of the human body as a bet, every time, we must go all out.

The grasp of every emergency medicine is very important for emergency doctors!

The difference is a thousand miles away!

And Chen Cang's grasp of emergency poisoning is perfect, and his grasp of emergency medicine is also perfect!

Through the patient's symptom and sign score, he can judge what Li Dan's current indicators are!

In front of him, on the four-dimensional model map, Chen Cang seems to be able to have an intuitive feeling about the patient's symptoms, his physical signs, as well as the poisons, atropine, acetylcholine...etc. in the body!

At this time, Li Dan suddenly began to twitch again!

Chen Cang pondered for a moment, and immediately said, "Scopolamine, 2gm, intravenous injection!"

Atropine mainly targets the M receptor, which is muscarinic.

And scopolamine mainly targets N receptors, which is nicotine.

The two are distinct.

Scopolamine has a general cardiovascular effect, but has a significant effect on the nervous system. It can relieve central excitation and has a significant effect on muscle tremors.

"Chlorophosphine..."

Needless to say, Chen Cang, Shen Xiuyuan also understood.

The effect of chlorophosphine is very good, and it is the drug of choice for the rescue of organophosphorus pesticide poisoning at present!

One by one the doctor's orders are continuously issued!

Li Dan's symptoms are also being relieved, and the poisoning effect is also improving.

But no one dared to be negligent.

Because, the treatment of organophosphate poisoning, there is a rebound problem.

And this debounce mechanism, there is still a lack of clear standards.

For debounce, there is currently no effective solution.

To put it simply, if the first round is cured and does not rebound, it may be safe. If it rebounds...

Just GG!

After being busy for most of the night, Li Dan finally stabilized.

Seeing that it had stabilized, everyone breathed a sigh of relief.

Ji Qu looked at Shen Xiuyuan: "Doctor Shen, work harder at night, this... President Qin, Director Chen, you should go back and rest, it should be fine."

Chen Cang nodded and looked at the time, it was already past six o'clock.

If it is summer, the sky will be bright.

Unconsciously, this time has come.

Chen Cang glanced at Qin Xiaoyuan and Qin Yue with a tired face, and said distressedly, "Uncle, Yueyue, don't go back today, take another day off, and come back tomorrow?"

Qin Yue also yawned, and everyone was a little sleepy.

In particular, Qin Xiaoyuan drove over early yesterday, and he didn't have a good rest. After such a toss, he was a little tired.

Qin Xiaoyuan nodded and breathed a sigh of relief.

After leaving the emergency room, Wang Fan's parents hurriedly stood up, their faces full of unease. I don't know when Wang Fan also came, lost.

Wang Fan hurried over: "Chen Cang! Chen Cang... how is Dandan?"

Wang Fan's parents also looked at Chen Cang eagerly.

Chen Cang breathed a sigh of relief: "It's better for the time being, but it remains to be seen if it can stabilize."

What Chen Cang said was the truth.

And here, Chen Dahai also hurried in.

He was here to pick up Chen Cang and the others, and he was relieved to hear that it was all right.

"go home!"

...

ps: Dichlorvos can still be saved, but... Paraquat really has no solution. As the book friend said, it gives you time to regret, but does not give you a chance to live.

Had the opportunity to write about paraquat.

Perhaps with the development of science and technology, all of these can be saved, but the only thing that has not been saved is gambling.

Cherish life, stay away from pornography, gambling and drugs! (Not billed.)