An urgent blood potassium test is a real emergency test.
Do it now.
For other laboratory tests, it takes several hours or even days to get results.
However, serum potassium is an important clinical parameter. If it is an urgent test, it should be checked immediately. Once the results are available, the department will be notified by phone as soon as possible, and then the test order will be sent.
If the human body's blood potassium is high, it will affect the heart, cause arrhythmia, and lead to sudden death.
A few decades ago, when potassium chloride was injected into patients' bodies as sodium chloride, instant death often occurred, which was frightening. Every year, many cases were reported across the country.
Later, the words "potassium chloride" on the bottles containing potassium chloride were changed to red fonts, and this kind of medical accident was eliminated.
The blood potassium is too high.
Low potassium is also dangerous.
The lack of potassium ions in the blood affects nerve conduction, weakens skeletal muscles, and leads to paralysis.
Periodic paralysis is a kind of hypokalemic myasthenia, which is a common clinical disease.
For this disease, in places where there is no blood potassium test, the opposite treatment often occurs.
The patient complains of general weakness. In the absence of testing equipment, many doctors will judge it as hypoglycemia and then use hypertonic sugar infusion to increase blood sugar.
As for periodic paralysis, the most contraindication is glucose.
Blood sugar can bring potassium from the blood into cells, further reducing blood potassium and causing the patient to become even more muscle weak.
Blood potassium not only causes skeletal muscle weakness, but also causes arrhythmia, and can also cause sudden death in patients.
Antai Hospital often receives hypokalemic paralysis patients transferred from lower-level hospitals. In the end, it was discovered that most of them were misdiagnosed, and the patients with periodic paralysis received the wrong glucose infusion.
Nowadays, it is very difficult to diagnose periodic paralysis in patients with normal blood potassium. You must know that only a few people in Northern Europe suffer from periodic paralysis with normal blood potassium.
However, Liu Muqiao is a master of neurology. He has many more cases in his mind than Zhao Yilin. After his consultation and physical examination, he quickly determined that this was hypokalemic periodic paralysis.
The blood potassium is normal, that's an error in the test.
The results came out, and sure enough, the blood potassium was only 2.4 mmol/L, which was low, obviously low.
"The test results are only a reference value. When encountering such an important test, you must remember not to trust the machines too much, they sometimes make mistakes." Liu Muqiao concluded.
Zhao Yilin said: "Recently, I don't know what happened in the laboratory. I often make mistakes, especially blood routines, and sometimes I can't understand them."
Liu Muqiao said: "Labs often have to do target practice and adjust data because the machinery will deviate after a period of operation. Otherwise, why do we need to do target practice?"
Zhao Yilin said: "No wonder, the director of the laboratory department said several times that he needed to buy new equipment, and the scores for target practice were very low several times. It turns out that target practice is to test the accuracy of laboratory values."
Liu Muqiao pushed up his glasses and said, "I have to remind Dean Pi about this. Buy the equipment you should buy as soon as possible. You have to buy good medical equipment. There is no other way. It's not that I don't like national brands, but domestic brands."
It’s not disappointing, it’s really no match for imported equipment.”
There was nothing going on in the Department of Neurology, so Liu Maqiao came to Dean Pi's office.
"Mu Qiao, here you go? Sit down, sit down. I heard that you went to Mucheng and came back so soon?" Dean Pi just sent away the two ladies selling equipment. When he saw Liu Mu Qiao coming in, he quickly asked him to sit down.
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"I took the earliest flight back. I usually do surgeries at night," said Liu Muqiao.
"You should also pay attention to rest. How many operations were performed last night?"
"9 units. 1 epilepsy unit, 8 Parkinson's units."
"Oh, so productive. Don't you take a nap?"
"Fortunately. Dean Pi, I'm here today to remind you that our laboratory equipment is about to be upgraded, and even blood potassium is no longer accurate."
"Ah! Is this the case?"
Dean Pi graduated from a medical school and was an orthopedic surgeon in his early years. He naturally knows the meaning of "blood potassium". If it is not accurate, it can easily cause serious medical accidents.
This kind of accident should never happen. Once it happens, it will be a first-class medical accident and you will be fully responsible.
The concept of first-degree accident refers to the death of the patient.
"Yes, I just had a patient. The first measurement was 3.5 millimoles per liter. The second measurement was two hours apart and the result was 2.4 millimoles."
"Oh? That's a serious problem. I'll solve it right away."
After Dean Pi finished speaking, he called the equipment section chief and laboratory director and asked them to come over.
"Don't leave, Mu Qiao, I have something else to tell you."
"It's inconvenient for me to talk about equipment."
"Hey! Liu Miqiao, this is wrong. Who do you think I am?"
"That's not what I mean. I mean, they will think I'm complaining later." Liu Miqiao's concerns are right. In an organization, whistleblowers are always unwelcome.
Dean Pi said solemnly: "Why is it wrong to file a complaint? We need people like this in our workplace. The hospital is our home and we treat the hospital as our own. Why is our idea of ownership wrong?"
Liu Muqiao grinned.
Of course you are not afraid to show off when you say this. You are the dean, but I am an ordinary employee. It is better to be less right and wrong.
Dean Pi didn't wait for Liu Muqiao to speak and then continued: "Muqiao, there is something that the city leaders want me to tell you. After you listen, don't be angry."
"It's okay, what did he say about me?"
"He said you have to learn to be led. He said, think about it, in the future, if you become a leader, you will also need others to obey you. So, now, when you are under the leadership of others, you have to learn to accept leadership."
Liu Miqiao smiled slightly and said: "Dean Pi, tell me, you are the dean. Is it difficult for an employee like me to lead? I rarely give you problems."
Dean Pi thought for a while and said, "Yes, you didn't give me any problems. You are a model employee. However, yesterday, when the city leaders came to investigate, your opinions were excessive."
Liu Miqiao said: "Dean Pi, in fact, to a large extent, I am thinking about you. What am I afraid of? Who will be the leader? Can he carry out his work without my support? I am thinking about you, one with you.
For people at the same level, whether you lead him or he leads you. If you have a He Junjie, you will have a headache. If you have another one, you will have more headaches."
Dean Pi waved his hand, "Stop talking, I understand. However, my age is almost zero, so it will be changed next year."
"I'm thinking that Gao Jian and He Junjie are not suitable candidates for dean..."
Before Liu Miqiao finished speaking, Dean Pi waved his hand again: "This issue is not your consideration. The organization will consider it. From now on, you should do your job well. I will fully support you every day I am here. I think
, the city leaders will also support your work."
Liu Muqiao was a little surprised and said: "Dean Pi, aren't you speaking in an official tone? I sound so scared!"
Dean Pi said seriously: "I am saying this to you because I am a friend and a brother. Don't think that you can defeat He Junjie and others. Don't think that they are weak. No, they have very strong vitality."
, they are waiting for the opportunity, and sooner or later, they will be resurrected, do you understand? Liu Muqiao."
A lot of information.
Normally, Dean Pi would never say this.
He went to the city yesterday and suddenly said this today. It couldn't be a whim, he must have something to say.
Liu Muqiao had no choice but to say: "Okay, I understand."
"Do you understand? I don't think so." Dean Pi said.
"Can I just keep silent?" Liu Maqiao said loudly.
"No, you have to support the work of Gao Jian and He Junjie." Dean Pi also said loudly.
Liu Muqiao suddenly wanted to laugh.
He understood that Dean Pi must have been criticized.
Support work, the work of Gao Jian and He Junjie, this is impossible.
Liu Muqiao smiled softly.
Who is to blame?
This chapter has been completed!