From morning to night, the pediatric clinic is always the busiest one.
Li Li is a pediatric nurse. In his early 30s, he is already a very experienced teacher. Despite her busy clinical work, she is always on the lookout for something to teach young people.
On this day, she was bringing two intern students to puncture the patient. One patient’s blood pressure alerted her immediately.
Before giving this patient the injection, the intern who had just entered the hospital was still muttering: the child’s blood pressure is so low. If my blood pressure were this low, I would have fainted, and so on…
Indeed, the blood pressure of a baby they just saw was only 75. Seeing that the instructor continued to give injections calmly and calmly, they did not dare to ask anything.
Here’s a note: In the emergency department, infant-specific hypotension levels should be less than 70. That is to say, except for clear factors, only the blood pressure is more than 70, and it is generally not considered that the baby has any serious problems.
However, what they didn’t expect was that when they gave the next child an injection, they could clearly feel the teacher’s nervousness: I saw that she nervously repeated the measurement with her hands blood pressure, and then feel the child’s pulse. After that, he patted the child’s head nervously.
Obviously, at that moment, she wanted to know immediately what happened to the child.
However, the blood pressure of more than 80 on the sphygmomanometer confuses the intern students: this blood pressure is better than the previous one, why does it look wrong!
I just wanted to ask something, but I saw the teacher and the mother quickly communicated about rescue or something.
It was only at this time that they realized that the child’s face was obviously abnormal, and the whites were bluish. Mental state, nor cry like ordinary children. Seeing the nurse coming, she just resisted and ducked.
The doctor came quickly and checked the child’s pulse and breathing .
Body temperature, pulse, respiration and blood pressure are the four vital signs. In any case, only these four vital signs are normal, and most of them will not be life-threatening.
However, when he found that the child’s breathing rate was very high, he immediately told everyone to urgently send the child to the emergency room.
Then the group picked up the child and ran to the emergency room.
Arrived at the emergency room, and immediately opened the intravenous infusion access for the child. At the same time, various inspections swarmed.
At this time, although the family members have not paid the fees, it is important to save lives. It is imperative to know what is going on with the child.
After examination, the child suffered from heat stroke after playing in the midday sun for too long.
Heat stroke is a type of heat stroke, and its pathogenesis is mainly thermoregulation The sudden destruction of the mechanism results in the blockage of heat dissipation, which is manifested as central nervous system depression, less sweating, body temperature exceeding 41 degrees, and severe physiological and biochemical abnormalities. The clinical manifestations are high fever, no sweat, and disturbance of consciousness.
Before, the child’s mother always thought that the child had a fever again, so she went to the hospital for an intravenous drip. Unexpectedly, it turned out to be severe heatstroke.
After that, everyone quickly cooled the child; at the same time, they gave symptomatic treatment such as brain protection and fluid infusion.
Luckily, the child only had a mild heat stroke. Severe heat stroke may occur if you stay in the sun for another hour and a half. By then, there may even be multiple organ failure, including the brain.
Afterwards, the interns were full of praise for Mr. Li’s clinical experience, and determined to become an excellent medical staff like Mr. Li.
【Warm reminder】Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia~