Alas. The patient's daughter was confused by Xie Wanying's sudden question.
Some epidemic diseases usually do not appear to be particularly serious or life-threatening for most people, and local people will not check themselves and pay special attention to them. Few people will pay attention to the reminders issued by the national health department to medical institutions in various places. I can only say
, At this stage, it takes time for the country to cultivate national health awareness. Therefore, only when a small number of patients have severe attacks and go to the hospital for examination, will they know where the problem lies.
Hypothyroidism, commonly known as hypothyroidism, is more common in the elderly, more common in older women, and more common in iodine-deficient areas. Like heart failure, it belongs to a syndrome. Hypothyroidism usually has an insidious onset, a long course, and many symptoms.
The mild, moderate and severe symptoms vary from patient to patient. Mild patients may have no symptoms at all, or they may show muscle weakness. Severe patients may have heart failure like this old lady.
Xie Wanying said to the nurse and flight attendant: "Change her mask to breathe oxygen."
Critically ill patients have a higher demand for oxygen, and due to tight breathing due to hypoxia, they will unconsciously breathe through the mouth in order to increase the amount of oxygen for themselves. Unlike a nasal cannula, a mask only provides oxygen to the nose and can cover it.
The patient's mouth and nose are used to provide oxygen to the mouth, which is very useful for patients who breathe through the mouth. The mask covering the patient's mouth and nose is equivalent to a closed space. Oxygen will not escape and can provide a relatively stable environment for the patient.
The oxygen concentration is also beneficial to the patient's oxygen therapy.
The flight attendant went to get the oxygen mask. Seeing this, the nurse asked Xie Wanying: "Do you want an injection?"
Injections are not allowed. She is not a licensed physician and does not have the right to prescribe. Injections require drugs, and the administration must not be random. Otherwise, the law will not strictly stipulate who has the right to prescribe. Unlike her cousin's situation, beforehand,
She communicated with her senior brother that she could prescribe medical instructions for execution when necessary.
If medication is not enough, is it okay to take a bag of sugar or saline? The patient has heart failure, not a loss of body fluids. On the contrary, the heart failure patient must control the amount of infusion to prevent the increase in blood volume from increasing the burden on the heart.
Seeing Xie Wanying shaking her head, Lu Xin sighed, feeling helpless.
In fact, doctors do not dare to prescribe rescue drugs for patients like this until they are in the most critical condition. Heart disease caused by hypothyroidism is different from other heart diseases. Many heart disease drugs should be used with caution, as are usually used clinically.
Digitalis cardiotonic drugs may easily cause poisoning when used on such patients.
Now the extent of grandma's heart disease is and she needs further examination.
Hanging up the stethoscope, Xie Wanying performed heart and lung auscultation on the patient.
The apical beat is shifted to the left, and it is suspected that the patient has signs of left ventricular enlargement. When the condition affects the structure of the heart, it is a serious condition, and it is not easy to reverse. In the future, major surgery may be required in a large hospital.
Listen carefully, the patient cannot sit down, and is forced to lean forward to gasp. The listening head in Xie Wanying's hand is close to the depth of the patient's clothes, close to the patient's chest wall, from the third and fourth intercostal space on the left side of the sternum, down to the sword.
You can hear a scratching-like high-frequency sound clearly, covering the heart sounds. This is called pericardial friction sound. The reason for this sound is that the pericardial fibrous layer is inflamed, the pericardial wall becomes rough, and the pericardial wall adheres to the surface of the heart.
The visceral layers of the pericardium rub against each other as the heart moves.
