I Can See Health: Chapter 83 Poke poke!
Chapter 83 Poke Poke Poke!
9:30 pm.
A middle-aged woman walked into the doctor's office in the second endocrinology district.
She was holding a kraft paper bag in her hand.
"Is the doctor on duty Dr. Min here?"
Min Ling looked back.
"I am."
"I'm the mother of Lu Luqian, the patient who just came here." The middle-aged woman walked to Min Ling's side and put the cowhide bag in her hand on the table, "This is the medical record of her hospitalization in the county hospital two months ago. brought it all."
Min Ling nodded.
"Okay, put the medical records with me first, and return them to you after reading them. You can go back to the ward first."
The middle-aged woman pursed her lips, looking like she was about to speak.
"Is there anything else?" Min Ling wondered.
The middle-aged woman paused, "Doctor Min, is my daughter seriously ill now?"
Min Ling looked serious and said solemnly: "At present, until the cause is not found and the hypokalemia is not completely resolved, the patient is at risk of malignant arrhythmia and even sudden death at any time."
The middle-aged woman's face darkened, she sighed, and then said, "Thank you doctor, I understand."
…
After the middle-aged woman leaves the ward.
Min Ling sat with Lu Chen and looked up the patient's medical records.
This medical record is the patient's medical record when he was hospitalized at the local county hospital two months ago.
At that time, the girl was admitted to the hospital because of "limb weakness".
After being admitted to the hospital, the relevant examinations were perfected, and the results were reported: potassium ions were 2.3 mmol/l, and the remaining ions were generally normal.
AST212U/L, creatine kinase 929U/L, and the other two isoenzymes are roughly 5 times higher than normal, not so obvious.
Continue to read the medical records.
The girl's blood pressure is normal, thyroid function is normal, complement, immunity, antinuclear antibodies, etc., have been checked all that can be thought of, no abnormality or generally normal.
First of all, the blood pressure is normal, and diseases such as primary aldosteronism and pheochromocytoma are basically excluded.
Secondly, thyroid function was normal, ruling out thyroid myopathy.
"Hey, how come the test results are normal?" Min Ling let out a light sigh, "It shouldn't be, there must be a reason."
Turn over the medical record to the final discharge record.
Lu Chen noticed that the discharge diagnosis given by the county-level hospital was that the cause of hypokalemia was under investigation.
At the same time, it is recommended to seek further treatment in a higher-level hospital.
Looking at the complete medical record, Lu Chen couldn't help sighing, what a strange patient!
"Teacher, can you see the cause of the patient now?"
Min Ling shook her head.
"Except for muscle enzymes, other indicators are normal. You can only check the previous test again to see if there are any laboratory errors. Second, improve other laboratory tests, such as 24-hour urine potassium, etc."
"However, according to literature reports, about 1/3 of patients with hypokalemia cannot find a cause for the rest of their lives, which is called idiopathic hypokalemic periparalysis."
"For the time being, the potassium is up, and I will slowly check the cause of the low potassium in the future."
Lu Chen nodded, it seems that this is a very difficult patient.
"Doctor, it's time to measure your blood sugar before going to bed."
At this time, the nurse on duty walked into the office and said.
Lu Chen was taken aback, what did she say?
Do you need to check your blood sugar again?
Min Ling saw Lu Chen's doubts and coughed softly.
"Xiao Lu, you do have to measure your blood sugar before going to bed, but many patients are asleep, and those who are asleep don't need to be tested."
"Okay." Lu Chen said helplessly, it was time to poke his fingers again.
Lu Chen was holding a blood glucose meter and a treatment tray, ready to measure blood sugar for all diabetic patients in the ward.
"Hey, wait a minute." Min Ling suddenly stopped Lu Chen.
Lu Chen looked back at Min Ling suspiciously.
"Little Lu, tomorrow morning at six o'clock, you have to test your fasting blood sugar." Min Ling smiled.
Lu Chen: "..."
ah? There is one more time, poke poke!
…
Take the blood glucose meter and walk into each ward.
Test blood sugar for diabetics who are not asleep.
Lu Chen could clearly feel that he became more and more skilled in measuring blood sugar levels.
Before, I was a little afraid of hurting the patient, so I was careful every time and didn't dare to use force.
But the more this is the case, the harder it is for the blood to come out, so you have to **** it a second time.
Double the pain!
The current Lu Chen is piercing the needle!
Many patients slept at night, so there are not many patients who measure blood sugar.
Lu Chen completed the transfer of the entire department in less than twenty minutes.
It was now ten o'clock in the evening.
Back to the doctor's office.
"Xiao Lu, it's getting late, you should go to the duty room to sleep." Min Ling said, "The hypokalemia patient just now will be rechecked by the nurse in an hour. If there is any problem, I will deal with it. "
"Okay, teacher." Lu Chen nodded.
Taking advantage of the blood sugar test just now, he checked all the patients again.
Except for the "hypokalemia" patient who was just admitted to the hospital, everyone else's life value is above 60!
Lu Chen came to the postgraduate duty room, took off his white coat, took out a bottle of mineral water from his bag, and began to guzzle it.
After a rescue tonight, Lu Chen was a little tired.
And he has a day shift tomorrow morning, so he really needs to go to bed earlier.
However, before going to bed, Lu Chen habitually performed system space and continued to train pericardiocentesis.
Even though he is already very skilled, and the success rate is close to 95%, Lu Chen can learn some tricks from every training session, but the 80% completion rate has not changed.
Slowly, Lu Chen began to fall asleep.
…
3am.
"Bang...bang...bang"
Lu Chen was awakened by a sudden knock on the door.
open the door.
Night shift nurses stood at the door.
"Doctor Lu, 31 beds, the patient's blood sugar is 3.4mmom/L, and he has been dizzy and sweaty."
"Let her hurry up and have some candy or a snack."
"She won't eat it."
Lu Chen picked up the white coat on the table and quickly put it on him.
"I'll go see her."
…
Bed 31 is an old woman.
I was recently admitted to the hospital. Because of the diagnosis of diabetes, my blood sugar was extremely high, and my fasting blood sugar reached 25mmol/L.
So she never dared to eat more dishes.
I didn't eat dinner tonight, but I took insulin as usual.
I got low blood sugar in the middle of the night.
"Mother-in-law, you have to eat. If you don't eat, you will not be able to keep up with your nutrition, and you will be prone to hypoglycemia." Lu Chen advised.
"My blood sugar is so high, I'm prone to stroke!" The old woman was more stubborn, "My wife's blood sugar is high, so the stroke is gone."
"Mother-in-law, sometimes hypoglycemia is more serious than hyperglycemia!" Lu Chen said.
"Low blood sugar, human brain cells have no blood sugar supply, it is easy to be ischemia and hypoxia, leading to coma!"
"Once this person is in a coma, he will definitely not be able to wake up!"
When the old woman heard this, she hesitated.
"real?"
"Mother-in-law, I'm a doctor, why am I lying to you?" Lu Chen couldn't help laughing, "You guys are getting older, and sometimes your blood sugar is a little high. It's not a big problem. I'm afraid that the blood sugar will be low, in case you fall into a coma. Well, that's not good!"
"Then, can I eat?"
"Of course you can eat it, as long as you exercise in moderation." Lu Chen smiled.
"Okay, then, then I'll eat something."
The old woman hesitated for a while, then finally let go, picked up the bread on the table, and took a few bites.
"Ding, congratulations, +1 for the thank you from Cao Yulan!"
(end of this chapter)