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Hey. The patient's daughter's sudden question to Xie Wanying had only one word.

   There are some epidemics that usually do not appear to be particularly serious and endanger life to most people, and local people will not go to self-examination and pay special attention. Few people pay attention to the reminders issued by the national health department to medical institutions around the world. It can only be said that at this stage, it takes time for the country to cultivate national health awareness. Therefore, only one day when a small number of patients have a severe attack and go to the hospital for an investigation, will they know where the problem is.

   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 the syndrome or syndrome. Hypothyroidism usually has an insidious onset and a long course, and the symptoms of mild, moderate and severe symptoms are diverse in each patient. Mild patients may have no symptoms at all, or they may show muscle weakness. Severely ill patients can have heart failure like this old grandmother now.

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

  Compared with critically ill patients, the demand for oxygen is higher, and due to the tight breathing due to hypoxia, they will unconsciously add the intention of mouth breathing to increase the amount of oxygen for themselves. Unlike a nasal cannula, a mask only gives oxygen to the nose. It can cover the patient's mouth and nose and give a piece of 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, oxygen will not run around, and can provide a relatively stable oxygen concentration to the patient, 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, "Is there an injection?"

   Injections are not acceptable. She is not a licensed physician without prescribing authority. Drugs are used for injections, and the administration must not be messed up, otherwise the law will not dictate who owns the right to prescribe. Unlike her cousin's situation, she had communicated with her senior brother beforehand that she could issue a doctor's order to be executed when necessary.

   Medication is not good, can sugar or salt water be used in bags? Patients with heart failure are not deprived of body fluids. On the contrary, patients with heart failure must control the amount of fluid infusion to prevent the increase in blood volume from burdening the heart.

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

   In fact, for patients like this, practitioners would not dare to take rescue medicines easily until 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 example, the commonly used clinical digitalis cardiotonic drugs are easy to cause poisoning in such patients.

   Now, what is the extent of the heart disease of the grandmother and needs further examination.

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

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

Listening carefully, the patient was unable to sit down, and her body was forced to lean forward for breath. Xie Wanying held the earpiece close to the depth 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, the scratching-like high-frequency sound can be clearly heard, overshadowing the heart sound. This is a pericardial fricative. The reason for this sound is that the fibrous layer of the pericardium is inflamed, and the roughened pericardial wall layer and the pericardial layer attached to the surface of the heart rub against each other as the heart moves.

   (end of this chapter)