I Can See Health

At this time, Wang Xiaodong also came to Xiao Yunfei's bedside.

"Junior brother, how is the patient?"

Seeing Xiao Yunfei's painful expression, Wang Xiaodong also understood that something was wrong.

Lu Chen immediately handed the electrocardiogram to Wang Xiaodong.

"Is this... atrial fibrillation?" Wang Xiaodong frowned.

There is no P wave and the heart rate is absolutely irregular. This is atrial fibrillation.

Although he is not a cardiologist, atrial fibrillation should be one of the more common electrocardiograms in clinical practice, and he recognized it immediately.

"Yes, rapid atrial fibrillation." Lu Chen nodded.

"You may have to ask a cardiologist to help." Wang Xiaodong said solemnly.

Although atrial fibrillation is a relatively easy arrhythmia to deal with, after all, people are professionals.

In addition, it is also a good thing to share it with multiple people.

According to Director Yang Chunlai, consultation is about sharing one's responsibilities.

"Senior brother, I have already invited you." He Qin said.

"Okay." Wang Xiaodong nodded slightly.

Then he looked back at Xiao Yunfei who was lying on the bed, "Do you have chest pain?"

"A bit." Ms. Xiao replied in a low voice, her expression extremely uncomfortable.

"First use amiodarone injection and push it on her." Wang Xiaodong told the nurse.

Amiodarone is an antiarrhythmic drug that can often convert atrial fibrillation into a normal rhythm.

However, amiodarone should be used within 48 hours of the onset of atrial fibrillation.

Because once atrial fibrillation lasts for more than 48 hours, blood clots are likely to form in the atria.

Applying amiodarone at this time may cause the thrombus to fall off.

Thrombus travels to the brain with blood circulation and blocks the blood vessels in the brain, causing a "stroke".

This is also one of the most important reasons why most people suffer from stroke.

…

Li Qinghua, a consultant in the Department of Cardiology, is here again.

He basically agreed with Wang Xiaodong's handling.

"Add some more potassium ions." Li Qinghua said, "This patient has long-term diarrhea and is prone to hypokalemia. Low potassium can easily induce atrial fibrillation."

"Okay." Wang Xiaodong asked the nurse to give him a bottle of potassium.

Facts have also proven that amiodarone is effective.

In less than 20 minutes, Xiao Yunfei's heart rate finally returned to normal.

The heart rate returned to 100 beats/min.

Xiao Yunfei's brows finally relaxed a little.

…

"But the question now is, why did she develop arrhythmia?"

In the doctor's office, Wang Xiaodong's eyes were full of doubts.

She has no past heart disease, is young, and does not have high blood pressure.

Why does Hao Duanduan have arrhythmia?

He Qin thought for a while and then said: "Brother, I don't think it can be ruled out that it is caused by gastroenteritis stress."

Wang Xiaodong shook his head slightly: "This situation is relatively rare, so it is not the first consideration."

Lu Chen on the side frowned.

To be honest, it is rare for someone with atrial fibrillation at such a young age to have no history of heart disease!

He looked through Xiao Yunfei's treatment plan.

Suddenly, my attention was attracted by a medicine.

"Brother, could it be caused by this quinolone antibiotic (levofloxacin belongs to this type of antibiotic)? This is not uncommon. I have seen several cases during my internship."

Lu Chen pointed to the doctor's orders on the computer.

Wang Xiaodong was stunned.

"You said that, but I remembered that last time, an elderly man also developed atrial fibrillation after taking moxifloxacin."

Moxifloxacin also belongs to the quinolone antibiotic class.

"Is it really a side effect of the medicine?" He Qin agreed.

Wang Xiaodong paused and said, "Maybe it's true. It seems I have to change her to cephalosporin antibiotics."

Cephalosporins are safer and have fewer allergies.

However, its antibacterial spectrum is not as broad as that of levofloxacin, and it cannot deal with some atypical pathogens.

But in clinical practice, if we put aside the side effects and talk about efficacy, it’s all a hoax!

"Let's observe first. Junior brother, please do more electrocardiograms on the patient. In addition, after she is stable, let her have time to go to the cardiology department to do a dynamic electrocardiogram."

"OK."

…

But when Xiao Yunfei's symptoms improved, she became anxious again.

"Doctor Lu, when can I go home?"

"It's too dangerous to go home now. We have to observe him for one more night to make sure nothing happens." Lu Chen rejected Xiao Yunfei's request.

"Oh, there's still a lot of work to do tomorrow!"

"Is work more important or life more important?" Lu Chen responded directly.

"Oh, that's okay." Ms. Xiao shook her head and sighed.

Lu Chen was about to turn around and leave the ward.

Xiao Yunfei suddenly stopped him again: "Doctor Lu, where is your supermarket here? I'm a little thirsty and want to buy some water."

"We've given you a lot of water, are you still thirsty?" Lu Chen frowned.

"Yes, I'm a little thirsty." Ms. Xiao nodded.

"The supermarket is in the eighth inpatient ward, which is a bit far from our emergency room. It's not convenient for you. There is a drinking room in our ward. Let me get you a glass of water." Lu Chen said.

In Xiao Yunfei's current state, she cannot move around casually, not to mention that she does not have family members to accompany her.

Lu Chen found a disposable water cup and drank a glass of water.

"The water is coming."

"Thanks."

Ms. Xiao took the water and was about to drink it, but was stopped by Lu Chen.

"Wait a minute!"

The movement of Xiao Yunfei's hand froze.

She held the water glass in her right hand, stopped in mid-air, and looked at Lu Chen doubtfully.

"What's wrong?"

Lu Chen stared at her right hand closely. UU reading www.uukanshu.net

"Do your hands usually shake?"

"I see your hands are shaking so much now!"

"Are you nervous? Or uncomfortable?"

Lu Chen asked several questions in succession.

Lu Chen looked serious, not as if he was chatting about everyday things, but more as if he had discovered some important information.

Xiao Yunfei was a little unable to react when asked.

Uh-huh, after a moment, she looked at her right hand and said, "It's usually a little bit, but today I guess I was scared. My hand was indeed shaking a lot."

They were a pair of delicate little hands, and at first glance they looked like the hands of a gentle man.

But unfortunately, the right hand hovering in the air was trembling slightly, and it seemed to be shaking more and more the more he looked at it.

"Something's not right!" A trace of doubt flashed in Lu Chen's eyes.

"Lu...Dr. Lu, what's wrong?" Xiao Yunfei swallowed, feeling increasingly nervous, and sweat dripped from her palms and forehead.

Lu Chen stared at Xiao Yunfei closely and said slowly: "It's possible that your hands are shaking due to nervousness. But since you came to the emergency ward, I found that you love to sweat. You sweat more when you are nervous."

At the same time, Lu Chen also noticed.

Xiao Yunfei's eyes are also very bright.

He hadn't paid much attention to it before.

But now tie all the signs together.

She likes to sweat, her eyes are a little bulging, and her hands are a little shaky.

There are also cardiac arrhythmias.

Lu Chen suddenly felt as if layers of fog had been lifted.

The patient's diagnosis was imminent.

"If this is really the disease, then isn't her diarrhea just..."

Lu Chen was startled, and suddenly thought of a very scary situation...