The alcoholic lunatic felt that he was not sick and was ready to lie down and sleep again.
Zhou Sheng stretched out his hand to stop him.
The drunk maniac raised his eyebrows and said, "What are you doing, do you want to take action? I'm not afraid of you!"
Zhou Sheng said: "If you are sick, just take a blood test and check."
The alcoholic lunatic said: "I won't draw blood, so don't delay my sleep."
After that, he broke free from Zhou Sheng's hands and fell asleep.
Faced with such an uncooperative patient.
Zhou Sheng was also quite helpless.
Su Quan looked on and was furious and said, "I'll forget it, let's go."
However, he just spoke and did not move his steps.
Methemoglobinemia is not a headache or a cold. Although the onset of methemoglobinemia is not as rapid as that of heart and brain diseases. But if left alone, the patient's organs will be damaged due to lack of oxygen. Even if the gods come, they will not be able to save the person.
Qi returns to Qi, and the patient lies in the infusion hall of the emergency center.
I will be responsible for him all my life on Monday.
When Su Quan saw that Zhou Yisheng didn't move or say anything, he also knew that it was impossible to just walk away.
He sighed and started calling the drunk man to get up again: "Hey, I can tell you, if your disease is methemoglobinemia, it will be very serious. You should get up now and get checked."
This time, no matter what Su Quan said, he just ignored it.
Zhou Shengsheng looked at the alcoholic lunatic lying on the bed and knew that force would not work.
Suddenly he had a plan in mind.
Zhou Shengsheng said to Su Quan next to him: "I think this guy is just a coward. He is probably afraid of having his blood drawn."
After speaking, he winked at Su Quan.
Su Quan immediately understood that Zhou Yisheng was going to use the method of provoking generals!
Come on, even the thirty-six strategies were used to treat a disease.
Su Quan immediately agreed: "I think so. He's such a coward. He even claims that he can drink a bottle of liquor. I don't think a bottle of beer will do."
The drunk maniac who had been motionless just now moved his body.
Zhou Sheng knew it had worked and continued to act with Su Quan.
"The old man was right just now. He is so cowardly that he can only drink half a bottle of liquor at most."
"Hmm, if it had been a bottle, it would have been carried in by now."
Zhou Sheng and Su Quan sang together.
The drunk man couldn't bear it any longer.
He suddenly sat up from the bed and shouted loudly: "What are you two talking about? I'm a coward! Let me tell you, I've never been a coward when it comes to drinking, let alone drawing blood! Come on! Pump me two tubes! Pump!
It’s over, don’t bother grandpa anymore.”
Drunk people are so easy to deal with sometimes.
Zhou Sheng immediately called the nurse over to draw blood intravenously.
Why do you need to draw two tubes for methemoglobinemia? Only a small amount of blood was drawn in the transparent needle. Everyone present could see the abnormality from the color of the blood...
The color of blood depends on the color of hemoglobin.
Normal venous blood contains little oxygen, and the color of the blood is dark red.
The oxygen content in arterial blood is high, and the color of blood is bright red.
The venous blood of patients with methemoglobinemia will appear darker in color due to lower oxygen content. In seriously ill patients, the color of venous blood can be as dark as ink.
This patient's condition is progressing.
The situation is slightly better, but the blood in the syringe is also the color of chocolate at this moment.
If it hadn't just been extracted from the vein, no one would have been able to tell that it was blood.
Zhou Sheng, Su Quan, and Cao Xin were all exposed to this kind of patient for the first time, and they were all surprised when they saw the color of the blood.
Although the alcoholic maniac drank a lot of wine.
But people are not stupid either.
Normal people's blood is red. When his own blood turned into this, he was half awake from the alcohol.
"Grandma! What's going on? Sure enough, there's something wrong with the third child's wine! I'm poisoned!"
Poisoning really fooled this guy, but alcohol poisoning is unlikely.
Zhou Sheng learned from the system that the patient had methemoglobinemia caused by nitrite poisoning.
However, it is impossible for the system to know how the patient ingested nitrite.
This depends on Zhou Yisheng asking the patient.
Generally, when seeing a doctor, the chief complaint is made first and then the examination is carried out.
Today is a bit special. This patient is very uncooperative.
So I came for an examination first and then made a complaint.
Nitrite cannot be found in wine, but it can be found in certain foods.
Zhou Sheng asked: "Besides drinking, have you eaten anything pickled today?"
Nitrite is also called industrial salt. It may be present in large amounts in pickled foods. This is related to the pickling process and time.
Research shows that if the pickling time is not long, usually about two days to a week, the nitrite content is relatively high. If it has just been pickled, or if it has been pickled for more than 20 days, the nitrite content is relatively low.
The alcoholic maniac thought for a moment and said, "Before I drank with Lao San and the others, I had dinner at home. I ate the pickles that my wife had just pickled, and I ate quite a lot."
When Zhou Sheng heard this, he knew it was right with the system.
Su Quan and Cao Xin also understood.
However, neither of them had much experience in dealing with methemoglobinemia caused by nitrite. They could only watch in confusion how Zhou Sheng dealt with it.
Emergency illnesses are all kinds of strange.
Even though Zhou Sheng is an expert in using scalpels, he may not necessarily know the effective treatment method for every disease.
Therefore, doctors spend their entire lives learning.
In reality, you may have to look through information and find help from a doctor who is familiar with this disease.
It is very easy to be born on Monday. You can just follow the system to treat patients and learn at the same time.
The treatment plan given by the system is intravenous injection of methylene blue.
Methylene blue has a characteristic. At high concentrations, it can oxidize hemoglobin to methemoglobin. At low concentrations, it can reduce methemoglobin to hemoglobin.
At this time, low-concentration intravenous use can effectively treat the patient's condition.
Zhou Shengsheng immediately gave the doctor's order to give 40 mg of methylene blue intravenously for 10 minutes.
The nurse in the infusion hall immediately went to get the medicine and give it intravenously.
As methylene blue enters the blood, methemoglobin is reduced to normal hemoglobin.
Zhou Sheng's system speculated that after one hour, the amount of methemoglobin in the patient's blood would return to the normal range.
…
One hour recovery time.
There is no need to wait in the infusion hall on Monday.
He told the nurses in the infusion hall a few precautions and then left the infusion hall.
Su Quan and Cao Xin learned another skill and left with satisfaction.
The three of them walked side by side in the corridor of the emergency center.
Su Quan was still thinking about what happened in the infusion hall just now, "I have been in the emergency department for a year, and this is the first time I have seen blood of that color."
Zhou Sheng said: "This is also my first time seeing you."
Su Quan said: "You can't tell at all. You handled it so quickly. I thought you had encountered it before."
Zhou Sheng smiled and said nothing.
When they arrived at the door of Su Quan's clinic, he and Cao Xin continued their consultation.