Blood pressure 196/123…………

The blood pressure is very high!

Zhou Mo asked, "Have you taken antihypertensive drugs?"

"I have something to eat, about an hour ago..."

"I ate it an hour ago, and my blood pressure hasn't dropped yet?"

Zhou Mo was shocked.

No, is it the wrong blood pressure medication?

"What antihypertensive drugs have you taken before?"

"I don't know about this either..."

"Can't remember? Where did you buy the medicine? Taobao? Meituan? If you buy it online, you should have a purchase record."

"Yes, yes, I bought the medicine in a group, I'll check it now..."

Soon, the young patient will look through the records of the mobile phone and find the records of the medicines purchased.

"Here, doctor."

Zhou Mo swiped back and forth on the patient's mobile phone drug order.

Hydrochlorothiazide, diuretic...

Rimenidine, sympathoinhibitory...

Losartan, angiotensin...

And vasodilation...

Every type has it.

"Doctor, I always go to the emergency room, and then I dare to buy the medicine prescribed by the doctor."

"It's useless to eat?"

"It's useless, it can only be said to slow down a little."

Zhou Mo immediately frowned.

It's strange that antihypertensive drugs don't work.

Forget it, let’s look at the headache first. Cardiology, the full name is Cardiovascular Medicine, and some hospitals also add Cardiovascular and Cerebrovascular Medicine.

It is also closely related to brain science.

Therefore, Zhou Mo also has a certain understanding of brain science.

Headache + high blood pressure, what is most likely to be associated with?

Stroke, that is, cerebral hemorrhage, cerebral infarction.

Zhou Mo needs to get rid of this for the patient, so as not to delay the condition, and then find the cause of high blood pressure later.

"Is there any problem with walking? Will it be skewed?"

"Won't."

"What about weak hands and feet?"

"Won't."

"Put your tongue out and see me..."

"Ah~~~"

No skew, right in the middle.

Zhou Mo nodded. From these physical examinations, it can be seen that the patient's thinking is clear and his language is smooth, which is different from the performance of cerebral infarction and cerebral hemorrhage.

The typical symptoms of stroke are disorders of limb movements and language disorders, but the patient does not.

so,

The high probability is ruled out that there is a problem with the brain.

At this moment,

The electrocardiogram that the nurse connected to the patient has also been pulled out for a long time.

Zhou Mo picked up the electrocardiogram and looked at it.

everything is normal!

Therefore, everything still needs to help patients find the source of high blood pressure.

Sudden!

Just as Zhou Mo was about to continue his consultation,

"Sigh~~~"

The patient twitched violently, clutching his chest.

His girlfriend hurried over: "Brother, what's wrong with you?"

Zhou Mo: "Your chest hurts?!"

The patient nodded.

Zhou Mo said quickly to the nurse who had not left yet: "Quick, one more electrocardiogram!"

There was no chest pain just now, and the electrocardiogram was normal.

Now there is chest pain, and the electrocardiogram may show something.

Fortunately, the electrocardiograph was not removed, and it was quickly connected again, and the electrocardiograph was continuously printed out.

The patient was still clutching his chest and was in pain, but it wasn't as painful.

Zhou Mo looked at it while printing.

The ST-T segment is elevated to a certain extent.

Zhou Mo was immediately alert.

"Myocardial infarction? Ischemia?"

Zhou Mo was worried that it was a myocardial infarction, so he immediately asked the nurse to draw blood, and then sent a tube to make a troponin...

At this time, Huang Yiming, Huang Xinyi, Xiao Tong, and Chen Sumei walked in.

"Mexico, let's learn."

"Okay." Zhou Mo didn't object: "Aren't you very busy, Yiming?"

Huang Yiming smiled: "I bribed Senior Brother Chen Bing with a week's good meal."

Zhou Mo: "..."

Senior Brother Chen Bing, I didn't expect you to be bought off so easily!

Why can't you be just like me, unyielding, unyielding, poor and humble?

"Brother Mo, who is this patient?" Huang Yiming asked.

"Unexplained high blood pressure, ineffective antihypertensive drugs, and headache..."

"Is blood pressure medication useless?"

"Have you tried several types of antihypertensive drugs?"

"I've tried it all, but the results are not satisfactory."

The three of them were all at a loss.

at this time,

Sudden!

The patient's chest pain stagnated for a while, and then he slammed on the bed and closed his eyes.

Zhou Mo: "??????"

Girlfriend: "??????"

Huang Yiming, the four, and the nurse: "?????"

Zhou Mo was startled, walked over quickly, and patted the patient: "Chen Jianxin, what's wrong? Wake up... Wake up!"

Then he touched the aorta in the neck.

Zhou Mo's expression changed suddenly.

No more jumping!

"Not good!" At this time, the nurse suddenly exclaimed, "Doctor Zhou, the ECG is straight!"

"I go!"

Zhou Mo couldn't help but scold his mother.

What the hell? Huang Yiming, these four guys are poisonous, right? The patient was doing fine just now, and when these four guys came, the patient was finished!

No, it should be Huang Yiming!

Quick CPR!

Zhou Mo did CPR without saying a word.

"Quick, get the air bag! Adrenaline!"

"Brother Mo, it's none of my business!" Huang Yiming had already shouted and rushed out, while proving his innocence, but he didn't know that he was here without three hundred taels of silver.

The patient's girlfriend stayed in place at this time. Just now, her boyfriend was still in good spirits. Why did she suddenly lose her heartbeat?

Huang Xinyi and others helped one after another, inflating airbags, connecting an ECG monitor, injecting epinephrine...

some cardiopulmonary resuscitation,

In the 5th minute, patient Chen Jianxin was finally rescued successfully.

The ECG monitor began to show healthy sinus rhythm.

When her girlfriend saw her boyfriend wake up, she almost burst into tears, and hurried over to grab Chen Jianxin's hand.

Zhou Mo looked at the ECG monitor,

·Blood pressure: 190/125...

·Blood oxygen: 89...

Heart rate:  …

Blood pressure is still so high!

Zhou Mo frowned: "Is the cardiac arrest just now caused by high blood pressure?"

"Would you like to give him some blood pressure medication?"

"Since the patient's oral antihypertensive drugs are not effective, is it necessary to use intravenous antihypertensive drugs?"

The so-called intravenous antihypertensive drugs are injected into the vein.

The effect of antihypertensive drugs is much stronger than oral administration. Generally, they are used in very urgent situations, and it is best to use a syringe pump to control the speed of the pump.

Zhou Mo picked up the phone and called Senior Brother Chen Bing.

"What's wrong?" Brother Chen Bing asked.

"There is a patient here, high pressure, cardiac arrest..." Zhou Mo explained the patient's condition in detail, "I think I will give him an intravenous injection of an antihypertensive drug, sodium nitroprusside."

Senior Brother Chen Bing: "Okay, pay attention to the speed... Forget it~lightnovelpub.net~ I'll go over..."

soon,

Senior Brother Chen Bing came to the ward.

Not long after, the nurse came in with sodium nitroprusside and a syringe pump.

soon,

The antihypertensive medicinal syringe pump was used for injection. Brother Chen Bing adjusted the pumping speed:

15ug/min...

After a few minutes,

The patient's blood pressure began to drop.

All the way down to 150/99 slowly...

Adjusted the speed to slow down the pump.

……

In the next time, the patient only needs to continue to pump the medicine to stabilize the blood pressure.

Zhou Mo and the others, go back to the duty room!

"Huang Yiming!"

Zhou Mo→_→! ! Look at Huang Yiming.

Huang Yiming jumped abruptly: "Brother Mo, it's really none of my business."

Zhou Mo sneered: "Oh, needless to say, you must have a black constitution! Otherwise, why would the patient go into cardiac arrest as soon as you leave?"

Huang Yiming called Tian Qu: "It's really not me, maybe it's the three of them!"

Pointing at Huang Xinyi, Xiao Tong, and Chen Sumei.

Huang Xinyi, Xiao Tong, Chen Sumei:

Just when Zhou Mo thought there was nothing to do,

Sudden,

The nurse station hurriedly shouted, "Doctor Zhou, the blood pressure in bed 29 has dropped to 70!!"

Poof! !

Zhou Mo almost sprayed!

"Fuck, what's going on? It's up and down!"

He flew out of the duty room and went straight to the 29th bed!

.