I Can See Health

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Jinghua Second Hospital.

Dormitory in Guipei Building.

"Congratulations, I received a +1 thank you from Fan Zhiping!"

Because it was a private chat with Fan Zhiping, other people in the group didn't know about it, so their gratitude points weren't harvested.

But it’s better than nothing…

But Lu Chen felt that he should communicate in the group next time, otherwise it would be such a loss!

At least I lost dozens of thank you points!

Lu Chen sighed all the way, and his consciousness re-entered the system virtual space and began to train skill operations.

…

Jinghua Electrophysiology Exchange Group.

"I pushed half a pill of atropine! The patient's atrial fibrillation returned to sinus rhythm quickly!"

Fan Zhiping's sudden message attracted the attention of all the cardiologists in the group.

"Rapid heart rate atrial fibrillation, intravenous atropine administration?"

"Director Fan, are you sure the patient's heart rhythm has recovered?"

"Are you kidding me, Lao Fan? I've never seen someone with a high heart rate take atropine!"

All the cardiologists in the group questioned Fan Zhiping's medical advice.

There is only one exception.

That was Min Xiaobo, another elite member of the Electrophysiology Association in the group.

He has been paying attention to this case in the group.

It's just that he didn't have a clue for the time being, so he didn't speak.

And he had been looking forward to Lu Chen's appearance.

"Atropine?" Min Xiaobo raised his eyebrows, could it be...

…

Everyone in the group didn't believe it.

Fan Zhiping first reviewed an electrocardiogram for the patient and sent the reviewed electrocardiogram to the group.

Later, he recorded a short video of the patient's bedside ECG monitor and uploaded it to the group.

When everyone in the crowd saw this living evidence, they had no choice but to believe it.

"I'll go, Lao Fan, you can do this!"

"Director Fan, what is the principle of this?"

"Why can atropine lower the heart rate? This is not common sense, right?"

Fan Zhiping looked at everyone's inquiries and just smiled helplessly.

He himself did not know the reason for using atropine.

"They were all guided by Professor Lu." Fan Zhiping sent another message.

This message immediately shocked all the doctors in the group.

"Wow, you are indeed our Professor Lu!"

"Old Fan, you actually had a private chat with Professor Lu. You are trying to teach Professor Lu your secret!"

"Director Fan, we are very interested in this case, so don't show off! Tell us about the principle of medication."

Fan Zhiping is also very helpless!

It's not that he doesn't want to say it, it's that he really doesn't know!

"Professor Lu only talked about medication, but not the principles of medication."

Everyone was a little disappointed when they saw Fan Zhiping's message in the group.

"Where's Professor Lu? @Professor Lu, come out and explain it to us!"

I don’t know who is in the group @Lu Chen.

Then, one after another.

A group member, Aite Lu Chen, tried to summon Lu Chen.

" @Professor Lu Chen!"

" @Professor Lu Chen!"

Fan Zhiping quickly added: "Professor Lu has something to do."

It's just that Fan Zhiping's news was quickly drowned out by everyone's "summoning skills".

…

Jinghua Second Hospital, Guipei Building dormitory.

Lu Chen was doing virtual training when suddenly a series of WeChat notifications interrupted him.

Training was interrupted again!

What's going on today?

Lu Chen exited the system virtual space with doubts.

I picked up my phone and saw that the content in the Jinghua Electrophysiology WeChat group was all @’s own.

He blocked the group messages and could not receive ordinary messages.

Continuing to scroll up, Lu Chen couldn't help but smile when he saw everyone's demands clearly.

He was just lamenting that he had not received any thanks from others.

Now everyone has taken the initiative to send thank you notes!

"It seems that everyone wants to know the rationale for using atropine."

After all, in the traditional concept, this is a drug that increases heart rate, which is contrary to the treatment of atrial fibrillation.

In fact, his ability to solve this case was entirely due to the "Elite Group Assessment" he participated in some time ago.

The assessment for the elite group not only tests knowledge of electrocardiograms, but also comprehensively examines basic electrophysiology, interpretation of electrocardiograms, and treatment of arrhythmias.

Lu Chen had been tortured by countless electrophysiology books some time ago!

In addition, Lu Chen had encountered aconitine poisoning and was treated with atropine.

An experience, coupled with rich clinical theoretical knowledge, allowed Lu Chen to successfully solve this problem.

…

“Has anyone carefully read the instructions for propafenone and atenolol?”

Lu Chen's question appeared in the group, and the originally noisy WeChat group suddenly became quiet.

Fan Zhiping immediately went online to check the instructions for these two drugs. After finding the results, he immediately copied and pasted them in the WeChat group.

"This is the instruction manual for propafenone: If there is high degree of sinoatrial or atrioventricular conduction block, intravenous injection of sodium lactate, atropine, isoproterenol or metanephrine can be used for rescue."

“Here are the instructions for atenolol: Overdose: Severe bradycardia may be treated with intravenous atropine 1-2 mg, followed by intravenous high-dose glucagon 10 mg if necessary, which may be repeated or followed by intravenous infusion based on response Glucagon.”

Everyone in the group saw the instructions sent by Fan Zhiping.

Everyone had an idea in their mind, their common rescue drug is: atropine!

"Professor Lu, although the common rescue drug for both drugs is atropine, they are both for slow heart rate, and there is no mention of treating rapid atrial fibrillation?"

Fan Zhiping's words expressed what everyone was thinking.

Although on the surface, atropine is a rescue drug for both drugs, its pharmacological indications do not include atrial fibrillation, but only sinus bradycardia.

Lu Chen smiled and quickly replied: "This involves the mechanism of poisoning of the two drugs."

Poisoning mechanism?

Everyone in the group was a little confused.

It's okay to let them, clinical doctors, treat diseases, but it's a headache to figure out the pathogenesis and other issues!

As soon as Lu Chen said this, the originally noisy group instantly became quiet again.

In the message box of the group chat, only Lu Chen alone sent a message.

"Atenolol suppresses sinus rhythm, ectopic rhythm begins to depolarize, propafenone blocks ectopic heart rate and causes slow atrial fibrillation, leading to hemodynamic changes, causing myocardial cell damage, leading to rapid atrial fibrillation and premature ventricular contractions. Propafenone poisoning can definitely aggravate other serious arrhythmias..."

...

Looking at the message sent by Lu Chen, Fan Zhiping could only sigh at this time.

Professor Lu, awesome!

He knows more or less about the mechanisms of these drugs.

But it is difficult for him to combine them with practical problems in clinical work!

Most people in the group were confused about what Lu Chen said.

Except for one person, that is Min Xiaobo. UU Reading www.uuｋanshu.net

Lu Chen started, and Min Xiaobo immediately understood what he meant.

"So that's it!"

"The cardiac reaction caused by these two drug poisonings not only involves atrial fibrillation caused by conduction problems, but also severe sinoatrial node inhibition caused by atenolol. The latter should also be the cause of aggravated atrial fibrillation. Correcting the root cause of the heartbeat requires restoring the sinoatrial node function and enhancing the impulses sent by the orthostatic pacemaker."

"Atropine increases the activity of the sinoatrial node and the sinus rhythm to regain the leadership of the sinoatrial node, improve the atrioventricular node inhibition, and improve the ventricular rhythm."

"It can be treated in this way, it's really an eye-opener!"

Min Xiaobo slapped his thigh and cheered, scaring the students who were on duty with him.

What's wrong with Teacher Min?

Staring at the phone, frowning for a while, and laughing for a while.

Where did Teacher Min, who usually doesn't smile in the department, go?