"Quick! Quickly help her lie down."
Xu Tiantian immediately stood up and walked over, helped the old lady lie down, and then notified head nurse Liu Juan to dispense the medicine.
"Head Nurse Liu, with severe hypertension, was given intravenous sodium nitroprusside."
"OK."
You know, even for young people, blood pressure over 220 is very scary.
In the elderly, as the body functions decline, the cells lose activity, and the cardiovascular and cerebrovascular vessels are extremely fragile.
There are many outside the brain because of high blood pressure, coupled with the sudden overexcited, the blood pressure instantly exploded and broke through the blood vessels.
Caused a serious cerebral hemorrhage, the rescue was also a stroke in time, and he was paralyzed in bed.
There are many others who are not even in time for surgery, and are already dead by the time they are sent to the hospital.
This is also one of the high incidence cases of sudden sudden death in the elderly!
And the old lady in front of them has such a high blood pressure that it can be said that as long as there is a little accident, the blood vessel may rupture at any time.
At that time, it will not be a problem of lowering blood pressure, but living in pain for the rest of my life.
"Pay attention to controlling the speed of depressurization, and the decrease rate within 24 hours is within 30%."
At this time, Liu Juan had already come in with the rehydration solution, and the nurse said while giving the old lady a needle.
Qin Feng nodded slightly, because he was experienced.
In fact, the role of the head nurse Liu Juan is even more powerful than Zhao Yitian and Xu Tiantian!
An experienced and skilled head nurse, its status is no lower than the attending physician.
Because although doctors are responsible for the diagnosis and treatment of patients, the actual treatment process is still operated by nurses.
Therefore, once the nurse has a problem, even the doctor may not be able to respond in time.
This requires a head nurse who can fully control and set an example for nurses at all times.
Not only the work of the nurses, but also the care of patients, the accuracy of medication, and the attention to life.
It's not easy for nurses
Liu Juan has followed the three directors, from the triage table to the operating room patrol, equipment, and head nurse, for more than ten years.
This grasp of various diseases is even better than that of an ordinary resident doctor!
"The patient should be sent for observation, and the family will stay."
Qin Feng looked at the situation in front of him and said immediately.
"Who are you from the patient?"
"I am her daughter."
The woman's face was also a little anxious when she heard the words.
"I want to tell you about the current situation. Your mother's hypertension has reached a very serious level."
Qin Feng took the initiative and said to her,
"The high pressure is 220, the low pressure is 160, and then the blood vessel may rupture. At that time, people may say that it is gone.
Therefore, as family members, you must let the elderly take medicine on time, and do not have major psychological fluctuations. "
"Doctor, we know this too."
The woman's expression suddenly became a little helpless and sullen when she heard the words,
"But she didn't listen to us at all and asked her to take her medicine on time, but she would sneak the medicine away every time.
We have to go to work again, and it is impossible to watch around every day. When we go back at night to let her take medicine, she can even put the medicine in her mouth and spit it out when we leave.
What do you say we can do? "
Speaking of this, the woman covered her face with her hands, her voice full of grievances.
Qin Feng and Xu Tiantian also sighed secretly after listening.
This situation is indeed too many, many elderly people think that taking medicine is useless at all, or they are resistant to taking medicine.
In addition, the disease of high blood pressure will not break out until the critical moment, so I feel that I am fine.
But in fact, a little increase in blood pressure, if you don't care, once accumulated to the edge of a burst, even a single rise will cause blood vessels to rupture.
At that time, there is no regret medicine to take.
"Think of a way, you have to let her learn to accept it."
Qin Feng shook his head and continued to persuade.
"Actually, it's not that my mother doesn't believe it, she just doesn't want to take the medicine in the pharmacy, but secretly buys other antihypertensive medicines by herself."
"Other antihypertensive drugs?"
Qin Feng frowned slightly: "What antihypertensive drug?"
"I don't know, it's like a Chinese medicine."
The woman thought for a while and then said.
Take Chinese medicine? Can lower blood pressure?
Qin Feng suddenly became alert when he heard the words, and hurriedly asked.
"Did you bring your medicine?"
"Oh, I brought it here on purpose when I was leaving."
The woman nodded, took out a small blue porcelain bottle from her bag, and put it in front of the two of them.
Qin Feng quickly brought it over, and when he opened the cork, a strong smell of traditional Chinese medicine floated out.
He poured out two small, dark-looking pills from it.
This taste~
It doesn't seem right!
He had already signed up for ancient medical books including the "Qing Nang Jing" and "Qian Jin Fang", and his identification of traditional Chinese medicines was very familiar.
And this pill has a very ferocious licorice taste when it comes to my face.
Licorice itself contains a lot of glycyrrhizic acid and glycyrrhetic acid, which are all ingredients that are easy to stimulate blood pressure.
It is not a big problem for patients with first- and second-level hypertension to take a small amount, but this patient has already reached the third-level severe hypertension.
And coupled with the daily dose, it is no wonder that such a serious situation occurs!
"Which pharmacy did you buy this medicine at?"
"No." The woman shook her head. "It seems that it was recommended by a friend of my mother, and she bought it for her. She said it was very useful. She also eats this herself."
"Do you have the phone number of the patient's friend? Call now and ask about the purchase channel of this medicine."
Qin Feng immediately said with a serious expression.
"What's wrong? Is there something wrong with the medicine?"
The woman was stunned when she heard the words, and immediately reacted, she immediately took out her mobile phone and dialed a number,
"Hey, Aunt Zhang, I want to ask where did you buy the antihypertensive medicine you bought for my mother?"
"No, no, I'm not suspicious of you, yes~~~ I have a colleague, her father also has high blood pressure and it's not very good. She knows that my mother is taking this medicine and wants to buy two boxes to try.
Please feel free to ask me where you bought this medicine from. "
Qin Feng was quite clever when he heard the woman's words.
"What?! Online friends!"
Immediately afterwards, the woman's voice increased several times in an instant, and she bounced off the chair with an extremely ugly expression.
"Aunt Zhang, didn't you say you bought it from a pharmacy out of town? Why is it online again!
My mom is in the hospital now! You tell me clearly! "
Hearing this, Qin Feng and Xu Tiantian's hearts sank suddenly.
Something happened!
...
After a while, the call was hung up, and the woman's face was ashen, obviously angry.
"Where did you buy this medicine? How much did it cost?"
Qin Feng asked calmly.
"Yes... She saw the information in the WeChat Moments, and then added a friend to buy it. A box is $790. My mother bought more than $5,000 of medicine."
The woman gritted her teeth and said with unspeakable bitterness.
Fake medicine no doubt!
"Okay, your mother's situation should be stabilized. You should call the police first. It's enough to file a case."
Qin Feng handed her the bill of payment and persuaded her.
After the woman took it, she walked out in despair.
Xu Tiantian shook her head helplessly.
"Then if the old lady eats for a few more days, it is estimated that she will have to lie down and push forward. Why do you think this family is so big-hearted?"
"Oh~ Forget it, I hope they can learn from it."
Qin Feng patted her shoulder and smiled bitterly.
This kind of thing is not encountered once or twice in the emergency department. The counterfeit drug dealers specifically target the elderly.
Pulling and stepping on it makes the old people think that hospitals and pharmacies are deceiving people.
After taking their medicine, although it looks like a lot of money, but if you are cured, you don't need to spend money, and your health is good.
In this way, some elderly people who cherish their lives will inevitably take the bait, and even personally say that one will take the bait.
Otherwise, who would sell so many health care products on the market?
...
"Call the next one."
"OK."
Xu Tiantian received a morning consultation, but Qin Feng simply didn't get up. Anyway, it was about time to get off work, and it was estimated that after one or two readings, the door would be closed.
Ding~
Please go to the No. 1 clinic of the general practice on the 223rd.
"Hello, doctor."
Whoa!
The prompt sound disappeared for a few seconds, and a woman's figure appeared at the door of the consultation room.
Qin Feng raised his head when he heard the sound, and then stood up abruptly.
Although the woman covered her face, the exposed eyes made him a little uneasy.
That smooth scarlet, the symptoms are too obvious.
Qin Feng recognized it at a glance and could even diagnose it completely.
Lupus erythematosus!