This Doctor is Great

Chapter 171: A new way to lose weight?

Chapter 171

The first is arterial blood gas analysis, arterial blood is drawn, and then the blood is directly put into the instrument.

The result came out at once:

pH7.3

No more running, metabolic acidosis!

"Be hospitalized, get fluids right away...and take insulin!"

"Zhou Mo, you don't go out of the outpatient clinic first. You take the patient back to the hospital. There happens to be an empty bed over there, so you can stay in the bed you manage."

Zhou Mo nodded: "Okay, teacher!"

Then Teacher Zhang Luojia communicated with the parents of patient Li Bingmei,

Girl Li Bingmei's diabetes definitely didn't start when she had abdominal pain. It must have been a long time since it could cause such serious ketoacidosis.

After such a long period of hyperglycemia and diabetes, various acute or chronic complications must have occurred: diabetic ketoacidosis is one of them, as well as diabetic nephropathy, cardiovascular disease and retinopathy...

Seriously disabled.

All inspections are to be done.

Of course, the most important thing is to check what is causing the diabetes. Is it insulin deficiency?

These should be carefully checked.

So, hospitalization is the best way.

If you don’t go to the hospital, but go to the outpatient clinic, it may take seven or eight times a dozen times, and the gain is not worth the loss. On the contrary, the admission will be checked more carefully.

The girl's mother asked another question at this time: "Doctor, then my daughter's stomach pain...is it also caused by diabetes?"

According to her understanding, high blood sugar should not cause stomach pain?

Teacher Zhang Luojia explained: "This is due to the change of osmotic pressure caused by high blood sugar, microvascular disease, and problems with the blood supply of various abdominal organs. Naturally, serious organ damage can occur... So stomach pain..."

"Let's go to the hospital quickly, and explain after the other admissions..."

"Okay, okay." The parents were also a little worried at this time, and quickly nodded in agreement.

Zhou Mo: "Come with me."

With a family of three, we left the outpatient clinic and walked quickly to the inpatient area of the gastroenterology department.

The patient, Li Bingxue, was carried by his father.

...

to the ward,

While going through the admission procedures, while waiting for the test results.

Soon,

The blood ketone bodies and urine sugar that were sent for expedited inspection, the inspection department reported the results.

· Ketone body 4+, urine sugar 3+

It's normal, it should be negative, and now, it's all 3+,

obviously,

It is indeed "diabetic ketoacidosis"!

Zhou Mo hurriedly arranged rehydration, and soon the nurses gave the patient rehydration and insulin, and then lowered the blood sugar first.

Insulin (drug) is a commonly used drug for lowering blood sugar.

Pancreatic islets are irregular cell populations scattered throughout the pancreas.

Insulin is a hormone secreted by the pancreas.

(picture)

Insulin can be used to break down blood sugar and lower blood sugar.

All patients with high blood sugar will always have this insulin drug, which is injected every day to control their high blood sugar.

"Don't worry, it should be fine..."

Zhou Mo comforted the patient's parents.

The nurse is building an intravenous channel, rehydrating fluid + insulin, injecting it, correcting the acid-base balance and lowering blood sugar.

The next step is to draw blood, do liver function, kidney function, myocardial enzymes, etc. to check whether the patient has other diabetes complications.

In addition, it is necessary to find out what type of diabetes the patient has, whether it is "type 1 diabetes" or "type 2 diabetes".

However, such a small patient, coupled with the patient's symptoms, is more likely to have type 1 diabetes.

also,

Zhou Mo also checked the eyes of the patient Li Bingmei.

Some diabetic patients have eye lesions.

Fortunately, Li Bingmei's eyes did not find a problem, only a slight sunken. This is because the patient is in the dehydration stage, which will cause the subsidence, and should be able to recover after rehydration.

For the next few hours,

Perhaps it was due to Zhou Mo's physique. The patient Li Bingmei did not suffer from the shock and other dangerous situations that Zhou Mo was worried about. The condition landed safely, the acid-base was corrected, and the blood sugar was decreasing.

...

afternoon, 17:10,

"Little Mo, how is that little girl's condition now?"

Teacher Zhang Luojia and Li Dongmei came back from the outpatient clinic and came to the ward as soon as possible.

Zhou Mo calmly reported: "The test results are ketone body 4+, urine sugar 3+... It is confirmed that it is ketone body acidosis caused by diabetes... The fluid has been replenished and acid corrected, and there is no dangerous situation at present. All the tests, including liver and kidney function, urine test, blood routine, heart... I have done it for her, waiting for the test results. By the way, her eyes are fine."

Zhang Luojia nodded.

At this time, she looked back at Li Dongmei.

Li Dongmei: "!!!"

Dangerous!

The fatal serial question is coming!

Ah Chao, come quickly, help me get to the bottom!

(Huang Zhichao: emmmm~~~)

Teacher Zhang Luojia began to ask, "How did ketoacidosis come about?"

Li Dongmei breathed a sigh of relief, this question is simple!

Started talking nonstop.

"When a patient has insufficient insulin secretion or too much antagonizing insulin hormone, the body cannot metabolize blood sugar due to lack of insulin, resulting in blood sugar retention and rapid increase in concentration, resulting in hyperglycemia."

"Because blood sugar cannot be used, the human body can only metabolize fat in order to supplement enough energy, and fat decomposition will produce a large amount of ketone bodies, and finally the blood acid-base balance will be broken, resulting in acidosis... This is ketoacidosis. !"

Li Dongmei is worthy of being a scholar, and her answers are extremely fluent.

At this time, Huang Zhichao walked out of the duty room and was about to go to eat when he saw Teacher Zhang Luojia, Zhou Mo, and Li Dongmei in the ward.

Huang Zhichao: "!!!"

Dangerous! !

Hurry up and pretend you didn't see it, and hurried to the dining room!

Li Dongmei was trembling at this time, and when she saw Huang Zhichao, she was overjoyed.

His eyes lit up and he shouted enthusiastically, "A Chao, are you going to eat?"

Huang Zhichao: "..."

Turning back, he squeezed out a surprised expression: "Hey, Senior Sister...Teacher!"

Zhang Luojia glanced at Huang Zhichao: "Come here..."

Huang Zhichao's forehead sweated, and he walked over quickly.

Zhang Luojia: "Come on, come and answer, why do diabetic patients urinate more?"

Huang Zhichao breathed a sigh of relief, the question was simple, and he quickly answered: "Elevated blood sugar and increased urine sugar can cause osmotic diuresis, which can cause symptoms of polyuria."

Zhang Luojia continued to ask: "Why is there oliguria in the middle and late stages of ketoacidosis?"

? ? ?

Huang Zhichao was stunned for a moment, then looked at the patient Li Bingmei on the hospital bed.

This patient, is diabetes caused ketoacidosis?

Huang Zhichao thought about it and said, "Patients with moderate to severe ketoacidosis often have symptoms of dehydration, and those with dehydration up to 5% may have symptoms of dehydration, such as decreased urine output, dry skin, sunken eyeballs, etc..."

Zhang Luojia was satisfied: "Not bad!"

Huang Zhichao's heart suddenly burst into bloom!

Zhang Luojia looked at Li Dongmei: "Tell me about three more and one less diabetes."

This is a basic question, and Li Dongmei cannot be beaten.

Li Dongmei: "I mentioned polyuria earlier, so let me talk about polydipsia: because the body is dehydrated a lot, it can stimulate the thirst center of the hypothalamus, thereby causing symptoms of thirst and polydipsia."

"Eating too much is still a problem of the central response, because the body's energy is not enough, which stimulates people to want to eat more to replenish the body's energy."

"Weight loss, because the glucose in the body cannot be metabolized and utilized, so the consumption of protein and fat increases, resulting in fatigue and weight loss..."

"In the end, the more the patient eats, the higher the blood sugar, the more sugar is lost in the urine, and the more hungry the patient, which eventually leads to a vicious circle..."

Zhang Luojia nodded in satisfaction.

Yes, three more and one less are fully explained.

And it is not a scripted answer, but has its own understanding.

"That's it... get off work!"

Turn away.

Li Dongmei and Huang Zhichao breathed a sigh of relief.

The terrifying and deadly series of questions ~www.readwn.com~ is over.

"Hey, wait!"

Huang Zhichao asked curiously, "Why didn't the teacher ask Zhou Mo?"

Li Dongmei rolled her eyes: "This kind of question, can Zhou Mo be such a pervert? If you ask it, it's a vain question!"

Huang Zhichao was speechless.

So reasonable, there is no way to refute it!