Chapter 733 Respiratory alkalosis
"Dr. Xian, what do you actually do in the research on the integration of traditional Chinese and Western medicine?"
Li Junxian really doesn't know this.
"Yeah." Xian Fen nodded and said with a smile: "Yesterday, I heard from Director Qian that Dr. Fang is an expert with a dual degree in Chinese and Western medicine. If I had Dr. Fang help me with this topic, it would definitely be perfect."
After Fang Han left yesterday, Qian Xiaolin said a lot in front of Xian Fen. Although Qian Xiaolin didn't know much, even so, Xian Fen became interested in Fang Han.
"Our emergency department of Jiang Intermediate People's Hospital is also trying to integrate traditional Chinese and Western medicine. I also hope to help Mr. Xian. Can Mr. Xian share the results of his research at that time?"
"Doctor Fang is kind."
Xian Fen smiled lightly and said, "My project is not a research task, it is just a personal research. The results will be announced when the time comes. If Dr. Fang is interested, I will send a backup to your email address in the evening."
"Thank you very much, Mr. Xian."
Fang Han and the other two were talking here, and suddenly there was a noise not far away. Someone started arguing with the nurse near the triage desk.
"Why, why? We have been queueing for a long time. Why is he standing in front when he comes? Is there any more to come first?"
A woman in her fifties shouted loudly. A young man in his twenties was covering his forehead with one hand, and blood could be seen faintly. He must have been injured on his forehead.
"Don't worry, the patient's condition is more urgent. We are in the emergency department and are arranged according to the patient's condition. Not whoever came must have been in front of us." The nurse explained patiently.
"Bad, if you don't follow the first and then arrive, then what line will you be waiting for?" The woman waved her arm and the nurse was hit and staggered.
"Generally, there are still queues, and it's just some emergency situations." The nurse still explained patiently.
"What is an emergency? I said my son's condition is urgent. Look, the blood on this head, who is responsible for the wound if it is infected? My son has not married yet. What should I do if there is tetanus?"
"We have arranged for tetanus injections." The nurse said weakly.
For patients with external trauma, nurses will arrange for tetanus injections as soon as possible. Today, there are more patients in the emergency department, so the nurse's desk is a little too busy.
"I don't care, why, are we in line for free?"
"Big girl, please calm your breath. After all, this is an emergency department. The emergency department has the rules of the emergency department." An old lady in her sixties next to her couldn't help but persuade her.
"I can't calm down, you are happy to let you go." The woman was still whispering.
"What's going on?"
Fang Han hurriedly walked over in two steps.
The nurse hurriedly said hello and then told him about the situation.
"So that's it, you guys follow me, I'll debunk and suture."
After hearing the matter, Fang Han didn't say who was right or wrong, and said to the woman with a smile.
After working in Jiang Intermediate People's Court for more than a year, Fang Han also knew a lot about it. Not everyone in this world is reasonable. Some truths make sense, while others don't.
The woman in front of her is obviously not a reasonable person, so Fang Han will not add fuel to the fire. If you really want to argue with her about the rules of the emergency department, who is right and who is wrong, maybe the other party will be even more accustomed to it. After all, this is a hospital, not a vegetable market.
Fang Han had a good attitude and did not say who was right or wrong. He also asked the other party to follow him and deal with the woman's son and forehead trauma. For big shots like Fang Han, it was simply a pediatric department.
As Li Junxian said yesterday, it is a blessing for some patients to be willing to do sutures. Some interns usually do it, but now Fang Han does it, which is something that some people can't ask for.
Not to mention anything else, at least in terms of scars and healing, Fang Han made scars much smaller and better recovery.
Fang Han is calm and composed, who would have thought that women would not buy it at all?
The woman glanced at Fang Han and her eyes slanted: "You?"
"You do suture my son? A young man, newcomer, have you been in the internship period ended? Can you sew needles? If you ask you to do suture my son, I might as well go to a small clinic outside, why bother Yanjing Hospital?"
"How do you speak?"
Li Junxian couldn't stand it anymore: "Our doctor Fang is an expert in major surgery, and his suture level is first-class..."
"Pooh!"
The woman spat and shouted: "Bad experts, I haven't even grown all my hair. I really think that there are fools in this world. You don't fool people like you. They say that the hospitals are now black, and I can see that they are really black. They collect red envelopes and don't do serious things..."
"You're enough."
The young nurse couldn't help it: "I said why are you like this? You are unreasonable. A patient with an urgent situation came, which delayed a little. And Dr. Fang also personally treated you. What else do you want to do? It's unreasonable."
The last four words of the little nurse completely angered the woman: "Who do you say is unreasonable, who do you say is unreasonable, ah...you are saying it again..."
The woman's voice was very loud, and she wished everyone in the entire department could hear it. She kept shouting and was shouting, but the woman suddenly became weak and fell down.
Fang Han reacted quickly and hurriedly stepped forward and reached out to hold the woman. This way, the woman did not fall down. However, the woman's body still sank and her face was a little distorted, as if she was not breathing smoothly.
“Is this hypoxia?”
Li Junxian next to him hurriedly shouted, "Hurry, oxygen inhaler, prepare for the flat car..."
The little nurse was also so scared that her face turned pale. This woman was fine just now, but suddenly she looked like this. If something really happened, she would be miserable.
Although the nurse was nothing wrong with this matter from beginning to end, the nurse refuted it just now. The word "unreasonable" she said in the end was considered ***, and this responsibility cannot be escaped.
Especially in such matters, medical staff are often weak and are a group. If something really happens, even if the nurse is not held legally responsible, the hospital will deal with the nurses.
"How could this happen? How could this happen? I just said something casually."
The young nurse was almost crying.
With Li Junxian's shouting, a nurse was already going to get the oxygen inhaler not far away, and someone went to push the cart at the same time.
"mom....."
The woman's son was also anxious now. He bent down to check the woman's situation, and pointed at all the people in white coats on the side: "I tell you, if my mother has a short time, I will never end up with you."
“Not hypoxia.”
Fang Han had already checked the woman's condition and waved to Li Junxian: "Let me find a newspaper, publicity newspaper or something like that."
Li Junxian has been in the emergency department for a long time, and after Fang Han said this, he immediately realized: "Dr. Fang, do you suspect it is alkaline poisoning?"
"It's either suspicion, it's just." Fang Han urged: "Hurry up."
"Doctor Fang, is this OK?" The nurse hurriedly took out a clothing magazine from under the nurse's desk. The young nurse probably secretly read it.
"Yes, since you know, Li Junxian, don't need to say anything."
"I know."
Li Junxian hurriedly reached out to take the magazine, tore one, then rolled it into a trumpet-shaped look, then bent down and buckled the big mouth on the patient's mouth and nose.
Respiratory alkalosis is a not-too-common condition, and the probability of occurrence is lower than the probability of hypoxia.
Respiratory alkalosis refers to the increase in pH due to excessive lung ventilation, which causes the primary reduction of plasma H2CO3 concentration or PaCO2. According to the incidence, it is divided into two categories: acute and chronic. It is clinically manifested as numbness in the hands, feet, face, especially around the mouth and numbness, chest tightness, chest pain, dizziness, fear, and even twitching limbs.
Many people know that oxygen is an indispensable part of the human body. Carbon dioxide is a gas that is harmful to the human body. Too much carbon dioxide intake will lead to hypoxia. Working in an environment with excessive carbon dioxide concentration for a long time will cause carbon dioxide poisoning. In severe cases, symptoms such as headache, dizziness, inattention, and memory loss will occur.
But few people know that the human body also has a demand for carbon dioxide, and excessive carbon dioxide will also cause discomfort.
Carbon dioxide has the effect of regulating respiration and maintaining the body's acid-base balance. Too much carbon dioxide intake will cause increased stimulation and cause some symptoms of dizziness and headache. Insufficient carbon dioxide will weaken the stimulation, causing symptoms such as breathing difficulties and apnea.
Respiratory alkalosis is precisely because of the lack of carbon dioxide, which leads to the imbalance of the acid-base balance of the human body and the alkaline content increases, so it is called respiratory alkalosis.
Respiratory alkalosis is common in patients with hysteria. At the same time, some people will also experience respiratory alkalosis when they are out of control and shout.
The woman was quite excited just now, and kept shouting, yelling, and finally she was stimulated by the nurse, which caused sudden respiratory alkalosis.
"Doctor Fang, breathe..."
A nurse came over with a ventilator and saw the paper tube covering the patient's face before getting close.
"call......"
After about a while, the woman gradually calmed down. Fang Han looked at the situation and then signaled Li Junxian to remove the paper tube.
The use of trumpet-shaped paper tube first aid is the most commonly used and convenient method for respiratory alkalosis.
Since respiratory alkalosis is a lack of carbon dioxide, the patient should be allowed to intake a certain amount of carbon dioxide. The paper tube covers the patient's mouth and nose is used to collect the carbon dioxide exhaled by the patient.
What people inhale is oxygen and exhale is carbon dioxide. Use a trumpet-shaped paper tube to cover the patient's mouth and nose. The carbon dioxide exhaled by the patient will be temporarily collected, and the carbon dioxide concentration in the trumpet-shaped paper tube will increase in a short time, and then be inhaled by the patient again, thereby supplementing the patient's insufficient carbon dioxide.
"Mother......"
The young man saw his mother awake and then breathed a sigh of relief.
The woman was still a little confused, and looked around, opened her mouth, and planned to say something.
Chapter completed!