HCB Chapter 351 The Ph Value Drops
Chapter 351 The Ph Value Drops
Chapter 351 The Ph Value Drops
Chapter 353 The ph value drops
"If I suggest, use amphotericin B liposome, but the price is more expensive, one price is [-] yuan, the patient needs nine sticks a day, and also needs to take itraconazole for two weeks, the price is estimated at About [-]." Qin Feng looked at the patient's family.
This is already a high price for ordinary families. The main patient's family has already exhausted all their money due to treatment, and the whole family is in debt.
If it is [-], we still need to find a way to get it together.
"You don't have to worry about this fee, we have contracted it with Taoshi TV Station," Xiaoping said.
The broadcast of the first episode increased the ratings of Taoshi TV Station by a large margin. Xiaoping's bonus was more than [-] yuan. Plus there was some remaining activity funds, so she took it out directly. This scene must also be recorded. If it is released, it will also give Taoshi TV station a good reputation.
If it was 30, Xiaoping would not be so generous.
"Thank you, we will return the money to you." The patient's father said.
Qin Feng asked Zhang Yao to take the patient to go through the hospitalization procedures. Medication should be observed in the hospital, and allergies and other complications may occur in advance.
"Doctor Qin, can I interview you again? It's mainly about this condition. According to my understanding, there are many patients like Xiaowen in the whole country. I wonder if it's convenient for Doctor Qin?" Xiaoping asked.
This is a big topic, and it is only good for Taoshi TV station to stabilize this topic.
At the same time, another point is that this time helped other patients, so will patients with other symptoms pay attention to this program and expect to get treatment?
"This is no problem, the full name of this germ..."
After interviewing for nearly half an hour, Xiaoping greeted Qin Feng and left.
Qin Feng also explained the characteristics of T. marneffei, inspection methods, etc., and it was very detailed.
Another four days passed, and Xiaowen's condition improved significantly, and the fever he had always had subsided. At the same time, Ruijin Hospital selflessly published this treatment method on the intranet and provided it to other hospitals for learning.
This is what big hospitals do, and they don't hide their secrets.
As far as doctors are concerned, once they hide their secrets, it will be difficult for medicine to develop upwards.
The intranet of the hospital is no different from the Sutra Pavilion of Shaolin Temple.
Qin Feng stretched his waist, and being able to solve a difficult and miscellaneous disease is quite a sense of accomplishment for Qin Feng.
After a while, Yue Meng answered a call, saying it was from the dialysis department.
They admitted a patient over there, and the situation was a bit complicated, so they wanted to transfer to the emergency room and ask Qin Feng to help.
It is very knowledgeable to transfer departments.
Transferring a patient to a department in a hospital means that the patient has no choice but to transfer to another department. It is better to speak nicely.
Qin Feng answered the phone and began to ask about the patient's condition.
"The patient is a female, 60 years old, with a chronic depletion condition."
"What about the specific data? How about creatinine, blood potassium, and BNP?" Qin Feng asked.
"Creatinine is 332, blood potassium is 7.1, and BNP has reached 25041.36. We have admitted the patient for two days, but the blood potassium has been unable to drop. We can only see if you can do anything." The doctor in the dialysis department also sighed. tone.
Qin Feng sent them a patient with his front foot, and they returned a patient with his back foot.
"Okay, you send the patient over, and I'll go and have a look."
Twenty minutes later, the patient was sent to the emergency department.
Qin Feng took a look at the patient's past medical records and test sheets, and found that the patient's pH value was 7.32, which was slightly lower than the normal value.
At the same time, the oxygen partial pressure, carbon dioxide partial pressure, and oxygen saturation were all on the high side, and the hemoglobin, red blood cell backlog, etc. were all within the normal range.
According to the age of the patient, this result is actually good and within an acceptable range.
The family members of the patient also signed the informed consent form, and the patient was formally transferred to the emergency department for treatment.
Now Qin Feng is a big celebrity. After treating Zhang Xiaowen, his reputation in the whole country has risen to a higher level. Everyone knows that there is a very good doctor Qin in Ruijin Hospital in Shanghai.
Zhang Yao placed a urinary catheter on the patient, and Qin Feng also asked the patient if he had any urinary system infection.
After all, the purple urine bag syndrome last time did not consider urinary system infection, which almost led to a misdiagnosis.
"There is no infection, just a bit of chronic renal failure." The patient's family said.
"Put the patient on a hemofiltration machine, CVVH mode, pre-replacement 2000, sodium bicarbonate 160ml, give heparin anticoagulation, potassium stock solution 5ml, dehydration 250ml/h."
Soon, Zhang Yao did everything well.
Now Zhang Yao has gradually grown up with Qin Feng.
Qin Feng considered that the patient's ph value was a little low and he had symptoms of acidosis, so in order to prevent serious illnesses such as cardiac arrest that may be caused by acidosis, Qin Feng decided to correct the acidosis in the patient's body first.
As for other plans, they are the same as the treatment measures given by the dialysis department.
After all, the patient just came to the emergency department, and Qin Feng had to observe the situation before making new treatment.
At around [-] o'clock in the evening, the patient was pushed to do another blood gas analysis. This time, the patient's ph value actually dropped again. The originally high partial pressure of oxygen was directly lower than the normal level. The pressure rises again.
"What did you give?" Qin Feng looked at Zhang Yao.
"Sodium bicarbonate."
Qin Feng frowned. It stands to reason that after using sodium bicarbonate to correct acidosis, the pH value will slowly return to normal.
But now the ph value of the old lady is lower than before it was corrected. It is obvious that there is a problem with the partial pressure of oxygen and partial pressure of carbon dioxide.
Most importantly, Qin Feng also noticed that the patient had mild heart failure.
Kidney failure has a great impact on the body. After the partial pressure of oxygen decreases, the partial pressure of carbon dioxide increases. Qin Feng feels that he needs to check the patient's urine.
Only urine is closely related to the kidneys. In many cases, problems with the urinary system cannot be separated from the kidneys.
Qin Feng glanced at the patient on the hospital bed. The patient's body was a bit bloated, and his eyes were also swollen, almost unable to open them.
Moreover, the patient's bloated body was completely due to edema, which made Qin Feng a little irritable.
I had to ask Zhang Yao to take a urine sample and send it directly to the laboratory.
Qin Feng returned to the outpatient clinic. After finishing today's work, he returned to the patient's ward and found that the patient's edema had not been relieved.
You know, Qin Feng has already emphasized dehydration when he was on the blood filter machine, and he has been dehydrated for the whole afternoon, but it has not stabilized the patient's condition.
This made Qin Feng a little bit confused by Monk Zhang Er.I don't know what caused it at all. It stands to reason that after dehydration, the patient's edema will be reduced.
It's no wonder why the dialysis department threw such a patient to itself.
(End of this chapter)