Chapter 223 Hypertonic dehydration

Style: Science Author: LinshanhaiWords: 2380Update Time: 24/01/12 21:40:24
Nurse Xiao Yu breathed a sigh of relief: "This child is really up to date!"

Although Dr. Tao did not help, the child recovered on his own, which was really a blessing among misfortunes!

Xiao Sun, the nurse on the side, poked her gently, and then quietly pointed to the needle inserted into the child's chest.

Xiao Yu looked over and was surprised.

Could it be that the child's apnea just now was not recovered on his own, but was saved by this needle?

She has been working in pediatrics for so long and has participated in the rescue of many children, but this is the first time she has seen acupuncture used in first aid.

She looked at the child and then at Tao Le, and for a moment she didn't know what to say.

It turns out that Dr. Tao didn’t do nothing.

Just such a small needle can restore the child's breathing and win valuable time for treatment.

Dr. Xiao Tao knows acupuncture, and is especially good at acupuncture and anesthesia. Corey has long spread the news, and everyone thinks it is a bit mysterious.

Now that I saw it with my own eyes, I realized just how magical it is.

And I had wrongly blamed her just now. Thinking of this, Xiao Yu's face couldn't help but become hot.

Fortunately, she didn't say much just now. Otherwise, how would she face Dr. Tao if they were in the same department in the future?

When the countdown ends, a sweet prompt sounds: "The treatment is completed, the patient's health value is increased by 8 points, acupuncture increases the health value by an additional 1 point, and the total health value is increased by 9 points."

Following this reminder, the child's health returned to 24 points, and the color of the gold finger interface also faded from shocking purple to deep red.

Tao Le pulled out the needle and said calmly: "This child is still in critical condition and will be sent to the emergency room immediately."

Xiao Yu and Xiao Sun had already put on oxygen masks for the child. After hearing this, they immediately sent the child to the emergency room and connected it to the monitoring equipment.

Almost at the same time, Director Bai De hurried over. As soon as he saw him coming, Tao Le immediately explained the situation quickly:

"The child had a high fever and had apnea while waiting for treatment. His face was cyanotic with convulsions. He has resumed breathing after acupuncture. He is currently receiving oxygen and his blood oxygen saturation is rising."

Bai De nodded repeatedly while listening.

If something goes wrong with such a young child while waiting for a doctor, no one would be able to bear it.

Tao Leno was able to detect the child's abnormality immediately and perform first aid. This not only showed her excellent acupuncture skills, but also showed her seriousness, meticulousness and responsibility.

This point deserves more attention from him than the former.

Technology and abilities can be improved, but personality is difficult to change.

That's why Tao Le was able to keenly detect the truth of mass poisoning, and at this age, he was able to pass the qualification to practice integrated traditional Chinese and Western medicine.

This matter, Tao Le mentioned it casually to him when he went to the infirmary in the morning, but it made him a little emotional.

Western medicine and Chinese medicine are two directions, and each requires extensive and profound knowledge, but Xiao Tao can use both and performs so well.

Bai De admired it in his heart, but on the surface he just nodded and didn't say much.

Young people can be sure, but they should not praise too much, lest they breed pride and limit their future.

He read various data on the bedside monitor and then learned about the condition with the mother.

Tao Le was also listening carefully. She was actually very surprised, how did this baby get hypertonicity?

According to the mother's account, the child started to have diarrhea three days ago, with watery stools more than ten times a day, accompanied by coughing, nausea and vomiting, and a fever of up to 40 degrees Celsius.

The family went to the hospital at that time. Well, because the Children's Hospital was overcrowded and couldn't get a call, I went to the nearest Friendship Hospital.

The Pediatric Department of Friendship Hospital also attached great importance to this situation, and the preliminary diagnosis was diarrhea, severe hypotonic dehydration, hyponatremia, and metabolic acidosis.

The child was immediately hospitalized and given fluid rehydration, volume expansion, acid correction, and oral administration of Momi Ai, Smecta and other treatments.

Two days after treatment, dehydration, acidosis, hyponatremia and shock had improved, but fever and diarrhea remained. Because the parents were in a hurry to go back to work and could not stay at the bedside, they were discharged voluntarily.

Today, the child developed a high fever and was in extremely poor condition, so the mother took leave and took her to the pediatric clinic of a hospital.

After hearing this, Tao Le already understood the reason why the child suffered from hyperosmosis.

The body fluids of the human body contain not only water, but also sodium, potassium and other electrolytes.

When dehydration occurs due to various reasons, these electrolytes will also decrease, but the degree of decrease may vary.

Take sodium, that is, salt, as an example. When the water lost by the human body contains an extremely large amount of salt, there will be less salt left in the human body. The clinical indicator is that serum sodium is less than 130mmol/L, which is called hypotonic dehydration;

On the contrary, if the lost water contains very little salt, there will be too much salt left in the human body. If the serum sodium level is higher than 150mmol/L, it means hypertonic dehydration.

So why this child had this symptom, Tao Le naturally had a guess - iatrogenic factors may be the biggest factor.

The child was previously in a state of hypotonic dehydration at Youai Hospital. During the rescue volume expansion and rehydration, too much sodium-containing solution was given, causing hypernatemia at the moment and subsequent hypertonic dehydration.

Tao Le had a general understanding of the situation, and Director Bai over there also had doubts. He ordered a check list to check blood routine, electrolytes (emergency test), electrocardiogram, stool routine, blood sugar, etc.

The results came out quickly, and they were similar to the golden finger values. The serum sodium level reached 157mmol/L.

Director Bai's expression was very serious. He didn't know whether it was because of the child's condition or because he was angry because of the blind rehydration of Youai Hospital.

The child's condition was not optimistic, and he contacted the pediatric intensive care unit (PICU).

In the entire Yun City, except for the Children's Hospital, which has a PICU, that is, one hospital has specially built such a department.

As soon as he heard that there was a seriously ill child, Gao Yuan, the chief physician of the PICU, immediately brought people down personally, had a general understanding of the situation with Bai De, and then picked up the child.

The mother of the child went with her to go through the formalities, and before leaving, she did not forget Xie Taole:

"Thank you, doctor! Thank you for saving the child in time!"

Gao Yuan looked back at Tao Le.

The relationship between pediatric intensivists and pediatricians is very close, but there is no subordinate relationship, so Gao Yuan only met Tao Le at yesterday's commendation meeting.

At that time, although he had no ill feelings toward Tao Le, a young girl who had just entered the training program, he also felt that she might not live up to her reputation.

It was just a fluke that the city health bureau wanted to give her such a high honor. This was actually not a good thing.

Unexpectedly, I saw her again today, and heard the family members of the children thanking her.

Wasn't the patient just admitted to the hospital? Bai De was the one who saw the doctor and ordered the examination, and he was the one who wanted to admit him to the PICU. What did this little doctor do to thank him so much in front of others?

Bai De and him have been old partners for many years. They have treated many children together. When I saw the look in his eyes, I knew what he was thinking.

"Lao Gao, when the child was waiting for treatment just now, Xiao Tao happened to see him and noticed something strange about the child."

He quickly told Gao Yuan the situation just now, which made him doubtful.

Anyone who has worked in the PICU for so many years and is familiar with all Western medicine rescue procedures would find it difficult to accept that someone could just use a filiform needle to bring a child back from a near-death state.

If this is true, it would be a waste of talent for her to stay in the outpatient clinic - the PICU is where she can let herself go!

Thinking of this, Gao Yuan looked at Tao Le eagerly: "Xiao Tao, the child's recovery of breathing is really the effect of your acupuncture?"