The pediatric clinic, both children's blood pressure is the same, one line up, and the other is pulled into the rescue room
Author:Anesthesia Medical Group Time:2022.06.15
From morning to night, the pediatric clinic is always the busiest one.
Li Li is a pediatric nurse. At the age of 30, he is already a very experienced teacher. Although she was busy with clinical work, she kept paying attention to teach young people at all times.
On this day, she was taking a needle with two internship students, and the blood pressure of a child immediately became alert.
Before an injection for this patient, the intern who had just entered the hospital was still murmured there: The blood pressure of the child is so low. If my blood pressure is so low, I will have a faint long ago, so and wait ...
Indeed, a baby's blood pressure they just saw was only 75. Watching the teachers from the teachings calmly continued to get the injection, they dared not ask anything.
It is explained here: In the emergency department, the low blood pressure level of infants should be less than 70. In other words, in addition to excluding clear factors, there are only more than 70 blood pressure, and generally do not consider any serious problems in babies.
However, what they did not expect was that when the next child was given an injection, he could obviously feel the tension of the teacher: I saw her repeatedly measure the blood pressure with her hands, and then touched the child's pulse with her hands. After that, he touched the child's head nervously.
Obviously, at that moment she wanted to know what happened to the child immediately.
However, more than 80 blood pressure on the blood pressure meter confused the internship students: this blood pressure is better than the previous one, how do you look right!
I just wanted to ask, and I saw the teacher and the mother's mother quickly communicated with the rescue.
At this time, they discovered that the child's face was obviously abnormal, and Bai was green. The mental state is not as crying as ordinary children. Seeing the nurse coming, he just hid resistant.
The doctor came quickly and immediately checked the child's pulse and breathing.
Body temperature, pulse, respiratory and blood pressure are the four major vital signs. In any case, only these four vital signs are normal, and most of them will not be in danger of life.
However, when the child's breathing frequency was very high, he immediately told everyone to send the child to the rescue room urgently.
Subsequently, the group hugged the child and ran to the rescue room.
In the rescue room, an intravenous infusion pathway was immediately opened for the child. At the same time, all kinds of inspections were embraced.
At this time, although the family has not paid the fee, the life is tight. The priority is to know what happened to the child.
After inspection, the child had been playing for too long at noon, and it had a sudden fever.
Thermal radiation disease is a type of heat stroke. The pathogenesis is mainly due to the sudden destruction of body temperature regulation mechanism to cause heat dissipation as a central nervous system suppression, less sweat, more than 41 degrees, and severe physiological and biochemical abnormalities. The clinical manifestations are high fever high fever , Characterized by sweating, consciousness disorder.
Previously, the child's mother always thought that the child had a fever again, so he went to the hospital to get a bit. Unexpectedly, it turned out to be severe heat stroke.
After that, everyone quickly cooled the child; at the same time, it was treated with symptomatic treatment such as brain protection and fluid.
Fortunately, the child is just a mild armal radiation disease. If you take a while and a half, severe thermal radiation disease may occur. By then, multi -organ failure, including the brain.
After that, the internship student praised Teacher Li's clinical experience, and he would also become a good medical staff like Mr. Li.
[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~
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