"What?" Xu Qiu looked over.

"She has been retching several times. At first, I was worried that she was pregnant again. But later I tested it and found that it was not." At this point, Ding Tao's husband lowered his head.

As soon as the pregnancy was over, the young couple couldn't wait to reclaim wasteland. This matter was not mentioned, but seeing that his wife became more and more serious, he did not dare to hide it anymore.

If it is related to this matter, isn’t it delayed treatment?

Seeing Xu Qiu's brows getting deeper and deeper, Ding Tao's husband was a little panicked and said, "Doctor, is it really because of this?"

Xu Qiu shook his head: "No."

Fatigue, chest pain, chest tightness, and now I have another vomiting... This has nothing to do with sexual intercourse, but it perfectly matches the symptoms of mild acidosis.

Could it be... the patient has long had similar symptoms?

Xu Qiu thought for a while and asked, "When did these uncomfortable symptoms you mentioned start to appear?"

Ding Tao's husband felt much more relaxed and said, "It's done after giving birth."

“Where is dieting?”

“Also… it’s after childbirth.”

Ding Tao's husband's face changed slightly: "Is it related to her not eating?"

Xu Qiu did not give the answer directly, but he already had a guess in his mind.

He quickly returned to the office and opened CNKI.

If you remember correctly, Xu Qiu once saw a paper when browsing the literature, which happened to be a rare manifestation of ketoacidosis!

He tried to type in a few keywords.

Ketoacidosis;

Normal blood sugar;

during pregnancy or after childbirth;

Seeing the first paper with the highest matching degree, Xu Qiu's eyes lit up.

"That's it."

He quickly opened the paper page and browsed it quickly.

...

"The progress of diagnosis and treatment of "normal" blood sugar diabetic ketoacidosis during pregnancy"

"Ketoxyacidosis is an acute complication of diabetes..."

"Due to a series of special physiological changes during pregnancy and the inherent insulin deficiency in diabetics, pregnant women are susceptible to "normal" blood sugar diabetic ketoacidosis...

"The ketoacidosis caused by severe insulin deficiency is different. The dehydration of normal blood sugar ketoacidosis is not obvious, and there is continuous loss of urinary glucose. It is more susceptible to illness in a 'hungry' state..."

...

After reading Xu Qiu and his team, they felt their thoughts were suddenly cheerful.

Generally, ketoacidosis is a complication of diabetes, and blood sugar will increase sharply, but for the special period of pregnant women and postpartum, there is a special manifestation—

Ketoacidosis with normal blood sugar!

Since patients need to continue to fight glucose hunger and insulin deficiency during pregnancy and postpartum, even short-term fasting may lead to severe normal blood sugar ketoacidosis, which develops much faster than ordinary ketoacidosis.

The characteristics are: metabolic disorders are very serious, but the abnormal blood sugar cannot be found in clinical practice. The initial symptoms are atypical, and once they occur, they will be severe acidosis!

"Yes, that's it!"

Ding Tao's situation is perfectly in line with it.

He flipped back again.

The headache is that although the paper unveiled a corner of normal ketoacidosis in blood sugar, it did not provide a clearer treatment method.

In fact, the international community does not have a special guide to treating normal postpartum ketoacidosis during pregnancy and postpartum blood sugar.

Xu Qiu fell into deep thought.

He needs to develop a reasonable treatment plan!

"Simulation Operating Room..." As soon as the thought came to Xu Qiu, he entered the simulation space in his mind.

"If the treatment measures are nothing more than routine application of insulin, rehydration, and correction of electrolyte disorders.

"The patient's blood sugar is normal and urine sugar is also normal. Therefore, it is best to adjust the diet at the same time, increase the amount of water to reduce the production of ketones, and accelerate the excretion of the produced ketones!"

This is a conventional solution.

But after thinking about it, Xu Qiu cut off the last few sentences.

It is not feasible to reduce ketone bodies by drinking water!

Ordinary patients with ketoacidosis can use this simple and crude method, but... Ding Tao has chronic anemia and mild heart failure.

As the water drinking increases, the heart load increases, and the burden on the patient will be heavier.

"You can only control the condition by adjusting the dosage of insulin and other drugs!"

Xu Qiu immediately began to think about the medication plan.

Two hours later.

He opened his eyes again, retrieved Ding Tao's medical records, and issued a doctor's order on it with a crackling sound.

“Insulin infusion…

"The initial rate is 0.1U/kg*h.

"Select glucose solution at 10% concentration.

"Add 1U insulin every four grams of glucose until the ketone bodies that have been produced in the liver subside.

"Infusion of 600ml within two hours, then adjust the rate to 50ml per hour..."

Insulin and rehydration, these two steps are tailor-made for Ding Tao.

For ordinary people, 1,000 ml of glucose solution is usually used to enter 2 hours. However, Ding Tao has the underlying disease of heart failure, and the intravenous infusion of the liquid should not be too large. Xu Qiu reduced it as appropriate.

"And also supplement alkali."

In clinical practice, it is better to avoid alkali than alkali. In principle, it is very cautious about alkali supplementation. Generally, only if the pH is less than 7.20, the binding force of carbon dioxide is less than 10 units, and the bicarbonate is less than 10 units, the standard is very high.

However, the acidosis of Ding Tao is extremely serious and its ph is terrible and must be corrected quickly.

"5%NaHCO3100mL, 0.9% normal saline 400mL, rate 200mL/h, intravenous drip..."

...

There is also the last item, potassium supplementation.

Ding Tao's blood potassium is also within the critical value.

Insulin treatment must be based on the blood potassium exceeding 3.5.

Only by first increasing the blood potassium level can insulin input begin.

"Take oral potassium supplements, 4 grams per day, try to maintain it for three days."

...

Soon, a complete and impeccable treatment plan was released.

The nurse immediately received the signal. When he saw the new doctor's order, he quickly notified the ICU bed doctor.

Seeing that the signature was Xu Qiu, the ICU people who were dying of Ding Tao were in a state of great joy, so they quickly started a new treatment according to the dose above.

Three days later, Ding Tao was officially out of danger and removed a series of life-sustaining devices.

Two more days later, Ding Tao was officially transferred from the intensive care unit to the general ward.

Seeing that the situation was getting better and better, Ding Tao was about to meet the indication of discharge, and the doctor who was waiting for the doctor was shocked.

There were constant "fuck" sounds in the large group.

"Is this ketoacidosis? Is it really ketoacidosis?!"

"Isn't this disease linked to diabetes? There are actually normal blood sugar..."

"Doctor Xu posted a document... Oh my god, this document has been seen by Xu Qiu. His reading volume is so terrible!"
Chapter completed!