Chapter 213 Epilepsy patient Hypoglycemia

In fact, patients in a coma like this should often have their fingertip blood sugar measured in the ambulance.

However, the reason why the on-board doctor did not test is because the patient’s convulsions are more severe, and he can’t seize the opportunity all of a sudden.

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

Running back, several people directly held their arms and pricked their fingers.

“Di Di Di~~~~”

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 is 1.9!”

Zhang Mei was stunned for a moment, surprised.

A blood sugar level of 1.9 is too low.

Things are going to be big.

Normal fasting blood sugar should be between 3.9-6.1.

And normal people’s blood sugar should be higher than 6.1 after a meal.

Now the patient is not measuring fasting blood sugar, nor postprandial blood sugar, but random blood sugar.

Random blood sugar refers to: whether it is on an empty stomach or after a meal, it means that it is measured at any time.

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

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

Zhang Mei thought to herself,

“Is it not epilepsy, but convulsions caused by hypoglycemia?”

Zhou Mo was also thinking: “The patient is convulsing, is it hypoglycemia or epilepsy?”

However, based on the patient’s previous medical history, the patient did suffer from epilepsy and was not seen to suffer from hypoglycemia.

Zhou Mo shook his head and put these thoughts behind him, because no matter what the cause of the patient’s convulsions, the most important thing now is to make up the blood sugar.

At this time, Teacher Zhang Mei has already said quickly: “Give the patient a high concentration of glucose…”

The nurse hurried to prepare.

The flat car slammed forward…

The emergency room has arrived.

High sugar infusion is not so fast to reverse…

But the patient’s convulsions continued.

The whole person is shaking.

Obviously not light.

And also foaming at the mouth.

At this time, Zhou Mo suggested: “Teacher, since the patient has a history of epilepsy, we can give the patient some stability empirically.”

“it is good!”

Zhang Mei nodded in agreement.

The tranquilizer of choice, naturally a sedative antiepileptic drug, should be able to quickly stop the convulsions.

At this time, the doctor who accompanied the car glanced at the door of the emergency room and said, “Doctor Zhang, if there is nothing wrong, I will go 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 the emergency room doctor.

The rest basically doesn’t need him to worry about it anymore.

Zhang Mei: “Little Mo, go talk to your family.”

Zhou Mo: “Okay.”

Write a consent form, etc., and then go to the family to talk and sign.

Zhou Mo was skilled enough to talk, and quickly obtained the consent form from the patient’s family.

At this moment,

The nurse also came with the medicine.

Stable + high sugar.

Open venous access…

Infusion…

Watching drop by drop of medicine being injected into a patient.

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

Soon,

Sudden,

Shake Shake~~~

The whole person trembled more violently.

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

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

However, the development of things went beyond Zhang Mei’s imagination.

After the patient was injected with tranquilizers, his body was still twitching, and the degree of twitching seemed to be getting worse.

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

Zhang Mei frowned, puzzled.

Zhou Mo: “Teacher, it may also be low sugar. Now the blood sugar should not be enough, so continue to convulse… Maybe when the blood sugar is high, it will be cured automatically.”

Teacher Zhang Mei nodded: “Yes, wait and see.”

After a while,

The patient woke up yoyo and stopped convulsing.

Zhang Mei and Zhou Mo were both stunned. They glanced at each other, and they could clearly see the surprise in each other’s eyes.

Is it not epilepsy, but hypoglycemia?

The patient Zhao Leiming slowly opened his eyes, glanced around in confusion, and found that he was actually in the hospital.

The last scene in his memory was that he suddenly collapsed to the ground with convulsions, and he couldn’t remember anything after that.

It appears that after his epilepsy, his family took him to the hospital.

The patient is also aware of his own ailments.

“Doctor, let me ask, am I an epileptic?”

“Your wife just brought you here.”

Zhang Mei responded, but he felt that the patient was probably not epilepsy.

Because if the patient has epilepsy, it is impossible to inject a high concentration of 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 about the patient’s situation.”

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 was lying in the emergency room looking at the surrounding equipment, and for some reason, he felt a little nervous in his heart.

And now he has returned to normal, and based on his previous experience with the disease, he is no different from a normal person now.

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

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

The connected ECG monitor, all indicators are normal.

Zhang Mei looked at her watch.

“Zhou Mo, follow this patient… stay under observation for 12 hours.”

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

The emergency department is so busy, once the patient is determined to have no major problem, he will be transferred to the observation area.

Zhou Mo nodded: “Okay, teacher.”

Zhang Mei left.

Then Zhou Mo said to the patients and their families, “Let’s go, I’ll take you to another place.”

…

ten minutes later,

Green area observation area.

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

And it’s a seat, no bed.

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

Zhou Mo: “Tell me about the previous situation. We need to know more about the patient’s symptoms.”

The patient Zhao Leiming nodded and spoke in detail.

“I’m thirty-six years old this year. I’m a second-order dealer. I usually ride a tricycle to collect some gadgets, and then resell them.”

Zhou Mo had a clear expression on his face.

He had previously guessed whether the patient’s occupation ~www.readmtl.com~ required running outside every day to get so tanned.

Unexpectedly, it was exactly what 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, and I suddenly felt unconscious, fell to the ground instantly, and then my limbs stiffened and twitched.”

Having said this, the patient’s face showed a look of fear.

These are all told to him by his family, because after the onset of the disease, the patient has no memory at all about the situation at the time of the onset of the disease.

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

“At that time, my husband was terrified when he got sick. I rushed him to the hospital, but halfway through the journey, my husband woke up and came back to normal. He looked no different from a normal person.”

Zheng Jie’s mouth twitched subconsciously.

.