Chapter 491: Pain relief injections should not be administered casually Chapter 491: Pain relief injections should not be administered casually â`
If itâs primary hypertension, in addition to lowering blood pressure, itâs also essential to prevent complications triggered by high blood pressure. If itâs the latter, secondary hypertension, the cause of the hypertension must be found before the pressure can naturally be reduced. Therefore, itâs not just a matter of carelessly prescribing antihypertensives to solve the problem.
The patient claims not to have a history of hypertension. Has it not been checked, or is it really absent?
The patientâs blood pressure isnât extremely high, although itâs quite a bit over the normal value; in a clinical setting, truly scary cases of hypertension can soar above 200. The patient doesnât have a particularly high diastolic pressureâan important indicatorâwhich hasnât exceeded the normal range.
We need to first rule out potential complications caused by hypertension, as this is the most conspicuous abnormal indicator on the patient right now.
Cardiac examinations and ECGs donât seem to show anything for the moment; the troponin I test hasnât been done, and itâs necessary to order a lab test for it. Given the patientâs physique, itâs unlikely that theyâre without hyperlipidemia. These tests need to be ordered. Another severe complication of hypertension is cerebrovascular disease.
The patient is conscious and can answer questions when the doctor asks.
âCan you tell us exactly where it hurts?â Xie Wanying approached the patient with the medical records to help her teacher inquire.
The male patient clearly understood her question and pointed to his chest, but he seemed to be in so much pain that he couldnât speak.
âShould we give him an analgesic injection? I think heâs in agony,â said the patientâs sister, her heart wrenched by the sight of her brotherâs pain.
How badly is the patient hurting now? His lips are a bit pale, his face is continuously sweating, and his breathing is weak and gasping.
âYou canât just randomly give painkillers; if you do, the painâs root cause might be masked by the effects of the analgesic. Pain is a signal that there is a problem within the body. Using painkillers to cover up unexplained pain can influence the doctorâs judgment of the condition, leading to a misdiagnosis, which might have more severe consequences later,â Xie Wanying explained to the patientâs family who made the request.
âWhat if he keeps hurting like this, could it kill him?â The patientâs sister was frantic, knowing her brother was in pain and pleading for help.
âDonât be anxious,â Xie Wanying comforted her, âLetâs find out the cause of the pain first. Without using painkillers, once the source of his pain is addressed, he will naturally not hurt anymore.â
âYou doctors must examine him quickly, we can pay whatever it costs,â the family of the patient said.
Itâs not a matter of money. Some diseases are not easy to diagnose. If money could solve this puzzle, then some rich people who spend a lot still might not be able to find out whatâs wrong with them.
Sun Yubo finished examining the patientâs heart and lungs and turned to check on his student, noticing she didnât even reach for her stethoscope. It was odd; wasnât the student always eager to do an examination?
Because with just a glance, Xie Wanying didnât think the patient had a cardiopulmonary problem. If the lungs had issues, there would definitely be a breathing problem. This patient didnât have any, except for the gasps due to the pain. If it was the heart, cardiac pain would feel like suffocation, not this kind of breathing.
Knowing this student had a good eye, Sun Yubo put away his stethoscope since he hadnât detected any issues with the heart and lungs after listening for a while, and said to the student, âYou go order a CT scan.â
If itâs not the heart or lungs, digestive tract issues must be considered.
Regarding how to fill out the request form, Xie Wanying had just thought it through in her mind. She walked over to the nurse station, grabbed a blank form, and quickly filled it out before handing it to her teacher for review.
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