Practicing Medical Skills in a Small Clinic novel Chapter 694

Chapter 694: Chapter 320: Professor Wu Passes the Buck, Causes of Hypotonicity

When the patient developed such a severe problem, Ou Qinglan immediately reported to the doctor on duty.

Then she called Professor Wu to report the situation.

"Dear, what should we do about that patient?"

After making the call, Ou Qinglan turned to Li Jingsheng for help.

"Intravenous rehydration and sodium supplementation! The patient’s serum sodium is below the normal value of 135mmol/l, which can basically be diagnosed as hypotonic dehydration. You just need to give him an IV drip of 5% glucose saline and 4.5g of sodium today."

On the first day of sodium supplementation, you usually replenish half of the daily requirement.

The remainder can be observed and supplemented the next day.

This patient hasn’t developed severe sodium deficiency yet, so the treatment is relatively simple.

If it were a case of severe sodium deficiency, blood volume would need to be restored first.

The body’s fluids can transform into each other.

More than 70% of the human body is water, and severe dehydration can lead to decreased blood volume.

At this point, you need to first restore blood volume, improve the patient’s microcirculation and tissue perfusion, and then proceed with other treatments.

Severe dehydration can lead to shock or even death.

Therefore, never underestimate the harm of dehydration.

Some people traveling may be too confident or lack crisis awareness, making them most susceptible to dehydration. If they can’t rehydrate in time, coupled with physical exertion, hot weather, and sweating, further water loss will soon lead to danger.

It’s like carbon monoxide poisoning; by the time you realize the danger, you may have no strength to open a window or crawl outside.

"The doctor on duty has already taught me to administer these treatments to the patient. I’m asking what to do next?"

Ou Qinglan wanted more than just solving the patient’s immediate problem.

She also wanted to find out the cause and solve the root problem.

"Isn’t this something Professor Wu should handle? There are various reasons for hypotonic dehydration; you can diagnose and think about it privately. Why take on such a burden?"

Li Jingsheng was not a novice doctor without office experience.

It’s good for young doctors to be adventurous and hardworking, but they should avoid doing things beyond their job scope and personal ability and experience.

Otherwise, if trouble happens, the senior doctor will not only not be grateful for easing their worries but will also scold you thoroughly.

And they won’t have a good time for a long period.

They might even be sidelined directly.

It’s a typical case of thankless hard work.

"He said he can’t come to the hospital now as he has an important academic conference tomorrow morning and asked me to find a solution."

Ou Qinglan honestly said.

"Did you tell him I was in the office with you?"

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