Start From Emergency Doctor

Chapter 376

Zhou Yuan had found the needle entry point and pierced Lin Hai’s skin at a twenty-five degree angle. It was not until the needle entered two-thirds that Zhou Yuan felt the needle enter the blood vessel.

Most people’s needles only need to enter one-third to one-half, and the thickness of Lin Hai’s subcutaneous fat layer is evident…

In fact, if the blood vessels on the back of the hand are not clear, you can choose other places such as fingers, wrists or arms for injection or infusion.

Among them, the blood vessels of the fingers are the best to identify. Most people use the blood vessels of the thumb and index finger or middle finger to find the blood vessels, while the blood vessels of the ring finger and little finger of a few patients are easy to find. This depends on the situation.

Zhou Yuan did not choose to perform finger acupuncture because it is not easy to tighten the skin and fix the needle handle, and the patient is more painful.

It is estimated that Lin Hai should wake up in a while. If he finds that a needle is stuck in his finger, the visual shock is definitely more terrifying than a needle stuck in the back of his hand.

As for the other option, arm injection and infusion, the blood vessels in the arm of the general patient are more protruding and exposed, and some vice versa, but Lin Hai’s own fat is mainly concentrated in the arm, but it is more difficult to find the blood vessels from the arm.

Anyway, intravenous injection is still a 26 technique. You need to rely on your own feeling. The angle of the needle is changed appropriately depending on the depth of the blood vessel. The smaller the angle of the needle, the faster the speed of needle insertion, and the less pain the patient will suffer. The so-called painless needle insertion is rapid needle insertion at a small angle.

After the needle entered the blood vessel, Zhou Yuan inserted the needle along the direction of the blood vessel. After seeing the blood return, follow the direction and then enter the needle in parallel.

Zhou Yuan didn’t like sticking at the inner joint of the wrist, the outer joint he chose last.

The blood vessels in the medial joints are thick, but very slippery. Moreover, even if it is successfully inserted into the blood vessel from the medial joint, there is a high probability that the needle will be drummed afterwards, and the needle can slide out of the blood vessel with a little movement, which is especially not suitable for the elderly and children.

Some novices like to choose to insert needles at the medial joints. Thick blood vessels increase their success rate of acupuncture, but patients need to pay extra attention not to move around. In general, it is convenient for the doctor and painful for the patient.

Zhou Yuan has a master-class intravenous injection technique, there is nothing he can’t solve in intravenous injection, so Lin Hai’s injection is not difficult for him. After finding the blood vessel from the back of the hand, push the needle from the distal end to the proximal end. Into the blood vessel to protect the blood vessel, and finally completed an injection.

Zhou Yuan did not leave, but waited for sufficient fluid supplement, gave another intravenous injection of insulin load, and then started continuous intravenous infusion of small doses of insulin.

In the case of sufficient fluid replacement, Lin Hai’s blood sugar drops at a rate of 5 millimoles per hour. After the initial rapid fluid replacement, the fluid replacement rate and the insulin addition rate need to be reduced.

If the osmotic pressure drops sharply, it will affect the tension of blood vessels, cause damage to the perfusion function of important organs such as the brain, cause cerebral edema, etc., and may even aggravate the dysfunction of the microcirculation. ‘

“Now you can stop the infusion of insulin. Once the blood sugar drops below 3 millimoles per liter, the insulin will be pumped intravenously at home again, maintaining the amount within 0..05~0.1u/(kgh).” Zhou Yuan Reminded.

Zhang Ling nodded: “I understand.”(Read more @ wuxiax.com)

Lin Hai’s parents were already waiting very anxiously. Seeing that Zhou Yuan and Zhang Ling were finally free, they rushed over.

“Doctor, what’s wrong with my child! This child is usually healthy, and he is not sick!”

Lin Hai’s mother is a kind-looking middle-aged woman, which fits the image of a kind mother.

Zhou Yuan was silent for a moment and looked at Lin Hai on the hospital bed.

Before coma, I drank two large bottles of Coke. If it is 1.25 liters, that is 2.5 liters. The average cola contains about 10 grams of sugar per 100 milliliters, and 2.5 liters is half a catty of sugar.

Is it possible for a normal person to consume half a catty of sugar in a short time? The ignorant are fearless…

Moreover, the blood sugar of a person of more than 100 kilograms is as high as 130. The test results show that Lin Hai has severe liver damage, abnormal blood sugar, and abnormal blood lipids. Even if you put aside these data that only professionals can understand, Lin Hai is the biggest one. Can you be fine if you can’t fit in your hospital gown?

“The blood sugar is too high.”

When Zhou Yuan was silent, a clear voice came from outside.

Sun Meng, who was in charge of the night shift, walked into the ward and greeted Zhou Yuan with a smile. She was a little surprised that Zhou Yuan hadn’t left. At this moment, it has been more than an hour since the day shift was off. She also came to the ward round. It happened to meet Zhou Yuan.

Zhou Yuan nodded: “I met a patient with a blood sugar of 130, and couldn’t leave.”

Sun Meng’s smile instantly solidified.

“one hundred thirty?!”

She just listened to Zhou Yuan’s treatment, and she knew that the blood sugar was too high, but one hundred and thirty is too scary!

Ordinary people’s blood sugar is 30 or 40, and it is considered good to be able to enter the hospital. Actually, there are people with blood sugar of 130? !

Sun Meng once encountered a patient and rechecked blood glucose after the infusion. It was found that 80 people in the emergency department were scared to death. Later, it was discovered that the nurse was pumping the blood vessel that had just delivered glucose.

In other words, the blood after the glucose transfusion was only 80, and Lin Hai reached 130, which is not in the category of a normal person at all…

Sometimes, the human body is so magical, the cancer that had deteriorated suddenly disappeared, and the medical judgement judged that it would not survive for three months, and it was skipped alive for twenty years at the end.

And now, blood sugar is as high as one hundred and thirty.

What is this concept?

Our kidneys have millions of nephrons. Each nephron has a glomerulus, which is responsible for filtering glucose, protein and other substances in the original urine. When the blood sugar is too high, it will increase the filtration of the glomerulus. Pressure can even force the destruction of the filtration function of the glomerulus, leading to the destruction of the nephron, and ultimately the entire kidney.

One hundred and thirty blood sugar, logically speaking, must have damaged the kidneys.

In addition, high concentrations of blood sugar have serious effects on nerves, especially the nerve damage of the lower limbs, such as wounds that are difficult to heal and feel numb.

In addition, too high blood sugar can cause deformation of the retina, which will affect the imaging of the image on it, and even cause blindness. In addition, it increases the burden on blood vessels, increases the probability of thrombosis, etc…

Being able to survive is not a medical miracle, but Lin Hai is definitely a blessing.

Sun Meng, who wanted to tell her to come to her, held back the words again.

Although she has the ability to deal with hyperglycemia, she really dare not accept the hyperglycemia of 130. It is no wonder that Zhou Yuan wants to stay here. Apart from the bold Zhou Yuan of Yigao, I am afraid there is only He Jianyi. The old fritters in the medical world dare to treat…

If you don’t move, you may damage the heart and brain blood vessels, cause blood vessels to be blocked, and cause life-threatening danger. Not to mention the patients being afraid, the doctors will be frightened! .