Chapter 1535 【1535】Timely Adjustment Measures

"Has she had a thyroid function test?"

Why. The patient's daughter only had one ignorant word for Xie Wanying's sudden question.

Some epidemics are usually not particularly serious and life-threatening to most people, and local people will not check themselves and pay special attention. Few people pay attention to the reminders issued by the national health department to medical institutions in various places. It can only be said that it takes time for the country to cultivate national health awareness at this stage. So only when a small number of patients have a serious attack and go to the hospital for an examination, can 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 belongs to syndrome or syndrome. Hypothyroidism usually has an insidious onset and a long course of disease. The symptoms of mild, moderate and severe symptoms are diverse in each patient. Mild patients may have no symptoms at all, or may present with muscle weakness. Severely ill patients can have heart failure like this old lady.

Xie Wanying said to the nurses and flight attendants: "Give her a mask to breathe oxygen."

More critically ill patients have a higher demand for oxygen, and due to the lack of oxygen, they will unconsciously add mouth breathing to increase the amount of oxygen for themselves. Unlike a nasal cannula, the mask only supplies oxygen to the nose, it can cover the patient's mouth and nose, and can supply 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 the oxygen will not run around. 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, "An injection?"

Needling is not acceptable. She is not a licensed physician and has no prescription rights. Drugs are used for injections, and drug administration must not be done indiscriminately, otherwise the law will not rigidly stipulate who owns the right to prescribe. Unlike her cousin's situation, she had communicated with her senior brother beforehand and could prescribe medical orders to be executed when necessary.

Medication won't work, will bagged sugar or salt water work? Patients with heart failure do not lose body fluids. On the contrary, patients with heart failure must control the amount of infusion to prevent increased blood volume from burdening the heart.

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

In fact, doctors like this kind of patients don't dare to prescribe emergency medicine unless they are in the most dangerous time. Heart disease caused by hypothyroidism is not the same as other heart diseases. Many heart disease drugs should be used with caution. For such patients, digitalis cardiotonic drugs commonly used in clinical practice can easily cause poisoning.

Now to what extent is the grandmother's heart disease, further examination is needed.

Hanging up the stethoscope, Xie Wanying performed cardiopulmonary auscultation on the patient.

The apical beat deviated to the left, and the patient was suspected to have signs of left ventricular enlargement. When the disease reaches the point where it affects the structure of the heart, it is a relatively serious state, and it is not easy to reverse it. In the future, it may be necessary to go to a major hospital for major surgery.

If you listen carefully, the patient can't sit down, and the body is forced to lean forward to pant. Xie Wanying's hand is holding the earpiece close to the depths of the patient's clothes, close to the patient's chest wall, from the third and fourth intercostal spaces on the left side of the sternum, down to the sword Suddenly, you can clearly hear the scratchy high-frequency sound, covering the heart sound. This is a pericardial friction rub. The reason for this sound is that the fibrous layer of the pericardium is inflamed, and the roughened pericardial wall layer and the visceral layer of the pericardium attached to the surface of the heart rub against each other as the heart moves.