This Doctor is Great

Chapter 222 Epilepsy patient? Hypoglycemia?

In fact, for such comatose patients, the fingertip blood sugar should have been measured in the ambulance.

However, the reason why the on-board doctor didn't test it was because the patient's convulsions were severe and he couldn't catch the opportunity all at once.

Zhou Mo quickly ran to the nurse's station, the blood glucose meter.

When he came back, several people held down his arms and pricked his fingers.

"Beep beep beep~~~~"

Blood sugar came out all of a sudden.

Zhou Mo looked at the blood glucose meter data, 1.9, and his face was surprised and happy.

"Teacher, blood sugar 1.9!"

Zhang Mei was taken aback for a moment, surprised.

1.9 blood sugar is really too low.

Things are getting bigger.

The fasting blood sugar of normal people should be between 3.9-6.1.

And normal people's blood sugar should be higher than 6.1 after meals.

What the patient measures now is not the fasting blood sugar, nor the blood sugar after meal, but the random blood sugar.

Random blood sugar refers to: whether it is on an empty stomach or after a meal, it means to measure it anytime.

The value of random blood sugar will definitely not be lower than fasting blood sugar, but it will not be much higher, generally between four and nine.

However, the patient's blood sugar test result was actually 1.9, which was much lower than the normal level.

Zhang Mei thought to herself,

"Is the patient not epileptic, but convulsions caused by hypoglycemia?"

Zhou Mo was also thinking: "The patient's convulsions are due to low blood sugar or epilepsy?"

However, according to the patient's previous medical history, the patient did suffer from epilepsy, and no hypoglycemia was seen.

Zhou Mo shook his head and put these thoughts behind him, because no matter what causes the patient to convulse, the most important thing now is to replenish blood sugar.

At this time, Teacher Zhang Mei has already said quickly: "Give the patient a high-concentration glucose..."

The nurse hurried to get ready.

The flat car rushes forward...

The emergency room arrives.

High sugar infusion not reversed so quickly...

But the patient's convulsions continued.

The whole body is shaking.

Obviously not light.

And also foaming at the mouth.

Zhou Mo suggested at this time: "Teacher, since the patient has a history of epilepsy, you can empirically give the patient stability."

"good!"

Zhang Mei nodded in agreement.

The tranquillizer chosen is naturally a sedative antiepileptic drug, which should be able to quickly terminate the convulsions.

At this time, the doctor on board looked at the door of the emergency room and said, "Doctor Zhang, if there is nothing else, I will leave first."

There is a strict division of labor in their hospital. For example, he is responsible for taking patients safely to the hospital and handing them over to doctors in the emergency room.

He basically doesn't need to worry about the rest.

Zhang Mei: "Xiao Mo, go talk to the family."

Zhou Mo: "Okay."

Write the consent form and the like, and then go to the family members to talk and sign.

Zhou Mo was skilled enough in conversation, and soon got the consent letter from the patient's family.

At this moment,

The nurse also came with the medicine.

Stability + high sugar.

open the vein...

Infusion...

Watch the drops of medicine being injected into the patient.

Zhou Mo and Zhang Mei stood by the bed, waiting.

not long,

Sudden,

trembling trembling~~~~

The whole body trembled more violently.

Teacher Zhang Mei and Zhou Mo's expressions changed slightly.

In general, in patients with epilepsy, injections of tranquillizers should quickly stop the seizures.

However, the development of the matter was beyond Zhang Mei's imagination.

After the patient was injected with the tranquilizer, his body was still convulsing, and the convulsions seemed to be getting worse.

What exactly is going on? Does the patient have other diseases besides epilepsy?

Zhang Mei frowned tightly, puzzled.

Zhou Mo: "Teacher, it's also possible that it's low sugar. The blood sugar should not be enough right now, so I continue to twitch...Maybe when the blood sugar gets high, it will be cured automatically."

Teacher Zhang Mei nodded: "Yes, wait and see."

After a while,

The patient woke up Yoyo, no more convulsions.

Both Zhang Mei and Zhou Mo were stunned, and when they looked at each other, they could clearly see the surprise in each other's eyes.

Is it not epilepsy, but hypoglycemia?

Patient Zhao Leiming slowly opened his eyes, looked around in confusion, and found that he was actually in the hospital.

The last scene in his memory was that he suddenly convulsed and fainted on the ground, and he can't remember anything after that.

It seems that after he had epilepsy, his family sent him to the hospital.

The patient is also aware of his old problems.

"Doctor, let me ask, am I suffering from epilepsy?"

"Your wife sent you here just now."

Zhang Mei responded, but he felt in his heart that the patient might not be epileptic.

Because if the patient has epilepsy, it is impossible to inject a high-concentration glucose, and then he can wake up, and although he looks a little tired, he is in a good state of mind.

The patient was seen awake and in good spirits.

Zhang Mei decided to call the patient's family members over to ask about the situation.

"Xiao Mo, you ask the patient's family to come over. I want to know some information about the patient."

However, before Zhou Mo walked out of the room, he was stopped by the patient.

"This doctor, if we know the situation, can we go to the office and ask?"

The patient lay in the emergency room and looked at the surrounding equipment, feeling a little hairy for some reason.

But now he has returned to normal, and according to his previous experience of illness, he is no different from a normal person now.

So there should be no need to continue lying in the emergency room.

Zhang Mei looked up at the patient, and found that the patient was no different from a normal person now.

And the connected ECG monitor, all indicators are normal.

Zhang Mei looked at her watch.

"Zhou Mo, follow this patient...to observe for 12 hours."

The implication is that she is going to deal with other patients.

The emergency department is so busy, once the patient is determined to be fine, they will be transferred to the observation area.

Zhou Mo nodded: "Okay, teacher."

Zhang Mei left.

Then Zhou Mo said to the patient and family members: "Go, I will take you to another place."

...

ten minutes later,

Green zone observation area.

Because the patient's current condition is not serious, Zhou Mo was arranged in the green zone.

And it's a seat, no bed.

In addition, Zhou Mo arranged for neurology to come for consultation.

Zhou Mo: "Tell me about the previous situation. We need to know more about the patient's illness."

Patient Zhao Leiming nodded and spoke in detail.

"I am thirty-six years old, and I am a second-hand dealer. I usually ride a tricycle to collect some gadgets, and then resell them."

A clear expression appeared on Zhou Mo's face.

He had guessed the patient's occupation before, whether he needed to run outside every day to get such a tan.

Unexpectedly, it was exactly as he had guessed.

"The earliest onset was about one noon more than three years ago."

"I still remember that our two families were eating at that time. I suddenly felt unconscious and fell to the ground in an instant, and then my limbs became stiff and twitched."

Having said that, the patient showed a look of fear on his face.

All these were told by his family members, because after the onset of the disease, the patient had no memory of the situation at all.

At this time, Zheng Jie, the wife of the patient's family, said suddenly.

"When my husband fell ill, I was terrified. I rushed him to the hospital, but my husband woke up on the way. He came back to normal and looked no different from a normal person."

The corner of Zheng Jie's mouth twitched subconsciously.

.

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