Chapter 390 Breaking Bad

The lights in the rescue room were bright, everyone was running rampant, and everyone was roaring.

Order is running in chaos, everyone is so tired that stars are shining in their eyes, and adrenaline is racing.

And at the same time.

Inside the observation room, which is only separated by a wall, there is a different scene.

Six patients were lying quietly on the hospital bed, and the infusion slowly fell into the Murphy's dropper.

Two young nurses stood guard beside the three patients respectively.

Su Jie continued to patrol the patients, opening their eyes to observe changes in their pupils, and at the same time listening for small changes in crackles in the lungs.

From a certain perspective, it actually presents a peaceful and peaceful scene.

However, the three people present knew that this was just an illusion created by the calm lake surface. Through the clear lake surface, the turbulent clouds and clouds at the bottom of the lake were no worse than those in the emergency room.

Even more dangerous here, the haze of death has already completely enveloped this place.

"Wu Lei, third bed, plus 0.5mg atropine."

"Six beds of plum blossoms, plus 0.3mg atropine."

"One bed Zhang Hao, add 0.5mg atropine."

"The rest won't move for now and continue to observe."

Su Jie once again observed the changes in all patients and then gave the latest drug adjustment plan.

The two young female nurses who were waiting attentively began to take action immediately, sucking the liquid, shaking it, exhausting it, looking at the scale, and calibrating the light...

The liquid spilled out from the tip of the needle bit by bit. The two young nurses obviously held their breaths while calibrating the scale, for fear that the disordered breath would affect their vision and cause any deviation.

The dose of atropine is very small, and it is a toxic drug in itself. A deviation of one milliliter may not matter to other drugs, but in the current situation, a deviation of one milliliter may cause serious consequences.

Both young nurses were under tremendous psychological pressure.

The slightly turbid medicinal liquid is pushed into the patient's body. Over the next period of time, it will slowly antagonize the toxicity of muscarine in the patient's body until a delicate balance is reached, achieving a negative and positive effect.

Take the current patient Qi Bed, for example, who was the first patient with severe poisoning to enter the emergency room. His symptoms of muscarine poisoning have improved significantly.

The record sheet in Su Jie's hand has already been recorded on seven A4-sized sheets of paper. It is densely packed and neatly written, and it is filled with all the changes in symptoms of these patients since they were admitted to the hospital.

After checking the seven beds for the last time, Su Jie put a check mark at the end of the seven-bed record sheet and said:

"Don't worry about the seven beds for the time being."

The nurse in charge of bed 7 breathed a sigh of relief and quickly threw the remaining atropine solution on the bedside of bed 7 into the yellow trash can.

Su Jie continued to observe other patients and record changes in their symptoms.

As a clinically toxic drug, atropine actually has a standardized process for its use.

That is, the atropinization standard.

A more layman explanation is that when atropine is used to treat poisoned patients, the symptoms will appear in the patient when the atropine drug is taken in an appropriate amount.

Pupils are dilated, dry mouth, dry skin, flushed face, reduced or absent rales in the lungs, accelerated heart rate, etc...

There are standards, but they are not particularly standard.

Compared with those standards supported by strict data, the atropinization standards are very subjective.

‘Compared to the past, it has improved’. This is a subjective statement. What is considered improved? How much improvement is considered improved? If it is improved, to what extent is it considered improved?

These require the doctor's judgment and adjustment of the atropine dose.

This is a test of the doctor's ability. If used well, it is a good medicine. If used poorly, it may be the last straw for the patient.

There are always patients who complain, why do doctors nowadays seem to be unable to treat diseases without equipment? When they enter the hospital, they have to do a bunch of tests regardless of the circumstances before they can give a diagnosis and prescribe medicine.

Some patients even complain that I obviously went to the hospital for gastritis. After a checkup, the doctor told me seriously: "Well, you have gastritis. Just go back and continue taking your medicines."

I almost threw a big sinus in the doctor's face on the spot.

But in fact, only objective and true data and results can ensure the accuracy of treatment. Treatment is unlike other treatments. A slight mistake may cause irreparable serious consequences.

Treating based on feeling and experience is actually a helpless move. Doctors will never choose to treat diseases in such a high-risk way if given the choice.

The high risks here are not only for the patients, but also for the doctors themselves.

Su Jie was constantly observing the patient's symptoms in a dim environment and instructing the nurse to adjust the dose of medicine. At this moment, Su Jie suddenly felt that he was not like a doctor, but a bit like Breaking Bad.

If he shaved his head again, it would look more like... Su Jie couldn't help but secretly complained in his heart.

Qi Bed is the first patient to achieve atropinization. The muscarinic toxicity in his body is antagonized by atropine, and the remaining residual poison will be slowly metabolized by his body's defense mechanism.

The next two children to improve were the two children who took the least amount of poisonous mushrooms. At the same time, the children's vitality was also stronger. They also showed the most tenacity under the impact of strong poisons.

The dosage of the last dose of atropine has been reduced to 0.2mg. The nurse's eyes are almost narrowed. After calibrating the liquid, the injection is injected into the child's body. Then, the inner wall of the injection is rinsed with saline to prevent the liquid from remaining and affecting the accuracy.

.

The process of atropinization was the most difficult for couples and the elderly, but Su Jie now had more energy to take care of the three of them, and was braver in adjusting the dosage.

At this moment, Jiang Wu appeared in the observation room.

After the work in the rescue room became a little more stable, he was still worried about observing the situation in the room, so he found an opportunity to come over and take a look.

This chapter is not over yet, please click on the next page to continue reading! But the scene in front of him made him froze.

The worried expression on his face was gradually replaced by surprise. He was stunned for a long time before asking: "Have these patients been successfully detoxified and atropinized?"

Only then did Su Jie notice that Teacher Jiang Wu was coming. He looked back and nodded: "Well, you can contact the intensive care unit to send them there. I'm worried that after their acute poisoning, their kidneys and liver may have a stress reaction.

It’s better to be careful.”

"good."

Jiang Wu nodded and breathed a long sigh of relief and said: "We will send a group of seriously ill patients later, can you do it alone?"

Su Jie said without thinking: "This couple is about to achieve atropinization. I still have ten beds here. I can add more, but not too many."

As he spoke, he shook the record sheet in his hand and said: "My limit is only about fifteen. There are too many patients. I may confuse their symptom changes. If there is a problem with the atropine dose, it will be troublesome."

Already."

"It's already amazing."

Jiang Wu said sincerely: "Be prepared. The provincial government does not have the ability to deal with severely poisoned patients. Three patients have already died there. The 120 command center may divert more serious patients to Southeast Hospital.

"

"It is estimated that most of the seriously ill patients will be sent to us next. We are the last line of defense in Badu. There is no reason to reject serious patients anymore."

"Um."

Su Jie turned around, continued to look at the poisoned old man and his wife, and said in a calm tone: "Send the most serious patients to the observation room."

"Okay." Jiang Wu was slightly moved, but he understood that there was no need to say anything more at this time, so he turned around and left the observation room.

at the same time.

At the edge of Su Jie's field of vision, a light blue electric arc flashed, and the system's text appeared in front of Su Jie's eyes like ivy emerging from the water:
Chapter completed!