Chapter 733: Respiratory Alkalosis

"Dr. Xian, you actually did research on integrative medicine?"

Li Junxian really didn't know about this stubble.

"Hmm. Xian Fen nodded and said with a smile: "Yesterday, I heard Director Qian say that Dr. Fang is an expert in double degrees in Chinese and Western medicine, and if I have Dr. Fang's help in this subject, it will be very perfect." ”

After Fang Han left yesterday, Qian Xiaolin said a lot of things in front of Xian Fen, although Qian Xiaolin didn't know much about himself, but even so, it still made Xian Fen interested in Fang Han.

"The emergency department of Jiangzhong Hospital is also trying to integrate traditional Chinese and Western medicine, and I also hope to be able to help Mr. Xian, can you share the results of Mr. Xian's investigation at that time?"

"Doctor Fang is polite. ”

Xian Fen said with a light smile: "My topic is not a research task, just a personal research of mine, and the results will be announced when the time comes, if Dr. Fang is interested, I will send a copy of the backup to your mailbox in the evening." ”

"Thank you so much, Mr. Sin ”

Fang Han and the three of them were talking here, when suddenly there was a noise not far away, and someone near the triage desk was arguing with the nurse.

"Why, why, we have been queuing for a long time, why did he come in front of the line, and did he come first and then arrive?"

A woman in her fifties shouted loudly, and a young man in his twenties next to the woman was holding his forehead with one hand, and blood stains could be faintly seen, which should have been injured.

"Don't worry, the situation of the patient in front of you is more urgent, we are in the emergency department here, and it is arranged according to the patient's condition, not who comes must be in front. The nurse patiently explained.

"Bullshit, if you don't follow the first-come, first-served basis, then what's the queue? The woman swung her arm, and the nurse was knocked over

"In general, there is still a queue, and it is only some emergency. The nurse patiently explained.

"What is an emergency, I said that my son's situation is urgent, you see, this blood on this head, if it is infected and leaves a wound, who is responsible, what about my son who has not married a daughter-in-law, what if he has tetanus?"

"We have arranged for tetanus injections. The nurse said weakly.

For trauma patients, the nurses will arrange for tetanus injections as soon as possible, and today there are more patients in the emergency department, and the nurse's desk is a little too busy.

"I don't care, why, are we lining up in vain?"

"Big sister, dissipate your anger, after all, this is an emergency department, and the emergency department has the rules of the emergency department. An old lady in her sixties on the side couldn't help but persuade.

"I can't get angry, you are willing to let you. "The woman is still babbling.

"What's going on?"

Fang Han hurriedly walked over in two steps.

The nurse hurriedly said hello and then explained the situation.

"Well, you come with me, and I'll debride and suture. ”

After listening to the general situation of the matter, Fang Han didn't say who was right and who was wrong, and said to the woman with a smile.

After working in Jiangzhong Court for more than a year, Fang Han also knows many things that not everyone in this world is reasonable, some truths make sense, and some reasons don't.

The woman in front of her is obviously not a reasonable master, Fang Han will not add fuel to the fire, you really want to break the rules of the emergency department with her, what is right and who is wrong, if you don't know the other party, this is a hospital after all, not a vegetable market.

Fang Han had a very good attitude, and he didn't say who was right and who was wrong, and asked the other party to follow him, he came to deal with the woman's son, forehead trauma, and for a big man like Fang Han, it was simply pediatric.

As Li Junxian said yesterday, a big man like Fang Han is willing to do sutures, which is the blessing of some patients, usually some interns do it in the hospital, and now Fang Han comes to do it, which is usually something that some people can't ask for.

Not to mention anything else, at least in terms of scars and healing, Fang Han's scars are much smaller, and the recovery is better.

Fang Han has an attitude of calming things down, who would have thought that other women would not buy it at all.

The woman glanced at Fang Han, her eyes slanted: "You?"

"You want to do stitches for my son? A young man, a newcomer, is the internship period over, do you know how to get stitches, let you do stitches for my son, I might as well go to a small clinic outside, why bother to come to Yanjing Hospital." ”

"How do you speak?"

Li Junxian was a little overwhelmed: "Our doctor Fang is an expert in major surgery, and the level of sutures is first-class.....

"Phew!"

The woman took a sip and shouted loudly: "The expert of bullshit, the hair has not grown and is still an expert, I really think that everyone in this world is stupid, and fooling people is not as foolish as you, they all say that the current hospital is black, I can see it, it is really black, I accept the red envelope, and I don't do business......"

"You're enough. ”

The little nurse couldn't help it: "I said why are you like this, it's unreasonable, a patient in an urgent situation came, and it was delayed a little, and Doctor Fang also treated you personally, what else do you want, it's quite 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're saying it again......."

The woman's voice was so loud that she wished that the whole department could hear it, and she kept shouting and shouting, when the woman's body suddenly weakened and fell down.

Fang Han reacted quickly, hurriedly stepped forward, and stretched out his hand to support the woman, which did not let the woman fall, but the woman's body still sank down, and her face was already a little distorted, as if she couldn't breathe.

"Is this a lack of oxygen?"

Li Junxian, who was on the side, hurriedly shouted: "Quick, oxygen inhaler, prepare to flatten the car....."

The little nurse was also frightened and pale, this woman was fine just now, but suddenly she looked like this, if something really happened, she would be miserable.

Although there is nothing wrong with the nurse from beginning to end of this matter, the nurse refuted it just now, and what she said in the end is quite unreasonable, and this responsibility cannot be escaped.

Especially in this kind of matter, medical staff are often vulnerable groups, and if something really happens, even if the nurses are not held legally responsible, the hospital will deal with the nurses.

"How so, how so, I just said it casually. ”

The little nurse was about to cry.

With Li Junxian's shouting, there were nurses not far away who had already gone to get the oxygen inhaler, and someone was bulldozing the car at the same time.

"Mom....."

The woman's son was also anxious at this time, and bent down to check the woman's situation, and at the same time stretched out his hand and pointed to all the white coats on the side: "I tell you, if my mother has three long and two short, I will not finish with you."

"It's not a lack of oxygen. ”

Fang Han had already checked the woman's condition and beckoned to Li Junxian: "Find me a newspaper, a propaganda newspaper or something like that." ”

Li Junxian has been in the emergency department for a long time, and when he heard Fang Han say this, he instantly woke up: "Doctor Fang, do you suspect that it is alkalosis?"

"It's not suspicion, it's just. Fang Han urged: "Hurry up." ”

"Doctor Fang, is this okay?" the nurse hurriedly took out a clothing magazine from under the nurse's desk, and the little nurse probably read it secretly.

"Yes, Li Junxian, since you know, you don't need to say it. ”

"I know. ”

Li Junxian hurriedly reached out and took the magazine, tore a sheet, then rolled it into a trumpet-like shape, and then bent down and buckled the big side of the mouth to the patient's mouth and nose.

Respiratory alkalosis is a less common condition that occurs less often than hypoxia.

Respiratory alkalosis is an increase in pH due to a primary decrease in plasma H2CO3 concentrations or PaCO2 due to hyperventilation of the lungs. According to the onset of the disease, it is divided into two categories: acute and chronic. Clinical manifestations include numbness and pinprick sensation in the hands, feet, face, especially around the mouth, chest tightness, chest pain, dizziness, fear, and even twitching of the limbs.

Many people know that oxygen is an indispensable part of the human body, carbon dioxide is a gas harmful to the human body, excessive carbon dioxide intake can lead to hypoxia, long-term work in an environment with too high carbon dioxide concentration will cause carbon dioxide poisoning, severe headaches, dizziness, lack of concentration, memory loss and other symptoms.

But few people know that the human body also has a demand for carbon dioxide, and too low carbon dioxide will also cause uncomfortable symptoms.

Carbon dioxide has the effect of regulating respiration and maintaining the acid-base balance of the human body, excessive carbon dioxide intake will cause enhanced stimulation, resulting in some symptoms of dizziness and headache, and insufficient carbon dioxide will stimulate weakened, causing dyspnea, apnea and other symptoms.

Respiratory alkalosis is called respiratory alkalosis because of the lack of carbon dioxide, which leads to an imbalance in the body's acid-base balance and an increase in alkalinity content.

Respiratory alkalosis is common in people with hysteria, but some people can also experience respiratory alkalosis when they are emotionally uncontrollable and yelling.

Just now, the woman's emotions were more excited, she kept yelling and yelling, and finally she was stimulated by the nurse, and then she suddenly suffered from respiratory alkalosis.

"Doctor Fang, breathe ......"

A nurse came with a ventilator, and when she got closer, she saw the paper tube covering the patient's face.

"Hoo ......"

After about a while, the woman gradually eased up, Fang Han looked at the situation, and then motioned to Li Junxian to remove the paper tube.

The use of a flared paper tube for first aid is the most common and convenient method for respiratory alkalosis.

Since respiratory alkalosis is a lack of carbon dioxide, it is necessary to let the patient ingest a certain amount of carbon dioxide, and use a paper tube to cover the patient's mouth and nose in order to collect the carbon dioxide exhaled by the patient.

People inhale oxygen, exhale carbon dioxide, with a trumpet-shaped paper tube covering the patient's mouth and nose, the patient's exhaled carbon dioxide will be temporarily collected, the carbon dioxide concentration in the trumpet-shaped paper tube will increase for a short time, and then inhaled by the patient again, so as to replenish the patient's lack of carbon dioxide.

"Mom, Mom......"

The young man watched his mother wake up, and then let out a long breath.

The woman was still a little dazed, looked around, opened her mouth, and was about to say something.

"Big sister, don't talk, if it wasn't for the doctor just now, you wouldn't know what to do now. "There are people on the side who can't really look at it.