Chapter 18: Terrible Bounce

Seeing that gastric lavage had begun, now we must use detoxification drugs immediately. Ye Nan shouted: "The doctor's order to start recording: atropine 10mg, 10% glucose 20ml added phosphorus 10% static push, and blood was drawn to detect cholinesterase activity!"

Atropine is an anticholineric drug. It can effectively inhibit the binding of poisons such as organophosphorus to the cholinesterase in the human body to relieve the inhibition of toxins on cholinesterase, thereby further reducing the body from poisoning and has the effect of detoxification.

Phosphorus detoxification is a special antidote for organophosphorus poisoning. It can resusciate inhibited cholinesterase, increase the activity of cholinesterase in the human body, and play a detoxification effect.

Hospitals can usually use blood to determine the activity of cholinesterase to estimate the patient's poisoning and use it to guide the treatment!

After listening to Ye Nan's instructions, the nurses were neatly dispensing medicine, pushing medicine, and drawing blood, and completing it within one minute! Ye Nan looked at him and nodded secretly. Only hospitals at the level of the Second Affiliated Hospital would have such efficiency. If it were the previous suburban hospitals, it would have to be completed in at least two minutes!

Seeing that the two drugs have been slowly injected into the patient's body, I am waiting for the drug to take effect, hoping to enable the patient to achieve atropine transformation as soon as possible.

Atropinetic is an important indicator for drug rescue, mainly reflected in: the patient's pupils are larger than the anterior one; the mouth is dry, the skin is dry; the face is flushed; the syrup in the lungs decreases or disappears; the heart rate is accelerated, etc. And only when atropinetic is achieved can the treatment play a role, otherwise it will be difficult for the patient to rescue him!

Ye Nan looked at the other bucket, and there was liquid washed out from the patient's stomach. The bucket was now filled with a faint brown-black smell, and a strong stinking garlic came from it.

Looking at the barrel of brown and black, Ye Nan shook his head and sighed. Looking at this, the patient drank at least half a bottle of methylaminophosphate and maybe a whole bottle was included. I really admire her courage. She could drink such a rare thing!

After waiting for a few minutes, the patient's sweat slightly astringent, but his whole body was still wet. It seemed that he was still far from atropine, so he had to continue to add medicine. Ye Nan then ordered: "5mg of atropine, add 10% glucose 20ml of phosphorus and 10% 10% hydroxyl 10 again!"

After the medicine was pushed in, I waited for more than ten minutes and the patient no longer sweated significantly. Ye Nan took a small flashlight to scan the patient's pupils. Now the pupils are much larger than before, and have been converted from the size of the needle tip to about 15mm!

After listening to the lungs, there are still a lot of rales in the lungs, but it is a little less than before! The heart rate is about 86 times per minute!

It seems that you have to continue taking medicine to achieve atropine transformation. Ye Nan explained in a deep voice: "Continue to 5 mg of atropine in a static push, and add 10% glucose 250ml of phosphorus to 10 intravenous drops!"

After saying that, he looked at the liquid washed out of the patient's stomach. Now the water in the bucket has begun to turn a light gray, no longer the brown-black type. It seems that a lot of washing has finally been washed out. Then he asked the nurse who was washing the stomach, "How much water have you washed?"

The nurse glanced at the bucket beside her and replied, "It's already a bucket and a half!"

"Well... keep going until the water becomes completely clear!" The patient's stomach had been washed by nearly two large buckets of water, and it was still this light gray. This woman was so cruel that she was really afraid she would swallow a bottle in!

After pushing atropine three times, the patient's skin finally began to become dry, and his face gradually flushed, and his pupils returned to about 2mm! After listening to the heart and lungs, the rales had decreased significantly, and his heart rate reached about 100 times per minute!

In this case, the patient has successfully reached atropine synthesis, so the next medicine can be reduced! Moreover, within half an hour, the atropine synthesis can be successfully achieved, so the patient's chance of being rescued will be greatly increased!

At this time, the nurse who was gastric lavage also reported: "The liquid has been completely cleared! Gastric lavage is completed!"

Ye Nan looked at the liquid washed out of the bucket and had obviously cleared, then nodded and smiled: "Put the stomach tube! Next, push 2 mg of atropine every half hour to observe the changes in vital signs! Notify me immediately if you have any questions!"

The nurses nodded and agreed. Ye Nan then pushed open the door and walked out. A large number of people surrounded him. Seeing Ye Nan coming out, the man rushed over and asked nervously, "Doctor, how is my wife?"

Ye Nan nodded: "It has been stable for the time being, but it has not yet awakened, so it is still in the dangerous period, so you need to continue to observe! Let me sign with you!"

After saying that, he took the man back to the office and signed a critical illness notice before he asked the man to go to the rescue room to accompany him.

After signing the critical illness notice, Ye Nan was relieved. He was really unsure whether the patient could be rescued. It was just that he looked at the current situation. Hopefully, it was still very big!

I wrote my verbal medical instructions on the medical record, and wrote the rescue record just now, and then improved the first course of the disease. Finally, I got it done temporarily!

Half an hour had passed when Ye Nan went to the rescue room to see the patient. At this time, the patient had not woken up, with atropine-like flushing on his face, but his hands were unconsciously exploring around!

Ye Nan sighed. At this time, the laboratory had sent over the cholinesterase test results that were urgently tested. The cholinesterase was only 30% of the normal value!

When he found that the patient's cholinesterase was so low, Ye Nan had no choice but to explain to the nurse beside him: "Take hemodialysis immediately! Dialyze the toxins from the blood!"

After listening to Ye Nan's instructions, the nurse quickly prepared a cart and directed the patient's family to carry the patient onto the cart and quickly sent it to the hemodialysis room.

Hemodialysis is a treatment method that uses a machine to extract human blood, then clean and filter impurities and poisons in the blood, and then re-inject them into the human body. It has good therapeutic effects on some early poisoning diseases!

Ye Nan saw that the patient was extremely poisoned, but under the control of the drug, the effect was still not obvious, so he had to use this method to assist in the treatment, hoping to help the patient remove the poison in the blood as soon as possible and recover as soon as possible! This is the last method. If it still does not have enough effect on the patient, it will be really difficult to save it!

Fortunately, after an hour passed, after hemodialysis, the patient had recovered a little bit of consciousness when he was pushed back, and the person had already woken up much, which made Ye Nan breathe a sigh of relief.

Since the patient has been much more awake, he does not need to stay in the emergency room. Ye Nan transferred him to an ordinary custody ward.

However, the nurse continued to ask the patient to give 10mg of atropine. Because under the strong effect of hemodialysis, although many poisons in the patient's blood were eliminated, the drugs in the body were also excreted from the body. Therefore, after all, supplement the drugs as soon as possible to maintain the efficacy.

After the drug was promoted, Ye Nan changed the atropine injection amount every half hour to once an hour. Now the patient's condition has improved a lot, and the drug requirements for maintaining atropine synthesis are much lower. If it is excessive, atropine poisoning is also quite dangerous and troublesome!

In this way, after Ye Nan's careful medication, two hours later, the patient finally woke up completely. Ye Nan carefully performed a physical examination again. The breathing sound of both lungs was thick, but no obvious rales were heard anymore. The heart rate was maintained at 100-120 beats/min, the diameter of the pupils was about 25mm, the skin was dry, the complexion was slightly red, and the person felt a little irritable!

I am very satisfied. Atropinetics is maintained well now and there is no excessive situation. As long as this situation can last for twenty-four hours, the patient will be basically out of danger! Because the risk of rebound within twenty-four hours is the highest, so you should not be careless now. After twenty-four hours, the risk of rebound will be greatly reduced!

At this time, the patient's husband was already much more relieved and held Ye Nan's hand and thanked him continuously. However, Ye Nan did not dare to be careless and quickly reminded him: "Your wife is temporarily stable now, but you still have to take care of her, because such serious poisoning may cause a rebound in the condition at any time! So we can't be too optimistic yet!"

The man nodded quickly and agreed: "Thank you for your hard work in the doctor. I will definitely watch carefully. If there is any situation, I will notify the doctor immediately!"

After hearing the other party write down his words, Ye Nan returned to the office with confidence. For this patient, he tried his best today, but he was really hard!

Ye Nan returned to the office. He had been busy all day today and had not drunk much water. He poured a cup of hot tea and sat on the chair. He breathed a sigh of relief. If this was the case every day, it would be so hard!

However, Ye Nan had no time to relax today. After sitting for less than an hour, the call bell rang again: "Doctor Ye Nan, please go to the custody ward immediately, and Dr. Ye Nan, please go to the custody ward immediately!"
Chapter completed!