Dumped At The Start, The First Surgery Shocked The World

Chapter 875 Diabetic Acidosis

Xia Xia's face turned cold and refused.

"Miss Tang, please respect yourself."

"I'm not the kind of person you think. If you need a man, with Miss Tang's strength, you can find many excellent men. Why do you have to stare at me?"

"Am I that good?"

"Although, I have some good ones, but I'm really not that kind of person, please give up on me!"

Tang Doudou's expression goes from (⊙?⊙), to (°ー°〃), and finally (σ｀д′)σ.

He shouted with strength several times higher than Summer's voice.

"Son of a bitch!"

"This lady is just asking you to play with me. They don't mean that at all."

"Besides, do you really think Miss Ben likes you?"

Kazilan's big eyes rolled with big white eyes, a look of disgust on her face.

Xia Tian smiled: "Just kidding with you."

"How do you want to accompany?"

Tang Doudou sat on the sofa, crossed Erlang's legs, and said boringly: "I have no friends now, and no one is going shopping with me. You can go shopping with me."

"Miss Ben is happy, so I will allocate 10 million to the orphanage."

"If you're not happy..."

happy!

Must be happy!

Xia Xia immediately came to the spirit, patted his chest and made a promise: "Don't worry!"

"I will definitely accompany you today and be happy with you."

After that, he took out his mobile phone and sent a message: "Is Xiaobei going to work today?"

Wang Xiaobei: "Go."

Xia Xia: "Is Xiao Nai going to work today?"

Xiao Nai: "I have a rest today."

Xia Tian: "Then you will go shopping with Tang Doudou."

Xiao Nai: "Are you crazy? Why should I go shopping with her?"

Xia Tian: "I'll give you 10,000 yuan for one day with her."

Xiao Nai: "I'm the kind of person who sells my color... You want to buy me for ten thousand yuan?"

Summer: "Twelve thousand."

Xiao Nai: "Deal!"

10 o'clock in the morning.

Tang Doudou came to the center of the city in a flamboyant and summer dress, and the eldest lady began to sweep the streets.

At this time.

Xia Tian answered a call and quickly said to Tang Doudou: "Doudou, I have an emergency patient and I have to go back to the hospital."

"Don't worry, I'll find someone to accompany you."

"Wait a while."

"He's coming soon."

Xia Xia ran while talking, and after saying the last sentence, he disappeared into the crowd in a flash.

Don Doudou: ? ? ? ?

asshole!

Just as he was about to get angry, a magnetic voice came from behind.

"Miss Tang."

"Call me to go shopping with you in the summer."

When he turned his head, he saw a tall figure. Unlike the summer sunshine, his handsomeness was aggressive, like eagle eyes, which seemed to be able to see through people.

...

underground station.

Ding dong.

Xiao Nai posted a photo of Tang Doudou trying on shoes on WeChat, and added a sentence: "I'm shopping."

Summer: "OK."

Xiao Nai: "One thousand and two."

Summer: "OK."

Transfer 6,000 fast.

Xiao Nai: "It's still six thousand."

Xia Tian: "The remaining 6,000 will be transferred when the end is over. Miss Tang, who must be with her, is happy. If she gets angry, the remaining 6,000 will not be available~"

Xiao Nai: "Trust Dad."

Summer: "Good son, let's go shopping."

Xiao Nai: "It's disrespectful, how can you talk to grandpa?"

Xia Tian smiled a little. At this time, someone got off the bus at the station, and the seat next to him was vacant. Xia Xian took the seat, and a big sister sat next to her. The big sister was playing with her phone with her head down, and the smell of rotten apples wafted out of the car.

A beautiful woman sat next to the big sister.

The beauty wrinkled her nose, sniffed close to the big sister, her little face immediately showed a painful expression, she immediately stood up and ran to stand.

A few young people next to him also smelled the smell and kept a certain distance from the big sister.

The big sister has been swiping her phone and didn't see the reaction of the people around her.

"Little baby, use a disposable medical detector for this big sister."

【OK. 】

[Patient, Wang Honghong, 49 years old, diabetic. 】

Diabetic patients.

The body smells of rotten apples.

"Ketoacidosis!"

(Ketoacidosis is one of the common acute complications of diabetic patients. When the insulin in the body stops or there is a lack of sugar, fat is broken down too much, resulting in the breakdown product of fat, ketone bodies!)

(Ketone bodies build up too much in the blood, causing acidosis.)

"Check whether the patient's acidosis was mild, moderate, or severe at the time?"

【Mild. 】

"it is good."

Summer breathes a long breath.

Ketoacidosis is a common emergency in the emergency department, and severe cases will immediately fall into syncope.

Treatment consists of four steps:

First: rehydration.

Rehydration therapy can correct positive water, electrolyte balance, help lower blood sugar and clear ketone bodies.

Second: insulin therapy.

Small doses of insulin are added to normal saline for continuous infusion through veins to adjust blood sugar.

Third: tonic.

Acidosis affects the cardiovascular, respiratory and nervous systems, and to avoid physical effects, some osmotic sodium bicarbonate is secreted.

Fourth: potassium supplementation.

The purpose of potassium supplementation is to prevent hypokalemia. This step is usually done after the first and second steps, and the patient's blood potassium level and urine output are checked to assess whether potassium supplementation is needed.

In the event of ketoacidosis, rehydration + insulin therapy is a must! ! !

Summer adjusted his tone.

To this big sister.

"Hello, my name is Xia Xia, and I'm the director of the emergency department of the provincial hospital."

"Are you diabetic?"

Suddenly someone started chatting, big sister was stunned, and replied blankly: "No, I'm in good health."

The symptoms of diabetes in the early stage are not obvious. If you don’t go to the hospital for examination, nine out of ten diabetic patients ignore it. As a doctor in the emergency department, patients don’t know the disease, and they are used to it in the summer.

"Then have you been drinking too much, eating too much, urinating too much, or losing weight recently?"

Typical clinical manifestations of diabetes [three more and one less].

The big sister was stunned for a moment, and said weakly, "It seems... Since half a year ago, I haven't lost weight, but I have lost a dozen pounds."

"what!"

"I don't really have diabetes, do I?"

"But I have a healthy schedule, I never eat sweets, I rarely drink beverages, and I have no family history. How could I have diabetes?"

If you don't eat sweets, you won't get diabetes!

This is the most typical misconception common people have about diabetes.

"Diabetes is a disease caused by insufficient insulin secretion in the body and insulin disorders. It has nothing to do with a high-sugar diet. Of course, once you have diabetes, you can't drink high-sugar foods."

Summer explained.

The big sister still couldn't understand: "But, I am very healthy, why am I sick? It shouldn't be."

For this...

Xia Xia took a look at the big sister's figure from the corner of her eye, and asked weakly.

"What's your height and weight?"

When it came to weight, the big sister lowered her head shyly.

"I'm 150 in height and 150 in weight..."