When a doctor opened a plug-in

In one word, everyone around was stunned!

After the little nurse saw Chen Cang, her eyes lit up.

Isn't this the male god at the time?

Everyone did not expect to meet Chen Cang!

Chen Cang did not hesitate, and now is not the time to hesitate, he hurriedly said: "Let's go together!"

Shen Xiuyuan nodded quickly.

Here Chen Cang introduced: "This is the dean of the Second Provincial Hospital, Dean Qin, and this is the emergency doctor Qin Yue. Let them all come in, I hope it helps!"

When Shen Xiuyuan heard this, his eyes widened, Dean Qin?

He nodded quickly: "Okay! Okay!"

Someone has an idea that this is a good thing, Shen Xiuyuan quickly said to the nurse: "Call the director of accounting and say..."

The little nurses nodded.

Qin Xiaoyuan kept looking at Chen Cang, did not speak much, he would remind him if Chen Cang made a mistake.

but!

He found that the choices Chen Cang made from the beginning were all very correct, even the best choice.

Chen Cang glanced at the nurse and said quickly:

"Clean up nose and mouth secretions, keep the airway open, and prepare to take oxygen!"

After organophosphorus poisoning, the activity of cholinesterase is inhibited, and the activity of hydrolyzing acetylcholine is lost, so acetylcholine will accumulate!

The acetylcholine receptors will have muscarinic or nicotinic and central system symptoms.

Therefore, the core treatment in the treatment process is anticholinergic therapy.

However, there is currently no anticholinergic drug on the market that can effectively combat these three types of symptoms at the same time. Only one or two of them have a significant effect.

Therefore, Chen Cang could not be careless about the rescue of this kind of poisoning, which is why he did not let Shen Xiuyuan be responsible.

Because by contrast, he is more willing to believe in himself!

At this moment, the patient has completed the blood draw.

"Insert the catheter, put on diuretics!"

"Stomach lavage!"

At this time, Li Dan has urinary incontinence, and diuresis can also accelerate metabolism.

Four or five little nurses immediately started to get busy!

Soon, the ECG monitor is ready to be completed.

As soon as the monitor started to work, the didi didi alarm began to sound!

Chen Cang looked up and saw that his heart rate was getting lower and lower, his blood oxygen protection degree was also dropping, and his blood pressure was also dropping!

Chen Cang frowned suddenly!

Hurriedly said: "Prepare atropine!"

Here, Shen Xiuyuan has already begun to prepare. Dichlorvos and these organophosphorus pesticides poisoning with atropine are common sense, and Shen Xiuyuan is no stranger.

but!

Chen Cang suddenly said: "16 mg!"

These words directly shocked Shen Xiuyuan, and even Ji Qu that ran in was stunned!

"How many?"

Chen Cang continued: "16 mg, intravenously!"

Chen Cang's words were like a thunder in the emergency department. Shen Xiuyuan and Ji Qu, the director of the emergency department who had just entered, were a little dumbfounded!

16 mg of atropine intravenously!

Is this crazy?

16 mg!

Not an intramuscular injection!

Not even an intravenous drip!

"Will it be too much?" Ji Qu asked directly, frowning.

Chen Cang said in a deep voice: "It must be like this!"

Qin Xiaoyuan also said at this time: "Atropine should be used in sufficient amounts for the first time to reach an effective drug concentration in the blood as soon as possible. This can effectively avoid the aging of poisoned enzymes, but also reduce or even eliminate the symptoms of poisoning within a period of time!"

"20 mg can be used in the latest guidelines, yes, no problem, and intravenous injection can quickly reach an effective blood concentration!"

"The patient now has a relatively high poisoning score, which is severe!"

Hearing Qin Xiaoyuan's words, Ji Qu didn't say much about it. Qin Xiaoyuan is a famous doctor in the country and a master of internal medicine.

It is very convincing!

This is the deterrent of fame.

This is also the reason why Qin Xiaoyuan came, he was worried that Chen Cang could not hold up the scene.

Here, gastric lavage has already begun.

The 16 mg atropine also started to take effect instantly!

When the nurse saw the ECG monitor, she was immediately happy:

"The heart rate has returned, the pulse rate has increased, and the blood oxygen protection has increased, which is basically normal!"

Chen Cang lowered his head to check, and there was no evidence of atropine.

Time goes by every minute!

The rescue continues.

Half an hour... has passed, Chen Cang frowned, there is no atropine reaction yet?

"Continue to inject atropine intravenously!"

Shen Xiuyuan didn't hesitate here, and continued to prepare!

Originally, this kind of rescue should be an initial sufficient amount and repeated medication!

But... he just doesn't know how much enough is enough!

In fact, they are worried about atropine poisoning.

Drug poisoning is also more dangerous.

In fact, first aid is dancing on the tip of the needle!

Constantly staged peak and extreme treatment.

Constantly make corresponding adjustments and treatments according to the patient's performance and symptoms.

This is the so-called tricks and tricks, the soldiers come to block!

If first aid is the most beautiful art, no one should doubt it.

Because the human body is one of nature's most amazing works.

Holding the life of the human body as a bet, every time, you must go all out.

The grasp of every emergency medicine is very important for emergency doctors!

The slightest difference is a thousand miles away!

And Chen Cang's grasp of emergency poisoning is perfect, and his grasp of emergency medicine is also perfect!

Through the patient's symptoms and signs scores, he can determine what Li Dan's current indicators are!

Before his eyes, on the four-dimensional model picture, Chen Cang seemed to have an intuitive feeling about his physical signs, as well as poisons, atropine, acetylcholine, etc., through the patient's symptoms at this time!

At this time, Li Dan suddenly started to twitch again!

Chen Cang thought for a moment, and immediately said: "Scopolamine, 2gm, intravenous injection!"

Atropine targets the M receptor, which is muscarinic.

And scopolamine mainly targets the N receptor, which is nicotine.

The two are completely different.

Scopolamine has a general effect on the cardiovascular system, but it has a significant effect on the nervous system. It can relieve central excitement and has a significant effect on muscle tremor.

"Chlorpyridine..."

Needless to say, Chen Cang, Shen Xiuyuan also understood.

The effect of chlorphosphidine is very good, and it is currently the first choice for the rescue of organophosphate pesticide poisoning!

Doctor orders are continuously issued one by one!

Li Dan's symptoms continued to ease, and the poisoning effect was also improving.

But no one dared to be negligent.

Because there is a rebound problem in the treatment of organophosphate poisoning.

And this rebound mechanism still lacks unclear standards.

As for rebound, there is currently no effective solution.

To put it simply, it means that if the rebound is cured in the first round, it may be safe. If the rebound...

Just GG!

After busying most of the night, Li Dan finally stabilized.

Seeing that it stabilized, everyone was relieved.

Ji Qu looked at Shen Xiuyuan: "Doctor Shen, work hard at night, this... Dean Qin and Director Chen, you should also go back to rest, there should be nothing wrong."

Chen Cang nodded and checked the time, it was already past six.

If it is summer, the sky will be bright.

Unknowingly, it was this time.

Chen Cang glanced at Qin Xiaoyuan and Qin Yue with a look of fatigue, and said distressedly: "Uncle, Yueyue, don't go back today, let's take a day off, and come back tomorrow?"

Qin Yue also yawned, everyone was a little sleepy.

Especially Qin Xiaoyuan drove here early yesterday. He didn't have a good rest. After such a toss, he was a little tired.

Qin Xiaoyuan nodded and breathed a sigh of relief.

Out of the rescue room, Wang Fan's parents hurriedly stood up, their faces full of anxiety. I don't know when, Wang Fan will also come, desperate.

Wang Fan hurried over: "Chen Cang! Chen Cang... how is Dandan?"

Wang Fan's parents also looked at Chen Cang eagerly.

Chen Cang breathed a sigh of relief: "It's getting better for the time being, and it depends on whether it can be stabilized."

Chen Cang was telling the truth.

And here, Chen Dahai also hurried in.

He came to pick up Chen Cang and the others, and he was relieved when he heard that it was all right.

"go home!"

...

ps: Dichlorvos can still be saved, but... Paraquat is really unsolvable. Just like the book friend said, it gives you time to regret but does not give you a chance to live.

Have the opportunity to write about paraquat.

Perhaps with the development of science and technology, these are all saved, and the only unsaved is gambling.

Cherish life, stay away from pornography, gambling and drugs!(Not billed.)