Chapter 1083: Chapter 1086: The Reaction chanism of Allergic Patients Chapter 1083: Chapter 1086: The Reaction chanism of Allergic Patients Patients with acute allergic reactions might be one of the most common types of cases in ergency departnts.
As one of the frequent and common diseases in ergencies, Chen Cang is capable of handling them proficiently even without any particular skills.
Seeing Chen Cang approaching, the child’s anxious parents asked, “Doctor, can you take a look at my child? What’s wrong with him?”
A middle-aged man was holding the boy, whose condition seed really wrong as he was already drowsy.
Chen Cang frowned upon seeing this!
This is not about falling asleep…
Could this be… anaphylactic shock?
With that thought, Chen Cang imdiately took the little boy to the resuscitation room. If it were indeed an allergic reaction and it got serious, anaphylactic shock can be a very troubleso matter.
Taking the family into the resuscitation room, Chen Cang suddenly noticed a rash on the boy’s body.
He quickly lifted the clothes to reveal many red rashes on the boy’s stomach and chest.
Just as Chen Cang was about to ask the little boy, he suddenly passed out, causing his mother to burst into loud wails of fear.
“Doctor, save my child, what’s… what’s wrong with him?”
The boy’s father was also panic-stricken.
Chen Cang promptly asked Cheng Yi, who was on duty, to help connect the electrocardiogram monitor.
Turning to the parents, he asked, “What happened to him?”
The boy’s mother was inconsolable, and the man, overwheld, heard Chen Cang’s words and hurriedly said, “After dinner, he was playing mobile gas, then he started to complain about chest discomfort. I thought he was just upset about losing the ga, so I ignored it.”
“After a while, he suddenly complained of feeling unwell, telling he had a stomachache and couldn’t catch his breath. I realized sothing was wrong and took him to the community clinic. They told us to rush to the ergency center imdiately.”
Chen Cang frowned, “The child might be allergic, did he eat anything or co into contact with any specific allergen?”
The man suddenly rembered, “Does eating a kiwi at night count?”
Just then, the monitor alarm sounded.
“Dr. Chen, blood pressure is only 80/40mmHg!” Cheng Yi urgently reported from the electrocardiogram monitor, “Breathing 31 tis per minute! Oxygen saturation is at 89%!”
Having heard this, Chen Cang had a near-certain suspicion.
Anaphylactic shock!
“Prepare for intubation!”
Now even breathing is a struggle; the boy’s respiratory tract must be blocked, most likely severe laryngeal edema!
First, open the airway, then administer oxygen!
“Administer 0.5 ml subcutaneous injection of 1% adrenaline.”
“Start 5% glucose solution infusion to maintain intravenous dication patency!”
anwhile, Chen Cang turned to the family and said, “The boy is likely allergic to kiwi!”
Upon hearing this, the boy’s mother said in shock, “…Is that even possible?”
“After he ate kiwi last week, he said he really liked it, so I bought so more today since it’s Saturday. If it were an allergy… wouldn’t he have had a reaction last ti?”
Chen Cang, with no ti to explain as the boy’s condition had not shown noticeable improvent yet, turned to Cheng Yi and said, “Give an intravenous injection of 0.2 ml of 1% adrenaline.”
Adrenaline is like the father figure of ergency dications!
It can handle many complex acute illnesses!
For anaphylactic shock, it is the first-choice drug.
It can quickly relax bronchial spasms through β-receptor effects and cause peripheral blood vessels to constrict through α-receptor effects.
It also counteracts the release of diators from so type I hypersensitivity reactions, making it the preferred drug for treating this condition!
Epinephrine can be administered multiple tis throughout the course of treatnt.
However… generally speaking, after 1 to 2 epinephrine injections, the symptoms of shock in most patients can gradually subside within half an hour.
Chen Cang looked at the little boy’s condition, also feeling sowhat anxious.
He’s not old, only ten, and he’s almost out of epinephrine.
If the shock continues without improvent, this would be a severe case, and drugs like dexathasone would have to be used.
And the little boy’s parents are also quite anxious. In the ergency room, they dared not speak loudly, but their hearts were still full of curiosity. Why was it fine the first ti he ate kiwi fruit, but he had an allergic reaction the second ti?
And…
After the allergic reaction, why hasn’t there been an improvent yet?
Could it be a misdiagnosis?
“Doctor, I’m not doubting you… may I make a suggestion? Could it be that it’s not an allergy? He was fine after eating kiwi fruit the last ti, and suddenly having an allergy this ti, I always find it a bit dubious…”
Now, all the patient can do is wait.
At this mont, another on-duty doctor rushed in: “Doctor Chen, can you help take a look at this ECG? What’s going on with it?”
Chen Cang was about to explain, but seeing the on-duty doctor Zhang Yuan who rushed in, he promptly took the ECG and began to examine it carefully.
Upon looking, Chen Cang’s brows imdiately furrowed.
“S1Q3T3?” Chen Cang suddenly said, “Did you rule out pulmonary embolism?”
Zhang Yuan, hearing this, was imdiately taken aback: “Pulmonary embolism?”
Chen Cang nodded: “Yes, this ECG shows the classic S1Q3T3, along with sinus tachycardia and right bundle branch block. There’s a very high chance that it’s a pulmonary embolism. Have the patient complete further examinations imdiately!”
“Right, notify the thoracic surgery departnt for a consultation first, I suspect the patient’s condition isn’t good, diagnose as soon as possible! Don’t delay.”
After hearing this, Zhang Yuan hurriedly stood up and ran out: “Thank you, Doctor Chen!”
Over here, Cheng Yi suddenly rejoiced: “Doctor Chen, the patient’s blood pressure is up! Blood oxygen saturation is also recovering!”
Chen Cang sighed with relief. It seems that there’s no need for too many anti-allergy dications.
The blood pressure is up, and the shock is improving. The condition should be able to stabilize.
Chen Cang turned around to explain: “The patient appears to have a kiwi fruit allergy, with symptoms of an imdiate-type allergic reaction.
Such allergic reactions usually occur within 5 to 20 minutes, at most within half an hour.”
“Fortunately, you arrived promptly. If such symptoms are not taken seriously or if there is a delay in seeking dical attention, it could have a very significant impact and harm to the major organs, and in severe cases, it may even be life-threatening.”
“You must pay attention to this in the future!”
Chen Cang thought of the father’s words about the little boy perhaps feeling unwell due to losing a ga, and couldn’t help but sigh.
At this mont, the little boy suddenly turned over and opened his eyes.
The little boy’s parents felt a sudden sense of relief!
A heart full of anxiety finally settled down.
If sothing really happened to the child… both of them could not bear to imagine that scene.
“Thank you, doctor! I’m so grateful,” the woman hastily said, “I was scared to death!”
After speaking, the woman quickly ran over, her hands trembling as she touched the child’s face.
Chen Cang nodded: “It’s nothing.”
After finishing speaking, Chen Cang saw that the little boy seed to be alright now, and he prepared to go out to see the patient Zhang Yuan suspected of having a pulmonary embolism.
Just as he got up, Chen Cang suddenly rembered sothing else.
That was the patient seed to really not understand much about allergies.
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