I really don't want to be a doctor
Chapter 205 Dialysis Treatment
Chapter 205 Dialysis Treatment
Jing Xiaoran's face darkened, there was a serious problem!
The most powerful thing about paraquat is that it will not kill you immediately, but will eat your life little by little, as if you can hear the footsteps of death slowly dragging you away.
That is to say, after drinking paraquat, many people did not feel any sensation at that time, and they would not even vomit.
However, once paraquat is absorbed into the blood, it will immediately spread to various tissues and organs, causing damage to the lungs, liver, kidneys, heart, pancreas and other organs.The lung is the main damaged organ, leading to pulmonary fibrosis and respiratory failure, which is the main cause of death in paraquat poisoning.
The mortality rate of paraquat is as high as 60% to 80%, and even as high as 100% in some provinces in China.
But the young couple still looked disapproving. It seemed that they didn't understand the drug paraquat at all.
"You, where are your parents?" Jing Xiaoran looked at the girl.
"My mother went downstairs to pay the hospital bill." The girl lay leisurely on the bed and began to scan her mobile phone.
The outpatient doctor downstairs must have informed the family members of the illness, and in this case, they can only communicate with the girl's guardian.
At this time, Hong Sheng hurried into the emergency room.
"Squad leader, there is a patient in the intensive care unit who is ill, and the teacher on duty is rescuing him!"
This is really an emergency, and I am most afraid of encountering this kind of rescue situation in the emergency department.
"The teacher asked me to come and have a look first, he has already notified another teacher who is preparing for the class." Hong Sheng's tone was a little anxious.
But when he looked around the emergency room, he couldn't help frowning slightly: "Squad leader, where are the patients in the emergency room?"
"Here." Jing Xiaoran pointed to the girl on the hospital bed.
"Her?" Hong Sheng paused.
"Yeah." Jing Xiaoran nodded, "You go and tell the teacher on duty first, the situation here is stable for now, let him deal with the patients in the observation room first, and just wait for the teacher who is preparing for class here."
"Ok."
Hong Sheng didn't ask any further questions, since Jing Xiaoran said so, then he can do as he pleases.
Regarding Jing Xiaoran's words, he unconditionally carried them out.
Hong Sheng hurriedly left the emergency room again.
……
"Recall carefully, how much pesticide did you drink at that time?"
Jing Xiaoran took out a pen and paper from the pocket of his white coat, preparing to record some important information.
"I just took a few sips, I didn't pay attention to how much."
The girl's tone was perfunctory, and she replied without raising her head.
"Then when did you drink the pesticide?"
"When was the gastric lavage again?"
"Are you feeling uncomfortable right now?"
The girl frowned, with a very impatient expression, and said: "I said doctor, when my mother comes back, I will go through the discharge procedures."
"No!" Jing Xiaoran said, "After our assessment of your condition, you cannot be discharged from the hospital now!"
"Oh, why can't I explain it to you! I told you that I don't have any discomfort, and everything is normal." The girl screamed, "Quickly remove the monitoring equipment attached to me!"
At this time, the girl was connected to an ECG monitor, and the vital signs on the monitor were all normal.
"Yuanyuan, you silly boy, what are you talking about!"
At this time, a female voice came from outside the door of the emergency room.Jing Xiaoran followed the sound, and a middle-aged woman with a tense expression hurried in.
"Yuanyuan, we're all hospitalized now, so listen to the doctor!" The middle-aged woman walked to the hospital bed and said sharply to the girl.
"Mom! I have already had my stomach lavaged in another hospital, and I don't feel any discomfort now. Why do I need to be hospitalized." The child's momentum was not lost to his mother at all.
"Yuanyuan, don't say a few words, Auntie is also doing it for your own good."
The boy beside him said softly.
"Let's go! It's not because of you this time, you don't have a place to talk here!" The girl frowned coldly, and her attitude towards the boy was very bad.
The boy didn't refute when he heard the words, and kept his head down in silence.
Seeing the scene in front of her, the middle-aged woman had no choice but to appease the girl first.
When the girl's mood stabilized a bit, Jing Xiaoran said: "Auntie, you go out with me first, and I will tell you about her condition."
"Okay." The middle-aged woman nodded and followed Jing Xiaoran out of the emergency room.
Jing Xiaoran found a place outside the rescue room, where he could see the scene inside the rescue room very well.
"Auntie, the doctor in the outpatient clinic downstairs must have told you." Jing Xiaoran said in a deep voice, "This pesticide is called paraquat. This kind of pesticide poisoning is very dangerous, and the fatality rate is very high! Don't look at her condition is stable now, But respiratory failure can occur at any time..."
The middle-aged woman listened to Jing Xiaoran's words, her face was gloomy, she bit her chapped lips lightly, and then nodded slightly.
"So she must stay in the hospital now, and she must not leave the hospital!" Jing Xiaoran continued.
"I know." The middle-aged woman said hastily, "But my daughter has already undergone gastric lavage in the hospital below. Is there any other treatment?"
Indeed, for general food poisoning, if the toxin has not been absorbed into the blood, gastric lavage and vomiting can be performed.
This can remove the toxins that stay in the stomach.
But for pesticide poisoning, especially the rescue of patients with paraquat poisoning, the toxin will be absorbed into the blood quickly, and gastric lavage and vomiting cannot solve the fundamental problem.
"Auntie, gastric lavage and vomiting can only remove pesticides that have not been absorbed. There is absolutely no way for those pesticides that have been absorbed into the blood!" Jing Xiaoran explained, "For such patients, we will use dialysis. Basically change the blood from the patient's body to remove toxins and reinfuse it back into the body."
When the middle-aged woman heard about dialysis, panic flashed in her eyes.
For ordinary people, "dialysis" is a very distant vocabulary, and it can even be said to be synonymous with serious illness and expensive.
"Doctor, we have spent thousands of dollars on gastric lavage, you guys, can your hospital do less checkup..."
"Auntie, don't worry, all our examinations and treatments are necessary!" Jing Xiaoran patiently explained.
He knew that these middle-aged women had some misunderstandings about the hospital, and they were afraid that doctors would prescribe random checks.
In fact, most doctors will abide by medical ethics.
However, as the relationship between doctors and patients becomes more and more tense, medical lawsuits emerge in endlessly; patients will pay close attention to the loopholes in the doctor's medical treatment process, such as missing tests, so doctors often only conduct the most detailed inspections for "self-protection" , so it will inevitably make the inspection cumbersome.
"That's good." The middle-aged woman nodded.
Seeing that the middle-aged woman had already understood the seriousness of the matter, Jing Xiaoran felt relieved and began to ask about the girl's pesticide poisoning.
"Auntie, do you know how much paraquat she drank? We need to formulate a treatment plan according to the dosage."
Nowadays, paraquat uses glue instead of water to prevent suicide.
The glue is made into a solid, there are two packages, it is very difficult to tear, just like some packages we have encountered, tear off one layer, and there is an inner package.
Suicide is an impulsive thing. If you can't get rid of it, stop drinking, which can reduce the impulsive suicide.
However, when the glue is sold with an instant auxiliary, it does not actually have the effect of preventing suicide.
(End of this chapter)
Jing Xiaoran's face darkened, there was a serious problem!
The most powerful thing about paraquat is that it will not kill you immediately, but will eat your life little by little, as if you can hear the footsteps of death slowly dragging you away.
That is to say, after drinking paraquat, many people did not feel any sensation at that time, and they would not even vomit.
However, once paraquat is absorbed into the blood, it will immediately spread to various tissues and organs, causing damage to the lungs, liver, kidneys, heart, pancreas and other organs.The lung is the main damaged organ, leading to pulmonary fibrosis and respiratory failure, which is the main cause of death in paraquat poisoning.
The mortality rate of paraquat is as high as 60% to 80%, and even as high as 100% in some provinces in China.
But the young couple still looked disapproving. It seemed that they didn't understand the drug paraquat at all.
"You, where are your parents?" Jing Xiaoran looked at the girl.
"My mother went downstairs to pay the hospital bill." The girl lay leisurely on the bed and began to scan her mobile phone.
The outpatient doctor downstairs must have informed the family members of the illness, and in this case, they can only communicate with the girl's guardian.
At this time, Hong Sheng hurried into the emergency room.
"Squad leader, there is a patient in the intensive care unit who is ill, and the teacher on duty is rescuing him!"
This is really an emergency, and I am most afraid of encountering this kind of rescue situation in the emergency department.
"The teacher asked me to come and have a look first, he has already notified another teacher who is preparing for the class." Hong Sheng's tone was a little anxious.
But when he looked around the emergency room, he couldn't help frowning slightly: "Squad leader, where are the patients in the emergency room?"
"Here." Jing Xiaoran pointed to the girl on the hospital bed.
"Her?" Hong Sheng paused.
"Yeah." Jing Xiaoran nodded, "You go and tell the teacher on duty first, the situation here is stable for now, let him deal with the patients in the observation room first, and just wait for the teacher who is preparing for class here."
"Ok."
Hong Sheng didn't ask any further questions, since Jing Xiaoran said so, then he can do as he pleases.
Regarding Jing Xiaoran's words, he unconditionally carried them out.
Hong Sheng hurriedly left the emergency room again.
……
"Recall carefully, how much pesticide did you drink at that time?"
Jing Xiaoran took out a pen and paper from the pocket of his white coat, preparing to record some important information.
"I just took a few sips, I didn't pay attention to how much."
The girl's tone was perfunctory, and she replied without raising her head.
"Then when did you drink the pesticide?"
"When was the gastric lavage again?"
"Are you feeling uncomfortable right now?"
The girl frowned, with a very impatient expression, and said: "I said doctor, when my mother comes back, I will go through the discharge procedures."
"No!" Jing Xiaoran said, "After our assessment of your condition, you cannot be discharged from the hospital now!"
"Oh, why can't I explain it to you! I told you that I don't have any discomfort, and everything is normal." The girl screamed, "Quickly remove the monitoring equipment attached to me!"
At this time, the girl was connected to an ECG monitor, and the vital signs on the monitor were all normal.
"Yuanyuan, you silly boy, what are you talking about!"
At this time, a female voice came from outside the door of the emergency room.Jing Xiaoran followed the sound, and a middle-aged woman with a tense expression hurried in.
"Yuanyuan, we're all hospitalized now, so listen to the doctor!" The middle-aged woman walked to the hospital bed and said sharply to the girl.
"Mom! I have already had my stomach lavaged in another hospital, and I don't feel any discomfort now. Why do I need to be hospitalized." The child's momentum was not lost to his mother at all.
"Yuanyuan, don't say a few words, Auntie is also doing it for your own good."
The boy beside him said softly.
"Let's go! It's not because of you this time, you don't have a place to talk here!" The girl frowned coldly, and her attitude towards the boy was very bad.
The boy didn't refute when he heard the words, and kept his head down in silence.
Seeing the scene in front of her, the middle-aged woman had no choice but to appease the girl first.
When the girl's mood stabilized a bit, Jing Xiaoran said: "Auntie, you go out with me first, and I will tell you about her condition."
"Okay." The middle-aged woman nodded and followed Jing Xiaoran out of the emergency room.
Jing Xiaoran found a place outside the rescue room, where he could see the scene inside the rescue room very well.
"Auntie, the doctor in the outpatient clinic downstairs must have told you." Jing Xiaoran said in a deep voice, "This pesticide is called paraquat. This kind of pesticide poisoning is very dangerous, and the fatality rate is very high! Don't look at her condition is stable now, But respiratory failure can occur at any time..."
The middle-aged woman listened to Jing Xiaoran's words, her face was gloomy, she bit her chapped lips lightly, and then nodded slightly.
"So she must stay in the hospital now, and she must not leave the hospital!" Jing Xiaoran continued.
"I know." The middle-aged woman said hastily, "But my daughter has already undergone gastric lavage in the hospital below. Is there any other treatment?"
Indeed, for general food poisoning, if the toxin has not been absorbed into the blood, gastric lavage and vomiting can be performed.
This can remove the toxins that stay in the stomach.
But for pesticide poisoning, especially the rescue of patients with paraquat poisoning, the toxin will be absorbed into the blood quickly, and gastric lavage and vomiting cannot solve the fundamental problem.
"Auntie, gastric lavage and vomiting can only remove pesticides that have not been absorbed. There is absolutely no way for those pesticides that have been absorbed into the blood!" Jing Xiaoran explained, "For such patients, we will use dialysis. Basically change the blood from the patient's body to remove toxins and reinfuse it back into the body."
When the middle-aged woman heard about dialysis, panic flashed in her eyes.
For ordinary people, "dialysis" is a very distant vocabulary, and it can even be said to be synonymous with serious illness and expensive.
"Doctor, we have spent thousands of dollars on gastric lavage, you guys, can your hospital do less checkup..."
"Auntie, don't worry, all our examinations and treatments are necessary!" Jing Xiaoran patiently explained.
He knew that these middle-aged women had some misunderstandings about the hospital, and they were afraid that doctors would prescribe random checks.
In fact, most doctors will abide by medical ethics.
However, as the relationship between doctors and patients becomes more and more tense, medical lawsuits emerge in endlessly; patients will pay close attention to the loopholes in the doctor's medical treatment process, such as missing tests, so doctors often only conduct the most detailed inspections for "self-protection" , so it will inevitably make the inspection cumbersome.
"That's good." The middle-aged woman nodded.
Seeing that the middle-aged woman had already understood the seriousness of the matter, Jing Xiaoran felt relieved and began to ask about the girl's pesticide poisoning.
"Auntie, do you know how much paraquat she drank? We need to formulate a treatment plan according to the dosage."
Nowadays, paraquat uses glue instead of water to prevent suicide.
The glue is made into a solid, there are two packages, it is very difficult to tear, just like some packages we have encountered, tear off one layer, and there is an inner package.
Suicide is an impulsive thing. If you can't get rid of it, stop drinking, which can reduce the impulsive suicide.
However, when the glue is sold with an instant auxiliary, it does not actually have the effect of preventing suicide.
(End of this chapter)
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