Chapter 177

Xiao Chenguang came to the treatment vehicle in one step and saw the empty ampoules on the table.

800,000 units of penicillin were listed.

The unique smell of penicillin had drifted into Xiao Chenguang's nasal cavity.

Anaphylactic shock, almost instantly, Xiao Chenguang had diagnosed the family's current condition.

"Push the treatment vehicle out, open the window of the ward for ventilation, the family takes a supine position, tilt the head to one side, and increase the oxygen to 10L/min."

"0.1% epinephrine hydrochloride 1ml, subcutaneous injection, if the situation does not improve, inject 0.5ml epinephrine every half an hour."

The rescue measures for anaphylactic shock caused by penicillin are almost engraved in Xiao Chenguang's mind.

"Penicillin allergy?!"

When Xiao Chenguang talked about the rescue measures, the medical staff present were stunned.

They understood the harm of penicillin allergy and knew how to rescue.

This is why, when doctors prescribe antibiotics, nurses will ask in advance if there are any allergies before giving injections or skin tests.

Because severe allergies can really lead to instant death.

But now.

The patient who did the skin test was fine, but how come the family member who accompanied the patient had such a serious penicillin allergy.

This is too uncommon.

Although there was a hundred doubts in their hearts, the medical staff still showed the decisiveness they should have when rescuing at this moment.

The treatment cart was pushed far away by the responsible nurse. The nurse who pushed the rescue cart quickly took out the adrenaline from it, broke it open, sucked it, and injected it subcutaneously to the family member.

Because the situation was urgent, everyone followed the oral doctor's orders, but no one hesitated at this moment, and the entire rescue work was fast and effective.

"Inject nikethamide intramuscularly to improve respiratory depression, give dexamethasone, hormone treatment, promethazine hydrochloride 25mg, anti-allergic."

The doctor's orders were still being issued quickly. Xiao Chenguang looked at the family member who had improved a little, and stayed by her side without leaving.

Such a situation as the one in front of him was indeed very rare.

Generally, patients who are allergic to penicillin will have obvious redness, swelling and nodules on the skin at the puncture point within 20 minutes after the penicillin skin test.

Slightly more serious cases will have rashes and urticaria on the skin all over the body.

Only a very small number of allergic patients will have changes in breathing and circulation, loss of consciousness, and unresponsiveness.

But these are all adverse reactions after direct contact with penicillin.

As for allergic reactions caused by indirect contact, it can be said that they are unique.

Some people even work in the hospital clinic for a lifetime and never see such a medical record.

But few does not mean no.

Xiao Chenguang encountered a case a long time ago.

That was when he was on duty in the emergency department, and the patient had trauma and needed antibiotics.

Because the patient was not clear about the allergy history, the nurse received the doctor's order and was preparing the skin test solution in the treatment room.

Due to careless operation, some skin test solution was accidentally spilled on the ground.

The smell followed the wind and drifted to the patient waiting for the skin test at the door.

The 160-70 kg strong man fell down and fainted on the spot.

No matter who shouted, it was useless. He was as quiet as a baby.

This scared the nurse who was dispensing medicine in the treatment room at that time.

Fortunately, the strong man fainted for a while and then woke up. Since then, every time the nurse did a skin test, she would repeatedly ask the patient's allergy history to prevent anaphylactic shock.

At this time, after a period of treatment, the family member gradually woke up.

Although he still looked a little weak and his lips were a little pale, he was able to answer questions as instructed.

With the crisis resolved, everyone was completely relieved.

The patient, who had been shocked just now, finally reacted.

"I said she used to faint from needles. Why is it that the thicker the needle, the better, and the thinner the needle, the easier it is to faint. It turns out that she didn't faint from the small needle, but from the penicillin used for the skin test."

Thinking of this, the patient was a little scared. It felt that the family members had been walking on the edge of a knife for so many years accompanying him to see a doctor.

"Thank you, doctor. I... didn't know that I was allergic to penicillin."

When the family learned about the situation just now, they immediately thanked Xiao Chenguang.

After this episode, everyone in the general surgery department also learned for the first time that penicillin can cause allergies through smell.

At the same time, they had a deeper understanding of Xiao Chenguang's rich clinical experience.

"Just now, thanks to Director Xiao, I would have thought that something was wrong with the family."

"Yes, if there was no clear diagnosis at the time for an allergic shock like this, it is very likely that something will happen."

"It's terrible. This is the first time I have seen such a serious allergic shock, and it's not an allergy caused by direct contact. In our line of work, we really have to worry every day. After all, there are all kinds of patients, and we can't let them go."

The little nurses who had just finished their work gathered in the nurses' station and chattered non-stop.

Seeing this, Xiao Chenguang didn't say anything. What happened just now was actually an accident.

But as a doctor, even in the face of such an accident, you must never have a fluke mentality.

Because once it happens, it is an inevitable event and is likely to cause serious consequences, so whenever Xiao Chenguang encounters some difficult and complicated diseases, he will record them for future study and analysis.

This habit has always accompanied Xiao Chenguang throughout his medical career, and it is precisely because of this that his clinical experience is so rich.

Just when Xiao Chenguang returned to the office, took out the notebook, and carefully recorded the medical records that had just happened, Wang Jingang's voice came over.

"Xiao Xiao, are you busy?"

"Director, you are back. Have you finished discussing the VIP matter?"

Xiao Chenguang closed the notebook and looked at Wang Jingang. The latter was obviously stunned when he heard his words.

But then he understood what Xiao Chenguang meant by VIP.

"You kid, you are good at using foreign words when you have nothing to do. I have asked about the VIP matter. I just want to do a laparoscopic cholecystectomy. It is not difficult. I have discussed it with the dean. I will come to the hospital in the next two days."

"Okay, that's fine. When the patient has any requirements, just let him tell me directly."

Xiao Chenguang encountered a lot of such operations that were performed through connections in his later life.

In fact, most of them were nothing, just wanting more humanistic care.

"Look, you've interrupted what I wanted to say just now. I'm not looking for you for surgery."

"Huh?"

Xiao Chenguang was stunned. If Wang Jingang is not looking for surgery, what else could it be?

"Look, who I've found to help you."

Wang Jingang smiled and stepped halfway out of the door. A young man who was a head taller than Wang Jingang appeared in front of Xiao Chenguang.