Doctor Started a Plug-in

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Chen Cang’s regulations are clear!

First of all, the reasons for the Patient are derived based on the clues of symptoms and signs.

Then according to the current medical history and past history, jointly launch the probability!

Then start to verify your judgment through physiological and biochemical tests.

Chen Cang A simple rescue, using a process that allows many students to accompany students to form a logical thinking framework.

Chen Cang laughed: “This is clinical thinking!”

Everyone has a glimpse.

In fact, as a Doctor, the most important thing is the formation of clinical thinking.

At this time, Xu Dongdong’s words made everyone more curious.

“Yes! Teacher Chen, the serum electrolyte has not come out, how did you guess the blood potassium value! Is it judged by experience?”

“Yes! Teacher Chen You were so handsome just now, how to judge, is there a secret?”

……

Looking at a group of students, Chen Cang laughed: “Of course there is a secret!”

When everyone heard it, their eyes lit up, and each and everyone quickly took out pen and paper, which was “dry goods”!

Really dry goods!

Chen Cang was pleased to share it when he saw it.

What did that say?

Correct! Knowledge is not its own, it is just the use of knowledge and its spreader that’s all.

More people get this knowledge and they can save more people.

“Actually, everyone noticed that I did an electrocardiogram just now.”

Everyone nodded: “Well, I saw it, but…the ECG is just a waveform, what does it have to do with blood potassium?”

Chen Cang said to Little Lin at this time: “Little Lin, I just got an extra electrocardiogram. Please help me get it.”

Chen Cang just added an electrocardiogram just for insurance purposes, and it is now in use.

Little Lin found it in a hurry and handed it to Chen Cang.

Chen Cang took the electrocardiogram and said to everyone: “Don’t underestimate any examination, as small as a thermometer, sphygmomanometer, heart auscultation or electrocardiogram, x-ray, etc…”

“These inspections can tell us a lot of clues!”

“While hyperkalemia and abnormal ECG performance is even a typical example, I hope everyone will put what I said next, remember!”

When everyone heard it, they quickly prepared the book and pen and listened carefully.

“When the blood potassium is increased, the permeability of the cell membrane to potassium ions in the repolarization phase is increased, so that the slope of the action potential is steepened and the time is shortened. The first electrocardiogram of high potassium is the T wave is high and the QT is shortened, so I see the electrocardiogram At that time, it was basically determined that the Patient was hyperkalemia.”

“Everyone knows that patients with hyperkalemia come and go in a hurry.”

Chen Cang’s “come and go” made everyone laugh, but everyone knows that, indeed, hyperkalemia can cause cardiac arrest at any time, which is life-threatening!

Chen Cang continued: “It is true that the serum electrolyte test is the gold standard for hyperkalemia, but when the biochemical test comes out, the Patient has passed for an hour or two, and the people have long gone. What should I do with this gold standard?”

“So, at this time, it is suspected that hyperkalemia must be an electrocardiogram, this is a clinical trick!”

“Moreover, with the increase of blood potassium, different concentrations will have different performance, start to remember!” Chen Cang reminded.

“When the blood potassium is greater than 6.5mmolL, there will be a uniform widening of QRS, and at this time, ventricular muscle block may occur;

When the blood potassium is greater than 7.0mmolL, P wave decreases and the time increases;

When the blood potassium is around 8.5mmolL, P wave disappears and sinus conduction is formed. “

These all are officially reported and can be used clinically, so when Chen Cang said, there was no hesitation.

If it was just Chen Cang’s personal experience, he would say very conservatively!

After everyone and everyone heard, their eyes glowed with green light, continuously recorded.

A lot of knowledge, only when combined with clinical, will shine dazzling rays of light.

At this moment, Chen Cang in their eyes comes with aura effects!

each and everyone is hungry and thirsty.

They can think of it, the difference in electrocardiogram can reflect the abnormal signal of human blood potassium.

This is something they never thought of.

As Chen Cang said, if the serum electrolyte comes, the Patient will be gone, and you don’t know why!

As a Doctor, you must constantly improve your technology.

This technique includes diagnostic techniques, treatment techniques, surgical techniques, and techniques for communicating with the Patient.

Life is full of learning.

At this time, a student of Unable to Bear asked: “Teacher Chen, will the blood potassium die directly after reaching 10?”

Chen Cang: “Blood potassium concentration further increased, and by 10mmolL, QRS progressed and widened, and even merged with T wave to show Sine Wave, and finally died of ventricular arrest or ventricular fibrillation.”

Speaking of which, Chen Cang looked at everyone.

“So, the most clinically taboo experience is experience, especially the emergency department. 10000000 do not need to use their own experience to see others, let alone persuade or encourage others to do anything in life.”

“If you don’t fully understand the Patient, any word you say may be wrong, and any suggestion you make may be fatal!”

Chen Cang took a deep breath: “If you just spit and diarrhea according to the regular electrolyte disturbances! Isn’t that just rehydration to adjust the electrolyte? Get the sodium, potassium, calcium, iron, zinc, and selenium Vitamin …… If so, what does the Patient look like! Think about it yourself.”

“Medical, can’t afford to be a little sloppy. I have been in the emergency department for these 2 months. I don’t say how much I hope you can learn, but you have to learn a little!”

“That’s dangerous and cautious.”

In a word, make all the students present at the venue quiet.

There are many examples in life. A method that may be applied to oneself may become the real murderer of others.

and so!

The most appropriate persuasion and advice may be: Go to the Doctor!

Chen Cang laughed: “So, you know: What is the difference between Doctor and Butcher?”

Everyone was stunned, looking up at Chen Cang.

Chen Cang said seriously: “Doctor is more cowardly, but the butcher is more courageous!”

The words were very humorous, and everyone could not help smiling after hearing them.

But… but I couldn’t laugh inside!

The more you laugh, the more heavy you feel.

Chen Cang looked at everyone, got up and left, moved towards the office, he did not expect this group of people to remember everything, but must remember one thing: when treating a patient, must:

careful!

careful!

careful!

At this time, in the crowd, a man brow beaded with sweat!

He felt palpitations, and he dared not raise his head.

Thinking of his ability, he felt very naive…

If the old man really handled it in his own hands…

What will the result look like?

This is a fresh life. I was in my early 30s. If something goes wrong, who can be responsible?

Who is responsible for the elderly!

Only one life?

Who can let you try?

……

……

ps: This story, what I want to tell you is that suggestions that are kind to others may not be suitable for others.

The disease is so!

Why is this not the case in life?

There is not enough knowledge about the disease, and seemingly well-intentioned advice leads to misdiagnosis or mistreatment.

Without enough knowledge of the situation of others, what does seemingly good advice lead to?

Chinese medicine believes that medicine is the way, in fact, life and medicine, many things are common, I hope this story gives everyone a little inspiration.