
Back to the hospital. And it's been a few days Abi was back on duty with other doctors.It's certain the ER never deserted.
Some nurse pushed the gurney.
" Heart rate of 96, blood oxygen of 70, "the ambulance service said.
" Doctor, you have to save my son" said the mother who took the child to the hospital.
" I will observe ma'am, please wait outside" Abi said.
" Give the patient 2 milligrams of propofol, the patient needs an ultrasound in the chest and abdomen, "Abi said after checking with her stethoscope.
" The stomach is safe doc, the backbone's results doc."
Abi called the patient's family.
" Mommy, the mother's child has a spine and her chest is bleeding subarachnoid hemorrhage ."
" What does doc mean?".
" Subarachnoid hemorrhage is bleeding in the space between the brain and surrounding membranes (subarachnoid space). The main symptom is a sudden severe headache. Headaches are sometimes associated with nausea, vomiting, and a brief loss of consciousness" Abi said.
" In this case, we can't do the surgery, it must be monitored in the EICU room".
" Good doc" said the mother.
Dr. Reyhan read the ultrasound results and nodded at Abi for the correct diagnosis.
Abi then takes care of another patient.
" Patient check results, low blood potassium levels dock".
" Well, it can cause arrhythmia."
" An abnormal heart rate, whether irregular, too fast, or too slow.
Cardiac arrhythmias occur when the electrical impulses in the heart don't work properly" Abigail says.
" If necessary, treatment includes antiarrhythmic drugs, medical procedures, implantable devices, and surgery."
" Can the patient's family be contacted by Sus?".
" It's doc, it's on its way here."
" Risk of death and major heart attack sus."
" Okay, Sus, the patient's pantaw ."
" Nice doc."
" Blood potassium is only 2.8 docks".
" Yes, patients can have a heart attack at any time."
Doctor Doni and Doctor Reyhan monitor Abi's work, they always salud see Abi, Abi so master of various fields. During the ER without Abi, biss is felt, the other koas doctors are kocar kacir.
Abi is examining hypokalemia patients.
Low potassium can be caused by things beyond the underlying disease. Examples include a lack of dietary potassium intake, vomiting, diarrhea, treatment side effects, eating licorice (licorice), or caffeine.
" The patient has hypokalemia."
" Potassium levels, a chemical important to the body, are low in the blood. This problem can cause fatigue, muscle cramps, abnormal heart rhythm."
" Hypokalemia is a condition when the body lacks potassium or potassium. This condition can be experienced by anyone, especially people with diarrhea or vomiting. Treatment of hypokalemia needs to be done immediately to prevent serious complications, such as heart problems.
Potassium is a mineral in the body that controls the function of nerve and muscle cells, especially the heart muscle. Potassium also plays a role in maintaining body fluid balance and regulating blood pressure. When potassium levels in the body are reduced, various symptoms will appear, depending on the amount of potassium lost, "Abi told the nurse Ratna.
" Causes of Hypokalemia
Hypokalemia occurs when the body secretes too much potassium. This condition can be caused by several factors. The most common causes of potassium deficiency are:
Vomiting
Excessive diarrhea
Kidney disease or disorders of the adrenal glands
Diuretic drug consumption".
" Although rare, potassium deficiency can also be caused by the following factors:
Deficiency of folic acid
Diabetic ketoacidosis
Low levels of magnesium in the body (hypomagnesemia)
Take asthma or antibiotic medications
Long term use of laxatives
Excessive consumption of alcoholic beverages
Smoking habit ".
" Some syndromes can also cause low levels of potassium in the body, including Cushing's syndrome, Gitelman's syndrome, Liddle's syndrome, Bartter's syndrome, and Fanconi's syndrome" Abigail said.
" A very low level of potassium in the blood, which is less than 2.5 mmol/L, can be fatal. This condition is classified as severe hypokalemia. Some symptoms of severe hypokalemia that can appear are:
Ileus paralytic
Paralysis
Heart rhythm disorders (arrhythmias)
Stop breathing".
" So watch ya Sus".
" Good doc".
" If you suffer from a disease that requires the consumption of diuretic drugs in the long run. Diuretic drugs are one of the causes of hypokalemia. Your doctor may reduce the dose or change the type of diuretic medication that doesn't trigger hypokalemia, such as spironolactone or amiloride."
" To measure the level of potassium in the blood, the doctor will perform a blood test. Normal potassium levels are 3.7-5.2 mmol/L. If the potassium level is lower than the figure, then the patient is diagnosed with hypokalemia."
" Yes doc."
" The doctor's knowledge and diagnosis is very precise, the doctor understands the patient's symptoms and the doctor's examination is appropriate" said the nurse
" Right sus, proper mandatory diagnosis, otherwise the patient's handling could be dangerous."
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