Doctor Peerless

Chapter 705 The Color of Blood
The drunken maniac felt that he was not sick, and was about to lie down and sleep again.

Zhou Sheng stretched out his hand to stop him.

The drunk lunatic raised his eyebrows and said, "What are you doing, do you want to do something? I'm not afraid of you!"

Zhou Sheng said: "If you are sick, you will know if you draw a tube of blood and have it checked."

The drunken lunatic said: "What kind of blood draw, I will not do it, don't delay my sleep."

After finishing speaking, he broke free from Zhou Sheng's hands and fell asleep.

Facing such uncooperative patients.

Zhou Sheng was also quite helpless.

Su Quan was very annoyed watching from the side, and said, "I'll let it go, let's go."

However, he was only talking, but he didn't move.

Methemoglobinemia is not a headache and cold, although the onset is not as rapid as heart and brain diseases.But if left alone, the organs of the patient's whole body will be damaged due to lack of oxygen. At that time, even if the gods come, they will not be able to save people.

Qi returned to Qi, the patient was lying in the infusion hall of the emergency center.

Zhou Sheng will be responsible for him.

Seeing that Zhou Sheng didn't move or speak, Su Quan also knew that it was impossible to just walk away.

He sighed, and started calling the drunk maniac to get up again: "Hey, let me tell you, if your disease is methemoglobinemia, it will be very serious. You should get up quickly and get checked."

This time, no matter what Su Quan said, he just ignored it.

Zhou Sheng looked at the drunk lunatic lying on the bed and knew that it would be impossible to force him.

Suddenly he had a plan.

Zhou Sheng said to Su Quan beside him: "I think this guy is a coward, probably because he is afraid of being drawn blood."

After speaking, he winked at Su Quan.

Su Quan immediately understood that Zhou Sheng was going to use the aggressive method!
Well, this is a case of illness, and even 36 tricks have been used.

Su Quan immediately echoed: "I think so, just like this coward, he also yelled that he can drink a bottle of white wine, but I don't think a bottle of beer can do it."

The drunk lunatic, who was still motionless just now, moved his body.

Knowing that it worked, Zhou Sheng continued to act with Su Quan.

"The old third was right. He is so cowardly, he can only drink half a bottle of liquor at most."

"Yeah, if it was a bottle, it would have been carried in by now."

Zhou Sheng and Su Quan sang together.

The wine lunatic couldn't help it.

He suddenly sat up from the bed and yelled: "What are you two talking about? I'm a fart! Let me tell you, I never drink alcohol, let alone draw blood! Come on! Give me two tubes! Don't bother grandpa any more."

Sometimes this drunk person is easy to deal with.

Zhou Sheng immediately called the nurse over and drew blood from the vein.

Why do you need to draw two tubes for methemoglobinemia? In the transparent needle tube, only a little blood is drawn.Everyone present saw the abnormality from the color of the blood...

The color of blood depends on the color of hemoglobin.

Normal venous blood contains less oxygen, and the color of the blood is dark red.

Arterial blood is rich in oxygen, and the color of the blood is bright red.

The venous blood of a patient with methemoglobinemia will appear darker due to lower oxygen content.In seriously ill patients, the color of venous blood can be as black as ink.

The patient's condition is progressing.

The situation is slightly better, but at this moment the blood in the needle is also the color of chocolate.

If it hadn't just been drawn from the vein, no one would have been able to tell that it was blood.

Zhou Sheng, Su Quan, and Cao Xin were the first to come into contact with this kind of patient and see such a bloody face.They were all astonished.

Although the wine lunatic drank a lot of wine.

But people are not stupid.

Normal people's blood is red, but his own blood turned into this appearance, and he was half sober from the wine.

"Grandma's! What's going on? Sure enough, there is something wrong with the third child's wine! It caused me to be poisoned!"

Poisoning, this guy really got it right, but alcohol poisoning is unlikely.

Zhou Sheng learned from the system that the patient was poisoned by nitrite, which caused methemoglobinemia.

However, it is also impossible for the system to know how the patient ingested nitrite.

This will depend on Zhou Sheng asking the patient.

Generally, when seeing a doctor, the main complaint is first, and then the examination is followed.

Today is a bit special, this patient is very uncooperative.

So first came to check, and then complained.

It is impossible to have nitrite in wine, but it will be in a kind of food.

Zhou Sheng asked: "Aside from drinking, have you eaten pickled food today?"

Nitrite is also called industrial salt.It may exist in large quantities in pickled foods.This has something to do with the pickling process and time.

Studies have shown that if the pickling time is not long, usually about two days to a week, the content of nitrite is relatively high.Freshly pickled, or pickled for more than 20 days, the content of nitrite is relatively low.

The wine lunatic thought for a while and said: "Before drinking with the third child, I had dinner at home. I ate a lot of pickles that my wife had just pickled."

When Zhou Sheng heard it, it matched the system.

Su Quan and Cao Xin also understood.

However, neither of them has much experience in dealing with methemoglobinemia caused by nitrite.I could only watch in a daze how Zhou Sheng would deal with it.

Emergencies come in all shapes and sizes.

Rao is a master of scalpels like Zhou Sheng, so he doesn't necessarily know effective treatment methods for any disease.

Therefore, doctors are learning all their lives.

In reality, it may be necessary to look up the information and find a doctor who is familiar with this disease for help.

Zhou Sheng is very trouble-free, he can directly follow the system to treat patients and study at the same time.

The treatment plan given by the system is static injection of methylene blue.

Methylene blue has a characteristic. When it is in high concentration, it can oxidize hemoglobin to methemoglobin.At low concentrations, it can reduce ferri-reduced protein to hemoglobin.

At this time, the use of intravenous low concentration can treat the patient's condition very well.

Zhou Yisheng immediately issued a doctor's order to push 40mg of methylene blue for 10 minutes.

The nurses in the infusion hall immediately went to get the medicine and push it intravenously.

As methylene blue enters the blood, methemoglobin is reduced to normal hemoglobin.

Zhou Sheng's system speculates that after 1 hour, the amount of methemoglobin in the patient's blood will return to the normal range.

……

One hour recovery time.

There was no need for Zhou Sheng to wait in the infusion hall.

He explained a few precautions to the nurses in the infusion hall, and then left the infusion hall.

Su Quan and Cao Xin learned a new skill and left contentedly.

The three walked side by side in the corridor of the emergency room.

Su Quan was still thinking about what happened in the infusion hall just now, "I have been in the emergency department for a year, and this is the first time I have seen blood of that color."

Zhou Sheng said: "It's also the first time I see you."

Su Quan said: "I can't see it at all. You deal with it so quickly. I thought you had encountered it before."

Zhou Sheng smiled and said nothing.

At the door of Su Quan's consulting room, he and Cao Xin continued to attend the consultation.

And Zhou Sheng continued to stroll...

(End of this chapter)