Chapter 19: Doctors may be indifferent to life and death

Ye Nan nervously ran to the custody room with his stethoscope, and asked himself secretly, was he using the medicine wrong? Is there any treatment that has not been done properly?

With a puzzled attitude, Ye Nan walked into the custody room. At this time, the patient's husband saw Ye Nan coming in and said panic: "Doctor, come and have a look. My wife is fainted again and can't even wake up. Please help me see!"

Ye Nan's heart tightened, and he looked over and shone his pupils with a flashlight. Now it has shrunk to about 1mm, and his whole body has started to sweat again, and his heart rate has gradually slowed down to about 90 times per minute.

There was a rebound, Ye Nan sighed inwardly. Among the ten pesticide poisonings, only one or two of them had rebound phenomena. This woman deserves to die. If you drink so much, who should jump back if you don’t jump back?

Although he was depressed, Ye Nan quickly analyzed it. Most of the reasons for the rebound were two. One was that the gastric lavage was not thorough; the other was that the dosage of atropine was insufficient and the atropine was not maintained!

As for gastric lavage, Ye Nan himself also looked at the situation. It should be said that after washing two or three buckets of water, the water finally became clear. There must be no problem with this.

As for the dosage of atropine, the amount of atropine is actually maintained quite a bit, but since it rebounds, it is still possible that the dosage is not enough, so I can only continue to use it! At present, the boundary between atropine poisoning should be quite far from that of atropine poisoning, so it should not be a big problem to add more!

After thinking about it, Ye Nan explained to the nurse beside him: "Push 10mg of atropine immediately, and then maintain it with 5mg every half an hour!" After the nurse pushed the medicine in, Ye Nan pulled the patient's husband outside and informed the other party of the severity of the patient's condition again, asking the other party to be mentally prepared!

The patient's husband saw that his wife's condition had worsened repeatedly, but he knew that Ye Nan had tried his best, so he didn't say anything, but just kept tears in his eyes and asked Ye Nan: "The doctor will ask you to continue to treat it as much as possible. If you can't save it, it's her life! I won't blame the hospital!"

Seeing that the patient's family understood his words, Ye Nan felt relieved. What he feared most now was the unreasonable patient. Although he had no problems in treatment and was not afraid of the other party causing trouble, if such a situation really happened, it would be a bad thing after all!

Ye Nan dared not relax at all now. After half an hour, he went to see the patient again. At this time, the patient was still unconscious. After looking at him, his pupils still had not changed much and his skin was still wet. Lin Lei

Ye Nan was shocked. What's going on? The ten milligrams of atropine were in and there was no reaction. How could it be?

Ye Nan, who was a little surprised and puzzled, touched his chin and thought for a while: "Is atropine effective? But how is it possible? First of all, the effects are pretty good, but now this situation is happening again! It's really hard to understand!"

"The patient suddenly fell into a coma again. Most of them may be caused by concurrent cerebral edema. But generally under the action of atropine, these should be reversible, so why would there be no response?" Ye Nan thought about this question. He was a little confused. Should he continue to use atropine or stop using it, because a very small number of people who suffer from atropine poisoning can also show that the atropine is ineffective!

If the efficacy is low due to atropine poisoning, then use atropine. It is undoubtedly the patient being sent to the abyss of death;

However, if it was not caused by atropine poisoning and atropine was discontinued, it would be difficult for the patient to survive. Ye Nan was swaying between these two sides!

Ye Nan took a deep breath. At this time, he had to calm down and make a choice. Ye Nan's mind was constantly turning, and he was analyzing it carefully according to the treatment situation. At this time, you must not be careless. A little bit of negligence may lead to the death of the patient!

Ye Nan, who was analyzing the patient's performance during the treatment process, found that all his treatment methods were not wrong at all. Before the patient fell into a coma again, the patient's condition also developed in the direction he expected, but it was just a sudden problem.

But no one can grasp this problem, just because although this rebound is mostly caused by two factors, there are also a few other factors. No one in the world can be sure of the specific reasons!

Ye Nan sighed helplessly and thought, "How do I analyze this?" In a state of depression, a sudden flash of inspiration in his mind, grasping an important question, that is, after the ten milligrams of atropine were pushed into the patient's body just now, the patient did not change at all, and even had no improvement in his pupils. It is generally impossible to have such a situation!

If the dose of the drug is not maintained enough, then if you add these ten milligrams, you will have a little reaction no matter what, but there is no reaction now! It only means one thing, that is, these ten milligrams of atropine have not worked! Then why is there no effect? ​​Only when atropine has been overdose, it will be useless!

Thinking of this, Ye Nan's eyes lit up and understood! He had to stop using atropine immediately. Now, only by switching to dopamine to improve circulation and having a stable and gentle diuretic effect can it effectively relieve brain edema and promote the patient's awakening!

Ye Nan, who had figured it out, quickly shouted and stopped the nurse who was about to push atropine for the second time, and quickly explained: "Stop all atropines! Use 10% glucose 250ml plus dopamine 20mg intravenous drops, immediately!"

The nurses didn't understand why Dr. Ye changed his doctor's orders temporarily and replaced it with inexplicable dopamine. There were quite a few patients who participated in the rescue of pesticide poisoning. Everyone knew that atropine was the most important for such pesticide poisoning patients, but Ye Nan suddenly asked to stop using it, and he was a little confused.

However, since it was the doctor's advice, the nurse did not dare to be disrespectful. She quickly put down the atropine that had been taken and replaced with dopamine for the patient to hang it up!

However, after half an hour of hanging like this, the patient's heartbeat increased slightly, but the reaction was still not big. Ye Nan's heart tightened and he thought to himself that his medication was still correct. It was just that this woman was too poisoned and had too weak constitution, so she had such a reaction.

Although it improved slightly, I don’t know if this woman can hold on. If she doesn’t hold on, it’s over. But looking at the woman’s weak appearance after being poisoned, Ye Nan felt really unsure, and he was afraid that it would not be easy to get through.

If this woman is really dead, and she violates the normal principles of taking medicine, she is afraid that there will be trouble at that time. Ye Nan sighed helplessly when he thinks of this, and he has to think of a way.

While he was stunned, Ye Nan suddenly remembered a Taoist talisman "Rejuvenation Talisman". This Taoist talisman was also a talisman that Ye Nan learned after accepting the inheritance of the Tianfu. It has the effect of mobilizing spiritual energy and quickly replenishing human energy and spirit. His lower-grade jade liquid can barely be used, and it may be effective for this woman's current weakness.

Ye Nan was overjoyed and did it when he thought of it. Anyway, the talisman had no side effects. He secretly drew it in the air with his fingers, condensed the power of the Taoist talisman on his fingers, pretended to be checking the patient, and quietly threw the Taoist talisman on the patient.

After throwing it over, Ye Nan looked at it with a hurried look. Finally, half a minute later, the heartbeat displayed on the monitor increased significantly. Ye Nan was happy and quickly looked at the patient's pupils again. Now the pupils have grown by about a millimeter. Ye Nan finally breathed a sigh of relief, and the rejuvenation talisman has taken effect!

At this time, the nurses next to them also breathed a sigh of relief. They had never seen anyone taking medicine like this before, and they were always worried, fearing that the patient's condition would become worse and worse after discontinuing the atropine. They even made plans. If the patient's condition began to deteriorate, they had to secretly notify Director Wu to take a look!

But now, unexpectedly, after using dopamine, the patient's condition improved significantly. They all looked at Ye Nan in surprise, and thought with conviction: "Doctor Ye of this rotation department could not have thought that besides being handsome, he is really capable!"

In this way, after another hour, the patient gradually woke up again. Ye Nan looked at his pupils and had expanded to 25mm, his skin was dry, and his heart rate reached 120 beats per minute. He felt very calm. This time the patient escaped. I hope he would not make any mistakes in the future. This would be difficult to save.

After another hour, the patient's heart rate began to slow down. At 100 beats per minute, the pupils shrank slightly. It seems that after three hours, the atropine in the patient's body has almost been excreted and cannot maintain atropine dysplasia. Now the patient must start using atropine for maintenance. This time, Ye Nan was even more cautious and used five milligrams for maintenance.

After another hour apart, Ye Nan gave five mg again, cautiously forcing the patient to atropine as the minimum dose to avoid poisoning again!

This repeated and cautious use, and it was not until the next day that the patient's condition was basically stable and he had recovered almost. Ye Nan really relaxed. Now the possibility of the patient's rebound is very small.

After hearing Ye Nan's words, the patient's husband breathed a sigh of relief. He was also worried and scared when he was standing by the side these two days. Seeing that his wife's condition was good and bad, he felt very upset and upset, for fear that his wife would go away accidentally, but now he finally felt relieved.

He knew that Ye Nan had tried his best to save his wife in the past two days, so he was so excited that he held Ye Nan's hand in tears, and said countless thanks and hard work incoherently!

Ye Nan chuckled and comforted the other party a few words before turning around and leaving.

This time, Ye Nan felt a lot. He used to study medicine or for his own interests and hobbies, but until today, he truly felt how heavy the responsibility he had on him was.

In the past, he would just treat patients according to some things he knew, and many critically ill patients died during the rescue;

But now he was thinking that although the patients in the past were indeed seriously ill and could not be saved, did they have done their best at that time? Have they thought of all the ways they could think of? Or did he not do some things well, and the patient lost the last glimmer of hope for rescue?
Chapter completed!