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¡¾1535¡¿Adjust measures in time

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    "Has she had a thyroid function test?"

    Why.  The patient's daughter was confused at Xie Wanying's sudden question.

    Some epidemic diseases usually do not appear to be particularly serious or life-threatening for most people, and local people do not check themselves and pay special attention to them.  Few people will pay attention to the reminders issued by the national health department to medical institutions in various places.  It can only be said that at this stage, it takes time for the country to cultivate national health awareness.  Therefore, only when a small number of patients have a severe attack and go to the hospital for a check-up, will they know where the problem lies.

    Hypothyroidism, commonly known as hypothyroidism, is more common in the elderly, more common in elderly women, and more common in iodine-deficient areas.  Like heart failure, it is a syndrome.  Hypothyroidism usually has an insidious onset, a long course, and a variety of mild, moderate, and severe symptoms in each patient.  Mild patients may have no symptoms at all, or they may show muscle weakness.  Severe patients may have heart failure like this old lady.

    Xie Wanying said to the nurse and flight attendant: "Give her a mask and give her oxygen."

    Critically ill patients have a higher demand for oxygen, and due to tight breathing due to hypoxia, they will unconsciously breathe through the mouth in order to increase the amount of oxygen for themselves.  Unlike a nasal cannula that only provides oxygen to the nose, a mask can cover the patient's mouth and nose and provide oxygen to the mouth, which is very useful for patients who breathe through the mouth.  The mask covering the patient's mouth and nose is equivalent to a closed space, and oxygen will not escape. It can provide the patient with a relatively stable oxygen concentration, which is also beneficial to the patient's oxygen therapy.

    The flight attendant went to get the oxygen mask.  Seeing this, the nurse asked Xie Wanying: "Do you want an injection?"

    Injections are not possible.  She is not a licensed physician and does not have the authority to prescribe.  Injections require drugs, and the administration must not be random. Otherwise, the law will not strictly stipulate who owns the prescription rights.  Unlike her cousin's situation, she had communicated with her senior brother beforehand that she could prescribe medical instructions for execution when necessary.

    If medication doesn¡¯t work, can I take a bag of sugar or salt water?  The patient's heart failure does not mean loss of body fluids. On the contrary, heart failure patients must control the amount of fluid infusion to prevent the increase in blood volume from increasing the burden on the heart.

    Seeing Xie Wanying shaking her head, Lu Xin sighed, helpless.

    ¡°In fact, for patients like this, medical practitioners do not dare to prescribe rescue drugs easily until they are in the most critical moment.  Heart disease caused by hypothyroidism is different from other heart diseases. Many heart disease drugs should be used with caution. Digitalis cardiotonic drugs, which are commonly used clinically, can easily cause poisoning in such patients.

    ????????????????????????????????????????????????????????????????????????????????????? To what extent does the old woman¡¯s heart disease have reached, and further examination is needed.

    Hanging up the stethoscope, Xie Wanying performed heart and lung auscultation on the patient.

    The apical beat is shifted to the left, and the patient is suspected to have signs of left ventricular enlargement.  When the condition affects the structure of the heart, it is a relatively serious state, and it is not easy to reverse.  You may need to go to a big hospital for major surgery in the future.

    Listening carefully again, the patient could not sit down and was forced to lean forward to gasp. The earpiece held by Xie Wanying was close to the depth of the patient's clothes, close to the patient's chest wall, from the third and fourth intercostal space on the left side of the sternum, down to the sword.  Suddenly, a scratching-like high-frequency sound can be clearly heard, covering up the heart sounds.  This is pericardial friction sound.  The reason for this sound is that the pericardial fibrous layer is inflamed, and the roughened pericardial wall layer and the pericardial visceral layer attached to the surface of the heart rub against each other as the heart moves.  (Remember the website address: www.hlnovel.com
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