214. Chapter 213 Rescue of atrial fibrillation, Brother Qiang’s gratitude(2/3)
Chu Yao trusted Li Jingsheng very much.
As a reporter, she must conduct a certain degree of in-depth research on Li Jingsheng's specific situation before reporting. Only after she has a detailed and accurate understanding can she dare to write a press release and then have it approved by the newspaper editor.
Fake news reports can directly destroy her career.
"Your situation is very similar to a cardiovascular disease. If it is serious, it can take away your life in a short period of time. Now I am a doctor. Don't think about anything. Just listen to my instructions and cooperate with the diagnosis and treatment."
Already."
Li Jingsheng knew what this man was thinking.
How long has it been? Is face so important?
After hearing this, Brother Qiang stopped struggling and was helped by Li Jingsheng to lie down on the bed in the infusion room in the clinic.
This bed has wheels and can be pushed around if necessary.
There were five patients in the infusion room, which was relatively quiet.
His clinic is so large, and with so many customers and patients, it naturally becomes crowded.
After letting Brother Qiang lie down, Li Jingsheng greeted Tang Ping and said, "Sister Tang, help take his blood pressure."
"OK!"
Tang Ping immediately took a sphygmomanometer and measured Brother Qiang's blood pressure, while Li Jingsheng began to use a stethoscope to directly auscultate his heart rate and heart and lung sounds.
"It's atrial fibrillation, and it's sustained rapid atrial fibrillation. The heart rate is already 160."
Li Jingsheng's expression instantly became solemn.
"Then what should we do? Do we need to call 120 emergency number immediately?"
Chu Yao had never encountered such a thing before, and her hands were shaking with anxiety.
"No need to fight yet."
Li Jingsheng said to Xiao Gao, who was busy selling medicine over there, "Doctor Gao, go to the health station and get some medicine. We don't have this medicine in our clinic."
For the time being, Han Siying can only handle the sales of medicine.
It also happens to be able to exercise her independence.
Li Jingsheng wrote the name and dosage of the medicine to Xiao Gao and asked him to go to the health station.
This guy is familiar with the road, and he should also be familiar with the people.
The current health stations, from the station manager to the doctors and nurses, should be extremely friendly towards Sunshine Clinic.
Especially Stationmaster Qiao himself. He and Li Jingsheng are both doctors in the First Hospital. In addition, Li Jingsheng has now become a celebrity in the Second Hospital. Stationmaster Qiao wants to fawn over him.
Naturally, he tried his best to please.
The last time several pharmacies came to your door to force you to have an uterus, you can see the attitude of Station Manager Qiao.
Directly wipe out the most ignorant Huimin Pharmacy.
There is no need for Li Jingsheng to do it himself.
In fact, this is exactly what Stationmaster Qiao is so clever about. If Li Jingsheng had waited until Li Jingsheng took action himself, there would probably have been a major earthquake in the old street in the south of the city.
The Second Hospital is the absolute leader in this area in the south of the city. Several pharmacies have joined forces to bully Li Jingsheng. Isn't this giving the Second Hospital eye drops?
When the time comes, Stationmaster Qiao will also be in trouble.
Therefore, Stationmaster Qiao took the initiative to clean up the family, which almost meant abandoning his soldiers to protect his commander.
The medicines you need to get are all prescription medicines, which are not available in the clinic.
The patient's current condition is not particularly bad. As long as he takes medicine and takes a good rest, he should be able to turn the situation around.
Li Jingsheng's current clinic has solved many problems. It has good purchase channels for health care drugs and general medicines, its medical skills have also been improved, there is a new venue, and some funds have been saved.
Now the only thing missing is designated medical insurance.
If Xie Guiqiu could help him get involved in centralized purchasing, the designated medical insurance would be solved as well.
He is looking forward to this matter more and more.
There's no point in just being anxious, it's already very difficult to qualify for this queue review.
This is because Xie Guiqiu has great energy, and he can be so awesome by showing up in person.
All you can do is wait patiently.
After Li Jingsheng arranged for Xiao Gao to get the medicine, he turned around and entered the infusion room to check on the patient's condition.
My heart rate seems to be getting faster.
The patient's face also became increasingly pale.
It must be lowered as quickly as possible, otherwise the patient's heart may collapse.
"Don't think about anything now, relax, take a deep breath as much as possible, and stay calm. I've already asked someone to get the medicine, and I'll treat you right away."
Li Jingsheng calmed the patient's emotions.
At this moment, the patient's heart must be full of fear, which will cause blood vessels to constrict and the heart rate to further accelerate.
Blood pressure will also increase.
It's almost adding insult to injury and it's a vicious cycle.
Xiao Gao was very helpful and got the medicine back quickly.
Seeing him running profusely and sweating, Li Jingsheng gained a new understanding of Xiao Gao's character. The photographer of this newspaper was not related to Xiao Gao, and they almost had a quarrel last time.
Now, in order to save this man, Xiao Gao is willing to run desperately to get medicine, which shows that he puts the safety of the patient first.
There are several kinds of borrowed medicine.
"Sister Tang, give this patient an injection first."
What is the appropriate amount of deacetyllanosin?
Li Jingsheng held the borrowed medicine and frowned. Finally, he decided to use 0.4 mg deacetyl lanatoside plus 20 ml of 5% glucose solution for intravenous injection.
After prescribing, Tang Ping was given further control.
After all, this is a cardiotonic drug. It is a prescription drug that should be used with caution and carries high risks.
Tang Ping has strong professional ability. With her as a checkmate, risks can be reduced.
"The boss's medication level is getting higher and higher now!"
After she saw it, she couldn't help but look at Li Jingsheng with admiration.
"If there's no problem, just take the medicine! I go to the Second Hospital every day for further training. I have to make progress."
Li Jingsheng never dared to use these medicines before.
Now not only can it be used flexibly, but the dosage and administration methods are also very sophisticated.
After Tang Ping injected the patient, Li Jingsheng and she both stood by and watched nervously.
Li Jingsheng has been using a stethoscope to monitor the patient's heart sounds.
After fifteen or six minutes, Li Jingsheng's expression changed from serious at the beginning to much more relaxed.
Lying on the infusion bed, Brother Qiang’s symptoms were greatly relieved.
His face was no longer so pale, and his breathing was much calmer.
"Doctor Li, how is he now?"
Chu Yao stayed by the side.
It can be seen that this female reporter is very kind. When she saw that Brother Qiang was not doing well just now, she was so anxious that she was at a loss and almost cried.
After all, I am very young and have never experienced anything like this.
In addition, as a girl, it is generally easy to become anxious when encountering emergencies.
"It should be fine for the time being. I will prescribe him some more oral medicine, once a day, and be sure to take it on time and in the right amount. If you have any problems, you should go to the chest and stroke center of a large hospital for treatment in a timely manner. Like the situation just now
, don’t call the regular number. Even the emergency department is not the best way. It’s best to take the green emergency channel of the chest pain center.”
Nowadays, larger hospitals have established chest pain and stroke centers to create a lifeline for patients with this sudden cardiovascular disease.
Sometimes, myocardial infarction or stroke can take away the patient's life in a very short period of time.
If you still use ordinary medical treatment methods, it is easy to miss the best opportunities for rescue and diagnosis and treatment.
Nowadays, the queues for emergency rooms in large hospitals are sometimes longer than those for specialists.
Because many patients think they can seek medical treatment earlier if they go to the emergency room, they rush there.
Li Jingsheng prescribed digoxin for Brother Qiang.
This drug can be used for acute and chronic cardiac insufficiency such as hypertension, valvular heart disease, and congenital heart disease, as well as atrial fibrillation, atrial flutter, and supraventricular tachycardia associated with rapid ventricular rate.
It is a commonly used drug in the outpatient treatment of such diseases.
Long-term medication is required.
To be continued...